Letter to Editor: real-world use of cannabis oil for pain management in fibromyalgia

Dear Editor,Fibromyalgia is a chronic condition characterized by widespread pain and significantly reduced quality of life.We read with interest the article by Sagy et al. [1] regarding the safety and efficacy of medical cannabis oil in fibromyalgia, and we would like to contribute with our real-world clinical experience from a single-center cohort treated with cannabis oil in routine clinical practice.Given the growing interest in cannabinoids as adjunctive analgesics [2-4], we believe these observations may complement the existing evidence and highlight areas that require further dedicated research.We retrospectively analyzed 65 adults diagnosed with fibromyalgia according to the American College of Rheumatology (ACR) 2016 criteria who were treated with THC-based cannabis oil at our Pain Therapy Unit of the SS Antonio e Biagio e Cesare Arrigo University Hospital in Alessandria, Piedmont Region, Italy, between 2021 and 2023.Consistent with the known epidemiology of the disease, the sample was predominantly female, with