Conditions
Every condition here carries an evidence tier taken from the 2017 National Academies review. Three indications reached the highest tier. One reached moderate. Three have evidence that cannabis does not help — and those are on this list too.
Pain & inflammation
Chronic pain
Substantial evidencePain lasting more than three months. The single indication with the strongest evidence base for cannabis in adults.
Neuropathic pain
Substantial evidencePain from nerve damage — burning, shooting, or electric in quality. Covered by the chronic pain finding.
Arthritis
Substantial evidenceJoint pain and inflammation. Covered by the chronic pain finding.
Back pain
Substantial evidencePersistent back pain. Covered by the chronic pain finding once it is chronic.
Cancer-related pain
Substantial evidencePain associated with cancer or its treatment. Covered by chronic pain; cannabis does not treat cancer.
Fibromyalgia
Moderate evidenceWidespread pain with fatigue and sleep disruption. Covered indirectly by the chronic pain and sleep findings.
Muscle spasms
Limited evidenceInvoluntary muscle contraction. Evidence is strongest in MS spasticity; weaker for spasms from other causes.
Inflammation
Preclinical onlyInflammatory processes. Mechanistically plausible via CB2, but not clinically established in humans.
Migraine
Insufficient evidenceRecurrent severe headache. Insufficient evidence specifically for migraine, despite widespread claims.
Menstrual cramps
Insufficient evidencePainful periods. No condition-specific evidence; covered loosely by chronic pain.
Digestive & appetite
Chemotherapy-induced nausea and vomiting
Substantial evidenceNausea and vomiting caused by chemotherapy. One of three indications with substantial evidence, and the basis for two FDA-approved medicines.
Appetite loss with HIV/AIDS
Limited evidenceLoss of appetite and weight in HIV/AIDS. Limited evidence, and the basis for one of dronabinol's FDA indications.
Nausea (general)
Limited evidenceNausea not caused by chemotherapy. The strong evidence is specific to chemotherapy — this is weaker ground.
IBS and inflammatory bowel disease
Insufficient evidenceDigestive conditions with pain and disrupted bowel function. Symptom relief may help; disease activity does not appear to change.
Neurological
Multiple sclerosis spasticity
Substantial evidenceMuscle stiffness and spasm in multiple sclerosis. Substantial evidence for patient-reported improvement; weaker for clinician-measured.
Epilepsy and seizure disorders
Substantial evidencePrescription CBD has strong RCT evidence in three specific syndromes. Dispensary products do not.
Tourette syndrome
Limited evidenceTic disorder. Limited evidence for THC capsules.
ADHD
Insufficient evidenceAttention-deficit/hyperactivity disorder. No supporting evidence, and acute cannabis use impairs attention.
Parkinson's disease
Insufficient evidenceMovement disorder. NASEM found no or insufficient evidence.
Dementia
Evidence of no benefitNASEM found limited evidence that cannabinoids are INEFFECTIVE for dementia symptoms.
Sleep
Mood & stress
Social anxiety
Limited evidenceAnxiety in social or performance situations. Limited evidence for CBD specifically — and THC often makes anxiety worse.
PTSD
Limited evidencePost-traumatic stress disorder. Limited evidence resting on a single small trial — and a qualifying condition in many state medical programs regardless.
Generalised anxiety
Insufficient evidencePersistent anxiety not tied to social situations. Insufficient evidence, and THC can make it worse.
Depression
Evidence of no benefitPersistent low mood. NASEM found limited evidence that cannabinoids are INEFFECTIVE for depression in chronic pain and MS.