USE OF Cannabis sativa DERIVATIVES IN THE TREATMENT OF FIBROMYALGIA: A LITERATURE REVIEW

Authors

  • Luiza Regina Voigt Universidade Estadual do Oeste do Paraná
  • Isabela Angeli de Lima Universidade Estadual do Oeste do Paraná
  • Élcio José Bunhak Universidade Estadual do Oeste do Paraná

DOI:

https://doi.org/10.18554/k1b9gv41

Keywords:

rheumatological disease, chronic pain, medicinal cannabis, alternative therapy, endocannabinoid system

Abstract

Fibromyalgia is a chronic condition that significantly compromises the quality of life of affected patients. This prevalent rheumatological disease is characterized by chronic musculoskeletal pain, fatigue, sleep disturbances, and psychological issues. The global prevalence varies from 0.2% to 6.6%, with a higher incidence in women. In addition to the physical and psychological impact, fibromyalgia generates high costs for healthcare systems due to the constant need for medical assistance. In this context, the use of derivatives from Cannabis sativa, such as tetrahydrocannabinol (THC) and cannabidiol (CBD), has emerged as a promising therapeutic alternative, especially for those who no longer respond to conventional treatments. Literature reviews indicate that cannabinoids may play a role in pain modulation and improvement of quality of life, with fewer adverse effects compared to traditional medications like opioids. Initial clinical studies have shown positive results, including reduced pain intensity and significant improvements in quality-of-life measures. THC and CBD have demonstrated potential to alleviate fibromyalgia symptoms and reduce opioid dependence, offering new hope for patients. However, research in this area is still limited, and there is a need for more long-term studies to evaluate the efficacy and safety of cannabinoids. This review highlighted the importance of exploring treatment alternatives for fibromyalgia, considering the growing interest in medicinal cannabis and a more effective approach to chronic pain management. Ongoing investigation paves the way for new therapeutic strategies aimed at improving the quality of life for affected patients.

References

1. Marques AP, Santo ASE, Berssaneti AA, Matsutani LA, Yuan LK. A prevalência de fibromialgia: atualização da revisão de literatura. Revista Brasileira de Reumatologia. 2017; 57(4): 356-363. https://doi.org/10.1016/j.rbre.2017.01.005.

2. Souza JB, Perissinotti DMN. The prevalence of fibromyalgia in Brazil – a population-based study with secondary data of the study on chronic pain prevalence in Brazil. Brazilian Journal Of Pain. 2018; 1(4): 345-348. https://doi.org/10.5935/2595-0118.20180065.

3. Sarzi-Puttini P; Giorgi V, Marotto D, Atzeni F. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nature Reviews – Rheumatology. 2020; 16(11): 645-660. https://www.nature.com/articles/s41584-020-00506-w.

4. Siracusa R, Di Paola R, Cuzzocrea S, Impellizzeri D. Fibromyalgia: Pathogenesis, mechanisms, diagnosis and treatment options update. International Journal of Molecular Sciences. 2021; 22(8): 3891. https://www.mdpi.com/1422-0067/22/8/3891.

5. Rodríguez DFG, Mendoza Ca. Physiopathology of fibromyalgia. Reumatología Clínica. 2020; 16(3): 191–194. https://www.reumatologiaclinica.org/es-fisiopatologia-fibromialgia-articulo-S1699258X20300279.

6. Khurshid H, Qureshi IA, Jahan N, Went Tr, Sultan W, Sapkota A, Alfonso M. A Systematic Review of Fibromyalgia and Recent Advancements in Treatment: Is Medicinal Cannabis a New Hope? Cureus. 2021; 13(8): 17332. https://www.cureus.com/articles/65839-a-systematic-review-of-fibromyalgia-and-recent-advancements-in-treatment-is-medicinal-cannabis-a-new-hope#!/.

