Why cancer survivors are turning to cannabis and natural remedies

Exploring biologically-based complementary and alternative medicine use among Irish cancer survivors: findings from a national survey.

The oncologist • • Moderately Relevant
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AI Summary

This Irish national survey examined the use of biologically-based complementary and alternative medicine (BBCAM) among 295 cancer survivors, revealing that use increased significantly from 28% before diagnosis to 34% after diagnosis. Among BBCAM users, "daily-use" nearly doubled from 38% to 72% post-diagnosis, suggesting cancer survivors turn to these approaches more intensively during treatment and recovery. The study provides important insights into what cancer survivors are consuming outside conventional medical care, including dietary supplements, herbal remedies, and other natural products.

Cannabis appeared in 21% of BBCAM users, making it one of the more commonly reported complementary approaches alongside mineral/vitamin supplements (84%), dietary supplements like turmeric and coenzyme-Q10 (78%), and herbal remedies such as mistletoe, echinacea, and ginseng (50%). Survivors also reported using special diets (dairy-free, gluten-free, ketogenic, intermittent fasting) and biological medicines. The primary motivations for BBCAM use were perceived improvement in well-being (63%) and reduced psychological stress (59%), highlighting a significant gap in psychological support within conventional cancer care.

The research underscores an important clinical concern: cancer survivors are self-administering multiple unregulated products that could potentially interact with conventional treatments. The findings suggest healthcare providers need to engage more actively with cancer survivors about their complementary medicine use, particularly regarding cannabis and herbal remedies, to ensure safety and effectiveness during the critical survivorship period.

📄 Original Abstract

Biologically based complementary and alternative medicine (BBCAM) includes special diets, dietary supplement and herbal remedies, not prescribed by a doctor or dietitian. The use of BBCAM is common among cancer survivors. BBCAM can interact with conventional treatments and unregulated products may cause harm. This study aimed to determine the prevalence, types, and motivations for BBCAM use among cancer survivors. A survey assessed clinical characteristics and BBCAM use in participants >18 yrs who had received cancer treatment in Ireland from 2018 to 2022. Amongst 295 respondents (77% female, mean age 53 yrs), BBCAM use increased from 28% pre-diagnosis to 34% post-diagnosis (p < 0.001). For BBCAM users (n = 97, 33%), "daily-use" increased from 38% to 72% (p < 0.001) post-diagnosis. Common types included: mineral/vitamin supplements (84%), dietary supplements (e.g. turmeric, coenzyme-Q10) (78%), herbal remedies/botanicals (e.g. mistletoe, St. John's Wort, echinacea, ginseng) (50%), cannabis (21%), and other natural products (laetrile, shark cartilage, apricot kernels) (19%). Biological medicines (GcMAF, immuno-augmentative therapy) were used by 12% of BBCAM users. Special diets including dairy free (32%), gluten-free (19%), intermittent fasting (17%), ketogenic diet (15%), juicing/detox (10%) were also common. Perceived benefits included: improved well-being (63%) and reduced psychological stress (59%). BBCAM use increases after a cancer diagnosis. Patient perceived benefits highlight potential gaps in the current healthcare model, indicating a need for greater emphasis on safe survivorship care.

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