Six children in palliative care saw fewer seizures and less pain with medical cannabis

In a case series of six pediatric palliative care patients in Italy, a titrated cannabis sativa extract reduced seizure frequency and pain intensity over one year, with only mild, transient side effects.

Divisic, Antuan et al.·Italian journal of pediatrics·2021·Preliminary EvidenceCase Report
RTHC-03102Case ReportPreliminary Evidence2021RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Case Report
Evidence
Preliminary Evidence
Sample
Not reported

What This Study Found

All six patients experienced a reduction in seizure frequency (with variable extent) after starting medical cannabis. Pain also improved based on caregiver evaluation, and analgesic medication use decreased. Side effects were mild and transient: drowsiness, euphoria, restlessness, and tachycardia. No treatment was discontinued and no overdoses occurred.

Key Numbers

6 patients treated for 1 year; all had seizures during pre-treatment observation; all showed seizure frequency reduction; mild adverse events: drowsiness, euphoria, restlessness, tachycardia; 0 treatment discontinuations; 0 overdoses

How They Did This

Case series of six pediatric palliative care patients at an Italian center who received titrated plant extract of cannabis sativa for one year. Caregivers reported changes in seizure frequency, seizure intensity, and pain. Adverse events were monitored throughout.

Why This Research Matters

Children in palliative care often have treatment-resistant epilepsy and chronic pain with limited therapeutic options. This case series provides initial evidence that medical cannabis may be a tolerable and beneficial addition to their care.

The Bigger Picture

Pediatric palliative care represents a population where quality of life is the primary goal and standard treatments have often failed. The tolerability and apparent benefit seen here supports further investigation in this vulnerable group.

What This Study Doesn't Tell Us

Case series with only 6 patients and no control group. Outcomes were caregiver-reported without blinding. Variable extent of seizure reduction makes it hard to quantify the benefit precisely. No standardized pain assessment tools described.

Questions This Raises

  • ?Would these results hold in a larger controlled trial?
  • ?What specific cannabinoid ratios and doses provided the most benefit in these patients?

Trust & Context

Key Stat:
All 6 patients showed reduced seizure frequency with no treatment discontinuations
Evidence Grade:
Small case series without controls, providing preliminary evidence of tolerability and potential benefit.
Study Age:
Published in 2021.
Original Title:
The use of medical cannabis in pediatric palliative care: a case series.
Published In:
Italian journal of pediatrics, 47(1), 229 (2021)
Database ID:
RTHC-03102

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / Observational
Case Report / Animal StudyOne case or non-human subjects
This study

Describes what happened to one person or a small group.

What do these levels mean? →

Frequently Asked Questions

What side effects did the children experience?

Side effects were mild and transient: drowsiness, euphoria, restlessness, and tachycardia. They resolved either spontaneously or with adjustments to the dosing schedule. No child had to stop treatment.

Did all children benefit?

All six patients showed some reduction in seizure frequency, though the extent varied. Caregivers also reported improvement in pain and reduced use of other analgesic medications.

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Cite This Study

RTHC-03102·https://rethinkthc.com/research/RTHC-03102

APA

Divisic, Antuan; Avagnina, Irene; De Tommasi, Valentina; Santini, Anna; Brogelli, Laura; Giacomelli, Luca; Benini, Franca. (2021). The use of medical cannabis in pediatric palliative care: a case series.. Italian journal of pediatrics, 47(1), 229. https://doi.org/10.1186/s13052-021-01179-1

MLA

Divisic, Antuan, et al. "The use of medical cannabis in pediatric palliative care: a case series.." Italian journal of pediatrics, 2021. https://doi.org/10.1186/s13052-021-01179-1

RethinkTHC

RethinkTHC Research Database. "The use of medical cannabis in pediatric palliative care: a ..." RTHC-03102. Retrieved from https://rethinkthc.com/research/divisic-2021-the-use-of-medical

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.