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There are uncertainties and controversies on the role and appropriate use of cannabis\u2010based medicines for the management of chronic pain.\n                      <jats:styled-content style=\"fixed-case\">EFIC<\/jats:styled-content>\n                      convened a European group of experts, drawn from a diverse range of basic science and relevant clinical disciplines, to prepare a position paper to empower and inform specialist and nonspecialist prescribers on appropriate use of cannabis\u2010based medicines for chronic pain. The expert panel reviewed the available literature and harnessed the clinical experience to produce these series of recommendations. Therapy with cannabis\u2010based medicines should only be considered by experienced clinicians as part of a multidisciplinary treatment and preferably as adjunctive medication if guideline\u2010recommended first\u2010 and second\u2010line therapies have not provided sufficient efficacy or tolerability. The quantity and quality of evidence are such that cannabis\u2010based medicines may be reasonably considered for chronic neuropathic pain. For all other chronic pain conditions (cancer, non\u2010neuropathic noncancer pain), the use of cannabis\u2010based medicines should be regarded as an individual therapeutic trial. Realistic goals of therapy have to be defined. All patients must be kept under close clinical surveillance. As with any other medical therapy, if the treatment fails to reach the predefined goals and\/or the patient is additionally burdened by an unacceptable level of adverse effects and\/or there are signs of abuse and misuse of the drug by the patient, therapy with cannabis\u2010based medicines should be terminated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance<\/jats:title>\n                    <jats:p>This position paper provides expert recommendations for nonspecialist and specialist healthcare professionals in Europe, on the importance and the appropriate use of cannabis\u2010based medicines as part of a multidisciplinary approach to pain management, in properly selected and supervised patients.<\/jats:p>\n                  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