7. Legare, C, Raup-Konsavage, W, Vrana, K. Therapeutic potential of cannabis, cannabidiol, and cannabinoid-based pharmaceuticals. Pharmacology. 2022. 107(3-4):131-149. https://karger.com/pha/article/107/3-4/131/821186/Therapeutic-Potential-of-Cannabis-Cannabidiol-and.

8. Strand NH, Maloney J, Kraus M, Wie C, Turkiewicz M, Gomez DA, Adeleye O, Harbell MW. Cannabis for the Treatment of Fibromyalgia: A Systematic Review. Biomedicines. 2023; 11(6):1621. https://www.mdpi.com/2227-9059/11/6/1621.

9. Ministério da Saúde. Agência Nacional de Vigilância Sanitária (Brasil). Resolução da Diretoria Colegiada - RDC Nº 327, de 9 de dezembro de 2019. Dispõe sobre os procedimentos para a concessão da Autorização Sanitária para a fabricação e a importação, bem como estabelece requisitos para a comercialização, prescrição, a dispensação, o monitoramento e a fiscalização de produtos de Cannabis para fins medicinais, e dá outras providências. D.O.U, Brasília, DF, 11 dez 2019, Seção 1, 194. https://www.in.gov.br/en/web/dou/-/resolucao-da-diretoria-colegiada-rdc-n-327-de-9-de-dezembro-de-2019-232669072.

10. Donk TV, Niesters M, Kowal MA, Olofsen E, Dahan A, Velzen MV. An experimental randomized study on the analgesic effects of pharmaceutical-grade cannabis in chronic pain patients with fibromyalgia. Pain. 2019; 160(4): 860–869. https://journals.lww.com/pain/fulltext/2019/04000/an_experimental_randomized_study_on_the_analgesic.11.aspx.

11. Cristino L, Bisogno T, Marzo VD. Cannabinoids and the expanded endocannabinoid system in neurological disorders. Nature Reviews – Neurology. 2020; 16(1): 9-29. https://www.nature.com/articles/s41582-019-0284-z.

12. Berger AA, Keefe J, Winnick A, Gilbert E, Eskander JP, Yazdi C, Kaye AD, Viswanath O, Urits I. Cannabis and cannabidiol (CBD) for the treatment of fibromyalgia. Best Practice and Research: Clinical Anaesthesiology. 2020; 34(3): 617-631. https://doi.org/10.1016/j.bpa.2020.08.010.

13. Lowe H, Toyang N, Steele B, Bryant J, Ngwa W. The endocannabinoid system: A potential target for the treatment of various diseases. International Journal of Molecular Sciences. 2021; 22(17): 9472. https://doi.org/10.3390/ijms22179472.

14. Sagy I, Schleider LBL, Abu-Shakra M, Novack V. Safety and efficacy of medical cannabis in fibromyalgia. Journal of Clinical Medicine. 2019; 8(6): 807. https://doi.org/10.3390/jcm8060807.

15. Chaves C, Bittencourt PCT, Pelegrini A. Ingestion of a THC-Rich Cannabis Oil in People with Fibromyalgia: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial. Pain medicine. 2020; 21(10), 2212–2218. https://doi.org/10.1093/pm/pnaa303.

16. Capano A, Weaver R, Burkman E. Evaluation of the effects of CBD hemp extract on opioid use and quality of life indicators in chronic pain patients: a prospective cohort study. Postgraduate Medicine. 2020; 132(1): 56–61. https://doi.org/10.1080/00325481.2019.1685298.

Published

2025-06-05

Issue

Section

Revisão da Literatura

How to Cite

USE OF Cannabis sativa DERIVATIVES IN THE TREATMENT OF FIBROMYALGIA: A LITERATURE REVIEW. Acta Biologica Brasiliensia, [S. l.], v. 8, n. 1, p. 97–110, 2025. DOI: 10.18554/k1b9gv41. Disponível em: https://seer.uftm.edu.br/revistaeletronica/index.php/acbioabras/article/view/8105. Acesso em: 5 dec. 2025.