When chronic pain patients participated in a program to reduce their use of opioids with medical marijuana, a quarter of them completely stopped taking opioid medications within half a year, a new pilot study reports.
“After 6 months, 156 patients (26%) had ceased taking opioids,” the paper states. “An additional 329 patients (55%) had reduced their opioid use by an average of 30%. One hundred fourteen patients (19%) neither increased nor decreased their opioid use.”
The study, led by Toronto-based chronic pain specialist Dr. Kevin Rod, was published in American Journal of Psychiatry and Neuroscience.
For his pilot study, Rod recruited 600 chronic pain patients who received care at his practice, Toronto Poly Clinic. Their daily opioid doses averaged 120mg morphine equivalent; among the sample, 95 patients were taking between 180mg to 240mg a day to manage their pain.
Rod created a tapering plan for each patient based on their individual needs. Usually, that meant opioid doses were reduced approximately 10 percent every one to two weeks. As the study’s participants lowered the dosage of pharmaceuticals they were taking to deal with pain, they were authorized to consume CBD and THC products in the range of 4 to 6 percent. The cannabis doses were related to the amount of opioids were tapered: that is, half a gram of marijuana a day for each 10 percent reduction in opioid dose as needed. To reduce the risk of additional harm, patients were advised to consume sublingually, orally or by vaping.