{"id":1229,"date":"2018-11-10T10:02:51","date_gmt":"2018-11-10T09:02:51","guid":{"rendered":"http:\/\/voxvigor.se\/?p=1229"},"modified":"2018-11-10T10:02:51","modified_gmt":"2018-11-10T09:02:51","slug":"medicinsk-cannabis-med-forsiktighet","status":"publish","type":"post","link":"https:\/\/voxvigor.se\/bricks-staging\/medicinsk-cannabis-med-forsiktighet\/","title":{"rendered":"Medicinsk cannabis med f\u00f6rsiktighet"},"content":{"rendered":"

Kerstin K\u00e4ll, medicine doktor och \u00f6verl\u00e4kare p\u00e5 Beroendekliniken i Link\u00f6ping, anser att det finns risker med medicinsk cannabis. Patienter med nervsm\u00e4rta b\u00f6r f\u00e5 l\u00e4kemedelsklassad marijuana endast om inget annat hj\u00e4lper, menar hon. <\/strong><\/h2>\n

Nyligen h\u00f6lls Drogfokus i Uppsala<\/a> – ett samarrangemang mellan flera statliga akt\u00f6rer och organisationer som arbetar med att f\u00f6rebygga negativa h\u00e4lsoeffekter av narkotika, alkohol, tobak och dopning i Sverige.<\/p>\n

Kerstin K\u00e4ll var en av de medverkande f\u00f6rel\u00e4sarna. Med sin l\u00e5nga erfarenhet av att behandla patienter med beroende av narkotika, f\u00f6respr\u00e5kade hon en restriktiv linje f\u00f6r medicinsk cannabis.<\/p>\n

_ <\/sup>Jag f\u00e5r m\u00e5nga patienter som \u00e4r beroende av opiater. Det \u00e4r inget bra med opiater mot kronisk sm\u00e4rta. Akut sm\u00e4rta \u00e4r en annan sak.<\/p>\n

Riskabelt f\u00f6r hj\u00e4rnan<\/strong><\/h3>\n

\u00c4mnet THC som finns i cannabis ger ett rus som \u00e4r beroendeframkallande och skadligt f\u00f6r hj\u00e4rnan. Receptorer som \u00e4r viktiga f\u00f6r minne och inl\u00e4rning riskerar att p\u00e5verkas negativt. Att anv\u00e4nda l\u00e4kemedel som inneh\u00e5ller THC inneb\u00e4r stora risker f\u00f6r hj\u00e4rnan.<\/p>\n

_ <\/sup>Intag av narkotika bland unga \u00e4r d\u00e4rf\u00f6r s\u00e4rskilt problematisk eftersom deras hj\u00e4rnor p\u00e5verkas betydligt mer av cannabis j\u00e4mf\u00f6rt med vuxnas, menar K\u00e4ll.<\/p>\n

Kerstin K\u00e4ll anser \u00e4ven att m\u00e5nga forskningsresultat om medicinsk cannabis, \u00e4r f\u00f6r nya f\u00f6r att man ska kunna dra slutsatser och utveckla l\u00e4kemedel. Det g\u00e4ller exempelvis behandling av barnepilepsi d\u00e4r det p\u00e5g\u00e5r forskning.<\/p>\n

_ <\/sup>Forskningen \u00e4r i sin linda. Jag f\u00f6rst\u00e5r f\u00f6r\u00e4ldrar som k\u00f6per l\u00e4kemedel \u00e5t sina barn som har epilepsi. Men p\u00e5 svarta marknaden vet du inte vilken THC-halt som finns i preparaten.<\/p>\n

F\u00e5 godk\u00e4nda l\u00e4kemedel<\/strong><\/h3>\n

Sativex och Marinol \u00e4r i Sverige godk\u00e4nda l\u00e4kemedel i form av medicinsk cannabis. Sativex \u00e4r ett munspray som tas under tungan och som \u00e4r godk\u00e4nd f\u00f6r behandling av spasticitet (\u00f6kad muskelsp\u00e4nning) vid Mutipel skleros, MS. L\u00e4kemedlet \u00e4r inte rusframkallande och en framg\u00e5ng vid behandling av MS men har en svag effekt vid sm\u00e4rtproblem, enligt K\u00e4ll.<\/p>\n

Marinol \u00e4r baserat p\u00e5 THC och d\u00e4rmed rusframkallade. Anv\u00e4nds vid illam\u00e5ende vid cellgiftsbehandling och vid avmagring i samband med behandling av AIDS.<\/p>\n

