Table 1.

Study Inclusion and Exclusion Criteria Based on Israeli Ministry of Health Regulations.

Inclusion Criteria
1. >18 years of age
2. Mild to severe LBP and/or sciatica
3. Imaging studies (CT or MRI) that support symptomatic cause due to anatomical abnormality
4. Unresponsive to standard therapy at least 1 month
5. Physically and mentally willing and able to comply with treatment regimen and understand informed consent and study procedures
6. Signed and dated informed consent form
Exclusion Criteria
1. Screening VAS pain score <6 (scale: 0=no pain; 10=worst imaginable pain)
2. Known allergy to cannabis or its components
3. Pregnancy or plans to become pregnant during the study
4. Participant is breast-feeding or planning to breast-feed during the study
5. Participant suffers from mental disorder that precludes administration of study drug
6. Prisoners and soldiers due to free-will informed consent issues
7. Inability to sign informed consent form
8. Unstable angina pectoris, or cardiac insufficiency precluding cannabis administration, or congestive heart failure
9. Immunosuppressed patients unless cannabis administration was deemed safe by the treating physician
10. Known Aspergillus infection
11. Panic attacks or anxiety, unless a psychiatrist authorized cannabis therapy following intake interview
12. Any mental/psychiatric illness in first-degree relative of a young patient (<30 years old)
13. Severe COPD as defined according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage 3, i.e. FEV-1 between 30% and 49%15
14. Taking any of the following medications and/or natural remedies: primidone, phenobarbital, carbamazepine, rifampicin, rifabutin, troglitazone, and Hypericum perforatum

COPD, chronic obstructive lung disease; CT, computed tomography; FEV, forced expiratory volume; LBP, lower back pain; MRI, magnetic resonance imaging; VAS, visual analogue scale.

RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2022; 13(4): e0026. ISSN: 2076-9172
Published online 2022 October 27. doi: 10.5041/RMMJ.10485