Clinical Takeaway
Clinical evidence on cannabinoid use in children remains limited but growing, with 276 studies identified across multiple designs examining both plant-derived and pharmaceutical cannabinoids for pediatric medical conditions. The bulk of available data comes from observational research and surveys rather than controlled trials, meaning benefit and safety conclusions must be interpreted cautiously. Parents and clinicians should rely on this evolving evidence base, particularly for conditions like refractory epilepsy where pharmaceutical cannabinoids have the strongest pediatric data.

#2 Cannabinoids for Medical Purposes in Children: A Living Systematic Review.
Citation: Chhabra Manik et al.. Cannabinoids for Medical Purposes in Children: A Living Systematic Review.. Acta paediatrica (Oslo, Norway : 1992). 2025. PMID: 40437694.
Design: 5 Journal: 0 N: 2 Recency: 2 Pop: 3 Human: 1 Risk: 0
Methodological Considerations:
- Small sample โ underpowered for subgroup analysis
Abstract: AIM: We developed a living systematic review (LSR) that will continuously map the safety and reported benefit data related to cannabinoid use for medical purposes in children. METHODS: MEDLINE, Embase, PsycInfo, and the Cochrane Library were searched from inception to April 2023. Studies involving at least one child โ20% studies) in studies enrolling children were somnolence, diarrhoea, vomiting, and decreased appetite. CONCLUSION: These findings will continue to be updated to inform practice and reveal knowledge gaps for future research.
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