Worried about long-term opioid use for your chronic pain? You're not alone—and there's important new information. Cannabis is emerging as a potential alternative, but the evidence is more nuanced than headlines suggest.
The Reality: Both Have Limits
After 50, chronic pain affects one in five Americans, and finding safe, effective relief becomes crucial. Research from 2024 shows that when people use medical cannabis alongside opioids, they reduced their opioid dosage by 64-75%. That's significant—lower opioid doses mean less risk of dependence and overdose.
Here's what matters: Cannabis isn't a magic solution. CDC research confirms there's limited evidence it works for most types of chronic pain, though it shows promise for nerve-related pain specifically.
What the Numbers Tell Us
In a 2017 study of nearly 3,000 medical cannabis patients, 97% reported they could decrease opioid use when combining both treatments. Importantly, 81% found cannabis alone more effective than the combination—with fewer unwanted side effects.
But context matters. A 4-year Australian study found people using cannabis for pain actually reported greater pain severity and more anxiety than non-users. This doesn't mean cannabis caused the problems—these individuals likely had more complex pain conditions to begin with.
The Bottom Line
Neither cannabis nor opioids are perfect pain solutions. Recent comparative research suggests cannabis may be similarly effective to opioids for chronic pain, with fewer people stopping treatment due to side effects.
When to Talk to Your Doctor
Consider discussing cannabis if you're experiencing opioid side effects like constipation, drowsiness, or concerns about dependence. It's especially worth exploring if you have nerve pain (neuropathy), where evidence is strongest.
Remember: Cannabis remains federally illegal and isn't FDA-approved for pain. State laws vary widely, and it can interact with other medications. Your doctor can help weigh your specific situation—your pain type, other health conditions, and what treatments you've already tried.
You're taking the right step by learning about your options. Many people over 50 are having these same conversations with their doctors. Start by asking, ""What are all my options for managing this pain long-term?""—you deserve answers that put your health and quality of life first.