Sedan 2017 godk\u00e4nner L\u00e4kemedelsverket efter individuell pr\u00f6vning Bediol<\/a> till patienter med sv\u00e5ra sm\u00e4rtor. Tv\u00e5 ryggm\u00e4rgsskadade patienter som tidigare sj\u00e4lvmedicinerat sig med cannabis fick det d\u00e5 utskrivet, ett beslut som uppm\u00e4rksammades stort i media<\/a>. Bediol \u00e4r baserat p\u00e5 marijuana och potent\/rusframkallande och fungerande vid nervsm\u00e4rta.<\/p>\n

Bediol betraktas av vissa som ett genombrott f\u00f6r behandling av patienter med kraftiga nervsm\u00e4rtor, samtidigt finns det en \u00f6kad risk f\u00f6r narkotikaberoende. Kerstin K\u00e4ll n\u00e4mnde inte Bediol under sj\u00e4lva f\u00f6rel\u00e4sningen, f\u00f6rst p\u00e5 fr\u00e5gestunden togs medicinen upp. Anledningen som hon anger \u00e4r att Bediol inte \u00e4r godk\u00e4nt som l\u00e4kemedel i Sverige.<\/p>\n

\u00c4nnu ingen ans\u00f6kan f\u00f6r Bediol<\/strong><\/h3>\n

_ <\/sup>L\u00e4kemedelsverket har beviljat licens f\u00f6r det i n\u00e5gra fall. Bediol \u00e4r inte renframst\u00e4llda cannabionoider utan inneh\u00e5ller alla \u00e4mnen som finns i plantan. Det odlas under kontrollerade f\u00f6rh\u00e5llanden i Holland och inneh\u00e5ller h\u00f6g halt cannabidiol (CBD). Sativex d\u00e4remot \u00e4r renframst\u00e4llda cannabinoider (THC och CBD) och \u00e4r ett godk\u00e4nt l\u00e4kemedel i Sverige, svarar K\u00e4ll.<\/p>\n

Karl-Mikael K\u00e4lkner, \u00e4mnesomr\u00e5desutvecklare och docent i onkologi vid L\u00e4kemedelsverket ger en annan f\u00f6rklaring:<\/p>\n

_ <\/sup>En f\u00f6rsta f\u00f6ruts\u00e4ttning f\u00f6r att ett l\u00e4kemedel ska kunna bli godk\u00e4nt \u00e4r att ett f\u00f6retag g\u00f6r en ans\u00f6kan. Och f\u00f6r Bediol har det inte gjorts n\u00e5gon ans\u00f6kan.<\/p>\n

Tummen ner f\u00f6r hampaolja<\/strong><\/h3>\n

Kerstin K\u00e4ll \u00e4r mycket kritisk till CBD-oljor, \u00e4ven kallad f\u00f6r hampaolja, som bland annat s\u00e4ljs p\u00e5 internet, d\u00e5 dessa inte \u00e4r i n\u00e4rheten av att vara testade som l\u00e4kemedel.
\n_ <\/sup>Det kan vara stora variationer i till exempel THC-m\u00e4ngden. Det \u00e4r sv\u00e5rt att garantera att de \u00e4r THC-fria. Jag \u00e4r mycket positiv till att man g\u00f6r studier p\u00e5 olika cannabinoider och kombinationer av dem f\u00f6r att f\u00e5 fram ett bra l\u00e4kemedel mot kronisk neuropatisk sm\u00e4rta, vilket \u00e4r mycket sv\u00e5rbehandlat. Kollegan Claes Hultling \u00e4r s\u00e5vitt jag vet involverad i en s\u00e5dan studie.<\/p>\n

 <\/p>\n

Text: Thomas Gustafsson
\nFoto: Tua Lilja<\/p>\n","protected":false},"excerpt":{"rendered":"

Kerstin K\u00e4ll, medicine doktor och \u00f6verl\u00e4kare, anser att det finns risker med medicinsk cannabis. Patienter med nervsm\u00e4rta b\u00f6r f\u00e5 l\u00e4kemedelsklassad marijuana endast om inget annat hj\u00e4lper, menar hon.<\/p>\n","protected":false},"author":6,"featured_media":1230,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[],"acf":[],"yoast_head":"\nKerstin K\u00e4ll manar till f\u00f6rsiktighet med cannabis som medicin - Bricks staging<\/title>\n<meta name=\"description\" content=\"Kerstin K\u00e4ll varnar f\u00f6r riskerna med cannabis f\u00f6r medicinskt bruk.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/voxvigor.se\/bricks-staging\/medicinsk-cannabis-med-forsiktighet\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kerstin K\u00e4ll manar till f\u00f6rsiktighet med cannabis som medicin - 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