Skip to main content
Log in

Cannabidiol reduces withdrawal symptoms in nicotine-dependent rats

  • Original Investigation
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Rationale

Cannabidiol (CBD) reduces craving in animal models of alcohol and cocaine use and is known to modulate nicotinic receptor function, suggesting that it may alleviate symptoms of nicotine withdrawal. However, preclinical evaluation of its efficacy is still lacking.

Objectives

The goal of this study was to test the preclinical efficacy of a chronic CBD treatment in reducing nicotine dependence using measures of withdrawal symptoms including somatic signs, hyperalgesia, and weight gain during acute and protracted abstinence.

Methods

Male and female Wistar rats were made dependent on nicotine using osmotic minipumps (3.15 mg/kg/day) for 2 weeks, after which minipumps were removed to induce spontaneous withdrawal. Three groups received CBD injections at doses of 7.5, 15, and 30 mg/kg/day for 2 weeks, starting 1 week into chronic nicotine infusion. The control groups included rats with nicotine minipumps that received vehicle injections of sesame oil instead of CBD; rats implanted with saline minipumps received sesame oil injections (double vehicle) or the highest dose of CBD 30 mg/kg/day. Throughout the experiment, serum was collected for determination of CBD and nicotine concentrations, mechanical sensitivity threshold and withdrawal scores were measured, and body weight was recorded.

Results

CBD prevented rats from exhibiting somatic signs of withdrawal and hyperalgesia during acute and protracted abstinence. There was no dose–response observed for CBD, suggesting a ceiling effect at the doses used and the potential for lower effective doses of CBD. The saline minipump group did not show either somatic signs of withdrawal or hyperalgesia during acute and protracted abstinence, and the highest dose of CBD used (30 mg/kg/day) did not alter these results.

Conclusions

This preclinical study suggests that using CBD as a strategy to alleviate the withdrawal symptoms upon nicotine cessation may be beneficial.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  • (2018) Cannabidiol (Epidiolex) for epilepsy. Med Lett Drugs Ther 60(1559): 182–184

  • Alvarez FJ, Lafuente H, Rey-Santano MC, Mielgo VE, Gastiasoro E, Rueda M, Pertwee RG, Castillo AI, Romero J, Martinez-Orgado J (2008) Neuroprotective effects of the nonpsychoactive cannabinoid cannabidiol in hypoxic-ischemic newborn piglets. Pediatr Res 64(6):653–658

    Article  CAS  PubMed  Google Scholar 

  • Anderson GD, Chan LN (2016) Pharmacokinetic drug interactions with tobacco, cannabinoids and smoking cessation products. Clin Pharmacokinet 55(11):1353–1368

    Article  CAS  PubMed  Google Scholar 

  • Bagdas D, Alkhlaif Y, Jackson A, Carroll FI, Ditre JW, Damaj MI (2018) New insights on the effects of varenicline on nicotine reward, withdrawal and hyperalgesia in mice. Neuropharmacology 138:72–79

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Carstens E, Anderson KA, Simons CT, Carstens MI, Jinks SL (2001) Analgesia induced by chronic nicotine infusion in rats: differences by gender and pain test. Psychopharmacology 157(1):40–45

    Article  CAS  PubMed  Google Scholar 

  • Chaplan SR, Bach FW, Pogrel JW, Chung JM, Yaksh TL (1994) Quantitative assessment of tactile allodynia in the rat paw. J Neurosci Methods 53(1):55–63

    Article  CAS  PubMed  Google Scholar 

  • Cippitelli A, Astarita G, Duranti A, Caprioli G, Ubaldi M, Stopponi S, Kallupi M, Sagratini G, Rodriguez de Fonseca F, Piomelli D, Ciccocioppo R (2011) Endocannabinoid regulation of acute and protracted nicotine withdrawal: effect of FAAH inhibition. PLoS One 6(11):e28142

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cohen C, Pickworth WB, Henningfield JE (1991) Cigarette smoking and addiction. Clin Chest Med 12(4):701–710

    Article  CAS  PubMed  Google Scholar 

  • Cohen A, Treweek J, Edwards S, Leao RM, Schulteis G, Koob GF, George O (2015) Extended access to nicotine leads to a CRF1 receptor dependent increase in anxiety-like behavior and hyperalgesia in rats. Addict Biol 20(1):56–68

    Article  CAS  PubMed  Google Scholar 

  • Cryan JF, Bruijnzeel AW, Skjei KL, Markou A (2003) Bupropion enhances brain reward function and reverses the affective and somatic aspects of nicotine withdrawal in the rat. Psychopharmacology 168(3):347–358

