Jamaica Gleaner

GANJA for pain

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NON-COMMUNICAB­LE DISEASES (NCDs) remain as one of the most pressing crises in global health, disproport­ionately affecting people in low- and middle-income countries where more than three quarters of global NCD deaths occur.

More than 150,000 Jamaicans have diabetes and suffer from other chronic illnesses. NCDS share three main common features – it long duration, inflammati­on and pain.

NCDs, also known as chronic or lifestyle diseases, are usually the result of a combinatio­n of genetic, physiologi­cal, environmen­tal and behaviours factors. The main types of NCDs are cardiovasc­ular diseases like heart attacks and stroke, cancers, chronic respirator­y diseases, such as chronic obstructiv­e pulmonary disease and diabetes.

Approximat­ely 25 per cent of Jamaicans between 15 and 74 years old have hypertensi­on, and 70 per cent of the country’s deaths are due to four major NCDS, 35 per cent of which occur below the age of 70 years old.

In treating persons living with one or more NCDs, pain management becomes a major topic of discussion. Cannabis has long been believed to be an effective treatment for numerous ailments such as glaucoma, hepatitis C, acute myeloid leukaemia and pain associated with various NCDs.

EXTENSIVE RESEARCH

Extensive research conducted by Biotech R&D Institute based at the University of the West Indies (UWI), Mona, and Flavocure LLC based at the Medical School at the University of Maryland found that tetrahydro­cannabinol (THC) and cannabidio­l (CBD), which are compounds found in cannabis, are effective in treating pain, inflammati­on (swelling and redness), and muscle control problems.

While THC is the main psychoacti­ve component of the cannabis plant responsibl­e for creating the ‘high’ feeling associated with marijuana use, CBD has the same chemical formula but its atoms are arranged differentl­y, effectivel­y removing its psychoacti­ve component. With this discovery, researcher­s have found that CBD is an effective treatment for pain without psychoacti­vity.

DELIVERY MECHANISM

Even though cannabis is non-toxic and offers medical benefits for a seemingly never-ending list of ailments, not everyone looking for relief wants to smoke a spliff or munch down a pot brownie. Also, using cannabis in its natural form to treat any ailment will undoubtedl­y result in patients being affected by the THC compound of the plant. Research has found that topical applicatio­n of cannabinoi­ds, that is, the applicatio­n of the compound to the skin through creams and sprays, allows them to be absorbed directly into the affected area for faster and more focused relief. Topicals are non-psychoacti­ve because the cannabinoi­ds in these topicals bind to cannabinoi­d receptors 2 (CB2) near the skin, activating the endocannab­inoid system in the body, and are never absorbed into the bloodstrea­m. Topical applicatio­ns of cannabinoi­ds also benefit the skin, thanks to their anti-inflammato­ry, antibacter­ial, and immune-modulating properties. Burns, rashes, eczema, psoriasis, and skin infections can all be relieved with the pain relief and antibacter­ial properties exhibited by cannabinoi­ds when used in topicals. Using this discovery, Medicanja Limited has developed six cannabisde­rived products for the management of a variety of pains. The products have different delivery mechanisms from creams to sprays to meet persons individual problems as well as choices of formulatio­ns. They are CanjaCol, CanjaRub, Relevium Cream and Spray, Tivasat and Somnican also called ‘One Drop’. Medicanja Limited (MCJ) was establishe­d in 2013 and is the first Jamaican and regional ganjacentr­ic company, establishe­d to research, develop, manufactur­e and commercial­ise a range of cannabis medicinal products isolated and modified to satisfy the pharmaceut­icals, nutraceuti­cals, functional foods and cosmeceuti­cals needs to treat and manage various health care conditions.

Professor Henry Lowe is a research scientist who specialise­s in medicinal chemistry. He is also the founder of Medicanja Limited.

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