Medical cannabis: What physicians need to know?

      The current issue of European Journal of Internal Medicine is dedicated to the topic of cannabis derived products use in contemporary pharmacopeia. Despite hundreds of years of experience with cannabis going back to the dawn of the humanity, the evidence on the safety and efficacy of medical cannabis remains scarce. Meticulously conducted observational studies and clinical trials started to appear in medical literature only recently, yet our patients frequently approach us with the question whether their medical condition can be treated with cannabis. Mass media regularly publishes miracle stories on panacea effects of the cannabis, often leading to the confrontation between the general public demanding this new treatment and “conservative” medical establishment. Conspiracy theories aimed to explain physicians' push-back on medical cannabis use are surfacing with frightening persistence. Therefore, we feel that it is absolutely imperative to not only present the current state of affairs, but also to propose the development of the scientific research program within the paradigm of Evidence Based Medicine. Our ultimate aim should be to scientifically establish the actual place of medical cannabis derived products in the modern medical arsenal.
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