Evidence map›Paper›PMID 41918345›Full record

ReviewDrug and alcohol review2026

Higher THC Concentration Medicinal Cannabis Products Efficacy and Safety Considerations: A Rapid Review.

Myfanwy Graham, Dereje Assefa, Ngo Cong-Lem, Suzanne Nielsen

Abstract readReview
In one paragraph

Review in Drug and alcohol review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Myfanwy GrahamMonash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.ORCID 0000-0003-0618-7497
Dereje AssefaMonash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Ngo Cong-LemMonash Sustainable Development Institute Evidence Review Service, Monash University, Melbourne, Australia.
Suzanne NielsenMonash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.ORCID 0000-0001-5341-1055

Funding

Department of Health, Disability and Ageing, Australian GovernmentNational Health and Medical Research Council 2025894National Health and Medical Research Council 2030765
6 · The paper itself

Abstract

issuesHigher delta-9-tetrahydrocannabinol (THC) concentration medicinal cannabis products are characterised by a higher THC and minimal cannabidiol (CBD) content. This rapid review aims to systematically summarise and evaluate the available evidence regarding the efficacy and safety of higher THC potency medicinal cannabis products relevant to the Australian market in adult populations. APPROACH: The rapid literature review protocol was prospectively registered with Open Science Framework: https://doi.org/10.17605/OSF.IO/HNFUT. The comprehensive search (1-January-2014-30-July-2024) included Medline, EMBASE, EMCARE, CINAHL, SCOPUS and the Cochrane Central Register of Controlled Trials databases. Eligible studies (randomised controlled trials and observational studies) were screened by two independent reviewers and then extracted. KEY

findingsWe identified 9969 records, resulting in 15 studies (six RCTs and nine observational), with THC concentrations of 16%-22% that met inclusion criteria. Studies examining efficacy for pain (n = 4), ulcerative colitis (n = 1) and chronic obstructive pulmonary disease (n = 1) reported mixed outcomes. Reported adverse events included psychiatric, nervous system and gastrointestinal effects. Validated cannabis use disorder (CUD) screening tools were notably absent from the included studies. IMPLICATIONS: Few studies have assessed products equivalent to the Australian Category 5 medicinal cannabis product definition, with most having THC concentrations lower than those available for prescription in Australia, including products reported to contain up to 88% THC. High-quality RCTs and longitudinal studies that incorporate validated CUD screening tools are needed.

conclusionNo evidence was found on safety or efficacy of prescribed Category 5 medicinal cannabis products with THC concentrations above 22% w/w (220 mg/g).

Indexed as

DronabinolMedical MarijuanaAustraliaCannabidiolHumansCannabidiolDronabinolMedical Marijuanaadverse drug eventdelta‐9‐tetrahydrocannabinolefficacymedicinal cannabissafety

Identifiers

PMID41918345
PMCPMC13040133

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.