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. 2021 May 21;4(1):43–60. doi: 10.1159/000515042

Table 5.

Evidence of use of cannabis in chronic pain [97, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126]

Type of study Objective Result Year Ref.
Clinical study Medical cannabis in patients with chronic pain: effect on pain relief, pain disability, and psychological aspects: a prospective nonrandomized single-arm clinical trial Cannabis tea is effective in treatment of chronic pain 2018 [113]

Clinical study Self-reported effectiveness and safety of Trokie® lozenges: a standardized formulation for the buccal delivery of cannabis extracts Cannabis lozenges reduces pain 2018 [116]

Clinical study Marijuana use and short-term outcomes in patients hospitalized for AMI Cannabis use is associated with decreased mortality in hospital after a heart attack 2018 [115]

Clinical study Medical cannabis legalization and opioid prescriptions: evidence on US Medicaid enrolled during 1993–2014 Legalization of cannabis for medical use in US is associated with reduced opioid prescription 2018 [117]

Clinical study Preliminary evaluation of the efficacy, safety, and costs associated with the treatment of chronic pain with medical cannabis Cannabis reduces pain and increases quality of life with patients of chronic pain 2018 [118]

Clinical study Patterns of medicinal cannabis use, strain analysis, and substitution effect among patients with migraine, headache, arthritis, and chronic pain in a medicinal cannabis cohort Patients under chronic pain often shifted from opioids to cannabis 2018 [119]

Clinical study Chronic pain treatment with CBD in kidney transplant patients in Uruguay CBD reduces pain in patients with kidney transplant 2018 [120]

Clinical study Impact of coadministration of oxycodone and smoked cannabis on analgesia and abuse liability Cannabis enhances the pain reducing effect when taken with opioid oxycodone 2018 [121]

Clinical study Cannabis use is associated with lower odds of prescription opioid analgesic use among HIV-infected individuals with chronic pain Medical cannabis legislation might reduce the need of opioid analgesics for HIV-infected individuals with chronic pain 2018 [123]

Clinical study Medical cannabis for the treatment of fibromyalgia Marijuana has a beneficial effect on patients with fibromyalgia 2018 [122]

Clinical study Effect of medical cannabis on thermal quantitative measurements of pain in patients with PD Cannabis use improved pain and movement in patients with Parkinson's 2017 [124]

Clinical study Dronabinol increases pain threshold in patients with functional chest pain: a pilot, double-blind, placebo-controlled trial THC reduced pain intensity and odynophagia (painful swallowing) in patients with functional chest pain 2017 [111]

Clinical study Topical medical cannabis: a new treatment for wound pain − 3 cases of pyoderma Gangrenosum Topical cannabis reduced wound pain 2017 [97]

Clinical study An exploratory human laboratory experiment evaluating vaporized cannabis in the treatment of neuropathic pain from spinal cord injury and disease Inhaled cannabis reduced neuropathic pain in patients with spinal injury 2016 [112]

Clinical study The pharmacokinetics, efficacy, safety, and ease of use of a novel portable metered-dose cannabis inhaler in patients with chronic neuropathic pain: a phase 1a study A significant reduction in pain after inhalation of cannabis with neuropathic pain 2014 [110]

Clinical study Cannabis induces a clinical response in patients with Crohn's disease: a prospective placebo-controlled study Cannabis produced significant clinical benefits in 10/11 patients with active Crohn's disease 2013 [125]

Clinical study Palmitoylethanolamide in the treatment of chronic pain caused by different etiopathogenetic Significant pain relief with PEA in patients with chronic pain 2012 [126]

Preclinical study Potent immunomodulatory activity of a highly selective cannabinoid CB2 agonist on immune cells from healthy subjects and patients with multiple sclerosis Activation of CB2 receptors counteracts inflammation of nerve cells 2017 [114]

THC, tetrahydrocannabinol; CBD, cannabidiol; PEA, palmitoylethanolamide; AMI, acute myocardial infarction.