The mechanism of action of Cannabis sativa L. as a sleep inducer and its neuropsychological consequences - an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i2.25866

Keywords:

Insomnia; Marijuana; Phytotherapy; Psychological disorders; Sleep physiology.

Abstract

Variations in normal sleep patterns, when affecting the individual's healthy performance, are characterized as “sleep disorders” and tend to be a predictor to the search for palliative substances capable of alleviating the symptoms of the condition. Cannabis sativa L. has a high consumption worldwide in the treatment of a lot of pathologies, being used, with or without medical supervision, to minimize the symptoms of insomnia. This literature review aimed to delimit the mechanism of action of C. sativa in sleep and expose the advantages and disadvantages – mainly neuropsychological – of its use as a sleep-inducing substance. Through bibliographical research, the descriptors “Cannabis and sleep physiology (fisiologia do sono/ fisiología del sueño)/ phytotherapy (fitoterapia/fitoterapía)/ insomnia (insônia/ insomnio)/ mechanism of action (mecanismo de ação/ mecanismo de acción)/ psychological disorders (transtornos psicológicos/ desórdenes psicológicas)” were searched in the SciELO (Scientific Electronic Library Online), PuBMeD, ResearchGate and Science Direct databases. In total, 52 scientific articles were selected and used to support the present work. It was found that the beneficial effects of C. sativa on sleep are limited to naive users, such tolerance to THC (Δ9-tetrahydrocannabinol) it’s undeveloped. Besides that, there is the possibility of aggravation or triggering of new pathologies, especially when C. sativa is administered through tobacco, which, because of the combustion, releases harmful toxins to health. Vaporization, therefore, appears as an administration route to be explored, as it presents lesser risks and greater benefits to the users.

Author Biographies

Laura Moreira Silva, Faculdade Cesumar de Ponta Grossa

Acadêmica de Psicologia pela Faculdade Cesumar de Ponta Grossa - UniCesumar. Pesquisadora bolsista do Programa Institucional de Bolsas de Iniciação Científica PIBIC⁸/ICETI - UniCesumar durante o período letivo de 2021.

Isadora de Jesus Mariano Lacerda, Faculdade Cesumar de Ponta Grossa

Acadêmica de Farmácia pela Faculdade Cesumar de Ponta Grossa (UniCesumar).

Juliane Nadal Dias Swiech, Faculdade Cesumar de Ponta Grossa

Doutora em Ciências Farmacêuticas pela Universidade Federal do Paraná (UFPR). 

References

Abd-Elsalam, W. H., Alsherbiny, M. A., Kung, J. Y., Pate, D. W. & Löbenberg, R. (2019). LC–MS/MS quantitation of phytocannabinoids and their metabolites in biological matrices. Talanta, (204), 846-867.

Aizpurua-Olaizola, O., Elezgarai, I., Rico-Barrio, I., Zarandona, I., Etxebarria, N. & Usobiaga, A. (2017). Targeting the endocannabinoid system: future therapeutic strategies. Drug Discovery Today, 22(1), 105-110.

Almondes, K. M. & Pinto Junior, L. R. (2016). Terapia cognitivo-comportamental para os transtornos de sono. CRV.

Alves, P., Amaral, C.,Teixeira, N. & Correia-da-Silva, G. (2020). Cannabis sativa: much more beyond ∆9-tetrahydrocannabinol. Pharmacological Research, (157), 104-822.

Amin, M. R. & Ali, D. W. (2019). Pharmacology of Medical Cannabis. Advances In Experimental Medicine and Biology, 151-165.

Angarita, G. A, Emadi, N, Hodges, S & Morgan, P. T. (2016). Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review. Addiction Science & Clinical Practice, 11(9), 1-17.

Babson, K. A., Sottile, J. & Morabito, D. (2017). Cannabis, Cannabinoids, and Sleep: a review of the literature. Current Psychiatry Reports, 19(4), 1-12.

Bhagavan, C, Kung, S, Doppen, M, John, M, Vakalalabure, I, Oldfield, K, Braithwaite, I., & Newton-Howes, G. (2020). Cannabinoids in the treatment of Insomnia Disorder: a systematic review and meta-analysis. Cns Drugs, 34(12), 1217-1228.

Bonfá, L, Vinagre, R. C. O & Figueiredo, N. V. (2008). Uso de Canabinoides na dor crônica e em cuidados paliativos. Revista Brasileira de Anestesiologia, 58(3), 267-279.

Bonini, S. A., Premoli, M., Tambaro, S., Kumar, A., Maccarinelli, G., Memo, M. & Mastinu, A. (2018). Cannabis sativa: a comprehensive ethnopharmacological review of a medicinal plant with a long history. Journal Of Ethnopharmacology, 227, 300-315.

