Unit 10 - Nutraceuticals and Cannabis Flashcards

1
Q

What is the endocannabinoid system?

A

system of receptors/signalling molecules present in all vertebrates

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2
Q

What are cannabinoids?

A

Chemicals that act on the endocannabinoid system

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3
Q

What are endocannabinoids?

A

cannabinoid chemicals made in the body that interact w/ the endocannabinoid system

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4
Q

What is phytocannabinoid?

A

Cannabinoid chemicals that come from the plant. Also known as “extrinsic” cannabinoids bc they come from outside your body

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5
Q

What is THC?

A

delta-9-tetrahydrocannabinol
an extrinsic cannabinoid found in cannabis
main pyschoactive (mind-altering) chemical in cannabis, responsible for most of the intoxicating effects that people seek - highs, lows, mellowing (and triggers the appetite-stimulating portion of the brain)
NOT allowed to be recommended in vet world besides hemp

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6
Q

What is CBD?

A

cannabidiol
An extrinsic cannabinoid found in cannabis
responsible for most of the possible therapeutic uses
CBD does not prod a high or intoxication
NOT allowed to be recommended in vet world in any form

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7
Q

What is the plan called when the THC lvls are >0.3%?

A

high levels of THC or marijuana

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8
Q

What is the plant called when is has low lvls of THC <0.3%

A

hemp - is permitted in vet world

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9
Q

What is marijuana toxicity?

A

occurs from accidental ingestion of marijuana (usually containing relatively high lvls of THC (THC is dose dependent toxin in vet world

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10
Q

Why might we see medical marijuana in vet med?

A

typically CBD. used intnetionally for the medical benefits (usually CBD with very little to no THC)
no approved uses for CBD in the vet world

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11
Q

What are the signs of marijuana toxicity

A

toxicity is dose dependent
Most common: lethargy, GI signs, urinary incontinence in dogs, salivation, sleepiness, dilated pupils/bloodshot eyes, low body temp
Less common: anorexia, pruritus
Rare: hyperesthesia, wobbling, pacing and agitation, vocalizing, sound or light sensitivity seizures, coma, death

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12
Q

How do we tx marijuana toxicity?

A

no reversal, only supportive care
<4hr ingestion: induce vomiting, can pass G-tube and give activated charcoal
After those two or >4hr ingestion, start IV and cross fingers
depending on how much ingested and when, signs vary in fatality
Usually hours to days for improvement, toxic dose unknown

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13
Q

What is the mechanism of medicinal CBD

A

MOA: activation of receptors in endocannabinoid system
receptors present in multiple systems thru body
CB1 receptor prominent in CNS and peripheral neurons (base ganglia for euphoria/emotion/hunger)(dorsal root ganglia of spinal chord > pain modulation)(areas of brain associated with pain modulation)
Mechanism: blocks Ca+ channels so neurons do not repolarize
CB2 receptor is prominent in immune cells and tissues
Both CB1 and CB2 are present on nociceptors
Both CB1 and/or CB2 are present on most tissues in body

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14
Q

Can marijuana be used in animals?

A

NO - No CAD vet can legally recommend or prescribe a cannabis-containing product for medical reasons
Doing so would violate law and places vet at legal risk and may lose license to practice vet med (goes for RVTs)
Pet owners may still use cannabis products and can discuss them with the vet

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15
Q

What are approved cannabis products for animals?

A

Only approved is HEMP
Hemp products do not contain significant THC lvls and are exempt from cannabis act
They don’t contain any other concentrated phytocannabinoids, including CBD
These products not allowed to make health claims
can be identified by a notification number assigned by health Canada
vets and RVTs can sell/recommend these products to clients

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16
Q

What are possible clinical indicatons for CBD?

A

conditions associated w/ pain, specifically chronic pain like cancer, glaucoma, osteoarthritis, chronic neuritis
Anxiety or other neurological dz (epilepsy/cognitive dysfunction
skin conditions (atopic dermatits)

17
Q

What are common drug interactions with cannabis

A

benzodiazepines
gabapentin
acepromazine
tramadol
trazodone and other SSRIs
phenobarbital