    Article  CAS  PubMed  Google Scholar 

  • Damaj MI, Kao W, Martin BR (2003) Characterization of spontaneous and precipitated nicotine withdrawal in the mouse. J Pharmacol Exp Ther 307(2):526–534

    Article  CAS  PubMed  Google Scholar 

  • Damaj MI, Grabus SD, Navarro HA, Vann RE, Warner JA, King LS, Wiley JL, Blough BE, Lukas RJ, Carroll FI (2010) Effects of hydroxymetabolites of bupropion on nicotine dependence behavior in mice. J Pharmacol Exp Ther 334(3):1087–1095

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Devinsky O, Cilio MR, Cross H, Fernandez-Ruiz J, French J, Hill C, Katz R, Di Marzo V, Jutras-Aswad D, Notcutt WG, Martinez-Orgado J, Robson PJ, Rohrback BG, Thiele E, Whalley B, Friedman D (2014) Cannabidiol: pharmacology and potential therapeutic role in epilepsy and other neuropsychiatric disorders. Epilepsia 55(6):791–802

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gonzalez S, Cebeira M, Fernandez-Ruiz J (2005) Cannabinoid tolerance and dependence: a review of studies in laboratory animals. Pharmacol Biochem Behav 81(2):300–318

    Article  CAS  PubMed  Google Scholar 

  • Gonzalez-Cuevas G, Martin-Fardon R, Kerr TM, Stouffer DG, Parsons LH, Hammell DC, Banks SL, Stinchcomb AL, Weiss F (2018) Unique treatment potential of cannabidiol for the prevention of relapse to drug use: preclinical proof of principle. Neuropsychopharmacology 43(10):2036–2045

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gourlay SG, Benowitz NL (1997) Arteriovenous differences in plasma concentration of nicotine and catecholamines and related cardiovascular effects after smoking, nicotine nasal spray, and intravenous nicotine. Clin Pharmacol Ther 62(4):453–463

    Article  CAS  PubMed  Google Scholar 

  • Hamouda AK, Jackson A, Bagdas D, Imad Damaj M (2018) Reversal of nicotine withdrawal signs through positive allosteric modulation of alpha4beta2 nicotinic acetylcholine receptors in male mice. Nicotine Tob Res 20(7):903–907

    Article  CAS  PubMed  Google Scholar 

  • Hiler M, Breland A, Spindle T, Maloney S, Lipato T, Karaoghlanian N, Shihadeh A, Lopez A, Ramoa C, Eissenberg T (2017) Electronic cigarette user plasma nicotine concentration, puff topography, heart rate, and subjective effects: influence of liquid nicotine concentration and user experience. Exp Clin Psychopharmacol 25(5):380–392

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hindocha C, Freeman TP, Grabski M, Crudgington H, Davies AC, Stroud JB, Das RK, Lawn W, Morgan CJA, Curran HV (2018a) The effects of cannabidiol on impulsivity and memory during abstinence in cigarette dependent smokers. Sci Rep 8(1):7568

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hindocha C, Freeman TP, Grabski M, Stroud JB, Crudgington H, Davies AC, Das RK, Lawn W, Morgan, CJA, Curran HV (2018b) Cannabidiol reverses attentional bias to cigarette cues in a human experimental model of tobacco withdrawal. Addiction 113(9):1696–1705

  • Hubbard JA, Smith BE, Sobolesky PM, Kim S, Hoffman MA, Stone J, Huestis MA, Grelotti DJ, Grant I, Marcotte TD, Fitzgerald RL (2020) Validation of a liquid chromatography tandem mass spectrometry (LC-MS/MS) method to detect cannabinoids in whole blood and breath. Clin Chem Lab Med 58(5):673–681

    Article  CAS  PubMed  Google Scholar 

  • Igari M, Alexander JC, Ji Y, Qi X, Papke RL, Bruijnzeel AW (2014) Varenicline and cytisine diminish the dysphoric-like state associated with spontaneous nicotine withdrawal in rats. Neuropsychopharmacology 39(2):455–465

    Article  CAS  PubMed  Google Scholar 

  • Jackson A, Silk S, Buhidma Y, Shoaib M (2017) Varenicline, the clinically effective smoking cessation agent, restores probabilistic response reversal performance during withdrawal from nicotine. Addict Biol 22(5):1316–1328

    Article  CAS  PubMed  Google Scholar 

  • Kathmann M, Flau K, Redmer A, Trankle C, Schlicker E (2006) Cannabidiol is an allosteric modulator at mu- and delta-opioid receptors. Naunyn Schmiedebergs Arch Pharmacol 372(5):354–361

    Article  CAS  PubMed  Google Scholar 

  • Khan SZ, Farooq A, Masood M, Shahid A, Khan IU, Nisar H, Fatima I (2020) Smokeless tobacco use and risk of oral cavity cancer. Turk J Med Sci 50(1):291–297

