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Chapter 5 - Recreational Drugs Repurposed for Medicinal Use – Cannabis

Published online by Cambridge University Press:  24 July 2026

Seetal Dodd
Affiliation:
Deakin University, Melbourne
Michael Berk
Affiliation:
Deakin University, Melbourne
Stephen M. Stahl
Affiliation:
University of California, Riverside
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Summary

Cannabis has a long history as a medicine and was a part of medical practice until the late nineteenth century. The discovery of cannabidiol (CBD) and Δ9-tetrahydrocannabinol (THC) in the mid-twentieth century, and then the various components of the endocannabinoid system (ECS) over the following decades have again brought cannabis back into the public eye as a potential therapeutic agent. At present, cannabis is being used for both recreational and medical purposes. Evidence for cannabis as a medicine is still an emerging field, and while potential mechanisms of action for a variety of conditions have been elucidated, including cancer, epilepsy, and chronic pain, high-quality randomized controlled trials in humans are still lacking.

Despite popular beliefs, cannabis, like all other medicines, has potential benefits and harms, and long-term consumption of cannabis, even for medical reasons, may not be risk-free. In addition, consumption via modes of administration such as smoking or using a bong may increase the risk of negative health outcomes.

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