Conclusion: Moderate to high certainty evidence shows that non-inhaled medical cannabis or cannabinoids results in a small to very small improvement in pain relief, physical functioning, and sleep quality among patients with chronic pain, along with several transient adverse side effects, compared with placebo. The accompanying BMJ Rapid Recommendation provides contextualised guidance based on this body of evidence. SYSTEMATIC REVIEW REGISTRATION: https://osf.io/3pwn2.
Medical Cannabis side effects
Across 6 first-hand reports, people mentioned a side effect 6 times (about 100 per 100 reports). The most common: reduced rem, lack of, less mentally. User reports show what people notice — they can't tell you whether Medical Cannabis is safe for you.
Reported side effects
reduced rem1
lack of1
less mentally1
memory issues1
motivation loss1
cognitive impairment1
In their own words
“I'm very aware that the THC in cannabis can reduce REM sleep, and I’ve definitely noticed a lack of dreaming and sometimes waking up feeling less mentally refreshed.”
“It also has had a strong mood stabilizing effect on my depression. However since starting it, I have had been having problems with drive and motivation... cognitive issues at this point (trouble following plots in a movie, coming to conclusions)”
Is Medical Cannabis safe? What the research covers
AResearch: Strong94 meta-analyses · 24 randomized trials on PubMed
BMJ · 2021
Medical cannabis or cannabinoids for chronic non-cancer and cancer related pain: a systematic review and meta-analysis of randomised clinical trialsHeart · 2025
Cardiovascular risk associated with the use of cannabis and cannabinoids: a systematic review and meta-analysisConclusion: This systematic review and meta-analysis uses an original approach centred on real-world data. The findings reveal positive associations between cannabis use and MACE. These findings should encourage investigating cannabis use in all patients presenting with serious cardiovascular disorders.