{"title":"Cannabis-Based Medicines for Nociplastic Pain: A Scoping Review of Efficacy, Safety, and Patient Outcomes.","authors":"Hugo Miguel-Seno, Paulo Reis-Pina","doi":"10.1080/15360288.2026.2704788","DOIUrl":"https://doi.org/10.1080/15360288.2026.2704788","url":null,"abstract":"<p><p>Cannabis-based medicines (CBM) are increasingly considered for nociplastic pain (NOCP) despite limited evidence. This scoping review mapped evidence on efficacy, safety, patient-reported outcomes, and pharmacokinetic/pharmacodynamic (PK/PD) considerations for CBM in NOCP. MEDLINE, Cochrane Library, Web of Science, and Scopus were searched through 2024. Eligibility included patients with NOCP or a nociplastic phenotype, any setting, any study design, and English language. Data were charted inductively, synthesized narratively, and risk of bias was assessed. Ten studies were included, predominantly secondary (reviews/opinions, consensus), with very limited primary data linking CBM to nociplastic mechanisms. Signals suggest modest benefits in fibromyalgia and chronic musculoskeletal pain, with improvements more evident for sleep, affective domains, and quality-of-life than for direct analgesia. Adverse effects were common (e.g., sedation, dizziness, psychiatric symptoms), particularly with tetrahydrocannabinol-dominant products. PK findings included low/variable oral bioavailability (∼6%), food and hepatic effects (notably for cannabidiol), and prolonged terminal half-life; PD effects included psychomotor and cognitive impairment. No study applied standardized nociplastic instruments. Co-administration cautions with opioids were noted, but no phenotype-specific opioid-sparing evidence was identified. Overall, evidence remains low-certainty and indirect, supporting adequately powered, longer-term trials with explicit NOCP phenotyping and standardized formulations. CBM show outcome-specific benefits balanced against dose- and formulation-dependent harms.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"1-27"},"PeriodicalIF":1.3,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Morphine at 2 a.m.: Notes from a Room Where Pain Does Not Sleep.","authors":"Muhammad Rio Fariza","doi":"10.1080/15360288.2026.2704782","DOIUrl":"https://doi.org/10.1080/15360288.2026.2704782","url":null,"abstract":"","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"1-3"},"PeriodicalIF":1.3,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"One Month Has Passed.","authors":"Tarek Zieneldien","doi":"10.1080/15360288.2026.2704797","DOIUrl":"https://doi.org/10.1080/15360288.2026.2704797","url":null,"abstract":"","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"1-2"},"PeriodicalIF":1.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When Medicine Waits Beside the Bed.","authors":"Raditya Pratama Putra, Yulianti, Pramana","doi":"10.1080/15360288.2026.2705431","DOIUrl":"https://doi.org/10.1080/15360288.2026.2705431","url":null,"abstract":"","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"1-2"},"PeriodicalIF":1.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suzetrigine and Craniofacial Pain: Between Physiological Plausibility and Emerging Evidence.","authors":"A Alcántara Montero","doi":"10.1080/15360288.2026.2704789","DOIUrl":"https://doi.org/10.1080/15360288.2026.2704789","url":null,"abstract":"","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"1-3"},"PeriodicalIF":1.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond the blood.","authors":"Aprillia Rhamadhany, Mukhamad Zulianto","doi":"10.1080/15360288.2026.2705432","DOIUrl":"https://doi.org/10.1080/15360288.2026.2705432","url":null,"abstract":"","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"1-2"},"PeriodicalIF":1.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anam Miftakhul Huda, Pramana, Vinda Maya Setianingrum, Puspita Sari Sukardani
{"title":"Where Invisible Pain Finds a Shape, a Voice, and a Witness.","authors":"Anam Miftakhul Huda, Pramana, Vinda Maya Setianingrum, Puspita Sari Sukardani","doi":"10.1080/15360288.2026.2704803","DOIUrl":"https://doi.org/10.1080/15360288.2026.2704803","url":null,"abstract":"","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"1-2"},"PeriodicalIF":1.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}