Therapeutic use of Cannabis sativa in the treatment of Alzheimer's disease: an integrative review
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2025.227069Keywords:
Alzheimer disease, Cannabis, Medical Marijuana, Neurobehavioral ManifestationsAbstract
Objective: to investigate, in light of the scientific literature, the efficacy of the therapeutic use of Cannabis sativa in the treatment of Alzheimer’s Disease. Methodology: this is an integrative literature review that gathered articles based on a systematized methodology. The search for studies was conducted through the following databases: Latin American and Caribbean Health Sciences Literature (Literatura Latino Americana e do Caribe em Ciências da Saúde), SciVerse Scopus, and Web of Science, using Health Sciences Descriptors. Results: the sample included 16 scientific articles, all indicating a growing trend in exploring Cannabis sativa compounds for symptomatic treatment of the disease. Experimental laboratory studies stand out among the findings, as well as the analysis of the optimal non-toxic dose for treatment efficacy. Treatment
efficacy is demonstrated by the delay and/or reduction of behavioral symptoms of the disease, resulting in improved quality of life for the involved family context. Conclusion: the use of Cannabis sativa compounds demonstrated efficacy in the symptomatic treatment of individuals with Alzheimer’s, revealing medical advancements and a paradigm shift regarding the plant. The presented evidence sheds light on specific nuances that may impact not only the life of the person with the disease but also the entire family dynamic.
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Araújo SEM, Cunha ER. Marques IL. Paixão AS, Dias AFG. Sousa PM, et al. Alzheimer's disease in Brazil: an epidemiological analysis between 2013 and 2022. Res Soc Dev. 2023;12(2):1-6. https://doi.org/10.33448/rsd-v12i2.40345
Watt G, Karl T. In vivo Evidence for Therapeutic Properties of Cannabidiol (CBD) for Alzheimer's Disease. Front Pharmacol. 2017;8:20. https://doi.org/10.3389/fphar.2017.00020
Santos VRT, Santos RA, Guedes JPM, Andrade MC. The use of cannabis in the treatment of Alzheimer. Res Soc Dev. 2022;11(7):e28711729889. https://doi.org/10.33448/rsd-v11i7.29889
Remor KVT, Fraga AC, Mazzucchetti L, Blatt CR, Sakae TM. Alzheimer disease: pharmacological treatment and cognitive performance. Rev AMRIGS [Internet]. 2020 [cited 2024 Jun 11];64(2):207-12. Available from: https://oldsite.amrigs.org.br/assets/images/upload/pdf/jornal/1610631629.pdf#page=41
Costa BGL, Lima LR, Funghetto SS, Volpe CRG, Santos WS, Stival MM. Non-pharmacological methods for Alzheimer’s treatment: na integrative review. Rev Enferm Cent-Oeste Min. 2019;9. https://doi.org/10.19175/recom.v9i0.2786
Pessoa DOC, Lira IV, Siqueira LDP. Cannabis Sativa: an integrative review of legal, toxicological and pharmacotherapeutic aspects. Res Soc Dev. 2021;10(15):e18101522408. https://doi.org/10.33448/rsd-v10i15.22408
Sousa IGD, Marques NM. Descobertas sobre o uso de cannabis na doença de Alzheimer: uma revisão da literatura. In: Anais do VI Congresso Internacional de Envelhecimento Humano. [Internet]; 2019 Jun 26-28; Campina Grande, PB. Campina Grande: Realize Eventos; 2019 [cited 2023 Nov 16]. Available from: https://www.editorarealize.com.br/editora/anais/cieh/2019/TRABALHO_EV125_MD4_SA2_ID2756_27052019222514.pdf
Casarin ST, Porto AR, Gabatz RIB, Bonow CA, Ribeiro JP, Mota MS. Types of literature review: considerations of the editors of the Journal of Nursing and Health. J Nurs Health [Internet]. 2020 [cited 2023 Nov 27];10(5). https://doi.org/10.15210/jonah.v10i5.19924
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. https://doi.org/10.1186/s13643-016-0384-4
Agency for Healthcare Research and Quality. Introduction to the Toolkit for using the AHRQ Quality Indicators: how to improve hospital quality and safety [Internet]. Rockville, MD: AHRQ; 2016 [cited 2023 Sept 23]. Available from: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/combined_toolkit.pdf
Bardin L. Análise de Conteúdo. São Paulo: Edições 70; 2016. 288 p.
