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Medical Cannabis for Neuropathic Pain

  • Gemayel LeeEmail author
  • Brittany Grovey
  • Tim Furnish
  • Mark Wallace
Neuropathic Pain (E Eisenberg, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Neuropathic Pain

Abstract

Purpose of Review

Many cultures throughout history have used cannabis to treat a variety of painful ailments. Neuropathic pain is a complicated condition that is challenging to treat with our current medications. Recent scientific discovery has elucidated the intricate role of the endocannabinoid system in the pathophysiology of neuropathic pain. As societal perceptions change, and legislation on medical cannabis relaxes, there is growing interest in the use of medical cannabis for neuropathic pain.

Recent Findings

We examined current basic scientific research and data from recent randomized controlled trials (RCTs) evaluating medical cannabis for the treatment of neuropathic pain. These studies involved patients with diverse etiologies of neuropathic pain and included medical cannabis with different THC concentrations and routes of administration. Multiple RCTs demonstrated efficacy of medical cannabis for treating neuropathic pain, with number needed to treat (NNT) values similar to current pharmacotherapies.

Summary

Although limited by small sample sizes and short duration of study, the evidence appears to support the safety and efficacy of short-term, low-dose cannabis vaporization and oral mucosal delivery for the treatment of neuropathic pain. The results suggest medical cannabis may be as tolerable and effective as current neuropathic agents; however, more studies are needed to determine the long-term effects of medical cannabis use. Furthermore, continued research to optimize dosing, cannabinoid ratios, and alternate routes of administration may help to refine the therapeutic role of medical cannabis for neuropathic pain.

Keywords

Medical marijuana Neuropathic pain Cannabis THC CBD Cannabinoid 

Notes

Compliance with Ethical Standards

Conflict of Interest

Gemayel Lee, Brittany Grovey, Tim Furnish, and Mark Wallace declare no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Gemayel Lee
    • 1
    Email author
  • Brittany Grovey
    • 1
  • Tim Furnish
    • 1
  • Mark Wallace
    • 1
  1. 1.Center for Pain MedicineUniversity of California, San DiegoLa JollaUSA

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