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Indications and contraindications of medicinal cannabis

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The role of medicinal cannabis in the treatment of diseases

In countries where medicinal cannabis has been approved for use, it is supplied to patients through specialized dispensaries or authorized producers. However, before starting treatment, it is necessary for a doctor to evaluate the patient and recommend the use of cannabis for medicinal purposes [[1]].

Importantly, medicinal cannabis has been shown to be beneficial in the treatment of various diseases and symptoms. Below are some of the most common indications:

1. Chronic pain

Medical cannabis has been shown to be effective in relieving chronic pain, especially in patients with cancer or neuropathic pain [[2]].

2. Neuromuscular spasticity

In patients with multiple sclerosis, medicinal cannabis may help reduce neuromuscular spasticity [[3]].

3. Nausea and vomiting associated with chemotherapy

Medical cannabis can be used to relieve nausea and vomiting caused by chemotherapy [[4]].

Contraindications of medical cannabis

While medicinal cannabis can be beneficial in the treatment of certain diseases, there are also contraindications that must be taken into account. Some of them are:

1. Cannabis allergy

People who have been allergic to cannabis should avoid its use [[5]].

2. Pregnancy and lactation

Medical cannabis should not be used by pregnant or breast-feeding women as it can cross the placenta and be excreted into breast milk, which could pose a risk to the fetus or baby [[6]].

3. History of hallucinations

Cannabis containing THC should not be administered to people with a history of hallucinations, such as schizophrenia or bipolar disorder [[7]].

4. Unstable heart disease

The use of medicinal cannabis is not recommended in patients with unstable heart disease, as it can cause tachycardia and arterial hypotension [[8]].

These are just some of the most important contraindications to keep in mind when using medicinal cannabis. It is essential that a doctor evaluates each case individually and takes into account the characteristics and needs of each patient.

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