Consensus-based recommendations for titrating cannabinoids and tapering opioids for chronic pain control.

ABSTRACT:

Aims

Opioid misuse and overuse have contributed to a widespread overdose crisis and many patients and physicians are considering medical cannabis to support opioid tapering and chronic pain control. Using a five-step modified Delphi process, we aimed to develop consensus-based recommendations on: 1) when and how to safely initiate and titrate cannabinoids in the presence of opioids, 2) when and how to safely taper opioids in the presence of cannabinoids and 3) how to monitor patients and evaluate outcomes when treating with opioids and cannabinoids.

Results

In patients with chronic pain taking opioids not reaching treatment goals, there was consensus that cannabinoids may be considered for patients experiencing or displaying opioid-related complications, despite psychologica

SUBMITTER: Sihota A 

PROVIDER: S-EPMC8365704 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature