Table A2.
References | Study design | Sample size | Study duration | Type of the drug and route of administration | Measures | Main findings | Adverse events |
---|---|---|---|---|---|---|---|
Age | |||||||
Disease duration | |||||||
Frankel et al. [164] | Case series | N = 5 | NR | 1. Smoked cannabis (1 g with 2.9% THC) | Webster scale | No improvement of tremor | Drowsiness or mild euphoria |
Age: NR | |||||||
Dd: NR | |||||||
2. Diazepam 5 mg orally | Mild unsteadiness occurred after diazepam | ||||||
3. l-DOPA/Carbidopa 250 mg/25 mg orally (Sinemet 275) | |||||||
4. Apomorphine 1.5 mg subcutaneously | |||||||
Venderová et al. [162] | Open-label pilot | N = 85 of 339 | — | 84 patients with ½ teaspoon cannabis orally; 1 patient by inhalation | Anonymous questionnaire sent by mail | 31% reported improvement of rest tremor, 45% of bradykinesia and 14% of LID | Unspecified |
Age: 65.7 yearsDd: 8.5 yeasr | |||||||
52.9% daily | |||||||
Zuardi et al. [165] | Open-label pilot | N = 6 | 4 weeks | 1st week:150 mg/day | 1.BPRS | Improvement of psychiatric plus and minus symptoms, mild improvement | None |
2nd week:250 mg/day | 2. PPQ | ||||||
Age: 58.8 ± 14.9 years | 3rd week: 325 mg/day | 3. UPDRS total | |||||
4th week: 400 mg/day | 4. CGI-I | ||||||
Dd: 10.6 ± 3.7 years | CBD dissolved in corn oil | 5. MMSE | |||||
Placebo group: corn oil capsules | 6. FAB | ||||||
Chagas et al. [ 60 ] | Case series | 4 patients with RBD | 6 weeks | 75 or 300 mg/day CBD | REM Sleep behavior disorder questionnaire | Significant improvements in sleep symptoms; Well tolerated | NR |
Finseth et al. [166] | Patient survey | N = 9 | — | Past or current use of Cannabis | Self-administered questionnaire via e-mail | Benefits in mood (56%), sleep (56%), motor symptoms (22%), and quality of life (22%) | None |
Age: 49–75 years | |||||||
Dd: 2–11 years | |||||||
Lotan et al. [167] | Case series | N = 22 | Smoked cannabis for at least 2 months | Smoked cannabis, 0.5 g (with 2.9% THC) |
|
Improvement of tremor and bradykinesia and some non-motor symptoms | Short-term: hypoglycemia, dizzinessLong-term: somnolence, drowsiness, palpitations, bad taste |
Age: 65 ± 10.2 yearsDd: 7.3 ± 4.8 years | |||||||
Shohet et al. [168] | Open-label, observational | N = 20 | Cannabis use for at least 10 weeks (median 14 weeks) | Vaporizer or smoking Cannabis (1 g), anticholinergic agents, dopamine agonists, amantadine, and rasagiline | 1. UPDRS | Improvement in mean motor and pain scores in 18PD patients | NR |
2. PRI | |||||||
3. Short-form McGill Pain Questionnaire 4.VAS | |||||||
Age: 62.4 ± 9 years | |||||||
Dd: 6.8 ± 3.5 years | |||||||
Control: 12 Age: 70 ± 7.2 years | |||||||
Dd: 6 ± 2.6 years | |||||||
Yust-Katz et al. [169] | Open-label | N = 114 | — | Medical cannabis (MC), anti- Parkinson medication, pain killers (paracetamol, NSAID), opiates (Tramadol, Oxycodone) | 1. UPDRS | MC significantly alleviated pain | NR |
Age: 68 ± 9.9 years | 2. McGill test | No significant difference in different pain medications (pain killers vs opiates vs MC) | |||||
Dd: 6 ± 6 years | 3. Structured questionnaire for pain typ | ||||||
Balash et al. [170] | Retrospective observational telephone survey | N = 47 | Patients treated for at least 3 months with MC | Most means of cannabis administration was Smoking flowers and leaves or oil ingestion daily dose 0.9 ± 0.5 g | Structured questionnaire | Improvement in pain, sleep, mood, and significant reduction of falls were reported by a significant percentage of patients. | Cough (34.9%), anxiety, confusion, and hallucinations |
Age: 64.2 ± 10.8 years | |||||||
Dd: 10.8 ± 8.3 years | |||||||
Kindred et al. [171] | Open anonymous web-based survey | N = 453 | — | Most reported routes of administration: smoking cannabis edible | Self-reported scales: GNDS, NHP, ABC, FSS, IPAQ | Improvement on mood, memory, fatigue, and obesity status, and reduction of prescribed medication | NR |
Age: 61.1 ± 9.5 years | |||||||
Smoked + edibles |
Rows in bold emphasis indicate studies using CBD.