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“Pothead” might take on a whole new meaning.

A recent study suggests that low doses of THC, the primary psychoactive compound in cannabis, could help protect memory and reduce Alzheimer’s-related brain damage—but only when paired with a common anti-inflammatory medication.

Although the research was conducted in mice, scientists note that because both substances are already widely used, this combination could move more quickly into human clinical trials.

A woman comforting her husband, both are elderly with white hair.

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s disease in 2025.

“If you develop a new compound, it can take 10 to 20 years to reach patients,” said Dr. Chu Chen, professor of Cellular and Integrative Physiology at UT Health San Antonio, in a press release.

“In this case, both drugs are already approved,” he explained. “That gives us a real advantage.”

This could be significant, especially since the number of Americans with Alzheimer’s is expected to nearly double by 2060 unless new ways to prevent or treat the disease are found.

High Hopes for THC

Recent research has highlighted potential medical benefits of THC, including anti-inflammatory and neuroprotective effects.

In the U.S., the FDA has already approved synthetic THC to treat chemotherapy-related nausea and appetite loss in cancer and HIV patients.

However, THC isn’t without risks: studies have shown it can impair learning and memory, though the exact reason was unclear. This led Dr. Chen and his team to investigate further.

Gloved hands holding a glass jar filled with fresh cannabis buds.

Marijuana is now legal in many U.S. states to treat serious pain, nausea, and other medical symptoms.

Back in 2013, Dr. Chu Chen identified a key player in the brain: COX-2, an enzyme linked to inflammation and pain.

Under normal conditions, COX-2 levels are low in a healthy brain, but they increase sharply during injury, infection, or disease. This enzyme plays a critical role in learning and memory, helping the brain strengthen or weaken connections between neurons. However, when COX-2 becomes overactive, it can contribute to cognitive decline.

“When THC is given, it unexpectedly increases COX-2 in the brain,” Chen found in his study. “That increase is closely linked to learning and memory impairments.”

In previous attempts to treat Alzheimer’s, researchers gave patients COX-2 inhibitors—medications designed to block the enzyme and reduce inflammation. But these treatments failed to improve cognition and carried dangerous cardiovascular side effects.

Tiny Doses, Big Results

The brain produces its own cannabinoids, called endocannabinoids, which act on the same receptors as THC but often have opposite effects. One important endocannabinoid, 2-AG, can reduce COX-2 activity and cut neuroinflammation.

This led Chen to a simple but powerful question: Can we block THC’s inflammatory effects while keeping its benefits?

The answer may be yes — with the help of celecoxib, a widely prescribed COX-2 inhibitor used for arthritis and chronic pain.

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