Table 2

Details of cannabinoid and analgesic regimens used in included studies

Author/yearSurgeryPreincisional analgesiaSurgical analgesiaSupplemental postoperative analgesiaCannabinoid characteristics
CompoundDose and route of administrationTiming of administration
Preoperative regimenPostoperative regimen
Randomized trials
 Jain et al (1981)29 Acute fracture or traumaN/SN/SN/SLevonantradolDose range 1.5 to 3 mg IM; started with lower dose and escalating for subsequent patients1 dose (time N/S)N/A
 Guillaud et al (1983)14 Renal surgeryN/SN/SNoramidopyrine, CamylofineLevonantradol1 mg or 2 mg IMN/A1 dose when fully awake in recovery room
 Buggy et al (2003)13 Elective abdominal hysterectomyN/S0.1–0.2 mg/kg MorphineMorphine PCA−9-Tetrahydrocannabinol5 mg PO capsuleN/A1 dose on postoperative day 2
 Beaulieu (2006)26 Various major surgeries*N/S2mcg/kg FentanylMorphine PCANabilone1 mg or 2 mg PO capsule1 dose 1 hour prior to GA induction1 dose q8h for 24 hours
 Seeling et al (200634 Radical prostatectomyN/S0.2–0.3 mg Fentanyl; Remifentanil infusionPiritramide PCA−9-Tetrahydrocannabinol5 mg PO capsule1 dose evening before surgery7 doses (time N/S) until 48 hours postoperative period
 Ostenfeld et al (2011)33 Dental extractionNoneNone500 mg Paracetamol, 15 mg Codeine phosphateGW842166 (Cannabinoid Receptor-2 Agonist)100 mg or 800 mg PO capsule1 dose 1 hour prior to surgeryN/A
 Kalliomaki et al (2013)31 Dental extractionN/SN/S1000 mg AcetaminophenAZD1940 (Cannabinoid Receptor-1 and 2 Agonist)800mcg PO liquid1 dose 1.5 hours prior to surgeryN/A
 Levin et al (2017)32 Various elective surgeriesN/SN/SN/SNabilone0.5 mg PO capsule1 dose (N/S time) prior to GA inductionN/A
Qualitative trials
 Holdcroft et al (2006)28 Various major surgeries*N/SN/SMorphine PCA−9-Tetrahydrocannabinol and Cannabidiol extractDose range 5 to 15 mg PO capsule; started with lower dose and escalating for subsequent patientsN/A1 dose after stopping PCA in post-operative period
 Hickernell et al (2018)27 Total joint arthroplastyN/SN/S10 mg Oxycodone q12h×3 doses, 975 mg Acetaminophen q8h, 30 mg or 15 mg Ketorolac q6h×4 doses, 200 mg Gabapentin two times a day, 200 mg Celecoxib q12hDronabinol5 mg PO capsuleN/A2 doses daily until day of discharge
 Liu et al (2018)35 Major orthopedic surgeryN/SN/SN/SNabilone; Cannabis; Cannabinoid oilN/S dose; PO capsule/ inhaled/ oilsChronic userN/S
 Jennings et al (2019)30 Total knee arthroplastyN/SN/SN/SCannabisN/S dose; PO capsule/ inhaledChronic userN/S
  • *Major surgeries included orthopedic, gynecologic, urology, plastics, and general.

  • GA, general anesthesia; IM, intramuscular; N/A, not applicable; N/S, not specified; PCA, patient-controlled analgesia; PO, per oral; q, every.