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.
Quick Facts
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)
- Authors:
- Divisic, Antuan, Avagnina, Irene, De Tommasi, Valentina, Santini, Anna, Brogelli, Laura, Giacomelli, Luca, Benini, Franca
- Database ID:
- RTHC-03102
Evidence Hierarchy
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
https://rethinkthc.com/research/RTHC-03102APA
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.