Carlini, E. A. (2006). A História da Maconha no Brasil. Jornal Brasileiro de Psiquiatria, 55(4), 314-317.

Carskadon, M. A. & Dement, D. C. Os Principais Transtornos do Sono. In: Almondes, K. M. & Pinto Junior, L. R. (2016). Terapia cognitivo-comportamental para os transtornos de sono. CRV.

Choi, S, Huang, B. C. & Gamaldo, C. E. (2014). Therapeutic uses of Cannabis on Sleep Disorders and related conditions. Journal Of Clinical Neurophysiology, 37(1), 39-49.

Conroy, D. A. & Arnedt, J. T. (2014). Sleep and Substance Use Disorders: an update. Current Psychiatry Reports, 16(10), 1-9.

Coomans, C. P., Ramkisoensing, A. & Meijer, J. H. (2015). The suprachiasmatic nuclei as a seasonal clock. Frontier Neuroendocrinology, 37, 29-42.

Cousens, K. & Dimascio, A. (1973). THC as an hypnotic. Psychopharmacologia, 33(4), 355-364.

Fatma, S. & Anjum, R. (2020). Sleep: physiology and its concept in unani medicine. International Journal of Advance Research and Innovative Ideas in Education, 6(5), 1321-1327.

Fonseca, B. M., Costa, M. A., Almada M., Correia-da-Silva G. & Teixeira, N. A. (2013). Endogenous cannabinoids revisited: A biochemistry perspective. Prostaglandins and Other Lipid Mediators, 102-103, 13-30.

Foster, B. C., Abramovici, H. & Harris, C. S. (2019). Cannabis and Cannabinoids: kinetics and interactions. The American Journal Of Medicine, 132(11), 1266-1270.

Furer, T., Nayak, K. & Shatkin, J. (2018). Exploring Interventions for Sleep Disorders in adolescent Cannabis users. Medical Sciences, 6(1), 11.

Garcia, A. N. & Salloum, I. M. (2015). Polysomnographic sleep disturbances in nicotine, caffeine, alcohol, cocaine, opioid, and cannabis use: a focused review. The American Journal on Addictions, 24(7), 590-598.

Gates, P. J., Albertella, L. & Copeland, J. (2014). The effects of cannabinoid administration on sleep: a systematic review of human studies. Sleep Medicine Reviews, 18(6), 477-487.

Gomes, M. da M., Quinbones, M. S. & Engelhardt, E. (2010). Neurofisiologia do sono e aspectos farmacoterapêuticos dos seus transtornos. Revista Brasileira de Neurologia, 46(1), 5-15.

Hassan, R., Aloe, F. (2013). Fisiologia do sono. In: Almondes, K. M. & Pinto Junior, L. R. (2016). Terapia cognitivo-comportamental para os transtornos de sono. CRV.

Hobson, J. A. (1989). Sleep. In: Almondes, K. M. & Pinto Junior, L. R. (2016). Terapia cognitivo-comportamental para os transtornos de sono. CRV.

Hunt, D. A., Keefe, J., Whitehead, T. & Littlefield, A. (2020). Understanding Cannabis. The Journal for Nurse Practitioners, 16(9), 645-649.

Karila, L., Roux, P., Rolland, B., Benyamina, A., Reynaud, M., Aubin, H. J. & Lançon, C. (2014). Acute and long-term effects of cannabis use: a review. Current Pharmaceutical Design, 20(25), 4112-4118.

Levinsohn, E. A. & Hill, K. P. (2020). Clinical uses of cannabis and cannabinoids in the United States. Journal Of The Neurological Sciences, 411, 116-717.

Lu, Y. & Anderson, H. D. (2017). Cannabinoid signaling in health and disease. Canadian Journal Of Physiology And Pharmacology, 95(4), 311-327.

Maccallum, C A. & Russo, E. B. (2018). Practical considerations in medical cannabis administration and dosing. European Journal Of Internal Medicine, 49, 12-19.

Maple, K. E., McDaniel, K. A., Shollenbarger, S. G. & Lisdahl, K. M. (2016). Dose-dependent cannabis use, depressive symptoms, and FAAH genotype predict sleep quality in emerging adults: A pilot study. Am. J. Drug Alcohol. Abuse, 42, 431–440.

Mashhoon, Y, Sagar, K. A. & Gruber, S. A. (2019). Cannabis use and consequences. Pediatric Clinics of North America. 66(6), 1075–1086.

Mondino, A., Cavelli, M., González, J., Santana, N., Castro-Zaballa, S., Mechoso, B., Bracesco, N., Fernandez, S., Garcia-Carnelli, C. & Castro, M. J. (2019). Acute effect of vaporized Cannabis on sleep and electrocortical activity. Pharmacology Biochemistry And Behavior, 179, 113-123.

