Als medical marijuana
Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s Disease after the New York Yankees Hall-of-Famer, is a neurological condition affecting the nerve cells in the brain and spinal cord that are responsible for mobility. As the viral ALS Ice Bucket Challenge brought to national attention in 2014, motor function and control of the limbs and vital organs are lost as these neurons degenerate.
Approximately 30,000 Americans can have the disease at any given time. Although the exact cause of ALS is unknown, it has been linked to an overabundance of free radicals in the body, which cause damage to the motor neurons in the brain and spinal cord. When these motor neurons are damaged and die, the body loses the ability to control muscle movement and function of vital organs. Symptoms can vary from person to person and include muscle weakness, muscle spasms, depression, lack of appetite, debilitating loss of coordination, and eventually difficulty controlling speech, swallowing and breathing. While not all people with ALS experience the same symptoms or the same patterns of progression, progressive muscle weakness and paralysis are universally experienced. Unfortunately, there is no cure and treatment options are limited.
How Can Cannabis Help?
The human body contains systems that are filled with neuromodulators (receptors) and these sophisticated receptors help regulate a variety of physiological processes including movement, mood, memory, appetite, and pain — the body’s endocannabinoid system receptors respond to the compounds present in cannabis called cannabinoids.
At least five of the cannabinoids found in cannabis are shown to alleviate some of the symptoms caused by ALS, and a few are linked to slowing the development of the condition or helping to delay the onset.
Tetrahydrocannabinol (THC) is the psychoactive component known for producing the feeling of being “high.” This component works to reduce pain and inflammation, stimulate the appetite, and can even battle depression by uplifting a patient’s mood. THC also acts as a neuroprotectant. Cannabichromene, or CBC, enhances the medical efficacy of THC, thereby increasing the healing powers of THC.
Cannabidiol (CBD) is known to significantly reduce muscle spasms, relieve inflammation and act as a powerful antioxidant which helps to remove free radicals from the body.
Tetrahydrocannabivarin (THCV) is also an effective anti-inflammatory. Like THC, CBD, and THCV, Cannabinol (CBN) also fights inflammation while also reducing muscle spasms. CBN is also an effective sleep aid or sedative that can help patients rest even when in severe pain.
Some Real Stories
Dr. Gary Carter, Medical Director of the St. Luke’s Rehabilitation Institute in Spokane, Washington – and an expert in treating neuromuscular disorders – has witnessed many ALS patients benefit from the use of cannabis. Dr. Cater has stated, “[w]e know more about cannabis than 95 percent of other medicines. Cannabis is custom made to treat ALS.”
In 1985, Cathy Jordan began experiencing difficulty with basic motor skills. In the following year, she was diagnosed with ALS and given 3 to 5 years to live. In the winter of 1989, Jordan was in Florida during the holidays and tried smoking pot – she immediately felt her symptoms cease.
As is all too often the case, Jordan’s doctors were her choice to medicate with cannabis. “I visited a neurologist at Duke University. When I told him that I was smoking cannabis, he didn’t know what to do with me. He was afraid. He wouldn’t even take my blood pressure because I was using an illegal drug.” The doctor actually tried to convince her husband to have her committed. Fortunately, Jordan met a new doctor in 1994 who couldn’t believe the progress in her symptoms – when she advised this doctor that she was medicating with cannabis his response was “smoke all the cannabis you can…” Cathy Jordan ended up becoming the inspiration for Amendment 2, the medical marijuana initiative in Florida, entitled the “Cathy Jordan Medical Cannabis Amendment” that came up for vote last November.
Links to Research
Cannabinoids and neuroprotection in motor-related disorders.
Cannabinol delays symptom onset in SOD1 (G93A) transgenic mice without affecting survival.
Cannabis and amyotrophic lateral sclerosis.
Amyotrophic lateral sclerosis: delayed disease progression in mice by treatment with a cannabinoid.
While research has shown cannabis to be effective in providing palliative and therapeutic effects for some patients, always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition and before starting any new treatment utilizing medical cannabis or discontinuing an existing treatment. The content on this site is not intended to be a substitute for professional medical advice, diagnosis or treatment.
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Als medical marijuana Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s Disease after the New York Yankees Hall-of-Famer, is a neurological condition affecting the nerve cells in
News and Special Updates
If you follow cannabis news with any frequency, you’ve probably read headlines promising incredible new advances in the field of cannabis medicine. Every week—or so it seems—researchers discover new uses for this very ancient medicine, ranging from halting the spread of cancer to curing ebola.
Unsurprisingly, many of these claims turn out to be unfounded—or in the case of cancer—based on questionable conclusions. Though cannabis most certainly has a use in helping us manage the side effects of cancer treatments, and some studies have in fact established that cannabinoids may slow the growth of certain cancers. That said, there’s a wide gulf between demonstrating such an effect in the laboratory and putting it into action.
One application of cannabis medicine that has demonstrated authenticated results is the interaction between cannabis and ALS. ALS, or amyotrophic lateral sclerosis—otherwise known as Lou Gehrig’s disease—is a terminal neurodegenerative disease. Before we share the current knowledge about interactions between cannabis and ALS, we’ll take a moment to explain a little about the disease itself.
What is ALS?
ALS is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. When a person is afflicted with ALS, the motor neurons that form pathways between the brain and the spinal cord and the muscles weaken and die. The result is that the person gradually loses the ability to speak, eat, move and breathe. Once diagnosed, the average life expectancy of a person with ALS is two to five years.
ALS usually strikes people between the ages of 40 and 70, and it is estimated there are between 16,000 and 30,000 Americans who have the disease at any given time. For reasons that remain unknown, military veterans are approximately twice as likely to be diagnosed with the disease as the general public.
Cannabis and ALS: What We Currently Know
Although there is no evidence that cannabis can “cure” ALS, there are indications that it can help slow the progression of the disease. In addition to helping patients manage the symptoms of the disease, cannabis—in much the same way that it helps those undergoing treatment for cancer—subjectively helps them control many of the disease’s side effects, such as spasticity and pain.
But a study published in 2016 suggests that, because the cannabinoid system seems to be involved in the pathology of ALS, cannabis may have a role to play in prolonging the lives of those living with the disease.
These findings build upon previous animal-model studies. In 2004, researchers found that THC, the most prevalent cannabinoid, delayed the progression of ALS in mice. More broadly, the role of both THC and CBD as antioxidants and neuroprotectants is well established. Because they decrease the release of the amino acid glutamate following nerve cell injuries like those experienced with ALS, these vital components of cannabis medicine protect and prolong the lives of threatened motor neurons.
While we’re optimistic that careful study will reveal even more valid medical uses for cannabis in treating ALS, as careful clinicians, doctors and researchers, it’s our duty to proceed with caution. There’s little doubt that cannabis can help manage the symptoms of serious diseases such as cancer and ALS, however, it would be irresponsible to suggest it is a “cure.”
That said, we look forward to future studies with anticipation. By studying this most ancient of medicines with the most cutting-edge tools at our disposal, we’re confident that validated, authoritative answers will emerge to lead us to better courses of treatment and one day—we sincerely hope—a real cure.
ALS is a neurodegenerative disease afflicting up to 30,000 Americans. While there's no known cure, the research on cannabis and ALS is promising.