open access

Vol 16, No 3 (2022)
Review paper
Published online: 2022-07-04
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Ten reasons to consider cannabinoids in everyday clinical practice

Agata Lewandowska1, Michał Graczyk2
·
Palliat Med Pract 2022;16(3):167-182.
Affiliations
  1. 10th Military Research Hospital and Polyclinic in Bydgoszcz, Poland
  2. Department of Palliative Care, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland

open access

Vol 16, No 3 (2022)
Review paper
Published online: 2022-07-04

Abstract

Medical cannabis is attracting more and more interest among both patients and healthcare professionals.
Despite the long history of using this plant for medicinal purposes, the current approach to medicine,
which is primarily based on facts, forces us to take a scientific approach in the selection of products
and substances from the cannabinoid group. More and more scientific and clinical studies are providing
evidence of their effectiveness. Clinical trials with small groups of patients as well as case reports show
the benefits of medical cannabis, while larger trials often do not confirm clear improvement compared
to other available treatments. Both physicians and their patients need to know in which indications
clinical benefits are possible and whether the proposed therapy is safe. Only after analysing the patient’s
history, interviewing and examining, in a highly individualized and detailed manner (including relative
and absolute contraindications) can cannabinoid therapy be considered. They are more often used as an
addition to basic and standard therapy, which can improve its effectiveness. Less frequently we choose
cannabinoids as drugs of the first choice used in monotherapy. The article aims to present 10 reasons
why cannabinoids are worth considering for use in everyday clinical practice and to prepare practitioners
to answer the questions most asked by patients.

Abstract

Medical cannabis is attracting more and more interest among both patients and healthcare professionals.
Despite the long history of using this plant for medicinal purposes, the current approach to medicine,
which is primarily based on facts, forces us to take a scientific approach in the selection of products
and substances from the cannabinoid group. More and more scientific and clinical studies are providing
evidence of their effectiveness. Clinical trials with small groups of patients as well as case reports show
the benefits of medical cannabis, while larger trials often do not confirm clear improvement compared
to other available treatments. Both physicians and their patients need to know in which indications
clinical benefits are possible and whether the proposed therapy is safe. Only after analysing the patient’s
history, interviewing and examining, in a highly individualized and detailed manner (including relative
and absolute contraindications) can cannabinoid therapy be considered. They are more often used as an
addition to basic and standard therapy, which can improve its effectiveness. Less frequently we choose
cannabinoids as drugs of the first choice used in monotherapy. The article aims to present 10 reasons
why cannabinoids are worth considering for use in everyday clinical practice and to prepare practitioners
to answer the questions most asked by patients.

Get Citation

Keywords

medical cannabis, cannabinoids, THC, CBD, pain, nausea, vomiting, anxiety, depression, epilepsy, MS, stress

About this article
Title

Ten reasons to consider cannabinoids in everyday clinical practice

Journal

Palliative Medicine in Practice

Issue

Vol 16, No 3 (2022)

Article type

Review paper

Pages

167-182

Published online

2022-07-04

Page views

3876

Article views/downloads

441

DOI

10.5603/PMPI.2022.0013

Bibliographic record

Palliat Med Pract 2022;16(3):167-182.

Keywords

medical cannabis
cannabinoids
THC
CBD
pain
nausea
vomiting
anxiety
depression
epilepsy
MS
stress

Authors

Agata Lewandowska
Michał Graczyk

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