Table 1.
Drug Name | Indication | Basic Formulation | Clinical Studies | Proved Efficacy | Key Limiting Toxicity | Recommended Dosage | Drug–Drug Interactions Reported | Approval | Reference |
---|---|---|---|---|---|---|---|---|---|
Drugs of one molecule | |||||||||
MARINOL® (GW Pharmaceuticals, Cambridge, UK) | Appetite stimulation; antiemetic associated with cancer chemotherapy | Dronabinol (synthetic THC) | Yes | Yes | 100 mg/day or 30 mg/kg |
Appetite stimulation: 2.5 mg twice daily; antiemetic: 5 mg 3–4 times daily | FDA | [16] | |
EPIDIOLEX® (GW Pharmaceuticals) | Lennox–Gastaut syndrome and Dravet syndrome in patients | Plant derived CBD | Yes | Yes | 20 mg/kg/day | 5–20 mg/kg/day | CYP1A2, CYP2B6 substrates, uridine 5’ diphospho-glucuronosyltransferase 1A9 (UGT1A9) and UGT2B7. CYP2C8 and CYP2C9 substrates |
FDA | [17] |
SYNDROS® (Benuvia Therapeutics Inc, Chandler, AZ, USA) | Anorexia; nausea and vomiting associated with cancer chemotherapy | Dronabinol (synthetic THC) | Yes | Yes | 25 mg/day | 4.2 mg/day | Neuropsychiatric adverse reactions; hemodynamic instability | FDA | [18] |
CESAMET® (Valeant Pharma Int, Laval, QC, Canada) | Nausea and vomiting induced by cancer chemotherapy |
Nabilone (synthetic THC) |
Yes | 2 mg/day | Diazepam 5 mg; sodium secobarbital 100 mg; alcohol (absolute) 45 mL; codeine 65 mg |
FDA | [19] | ||
INM-755 cream (Inmed pharma, Vancouver, BC, Canada) | Skin diseases and wounds; epidermolysis bullosa | Bacteria Escherichia coli fermentation derived from one rare CBN (Cannabinol) | Yes Phase 1–2 ongoing | No | Two doses of INM-755 cream are currently being tested | [20] | |||
Drugs of combinatoric formulations | |||||||||
SATIVEX® Oromucosal spray (GW Pharmaceuticals) | Pain relief | Plant-derived CBD:THC and terpenes | Yes | Yes | 90 mg/day | 5–60 mg/day | Reversible inhibitor of CYP3A4, 1A2, 2B6, 2C9, and 2C19 | EU, Canada | [21] |