South Africa’s cannabis industry was kickstarted in September 2018 by a Constitutional Court ruling which held that it is no longer a criminal offence to use, possess or grow cannabis in private for personal consumption. This was closely followed by the announcement, in May of this year, that preparations containing cannabidiol (CBD) are now excluded from being scheduled in terms of the Medicines and Related Substances Act of 1965 as long as they meet criteria set by the National Department of Health. Cannabidiol (CBD), a Cannabis sativa constituent, has in recent years drawn increasing interest as a treatment for a range of health disorders.

If a patient with chronic pain and their healthcare provider work together through first- and second-line treatment modalities without success, a trial using CBD may be a reasonable next step.

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