Title |
European Pain Federation (EFIC) position paper on appropriate use of cannabis‐based medicines and medical cannabis for chronic pain management
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Published in |
European Journal of Pain, September 2018
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DOI | 10.1002/ejp.1297 |
Pubmed ID | |
Authors |
Winfried Häuser, David P. Finn, Eija Kalso, Nevenka Krcevski‐Skvarc, Hans‐Georg Kress, Bart Morlion, Serge Perrot, Michael Schäfer, Chris Wells, Silviu Brill |
Abstract |
Cannabis-based medicines are being approved for pain management in an increasing number of European countries. There are uncertainties and controversies on the role and appropriate use of cannabis-based medicines for the management of chronic pain. EFIC convened a European group of experts, drawn from a diverse range of basic science and relevant clinical disciplines, to prepare a position paper to empower and inform specialist and non-specialist prescribers on appropriate use of cannabis-based medicines for chronic pain. The expert panel reviewed the available literature and harnessed the clinical experience to produce these series of recommendations. Therapy with cannabis-based medicines should only be considered by experienced clinicians as part of a multidisciplinary treatment and preferably as adjunctive medication if guideline-recommended first and second line therapies have not provided sufficient efficacy or tolerability. The quantity and quality of evidence are such that cannabis-based medicines may be reasonably considered for chronic neuropathic pain. For all other chronic pain conditions (cancer,non-neuropathic non-cancer pain), the use of cannabis-based medicines should be regarded as an individual therapeutic trial. Realistic goals of therapy have to be defined. All patients must be kept under close clinical surveillance. As with any other medical therapy, if the treatment fails to reach the predefined goals and/or the patient is additionally burdened by an unacceptable level of adverse effects and/or there are signs of abuse and misuse of the drug by the patient, therapy with cannabis-based medicines should be terminated. This article is protected by copyright. All rights reserved. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 11 | 11% |
Canada | 11 | 11% |
United States | 8 | 8% |
Australia | 6 | 6% |
Ireland | 3 | 3% |
Germany | 2 | 2% |
Colombia | 2 | 2% |
Italy | 2 | 2% |
Chile | 2 | 2% |
Other | 16 | 16% |
Unknown | 37 | 37% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 59 | 59% |
Practitioners (doctors, other healthcare professionals) | 22 | 22% |
Scientists | 13 | 13% |
Science communicators (journalists, bloggers, editors) | 6 | 6% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 299 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 46 | 15% |
Other | 37 | 12% |
Student > Master | 35 | 12% |
Student > Bachelor | 26 | 9% |
Student > Ph. D. Student | 22 | 7% |
Other | 48 | 16% |
Unknown | 85 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 88 | 29% |
Pharmacology, Toxicology and Pharmaceutical Science | 30 | 10% |
Nursing and Health Professions | 16 | 5% |
Biochemistry, Genetics and Molecular Biology | 10 | 3% |
Psychology | 10 | 3% |
Other | 50 | 17% |
Unknown | 95 | 32% |