    Article  PubMed  PubMed Central  Google Scholar 

  • Kallupi M, Xue S, Zhou B, Janda KD, George O (2018) An enzymatic approach reverses nicotine dependence, decreases compulsive-like intake, and prevents relapse. Sci Adv 4(10):eeat4751 

  • Kallupi M, de Guglielmo G, Larrosa E, George O (2019) Exposure to passive nicotine vapor in male adolescent rats produces a withdrawal-like state and facilitates nicotine self-administration during adulthood. Eur Neuropsychopharmacology 29(11):1227–1234

  • Larsen C, Shahinas J (2020) Dosage, efficacy and safety of cannabidiol administration in adults: a systematic review of human trials. J Clin Med Res 12(3):129–141

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Leischow SJ, Stitzer ML (1991) Smoking cessation and weight gain. Br J Addict 86(5):577–581

    Article  CAS  PubMed  Google Scholar 

  • Liput DJ, Hammell DC, Stinchcomb AL, Nixon K (2013) Transdermal delivery of cannabidiol attenuates binge alcohol-induced neurodegeneration in a rodent model of an alcohol use disorder. Pharmacol Biochem Behav 111:120–127

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mahgoub M, Keun-Hang SY, Sydorenko V, Ashoor A, Kabbani N, Al Kury L, Sadek B, Howarth CF, Isaev D, Galadari S, Oz M (2013) Effects of cannabidiol on the function of alpha7-nicotinic acetylcholine receptors. Eur J Pharmacol 720(1–3):310–319

    Article  CAS  PubMed  Google Scholar 

  • Malin DH, Goyarzu P (2009) Rodent models of nicotine withdrawal syndrome. Handb Exp Pharmacol (192): 401–434

  • Malin DH, Lake JR, Newlin-Maultsby P, Roberts LK, Lanier JG, Carter VA, Cunningham JS, Wilson OB (1992) Rodent model of nicotine abstinence syndrome. Pharmacol Biochem Behav 43(3):779–784

    Article  CAS  PubMed  Google Scholar 

  • Malin DH, Lake JR, Smith TD, Khambati HN, Meyers-Paal RL, Montellano AL, Jennings RE, Erwin DS, Presley SE, Perales BA (2006) Bupropion attenuates nicotine abstinence syndrome in the rat. Psychopharmacology 184(3–4):494–503

    Article  CAS  PubMed  Google Scholar 

  • Markou A, Paterson NE (2001) The nicotinic antagonist methyllycaconitine has differential effects on nicotine self-administration and nicotine withdrawal in the rat. Nicotine Tob Res 3(4):361–373

    Article  CAS  PubMed  Google Scholar 

  • McLaughlin I, Dani JA, De Biasi M (2015) Nicotine withdrawal. Curr Top Behav Neurosci 24:99–123

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mooney ME, Sofuoglu M (2006) Bupropion for the treatment of nicotine withdrawal and craving. Expert Rev Neurother 6(7):965–981

    Article  CAS  PubMed  Google Scholar 

  • Morgan CJ, Das RK, Joye A, Curran HV, Kamboj SK (2013) Cannabidiol reduces cigarette consumption in tobacco smokers: preliminary findings. Addict Behav 38(9):2433–2436

    Article  PubMed  Google Scholar 

  • Pahng AR, Edwards S (2018) Measuring pain avoidance-like behavior in drug-dependent rats. Curr Protoc Neurosci 85(1):e53

    Article  PubMed  PubMed Central  Google Scholar 

  • Perkins KA (1993) Weight gain following smoking cessation. J Consult Clin Psychol 61(5):768–777

    Article  CAS  PubMed  Google Scholar 

  • Prochaska JJ, Benowitz NL (2016) The past, present, and future of nicotine addiction therapy. Annu Rev Med 67:467–486

    Article  CAS  PubMed  Google Scholar 

  • Russell MA, Feyerabend C, Cole PV (1976) Plasma nicotine levels after cigarette smoking and chewing nicotine gum. Br Med J 1(6017):1043–1046

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Russo EB, Burnett A, Hall B, Parker KK (2005) Agonistic properties of cannabidiol at 5-HT1a receptors. Neurochem Res 30(8):1037–1043

    Article  CAS  PubMed  Google Scholar 

  • Shoaib M, Stolerman IP (1999) Plasma nicotine and cotinine levels following intravenous nicotine self-administration in rats. Psychopharmacology 143(3):318–321

    Article  CAS  PubMed  Google Scholar 

  • Sloan ME, Gowin JL, Ramchandani VA, Hurd YL, Le Foll B (2017) The endocannabinoid system as a target for addiction treatment: trials and tribulations. Neuropharmacology 124:73–83

