The Therapeutic Potential and Ethical Implications of Medical Cannabis in Parkinson's Disease: Exploring Mitigation of Reliance on Deep Brain Stimulation


Authors : Vin Nguyen

Volume/Issue : Volume 10 - 2025, Issue 4 - April


Google Scholar : https://tinyurl.com/5n7pesmk

Scribd : https://tinyurl.com/46z2t5xt

DOI : https://doi.org/10.38124/ijisrt/25apr1989

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Abstract : Medical cannabis, with its complex array of cannabinoids, has emerged as a potential therapeutic avenue for managing the multifaceted symptoms of Parkinson's disease (PD). This review article synthesizes current evidence regarding the effects of medical cannabis on both motor and non-motor symptoms of PD, examining its potential to alleviate these burdens and its ethical implications for use in this vulnerable population. The review further explores the theoretical and preliminary evidence for cannabis's role in potentially mitigating or delaying the need for deep brain stimulation (DBS) or complementing its effects. A dedicated section delves into the interaction of cannabinoids with the endocannabinoid system in the brain and its relevance to PD pathology, motor skills, and functionality. While acknowledging the limitations of current research, this paper highlights the potential of cannabis to modulate the endocannabinoid system and impact PD symptomatology, emphasizing the need for rigorous ethical considerations and further scientific investigation.

Keywords : Parkinson's Disease, Medical Cannabis, Deep Brain Stimulation, Ethics, Motor Symptoms, Non-Motor Symptoms, Endocannabinoid System, Alternative Therapy, Adjunctive Therapy, Basal Ganglia.

References :

  1. Carroll, C. B., Bain, P. G., Teare, L., Liu, X., Joint, C., Kingdom, J., ... & Wright, D. J. (2004). Cannabis for dyskinesia in Parkinson disease: a randomized, controlled, crossover trial. Neurology, 63(7), 1245-1250.
  2. Frankel, J. P., Hughes, P., Lees, A. J., Stern, G. M., & Carroll, C. B. (2007). Smoked cannabis for levodopa-induced dyskinesias in Parkinson's disease: a phase II, double-blind, placebo-controlled, crossover study. Movement Disorders, 22(14), 2239-2242.
  3. Lastres-Becker, I., Cebeño, M. A., Zamarbide, G., Gómez-Cañas, M., Fernández-Ruiz, J., & Ramos, J. A. (2005). Neuroprotective effect of WIN-55, 212-2 in a rat model of Parkinson's disease: influence of CB1 and CB2 cannabinoid receptors. European Journal of Neuroscience, 22(10), 2649-2656.
  4. Leweke, F. M., Piomelli, D., Rizzo, V., Diehmelt, M., Müller, D. J., Manahan-Vaughan, D., ... & Koethe, D. (2012). Cannabidiol induces transient normalization of aberrant functional connectivity in schizophrenia. Biological Psychiatry, 72(3), 205-211.
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  6. Sieradzan, K. A., Fox, S. H., Hill, M., Dick, J. P., Crossman, A. R., & Brotchie, J. M. (2001). Cannabinoids reduce levodopa-induced dyskinesia in Parkinson's disease: a pilot study. Neurology, 57(11), 2108-2111.
  7. Zuardi, A. W., Crippa, J. A. S., Hallak, J. E. C., Moreira, F. A., & Guimarães, F. S. (2009). Cannabidiol for the treatment of psychosis in Parkinson's disease. Journal of Psychopharmacology, 23(8), 979-983.

Medical cannabis, with its complex array of cannabinoids, has emerged as a potential therapeutic avenue for managing the multifaceted symptoms of Parkinson's disease (PD). This review article synthesizes current evidence regarding the effects of medical cannabis on both motor and non-motor symptoms of PD, examining its potential to alleviate these burdens and its ethical implications for use in this vulnerable population. The review further explores the theoretical and preliminary evidence for cannabis's role in potentially mitigating or delaying the need for deep brain stimulation (DBS) or complementing its effects. A dedicated section delves into the interaction of cannabinoids with the endocannabinoid system in the brain and its relevance to PD pathology, motor skills, and functionality. While acknowledging the limitations of current research, this paper highlights the potential of cannabis to modulate the endocannabinoid system and impact PD symptomatology, emphasizing the need for rigorous ethical considerations and further scientific investigation.

Keywords : Parkinson's Disease, Medical Cannabis, Deep Brain Stimulation, Ethics, Motor Symptoms, Non-Motor Symptoms, Endocannabinoid System, Alternative Therapy, Adjunctive Therapy, Basal Ganglia.

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