Monteiro, C., Tavares, E., Câmara, A. & Nobre, J. (2020). Regulação molecular do ritmo circadiano e transtornos psiquiátricos: uma revisão sistemática. Jornal Brasileiro de Psiquiatria, 69(1), 57-72.

Murillo-Rodriguez, E., Pastrana-Trejo, J. C., Salas-Crisóstomo, M. & De-La-Cruz, M. (2017). The Endocannabinoid System modulating levels of consciousness, emotions and likely dream contents. Cns & Neurological Disorders - Drug Targets, 16(4), 370-379.

Neves, G. S. M. L., Macedo, P. & Gomes, M. M. (2017). Transtornos do sono: atualização (1/2). Rev. Bras. Neurol., 53(3), 19-30.

Nicholson, A. N., Turner, C., Stone, B. M. & Robson, P. J. (2004). Effect of Δ-9- Tetrahydrocannabinol and Cannabidiol on nocturnal sleep and early-morning behavior in young adults. Journal Of Clinical Psychopharmacology, 24(3), 305-313.

Pelayo, R. & Dement, W. C. (2017). History of sleep physiology and medicine. Principles and Practice of Sleep Medicine. [S.I], 3-14.

Prospéro-García, O., Contreras, A. E. R., Gómez, A. O., Herrera-Solís, A. & Méndez-Díaz, M. (2019). Endocannabinoids as therapeutic targets. Archives Of Medical Research, 50(8), 518-526.

Rivera y Revuelta, J. L. G. de. (1993). Psicopatología del sueño. Focus on Psychiatric, 76-87.

Rong, C., Lee, Y., Carmona, N. E., Cha, D. S., Ragguett, R-M., Rosenblat, J. D., Mansur, R. B., Ho, R. C.& McIntyre, R. S. (2017). Cannabidiol in medical marijuana: research vistas and potential opportunities. Pharmacological Research, 121, 213-218.

Russo, E. B. (2011). Taming THC: potential Cannabis synergy and phytocannabinoidterpenoid entourage effects. British Journal Of Pharmacology, 163(7), 1344-1364.

Saper, C. B., Fuller, P. M., Pedersen, N. P., Lu, J. & Scammell, T. E. (2010). Sleep state switching. Neuron, 68, 1023-1042.

Silva, F. H. L. Os Principais Transtornos do Sono. In: Almondes, K. M. & Pinto Junior, L. R. (2016). Terapia cognitivo-comportamental para os transtornos de sono. CRV.

Souza, A. A. F. de., Silva, A. F. M. da., Abreu, L. R. de., Silva, T. F. da., Greco, G., Santos, S. da S. & Gonzaga, R. V. (2021). Medicinal uses of Cannabis sp. Research, Society and Development, 10(7), 1-16.

Suraev, A. S., Marshall, N. S., Vandrey, R., McCartney, D., Benson, M. J., McGregor, I. S., Grunstein, R. R. & Hoyos, C. M. (2020). Cannabinoid therapies in the management of sleep disorders: a systematic review of preclinical and clinical studies. Sleep Medicine Reviews, 53, 101-339.

Tubbs, A. S., Dollish, H. K., Fernandez, F. & Grandner, M. A. (2019). The basics of sleep physiology and behavior. Sleep And Health, [S.I.], 3-10.

Vandrey, R., Smith, M. T., McCann, U. D., Budney, A. J. & Curran, E. M. (2011). Sleep disturbance and the effects of extended-release zolpidem during Cannabis withdrawal. Drug And Alcohol Dependence, 117(1), 38-44.

Wyatt, R. M., Fraser, I., Welty, N., Lord, B., Wennerholm, M., Sutton, S., Ameriks, M. K., Dugovic, C., Yun, S. & White, A. (2019). Pharmacologic characterization of JNJ-42226314, [1-(4-Fluorophenyl)indol-5-yl]-[3-[4-(thiazole-2-carbonyl)piperazin-1-yl]azetidin-1-yl]methanone, a reversible, selective, and potent monoacylglycerol lipase inhibitor. Journal Of Pharmacology And Experimental Therapeutics, 372(3), 339-353.

Published

29/01/2022

How to Cite

SILVA, L. M.; LACERDA, I. de J. M.; SWIECH, J. N. D. The mechanism of action of Cannabis sativa L. as a sleep inducer and its neuropsychological consequences - an integrative review. Research, Society and Development, [S. l.], v. 11, n. 2, p. e41211225866, 2022. DOI: 10.33448/rsd-v11i2.25866. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25866. Acesso em: 22 dec. 2024.

Issue

Section

Review Article