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José Alexandre S Crippa

2 papers in the library · 12 citations · publishing 0-2021

Papers

Interactive Effects of Ayahuasca and Cannabidiol in Social Cognition in Healthy Volunteers: A Pilot, Proof-of-Concept, Feasibility, Randomized-Controlled Trial.

Journal of clinical psychopharmacology Giordano Novak Rossi, Juliana Mendes Rocha, Flávia L Osório et al. 12 citations

In a small preliminary trial, ayahuasca—with or without a 600 mg dose of cannabidiol (CBD) given 90 minutes beforehand—did not produce interactive effects on emotion recognition or empathy tasks. Both groups showed faster reaction times on these tasks and reported reduced anxiety, sedation, and discomfort, but there were no differences between the group that received CBD and the one that did not. Ayahuasca was well tolerated, causing mainly nausea and gastrointestinal discomfort, with no clinically significant changes in heart or liver measures. The safety of the combination suggests that both drugs could be tested in larger trials for anxiety disorders.

Neuropharmacological Effects of the Main Phytocannabinoids: A Narrative Review.

Advances in experimental medicine and biology January 1, 2021 Rafael G Dos Santos, Jaime E C Hallak, José Alexandre S Crippa

Cannabis contains over 400 compounds, including more than 100 phytocannabinoids, primarily THC and CBD. THC acts as a partial agonist at cannabinoid receptors, producing euphoria, relaxation, and altered perceptions, but also dysphoria, anxiety, and psychotic symptoms; it is used therapeutically for nausea, appetite stimulation, and chronic pain. CBD acts as a negative allosteric modulator of CB1 receptors, an inverse agonist of CB2, and inhibits anandamide reuptake; it also activates 5-HT1A and vanilloid receptors. CBD does not produce typical cannabis effects and has anxiolytic and antipsychotic properties; it is approved for treatment-resistant epilepsy. Common CBD adverse effects include diarrhea, somnolence, nausea, and transaminase elevations. The mechanisms underlying therapeutic and adverse effects are not fully understood and involve multiple targets beyond the endocannabinoid system.