Page 57 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
The above meta-analysis was supported by another meta-analysis
of four RCTs comparing medical cannabis and placebo. There was a
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drowsiness, impaired attention and nausea in those taking medical
cannabis. 73, level I

A Malaysian health technology assessment reported that current
evidence was inadequate to recommend the use of medical cannabis
in cancer pain. 74
A 2023 meta-analysis on RCTs showed that medical cannabinoids had
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serious AEs. However, the quality of the evidence was graded as low
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medical cannabis use in cancer pain.

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Radiotherapy, chemotherapy and hormonal therapy are important
components of anticancer therapy. These therapies especially
radiotherapy may be a strategy for multidisciplinary management of
cancer pain.
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Radiotherapy has been used to reduce pain and requirements of
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(EBRT) is a type of radiation that could be given to a single or limited
number of sites in a patient.
The usual dose-fractionation of radiotherapy schedules for palliation
are:
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fractionated regime in providing pain relief from bone metastases. Two
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response rates for pain control between single and multiple fractions
of radiotherapy in painful uncomplicated bone metastases. However,
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higher in single fraction with OR ranging from 2.42 to 2.60. In terms of
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e-cpg inside text-Cancer pain-25/5/24.indd 39 09/08/2024 12:09 AM