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Medical cannabis - the Canadian perspective.

Gordon D Ko1, Sara L Bober2, Sean Mindra3

  • 1Apollo Applied Research Inc.; Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto.

Journal of Pain Research
|October 21, 2016
PubMed
Summary
This summary is machine-generated.

Medical cannabis, particularly tetrahydrocannabinol (THC), shows promise for neuropathic pain relief. Barriers to patient and physician adoption are discussed, alongside updated treatment approaches for better pain management.

Keywords:
addictionfibromyalgianeuropathic painrandomized controlled trialssocial stigmatetrahydrocannabinol

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Area of Science:

  • Pain Medicine
  • Pharmacology
  • Medical Cannabis Research

Background:

  • Cannabis has a long history in Eastern medicine, now gaining traction in Western pain management.
  • Tetrahydrocannabinol (THC) demonstrates a dose-dependent efficacy in neuropathic pain relief through randomized controlled trials.

Approach:

  • This review examines barriers to medical cannabis use from patient and physician viewpoints.
  • It addresses concerns within the Canadian medical system and offers updated treatment strategies.
  • Case studies illustrate medical cannabis use in neuropathic low-back pain, fibromyalgia, and multiple sclerosis.

Key Points:

  • Barriers include cost, stigma, addiction concerns, and physician-related issues like credibility and policy.
  • Updated approaches aim to improve pain control, reduce opioid use, and enhance patient quality of life.
  • Preclinical data support cannabis for various pain conditions, but more research is needed.

Conclusions:

  • Further randomized controlled trials with larger populations are essential.
  • Identifying optimal cannabis strains and concentrations for specific patient cohorts requires additional investigation.