Cannabis and cannabidiol (CBD) for the treatment of fibromyalgia
Dr. Michael Duplessie, FRCS Ophth (Glasgow), M.B., B.Ch., L.R.C.P. & S.I., B.A.O., B.A.
Cannabis and cannabidiol (CBD) for the treatment of fibromyalgia
Fibromyalgia is a complex disease that affects a significant number of individuals and is poorly understood. Despite the availability of current treatments, a considerable population of patients remains inadequately cared for. Researchers continue to explore the pathophysiology of this condition, with the hope of discovering novel therapeutic options. Recently, evidence has emerged indicating that cannabinoids may provide relief for fibromyalgia symptoms. This review delves into the evidence surrounding cannabinoids and their potential in treating fibromyalgia. It provides a comprehensive overview of the pathophysiology, diagnostic criteria, and treatment options.
Fibromyalgia is a chronic condition characterized by widespread pain, fatigue, and depressive episodes, without an identifiable organic diagnosis. It may affect up to 10% of the population, resulting in significant healthcare utilization, morbidity, reduced quality of life, and productivity. Although several treatment options exist, only physical exercise has strong evidence to support its efficacy. Cannabis, on the other hand, has been historically used to treat different pain conditions, with recent advances enabling the isolation of active substances in cannabis and the production of cannabinoid products that are nearly devoid of psychoactive influence.
Although evidence supporting the use of cannabis in chronic pain conditions is plentiful, it is limited in fibromyalgia. Only a handful of randomized trials exist, and their objectivity has been questioned. Nevertheless, patient surveys suggest the significant alleviation of pain, improvement in sleep, and abatement of associated symptoms. While emerging data suggest a positive effect of cannabis in fibromyalgia, its use is not without risks, including psychiatric, cognitive, developmental, and addiction risks. Clinical judgment is required to weigh these risks and prescribe to patients who are more likely to benefit from this treatment. Further research is needed to determine appropriate patient selection and treatment regimens.
Medical Marijuana
Safe & Legal
Throughout my career, I have been dedicated to breaking conventions and helping those in need. My passion for medicine began during my time working in refugee camps in Thailand, and since then, I have made it my mission to provide care and support to those who need it most.
As a pioneer in the field of ophthalmology, I have made numerous contributions and innovations in the field of corneal transplantation and laser surgery. I am comfortable challenging conventions.
I have seen firsthand the positive impact medical marijuana can have on patients struggling with pain and anxiety.
My experiences have shown me that medical marijuana can offer significant benefits with minimal side effects, providing patients with an alternative to traditional pharmaceutical medications. Despite its potential, the government’s stance on marijuana is outdated and in need of revision.
Through my observations, I have seen prescription rates for pain, stress, insomnia, anxiety to name just a few, drastically decrease among patients who have obtained a medical marijuana card, and I believe that this is a testament to its effectiveness.
