Using Cannabis and CBD to Sleep: An Updated Review
- PMID: 39612156
- DOI: 10.1007/s11920-024-01564-7
Using Cannabis and CBD to Sleep: An Updated Review
Erratum in
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Correction: Using Cannabis and CBD to Sleep: An Updated Review.Curr Psychiatry Rep. 2024 Dec;26(12):728. doi: 10.1007/s11920-024-01580-7. Curr Psychiatry Rep. 2024. PMID: 39658776 No abstract available.
Abstract
Purpose of review: Cannabis sativa and constituent cannabinoids are in widespread use for the treatment of sleep disorders where many patients desire pharmacotherapy. Previous reviews highlight a lack of high-quality evidence to support the efficacy and long-term safety of cannabinoids in various conditions. We aim to provide an update of recent original research evaluating cannabinoid-based therapeutics in sleep disorders.
Recent findings: We identified twenty-one recent studies of cannabinoids for insomnia, subjective sleep impairment, obstructive sleep apnoea, rapid eye movement sleep behaviour disorder, and restless legs syndrome. We note trends towards the use of minor cannabinoids, studies using decentralised approaches and increased utilisation of objective measures in clinical trials. The evidence-base does not match widespread use of cannabinoids for the treatment of sleep disorders. There is a growing need for adequately funded well-designed clinical trials with longer treatment durations and decent sample sizes to inform both the clinician and patient.
Keywords: Cannabidiol; Cannabinol; Delta-9-tetrahydrocannabinold; Insomnia disorder; Sleep-disordered breathing.
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Conflict of interest statement
Declarations. Financial Disclosures: CMH is funded by a National Heart Foundation Future Leader Fellowship. RRG (1197439) is funded by a National Health and Medical Research Council-Australian (NHMRC) Investigator Grant. IL was supported by a Barry and Joy Lambert Postgraduate Research Scholarship between 2021–2023. Competing Interest: RRG has received discounted investigational products from Neurim Pharmaceuticals and received investigational product and matched placebo from Teva Pharmaceutical in unrelated clinical trials. He has received funding for lectures for Pfizer, Teva, Jazz and Eisai in the past 3 years. RRG is a consultant for Eli Lilly. The other authors have no competing interests to disclose. The Woolcock Institute Sleep and Chronobiology Research Group has received research support from Avadel, Nyxoah, Idorsa, ResMed, BOD Australia, and Philips.
References
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- Streatfeild J, Smith J, Mansfield D, Pezzullo L, Hillman D. The social and economic cost of sleep disorders. Sleep. 2021;44(11).
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- Kaul M, Zee PC, Sahni AS. Effects of Cannabinoids on Sleep and their Therapeutic Potential for Sleep Disorders. Neurotherapeutics. 2021.
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