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Question of the Day


Is cannabis use associated with an increased risk of falling?

Cannabis extracts containing THC may make a patient more subject to falls due to multiple factors, including orthostatic hypotension, sedation, weakness, spatial-visual distortion, and other factors. According to the package insert of Sativex, an oral spray with CBD and THC, “there is a risk of an increase in incidence of falls in patients whose spasticity has been reduced and whose muscle strength is insufficient to maintain posture or gait." It may be possible to avoid or decrease the incidence of falls by having the patient titrate the dose very slowly and only to the minimum dose where the patient has effective symptom relief.