Case Report: Formulation of Balanced Medicinal Cannabis in the Tapering of Opioids in Non-Cancer Chronic Pain

This case report discusses the management of chronic non-oncologic pain in a 28-year-old female patient with spinal cord injury using a balanced medicinal cannabis formulation. The patient, initially on opioids and gabapentin, underwent multiple pharmacological interventions, including Tapentadol and Pregabalin, with variable success. Eventually, a balanced cannabis formulation (THC 12 mg/ml - CBD 14 mg/ml) allowed for successful opioid tapering, resulting in improved pain control and reduced anxiety symptoms. Psychiatric and toxicology evaluations were recommended but not attended. This case highlights the potential of medicinal cannabis as an alternative therapeutic option in opioid management for chronic pain.