2018
DOI: 10.1111/add.14238
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Cannabis and opioid overdoses: time to move on and examine potential mechanisms

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Cited by 8 publications
(6 citation statements)
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“…We agree with Rogeberg et al [4] that larger, better-designed studies are needed to test possible mechanisms for a causal effect, such as substitution of cannabinoids for opioids or other central nervous system (CNS) depressants. The hypothesis given greatest prominence in the media-the substitution of opioids for pain relief-is the least plausible because of the weak analgesic effects of cannabinoids in clinical trials of chronic pain.…”
Section: The Need For More Consistent Evidential Standards In Cannabisupporting
confidence: 86%
“…We agree with Rogeberg et al [4] that larger, better-designed studies are needed to test possible mechanisms for a causal effect, such as substitution of cannabinoids for opioids or other central nervous system (CNS) depressants. The hypothesis given greatest prominence in the media-the substitution of opioids for pain relief-is the least plausible because of the weak analgesic effects of cannabinoids in clinical trials of chronic pain.…”
Section: The Need For More Consistent Evidential Standards In Cannabisupporting
confidence: 86%
“…Nor should they warrant the use of different evidential standards to evaluate the risks and the benefits of cannabis use; such as, for example, uncritically accepting weak evidence for medical benefits while dismissing epidemiological evidence for causal relationships between cannabis use and adverse health effects as 'correlational' (e.g. [5,9]).…”
Section: Some Critics Of Publicly Funded Research On Cannabis Use Arguementioning
confidence: 99%
“…Since around the turn of the millennium, however, research has focused more upon the putative medical benefits of cannabis that have been used to justify the legalization of its medical use [4]. Some of this research has been of low quality, such as ecological associations between the presence or absence of state medical cannabis programmes and trends in opioid overdose deaths [5], case series [6] and poorly controlled observational studies of patient outcomes in the absence of comparison conditions [7].…”
mentioning
confidence: 99%
“…In the past, reports of harm associated with cannabis use were often uncritically embraced as providing support for a continuation of prohibition; today, equivocal evidence of medical benefits is used to justify more liberal medical cannabis policies (eg, ref 29). Evidential double standards are exemplified in the very different evaluations made of observational evidence on the benefits and adverse effects of cannabis use.…”
Section: Depenalization Of Personal Possession and Usementioning
confidence: 99%