Martín-Moreno AM, Brera B, Spuch C, Carro E, García-García L, Delgado M, et al. Prolonged oral cannabinoid administration prevents neuroinflammation, lowers β- amyloid levels and improves cognitive performance in Tg APP 2576 mice. J Neuroinflammation. 2012;9:8. https://doi.org/10.1186/1742-2094-9-8
Coles M, Watt G, Kreilaus F, Karl T. Medium-Dose Chronic Cannabidiol Treatment Reverses Object Recognition Memory Deficits of APPSwe/PS1ΔE9 Transgenic Female Mice. Front Pharmacol. 2020;11. https://doi.org/10.3389/fphar.2020.587604
Schubert D, Kepchia D, Liang Z, Dargusch R, Goldberg J, Maher P. Efficacy of Cannabinoids in a Pre-Clinical Drug-Screening Platform for Alzheimer’s Disease. Mol Neurobiol. 2019;56(11):7719-30. https://doi.org/10.1007/s12035-019-1637-8
Libro R, Diomede F, Scionti D, Piattelli A, Grassi G, Pollastro F, et al. Cannabidiol Modulates the Expression of Alzheimer's Disease-Related Genes in Mesenchymal Stem Cells. Int J Mol Sci. 2016;18(1):26. https://doi.org/10.3390/ijms18010026
Hermush V, Ore L, Stern N, Mizrahi N, Fried M, Krivoshey M, et al. Effects of rich cannabidiol oil on behavioral disturbances in patients with dementia: A placebo controlled randomized clinical trial. Front Med. 2022;9. https://doi.org/10.3389/fmed.2022.951889
Leszko M, Meenrajan S. Attitudes, beliefs, and changing trends of cannabidiol (CBD) oil use among caregivers of individuals with Alzheimer’s disease. Complement Ther Med. 2021;57:102660. https://doi.org/10.1016/j.ctim.2021.102660
Broers B, Patà Z, Mina A, Wampfler J, de Saussure C, Pautex S. Prescription of a THC/CBD-Based Medication to Patients with Dementia: A Pilot Study in Geneva. Med Cannabis Cannabinoids. 2019;2(1):56-9. https://doi.org/10.1159/000498924
Fihurka O, Wang Y, Hong Y, Lin X, Shen N, Yang H, et al. Multi-Targeting Intranasal Nanoformulation as a Therapeutic for Alzheimer’s Disease. Biomolecules. 2023;13(2):232. https://doi.org/10.3390/biom13020232
Chesworth R, Cheng D, Staub C, Karl T. Effect of long-term cannabidiol on learning and anxiety in a female Alzheimer’s disease mouse model. Front Pharmacol. 2022;13. https://doi.org/10.3389/fphar.2022.931384
Nitzan K, Ellenbogen L, Bentulila Z, David D, Franko M, Break EP, et al. An Ultra- Low Dose of ∆9-Tetrahydrocannabinol Alleviates Alzheimer’s Disease-Related Cognitive Impairments and Modulates TrkB Receptor Expression in a 5XFAD Mouse Model. Int J Mol Sci. 2022;23(16):9449. https://doi.org/10.3390/ijms23169449
Bittes YP, Ribeiro LB, Anselmo GS, Dantas TCL, Ferreira MVR, Neves WC, et al. Uso dos canabinoides no tratamento de pessoas portadoras de Alzheimer. REVISA [Internet]. 2021 [cited 2023 Oct 13];10(2):887-99. Available from: https://rdcsa.emnuvens.com.br/revista/article/view/467
Timler A, Bulsara C, Bulsara M, Vickery A, Jacques A, Codde J. Examining the use of cannabidiol and delta-9-tetrahydrocannabinol-based medicine among individuals diagnosed with dementia living within residential aged care facilities: Results of a double-blind randomised crossover trial. Australas J Ageing. 2023;42(4):698-709. https://doi.org/10.1111/ajag.13224
Ruver-Martins AC, Bicca MA, Araujo FS, Maia BHLNS, Pamplona FA, Silva EG, et al. Cannabinoid extract in microdoses ameliorates mnemonic and nonmnemonic Alzheimer’s disease symptoms: a case report. J Med Case Reports. 2022;16(1):277. https://doi.org/10.1186/s13256-022-03457-w
Haug NA, Kieschnick D, Sottile JE, Babson KA, Vandrey R, Bonn-Miller MO. Training and Practices of Cannabis Dispensary Staff. Cannabis Cannabinoid Res. 2016;1(1):244-51. https://doi.org/10.1089/can.2016.0024
Ahmed AIA, van den Elsen GAH, Colbers A, Kramers C, Burger DM, van der Marck MA, et al. Safety, pharmacodynamics, and pharmacokinetics of multiple oral doses of delta-9-tetrahydrocannabinol in older persons with dementia. Psychopharmacology (Berl). 2015;232(14):2587-95. https://doi.org/10.1007/s00213-015-3889-y
Seniya C, Khan GJ, Uchadia K. Identification of Potential Herbal Inhibitor of Acetylcholinesterase Associated Alzheimer’s Disorders Using Molecular Docking and Molecular Dynamics Simulation. Biochem Res Int. 2014;2014:e705451. https://doi.org/10.1155/2014/705451
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