Anesthetic drugs & techniques

Cannabinoids and General Anesthetics: Revisiting Molecular Mechanisms of Their Pharmacological Interactions

Anesth AnalgPublished Narrative review

Study context

Population
Surgical patients who are regular cannabis consumers; animal models and humans

Main finding

As reported in the abstract

  • Animal studies: some show phytocannabinoids (THC, CBD, CBN) potentiate effects of inhalation and IV anesthetics; others show effects comparable with humans
  • Clinical studies and case reports: increased requirements of GABAergic anesthetics (isoflurane, sevoflurane, propofol, midazolam) for adequate anesthesia
  • Humans: THC ingestion enhances hypnotic effect of ketamine
  • Animal studies: cannabinoids enhance opioid analgesia via endogenous cannabinoid system (ECS)–endogenous opioid system (EOS) synergy at spinal cord and CNS
  • Humans: cannabis users have higher postoperative pain scores and increased opioid requirements

Original publication

Cannabinoids and General Anesthetics: Revisiting Molecular Mechanisms of Their Pharmacological Interactions. Anesth Analg. Published 6 November 2024. doi:10.1213/ane.0000000000007313

Composed by AI from the published abstract and checked against it. How Briefs are made →

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