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. 2020 Oct 20;25(20):4821. doi: 10.3390/molecules25204821

Table 1.

Cannabis-inspired or -based medicines available today and their pharmaceutical status. FDA, Food and Drug Administration; THC, Δ9-tetrahydrocannabinol; CBD, cannabidiol; CBN, cannabinol; CYP, Cytochrome P450; EU, European Union; UGT, uridine 5′ diphospho-glucuronosyltransferase.

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]