Table 4. Adverse effects and Dropout rates from the included studies.
Author | Tolerability | Adverse Effects (AE) Reported | Dropout Rate n (%) |
Cameron, 2014 | Two patients had psychotic episode, but one was able to restart with no recurrence. Patients with pre-existing psychosis remained with routine anti-psychotic medications. | Psychosis, sedation, dry mouth, feeling “stoned”, orthostatic hypotension, agitation, headache | N = 31 (29.8%) reported adverse effects. N = 20 (19%) withdrew from the trial; n = 10 (9.6%) withdrew from the trial due to AE; n = 4 abuse of other medications; n = 2 residential facility did not allow cannabis use; n = 2 did not want to continue; n = 1 due to inefficacy; n = 1 had no coverage. |
Chan, 2017 | Most patients had mild to moderate AE | Dry mouth, Psycho-active effects (feeling “high”), Sleepiness, Red/irritated eyes, Heart palpitations, Decreased memory | NR |
Drost, 2017 | 12.3% patients had deterioration in PTSD symptoms. | Depression, anxiety, sleep problems, pain | NR |
Elms, 2019 | CBD was tolerated well and not patient discontinued to AE related to CBD | Daytime fogginess, gastrointestinal bloating/pain | N = 10 (48%) withdrew from the trial; authors stated reasons were largely unknown |
Jetly, 2015 | Cannabis was tolerated well in both arms. Patients experienced mild AE were >50% in both arms | Dry mouth, headache | N = 1 (10%) in the placebo group prior to cross over but no patient dropped out due to AE |
Roitman, 2014 | Four patients developed AE. These effects were mild and continued throughout the 3 weeks of treatment | Dry mouth, headache, tremor | 0 |
Ruglass, 2017 | No AE occurred | AE did not occur at the end of the study | NR |