The Use of Cannabinoids in the Management of Chronic Pain: A Perceptual Survey among Practitioners

The management of chronic pain represents a challenge due to limitations and side effects associated with conventional treatments. Thus, the introduction of medical cannabis represents a new effective strategy. The purpose of this study is to investigate the acceptability of medical cannabis among practitioners and evaluate its limitations and obstacles to its use in medicine. We collected the data through a questionnaire that targeted doctors (neurologists and oncologists) in major university hospitals and private practices. The results of our study showed that the most important limitations to the use of conventional treatment are end-of-dose failure and resistance to treatment. We also found that the lack of clinical studies, the risk of addiction and mental illness represent the principal limitations to the use of medical cannabis. In addition, our study confirmed that the major obstacles to the introduction of cannabinoids in the pharmaceutical market are related to legislation, religion, and social stigmatization. Despite these limitations and barriers, most Moroccan doctors are favorable to its prescription without fear of legal persecution. Our study, the firstone of its kind in North Africa, provides essential data regarding the acceptability of its medical use and represents a starting point for more in-depth research