Evidence map›Paper›PMID 42289498›Full record

ArticleCNS drugs2026

Cannabis and Cannabinoid-Related Suspected Adverse Drug Reactions: Global Patterns and Cross-National Analysis Based on VigiBase

Pauline Schiro, Mónica Gálvez Pacoricona, Adèle Le Guilloux, Amélia Déguilhem, Sonia Merad, Emilie Bouquet, Marine Auffret, Joëlle Micallef, Maryse Lapeyre-Mestre, Emilie Jouanjus

Abstract read
In one paragraph

Article in CNS drugs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Pauline SchiroPharmacovigilance Center, Department of Medical Pharmacology, Toulouse University Hospital, Toulouse, France.ORCID http://orcid.org/0009-0003-5274-1062
Mónica Gálvez PacoriconaPharmacovigilance Center, Department of Medical Pharmacology, Toulouse University Hospital, Toulouse, France.ORCID http://orcid.org/0009-0009-9888-0723
Adèle Le GuillouxPharmacovigilance Center, Department of Medical Pharmacology, Toulouse University Hospital, Toulouse, France.ORCID http://orcid.org/0009-0007-7142-9831
Amélia DéguilhemCERPOP, Inserm-University of Toulouse, Toulouse, France.ORCID http://orcid.org/0000-0003-0619-8401
Sonia MeradCERPOP, Inserm-University of Toulouse, Toulouse, France.ORCID http://orcid.org/0009-0001-8516-8149
Emilie BouquetUniversity of Poitiers, INSERM, Poitiers University Hospital, Clinical Investigation Center CIC 1402, Poitiers, France.ORCID http://orcid.org/0000-0002-2334-1022
Marine AuffretService Hospitalo-Universitaire de Pharmacotoxicologie, Hospices Civils de Lyon, Lyon, France.ORCID http://orcid.org/0000-0002-5236-9083
Joëlle MicallefThe Institut de Neurosciences des Systèmes INS, UMR1106, Aix Marseille University, Marseille, France.ORCID http://orcid.org/0000-0002-7172-7835
Maryse Lapeyre-MestreUniversity of Toulouse, Toulouse, France.ORCID http://orcid.org/0000-0002-5494-5873
Emilie JouanjusCERPOP, Inserm-University of Toulouse, Toulouse, France. emilie.jouanjus@utoulouse.fr.ORCID http://orcid.org/0000-0002-3510-2475

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDespite increasing global use of cannabis and cannabinoids, comprehensive data on their safety profile remain limited. This study aimed to examine global patterns in pharmacovigilance reports associated with cannabis and cannabinoids, irrespective of regulatory status or context of use.

methodsVigiBase

resultsAmong 7,007,689 records, 9983 cannabis ICSRs were identified across 44 countries, comprising 12,538 cannabis or cannabinoid mentions and 27,593 suspected ADRs. The median age was 29 years, with 62.7% males. Most cases were serious (68.5%), including hospitalisation (45.9%) and death (28.6%). The highest reporting rates relative to national ICSR numbers were observed in France, Greece, and the USA. The most frequently reported substances were Cannabis sativa (n = 5951) and cannabidiol (n = 2967). Suspected ADRs were predominantly psychiatric (29.2%) and nervous system disorders (16.8%), with gastrointestinal, respiratory, and cardiac disorders less common (6.4%, 3.6%, and 2.8%).

conclusionsThis study provides the first comprehensive global overview of suspected ADRs associated with cannabis and cannabinoids. The predominance of serious cases, particularly psychiatric and nervous system reactions, highlights important safety considerations, offering key insights to inform clinical practice and risk assessment worldwide.

Indexed as

Adverse Drug Reaction Reporting SystemsCannabinoidsCannabisDrug-Related Side Effects and Adverse ReactionsCross-Sectional StudiesDatabases, FactualHumansPharmacovigilanceRetrospective StudiesCannabinoids

Identifiers

PMID42289498
PMCPMC13354675

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.