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Cannabis in palliative care: current challenges and practical recommendations.
Claude Cyr1, Maria Fernanda Arboleda2, Sunil Kumar Aggarwal3
1Department of Family Medicine, McGill University, Montreal, Canada. claudecyrmd@gmail.com.
Annals of Palliative Medicine
|September 6, 2018
Summary
Cannabinoid-based medicines (CBM) are gaining interest in palliative care, but clinical guidance is lacking. This review offers practical recommendations for safe and effective CBM integration into patient care.
Area of Science:
- Palliative Care
- Pharmacology
- Cannabinoid Medicine
Background:
- Pain and symptom management in palliative care presents ongoing challenges.
- Cannabinoid-based medicines (CBM) are increasingly popular among patients and caregivers.
- Healthcare providers lack sufficient information and support regarding CBM.
Purpose of the Study:
- To address challenges delaying CBM integration into clinical practice.
- To provide practical recommendations for CBM use in palliative care.
- To enhance clinician understanding and patient support for CBM.
Main Methods:
- Review of current literature on CBM in palliative care.
- Development of practical recommendations for clinical application.
- Discussion of pharmacology, mechanism of action, and clinical evidence.
Main Results:
- Identified a gap in knowledge and support for CBM among clinicians and patients.
- Outlined key considerations for CBM: patient assessment, expectations, precautions, strain selection, administration, titration, and monitoring.
- Highlighted the potential therapeutic effects, including psychoactive properties, of cannabis.
Conclusions:
- There is an urgent need for evidence-based guidance on CBM in palliative care.
- Clinicians require education on CBM to effectively support patients.
- CBM are poised to play a significant role in future palliative medicine.
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