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Papers of the Week


Papers: 28 Nov 2020 - 4 Dec 2020


Human Studies


2020 Nov 28


Int J Clin Pract

Consensus-Based Recommendations for Titrating Cannabinoids and Tapering Opioids for Chronic Pain Control.

Authors

Sihota A, Smith BK, Ahmed S-A, Bell A, Blain A, Clarke H, Cooper ZD, Cyr C, Daeninck P, Deshpande A, Ethans K, Flusk D, Le Foll B, Milloy M-J, Moulin DE, Naidoo V, Ong M, Perez J, Rod K, Sealey R, et al.
Int J Clin Pract. 2020 Nov 28:e13871.
PMID: 33249713.

Abstract

Opioid misuse and overuse has 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.