TY - JOUR PY - 2022// TI - Assessment of clinical outcomes in patients with post-traumatic stress disorder: analysis from the UK Medical Cannabis Registry JO - Expert review of neurotherapeutics A1 - Pillai, Manaswini A1 - Erridge, Simon A1 - Bapir, Lara A1 - Nicholas, Martha A1 - Dalavaye, Nishaanth A1 - Holvey, Carl A1 - Coomber, Ross A1 - Barros, Daniela A1 - Bhoskar, Urmila A1 - Mwimba, Gracia A1 - Praveen, Kavita A1 - Symeon, Chris A1 - Sachdeva-Mohan, Simmi A1 - Rucker, James J. A1 - Sodergren, Mikael H. SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: The current paucity of clinical evidence limits the use of cannabis-based medicinal products (CBMPs) in post-traumatic stress disorder (PTSD). This study investigates health-related quality of life (HRQoL) changes and adverse events in patients prescribed CBMPs for PTSD.

METHODS: A case-series of patients from the UK Medical Cannabis Registry was analyzed. HRQoL was assessed at 1-, 3-, and 6-months using validated patient reported outcome measures (PROMs). Adverse events were analyzed according to the Common Terminology Criteria for Adverse Events version 4.0. Statistical significance was defined as p < 0.050.

RESULTS: Of 162 included patients, 88.89% (n = 144) were current/previous cannabis users. Median daily CBMP dosages were 5.00 (IQR: 0.00-70.00) mg of cannabidiol and 145.00 (IQR: 100.00-200.00) mg of Δ9-tetrahydrocannabinol. Significant improvements were observed in PTSD symptoms, sleep, and anxiety across all follow-up periods (p < 0.050). There were 220 (135.8%) adverse events reported by 33 patients (20.37%), with the majority graded mild or moderate in severity (n = 190, 117.28%). Insomnia and fatigue had the greatest incidence (n = 20, 12.35%).

CONCLUSIONS: Associated improvements in HRQoL were observed in patients who initiated CBMP therapy. Adverse events analysis suggests acceptability and safety up to 6 months. This study may inform randomized placebo-controlled trials, required to confirm causality and determine optimal dosing.

Language: en

LA - en SN - 1473-7175 UR - http://dx.doi.org/10.1080/14737175.2022.2155139 ID - ref1 ER -