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In adults with chronic low back pain, does the use of inhaled cannabis reduce overall opioid use?

Smaga, Sharon, MD; Gharib, Amr, MD

doi: 10.1097/01.EBP.0000541620.26384.bf
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EVIDENCE-BASED ANSWER No RCTs have evaluated the potential opioid-sparing effects of inhaled cannibis in patients with chronic low back pain. Smoked cannabis does appear to reduce chronic noncancer pain and neuropathic pain compared with placebo (SOR: B, systematic review of small RCTs). However, patients using cannabis for pain relief are more likely to meet criteria for substance abuse disorders and to be nonadherent with their prescribed opioids (SOR: B, 1 cohort study).

SIU Carbondale FPC Carbondale, IL

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