» Articles » PMID: 37199833

Assessment of Clinical Outcomes in Patients with Fibromyalgia: Analysis from the UK Medical Cannabis Registry

Overview
Journal Brain Behav
Specialty Psychology
Date 2023 May 18
PMID 37199833
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: There are limited therapeutic options for individuals with fibromyalgia. The aim of this study is to analyze changes in health-related quality of life and incidence of adverse events of those prescribed cannabis-based medicinal products (CBMPs) for fibromyalgia.

Methods: Patients treated with CBMPs for a minimum of 1 month were identified from the UK Medical Cannabis Registry. Primary outcomes were changes in validated patient-reported outcome measures (PROMs). A p-value of <.050 was deemed statistically significant.

Results: In total, 306 patients with fibromyalgia were included for analysis. There were improvements in global health-related quality of life at 1, 3, 6, and 12 months (p < .0001). The most frequent adverse events were fatigue (n = 75; 24.51%), dry mouth (n = 69; 22.55%), concentration impairment (n = 66; 21.57%), and lethargy (n = 65; 21.24%).

Conclusion: CBMP treatment was associated with improvements in fibromyalgia-specific symptoms, in addition to sleep, anxiety, and health-related quality of life. Those who reported prior cannabis use appeared to have a greater response. CBMPs were generally well-tolerated. These results must be interpreted within the limitations of study design.

Citing Articles

UK Medical Cannabis Registry: An Analysis of Outcomes of Medical Cannabis Therapy for Hypermobility-Associated Chronic Pain.

Dickinson M, Erridge S, Warner-Levy J, Clarke E, McLachlan K, Coomber R ACR Open Rheumatol. 2025; 7(3):e70024.

PMID: 40079426 PMC: 11905011. DOI: 10.1002/acr2.70024.


Predicting therapy dropout in chronic pain management: a machine learning approach to cannabis treatment.

Visibelli A, Finetti R, Roncaglia B, Poli P, Spiga O, Santucci A Front Artif Intell. 2025; 8:1557894.

PMID: 40051572 PMC: 11882547. DOI: 10.3389/frai.2025.1557894.


Validation and cutoff score for the single-item sleep quality scale.

Badahdah A, Khamis F, Aloud N Sleep Breath. 2024; 29(1):24.

PMID: 39611989 DOI: 10.1007/s11325-024-03177-z.


Effectiveness and safety of cannabis-based products for medical use in patients with fibromyalgia syndrome: A systematic review.

Lopera V, Restrepo J, Amariles P Explor Res Clin Soc Pharm. 2024; 16:100524.

PMID: 39498228 PMC: 11533093. DOI: 10.1016/j.rcsop.2024.100524.


Illicit Cannabis Use to Self-Treat Chronic Health Conditions in the United Kingdom: Cross-Sectional Study.

Erridge S, Troup L, Sodergren M JMIR Public Health Surveill. 2024; 10:e57595.

PMID: 39149844 PMC: 11337234. DOI: 10.2196/57595.


References
1.
Schley M, Legler A, Skopp G, Schmelz M, Konrad C, Rukwied R . Delta-9-THC based monotherapy in fibromyalgia patients on experimentally induced pain, axon reflex flare, and pain relief. Curr Med Res Opin. 2006; 22(7):1269-76. DOI: 10.1185/030079906x112651. View

2.
Quan H, Li B, Couris C, Fushimi K, Graham P, Hider P . Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries. Am J Epidemiol. 2011; 173(6):676-82. DOI: 10.1093/aje/kwq433. View

3.
Painter J, Crofford L . Chronic opioid use in fibromyalgia syndrome: a clinical review. J Clin Rheumatol. 2013; 19(2):72-7. DOI: 10.1097/RHU.0b013e3182863447. View

4.
Wolfe F, Clauw D, Fitzcharles M, Goldenberg D, Katz R, Mease P . The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken). 2010; 62(5):600-10. DOI: 10.1002/acr.20140. View

5.
Kwiatek R . Treatment of fibromyalgia. Aust Prescr. 2017; 40(5):179-183. PMC: 5662432. DOI: 10.18773/austprescr.2017.056. View