Table 5.
Study type; study | Characteristic | Pain outcomes and conclusions* | ||||||
---|---|---|---|---|---|---|---|---|
| ||||||||
Drug | Dose | Route of administration | Frequency of administration | Population | Control | Duration | ||
Randomized controlled trials | ||||||||
| ||||||||
Beaulieu 200634 | Nablione | 1 mg, 2 mg | Oral capsule | Every 8 h | 41 major surgery patients (18 orthopedic) using a PCA device | Ketoprofen, placebo | 24 h | NRS (−) |
| ||||||||
Blake et al. 200613 | Nabiximols | Mean 14.6 mg THC and 13.5 mg CBD | Oral spray | Daily | 58 patients with rheumatoid arthritis with pain not adequately controlled by medication | Placebo | 5 wk | NRS, McGill pain (+) |
| ||||||||
Frank et al. 200835 | Nabilone | 250 μg escalating to 2 mg | Oral capsule | Daily | 96 patients with chronic neuropathic pain (25 orthopedic) | Dihydrocodeine crossover | 14 wk | VAS (−) |
| ||||||||
Kantor and Hopper 198150† | Levonantradol | 1.5–3.0 mg | Oral capsule | Once | 81 postsurgical patients | Placebo | Unclear | SPID (+) |
0.25 mg, 0.5 mg, 1.0 mg | Intramuscular | |||||||
| ||||||||
Levin et al. 201724 | Nabilone | 0.5 mg | Oral capsule | Once | 340 postsurgical patients (47 orthopedic) at risk for nausea and vomiting | Placebo | 300 min | NRS (=) |
| ||||||||
Nonrandomized interventional study | ||||||||
| ||||||||
Holdcroft et al. 200629 | Cannabis extract | 5 mg, 10 mg, 15 mg | Oral capsule | Once | 65 postsurgical patients (23 orthopedic) | Low compared with medium and high doses | 6 h | Rescue analgesia, VRS (+) (higher doses better than lower doses) |
CBD = cannabidiol; NR = not reported; NRS = numeric rating scale; PCA = patient-controlled analgesia; SPID = sum of pain intensity difference; THC= tetrahydrocannabinol; VAS = visual analogue scale; VRS = verbal rating scale.
(+) = cannabis performed significantly better than comparator for pain outcomes; (=) = no difference for pain outcomes; (−) = cannabis performed worse than comparator for pain outcomes.
Abstract only.