An article from Moore et al (2010) in the British Medical Journal (BMJ) reports an increase in the numbers of prescriptions for SSRIs. It highlights the fact that many of the patients receiving a prescription for SSRI’s were doing so as part of the treatment programme for pre-existing mental health conditions and argues therefore that these figures are more of reflection in a shift of prescribing behaviour as opposed to an increase in the prevalence of mental illness.
It is increasingly common for prescribers to provide patients with SSRIs and other anti-depressant medications such bupropion hydrochloride for conditions other than their traditional indications. Such indications include; stopping smoking, anorexia, anxiety disorders, personality disorders as well as post-traumatic stress disorder (PTSD) and hormonal problems.
Regardless of whether there has been an increase in the actual prevalence of affective disorders such as depression it is clear that mental illness has a significant impact on society. The mental health charity “Mind” reports that at any one time 1 in 4 people in the UK will be suffering from a mental health condition. One in six people currently employed in the UK are suffering from depression and the impact on the economy is estimated at £26 billion per annum (Mind.org 2011).
Prescriptions for antidepressants, anxiolytics (anti-anxiety medications) and hypnotics (used for sleep disorders) are extremely costly to the tax payer. (Ref PCTs and NHS/NDFS) Furthermore, despite overwhelming support for the effectiveness of SSRIs from British prescribers the effectiveness of these drugs is a matter of continuous debate. Fournier et al (2010) conducted a meta-analysis of data collected from previous studies into these medicines and found that with mild depression scores many SSRIs are only moderately more effective than placebos.
So could cannabis and/or individual cannabinoids offer a more effective alternative?
Neuroscientists at the University of Reading have been studying the potential medical uses of cannabinoids for nearly a decade. So far this research has mainly focused on the therapeutic benefits of cannabinoids for patients suffering from epilepsy and eating disorders. However, plans have now been approved to research the psychological effects of various isolated cannabinoids. GW Pharmaceuticals, which will be supplying the research materials, already has established specialist research centres dedicated to breeding cannabis plants to contain artificially high levels of certain cannabinoids and our lab will be examining the psychological effects of specific cannabinoids. Whilst there is a wealth of research into the psychological effects of the cannabis plant as a whole, we feel there is not enough information on the effect of individual cannabinoids.
The cannabinoids that this research will focus on include but are not limited to: delta-9-tetrahydrocannabinol, cannabidiol, cannabinol, cannabigerol, tetrahydrocannabivarin and cannabichromene.
 Previous research into these and other cannabinoids suggest that isolated cannabinoids may have a diverse range of medical indications. Such potential usages include prescribing certain compounds as anxiolytics, anti-depressants and sedatives. We hope to publish results in summer 2012.
By Will Gibson
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