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Cannabis and Cannabis Extracts: Greater Than the Sum of Their Parts? John M. McPartland Ethan B. Russo SUMMARY. A central tenet underlying the use of botanical remedies is that herbs contain many active ingredients. Primary active ingredients may be enhanced by secondary compounds, which act in beneficial syn- ergy. Other herbal constituents may mitigate the side effects of dominant active ingredients. We reviewed the literature concerning medical can- nabis and its primary active ingredient, ∆9-tetrahydrocannabinol (THC). Good evidence shows that secondary compounds in cannabis may enhance the beneficial effects of THC. Other cannabinoid and non-cannabinoid compounds in herbal cannabis or its extracts may reduce THC-induced anxiety, cholinergic deficits, and immunosuppression. Cannabis terpenoids and flavonoids may also increase cerebral blood flow, enhance cortical activity, kill respiratory pathogens, and provide anti-inflammatory activ- ity. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-342-9678. E-mail address: Website: 2001 by The Haworth Press, Inc. All rights reserved.] John M. McPartland, DO, MS, is affiliated with GW Pharmaceuticals, Ltd., Porton Down Science Park, Salisbury, Wiltshire, SP4 0JQ, UK. Ethan B. Russo, MD, is affiliated with Montana Neurobehavioral Specialists, 900 North Orange Street, Missoula, MT 59802 USA. Address correspondence to: John M. McPartland, DO, Faculty of Health & Environ- mental Science, UNITEC, Private Bag 92025, Auckland, New Zealand (E-mail: jmcpartland @unitec.ac.nz). The authors thank David Pate and Vincenzo Di Marzo for pre-submission reviews. [Haworth co-indexing entry note]: “Cannabis and Cannabis Extracts: Greater Than the Sum of Their Parts?” McPartland, John M., and Ethan B. Russo. Co-published simultaneously in Journal of Cannabis Ther- apeutics (The Haworth Integrative Healing Press, an imprint of The Haworth Press, Inc.) Vol. 1, No. 3/4, 2001, pp. 103-132; and: Cannabis Therapeutics in HIV/AIDS (ed: Ethan Russo) The Haworth Integrative Healing Press, an imprint of The Haworth Press, Inc., 2001, pp. 103-132. Single or multiple copies of this arti- cle are available for a fee from The Haworth Document Delivery Service [1-800-342-9678, 9:00 a.m. - 5:00 p.m. (EST). E-mail address: getinfo@haworthpressinc.com].  2001 by The Haworth Press, Inc. All rights reserved. 103

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