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Clinical Decision: Medical Marijuana

A new case vignette from The New England Journal of Medicine presents Marilyn, “a 68-year-old woman with breast cancer metastatic to the lungs and the thoracic and lumbar spine. She is currently undergoing chemotherapy with doxorubicin. She reports having very low energy, minimal appetite, and substantial pain in her thoracic and lumbar spine.” She asks about the possibility of using marijuana to alleviate the nausea, pain, and fatigue. The article provides two treatment options for you to recommend based on the published literature, your clinical experience, recent guidelines, and other sources of information.

Read it in NEJM