Neurological

Spasticity in multiple sclerosis

Stiffness and involuntary muscle contractions that make movement difficult and can cause pain in people with multiple sclerosis.

Moderate evidence

What it is

Multiple sclerosis is a disease that affects the central nervous system. One of its most common symptoms is spasticity: muscle stiffness and involuntary spasms that can cause pain, fatigue, difficulty walking and poorer sleep.

How medical cannabis may be considered

Combinations of THC and CBD may help reduce muscle stiffness and spasms in patients who have not responded well to other treatments. The assessment takes into account the degree of spasticity, the medications already in use and the patient's functional goals.

What treatment aims for

Reduce muscle stiffness and spasms.
Improve comfort, sleep and mobility in daily life.
Complement neurological treatment and rehabilitation.

Important precautions

Cannabis doesn't treat multiple sclerosis itself: treatment of the disease continues with the neurologist.
Formulations with THC call for attention to dizziness, drowsiness and the risk of falls.
Physiotherapy and stretching remain important.

Common questions

Is there an approved cannabis medicine for this?

Yes. A THC and CBD medicine is registered with Anvisa (Brazil's health regulatory agency) for spasticity in multiple sclerosis, for patients who haven't responded well to other treatments. The consultation looks at what makes most sense for you.

Can I drive during treatment?

Formulations with THC can affect attention and reflexes. Avoid driving until you know how you respond, and talk about it during the consultation.

Other conditions in this area

This content is educational. Whether any treatment is appropriate depends on an individual medical assessment, and results are not guaranteed.

Reading before your consultation

First consultation

What to expect from your first consultation

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Treatment

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Regulation

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Take the first step at your own pace.

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