    Article  CAS  PubMed  Google Scholar 

  • Sobolesky PM, Smith BE, Hubbard JA, Stone J, Marcotte TD, Grelotti DJ, Grant I, Fitzgerald RL (2019) Validation of a liquid chromatography-tandem mass spectrometry method for analyzing cannabinoids in oral fluid. Clin Chim Acta 491:30–38

    Article  CAS  PubMed  Google Scholar 

  • Stitzer ML, Gross J (1988) Smoking relapse: the role of pharmacological and behavioral factors. Prog Clin Biol Res 261:163–184

    CAS  PubMed  Google Scholar 

  • Stout SM, Cimino NM (2014) Exogenous cannabinoids as substrates, inhibitors, and inducers of human drug metabolizing enzymes: a systematic review. Drug Metab Rev 46(1):86–95

    Article  CAS  PubMed  Google Scholar 

  • Thomas A, Baillie GL, Phillips AM, Razdan RK, Ross RA, Pertwee RG (2007) Cannabidiol displays unexpectedly high potency as an antagonist of CB1 and CB2 receptor agonists in vitro. Br J Pharmacol 150(5):613–623

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Viudez-Martinez A, Garcia-Gutierrez MS, Navarron CM, Morales-Calero MI, Navarrete F, Torres-Suarez AI, Manzanares J (2018) Cannabidiol reduces ethanol consumption, motivation and relapse in mice. Addict Biol 23(1):154–164

    Article  CAS  PubMed  Google Scholar 

  • Viudez-Martinez A, Garcia-Gutierrez MS, Medrano-Relinque J, Navarron CM, Navarrete F, Manzanares J (2019) Cannabidiol does not display drug abuse potential in mice behavior. Acta Pharmacol Sin 40(3):358–364

    Article  CAS  PubMed  Google Scholar 

  • Warren GW, Alberg AJ, Kraft AS, Cummings KM (2014) The 2014 Surgeon General’s report: “The health consequences of smoking–50 years of progress”: a paradigm shift in cancer care. Cancer 120(13):1914–1916

    Article  PubMed  Google Scholar 

  • West R, Baker CL, Cappelleri JC, Bushmakin AG (2008) Effect of varenicline and bupropion SR on craving, nicotine withdrawal symptoms, and rewarding effects of smoking during a quit attempt. Psychopharmacology 197(3):371–377

    Article  CAS  PubMed  Google Scholar 

  • Xue S, Kallupi M, Zhou B, Smith LC, Miranda PO, George O, Janda KD (2018) An enzymatic advance in nicotine cessation therapy. Chem Commun (Camb) 54(14):1686–1689

    Article  CAS  Google Scholar 

  • Zuardi AW (2008) Cannabidiol: from an inactive cannabinoid to a drug with wide spectrum of action. Braz J Psychiatry 30(3):271–280

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors wish to express their thanks to Molly Brennan, Sharona Sedighim, Hassiba Beldjoud, and Nathan Velarde for providing help with the study. The authors aknowledge the Preclinical Addiction Research Consortium at UCSD for supporting this project.

Funding

This work was supported by the National Institute on Drug Abuse (grant no. 1F31DA047113-01 to L.C.S.), National Institute on Alcohol Abuse and Alcoholism (grant no. AA022977 and AA006420 to O.G.), Tobacco-Related Disease Research Program (grant no. 27IR-0047 to O.G.), Tobacco-Related Disease Research Program (grant no. T31KT1859 to M.K.), and CV science (O.G.).

Author information

Authors and Affiliations

Authors

Contributions

MK, OG, KH, and JD designed the experiment; LCS and LT performed the behavioral experiments, and nicotine and cotinine blood extraction. BB and LLGC performed the behavioral experiments, blood withdrawal, and data analysis. LCS and MK analyzed the data and prepared the manuscript and figures. YS performed LCMS analysis of nicotine and cotinine serum levels. JDM supervised and interpreted nicotine and cotinine serum level determinations; RS, MH, and RF developed the isotope dilution LC/MS/MS assay for quantifying CBD in blood specimens; MK and OG edited the manuscript and figures. All authors approve the final version of the manuscript.

Corresponding authors

Correspondence to Marsida Kallupi or Olivier George.

Ethics declarations

Competing interests

Joseph Dowling and Kate Hanham are CEO and Acting Sr. VP of Development of CV Sciences, Inc.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Smith, L.C., Tieu, L., Suhandynata, R.T. et al. Cannabidiol reduces withdrawal symptoms in nicotine-dependent rats. Psychopharmacology 238, 2201–2211 (2021). https://doi.org/10.1007/s00213-021-05845-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00213-021-05845-4

Keywords

Navigation