Evidence map›Paper›PMID 40415392›Full record

SynthesisAddiction biology2025

The Potential Use of Cannabidiol in the Treatment of Opioid Use Disorder: A Systematic Review.

Mahan Shafie, Kevin Ing, Yasna Rostam-Abadi, Jeremy Weleff, Mackenzie Griffin, Mohini Ranganathan, Ardavan Mohammad Aghaei, Nicholas Pratt, Melissa C Funaro, Anahita Bassir Nia

Abstract readSystematic Review
In one paragraph

Synthesis in Addiction biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mahan ShafieSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-6961-0374
Kevin IngDepartment of Psychiatry, University of California San Diego, La Jolla, California, USA.
Yasna Rostam-AbadiDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Jeremy WeleffDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Mackenzie GriffinDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Mohini RanganathanDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Ardavan Mohammad AghaeiDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Nicholas PrattDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Melissa C FunaroHarvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, Connecticut, USA.
Anahita Bassir NiaDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.

Funding

NIH HHS NIH K12 DA000167
6 · The paper itself

Abstract

Cannabidiol (CBD) has emerged as a potential treatment option for various psychiatric disorders, including substance use disorders. This systematic review is aimed at reviewing the evidence regarding the safety and efficacy of CBD as a therapeutic option in opioid use disorder (OUD) treatment in clinical and preclinical studies. We searched MEDLINE, Embase, PsycINFO, Scopus, Web of Science, CDSR and CENTRAL up to December 2023. We included original peer-reviewed human and animal studies evaluating CBD for OUD outcomes and excluded those that did not report OUD outcomes or used CBD solely with THC. The risk of bias was assessed with the Cochrane risk-of-bias tool for human studies and SYRCLE's tool for animal studies. Due to outcome heterogeneity, findings were presented using a qualitative synthesis. Four clinical studies (74 participants) and 16 preclinical studies met the inclusion criteria. The collective evidence from clinical and preclinical studies indicates that CBD holds promise as an adjunctive therapy for OUD with a well-tolerated profile during opioid use and withdrawal. Human clinical studies demonstrated a reduction in craving and alleviation of abstinence-induced anxiety. In preclinical studies, CBD has been shown to reduce withdrawal symptoms and diminish opioid-rewarding effects using the conditioned place preference paradigm, although the results are mixed, and not all preclinical studies reported these effects. The quality assessment for clinical studies indicated an overall evaluation of 'some concerns', while a notable level of 'unclear' risk was observed across the evaluated domains for preclinical studies. This systematic review highlights the potential of CBD as a beneficial treatment option for addressing cravings and anxiety symptoms during abstinence in individuals with OUD, based on findings from human studies. Continued research and clinical trials will be essential for further improving outcomes in OUD treatment using novel effective treatment approaches. Study limitations include the limited number of clinical studies, small sample size, short-term follow-up, lack of combination therapy and heterogeneity across preclinical studies.

trial registrationPROSPERO identifier: CRD42023401446.

Indexed as

CannabidiolOpioid-Related DisordersAnimalsCravingHumansSubstance Withdrawal SyndromeCannabidioladdictioncannabidiolopioidopioid use disordertetrahydrocannabinolwithdrawal

Identifiers

PMID40415392
PMCPMC12104536

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.