Medical Cannabis for Multiple Sclerosis in the UK

Sativex NHS-funded for qualifying MS patients

The short answer

For spasticity caused by multiple sclerosis that other medicines have not controlled, the licensed spray Sativex can be prescribed by a neurologist. NHS funding is available but depends on a clear response in a 4-week trial, and availability varies across the UK. Other patients are assessed privately. Whether it is suitable for you is the specialist's decision.

Medical disclaimer: This information is for general guidance and does not constitute medical advice. The evidence base for cannabis-based medicines varies by condition. Always consult a qualified healthcare professional. Wording last changed on .

Overview

Multiple sclerosis (MS) is an autoimmune condition affecting the brain and spinal cord. Muscle spasticity — stiffness and involuntary muscle spasms — is one of the most disabling symptoms. Sativex (nabiximols), an oromucosal spray containing THC and CBD, is the only licensed cannabis-based medicine for MS spasticity in the UK.

Common Symptoms

  • Muscle stiffness and spasms (spasticity)
  • Pain associated with spasticity
  • Bladder dysfunction
  • Fatigue
  • Difficulty walking

Conventional Treatments

Typically tried before medical cannabis is considered

  • Baclofen
  • Tizanidine
  • Gabapentin
  • Botulinum toxin injections
  • Physiotherapy

Eligibility Notes

For Sativex: you need a diagnosis of MS and evidence that at least two antispasticity medications have been inadequate. Sativex is prescribed by neurologists. NHS funding is available but requires demonstrating a meaningful initial response.

How to get a prescriptionFive questions clinics usually ask

This page covers how to get assessed. What the research says about treatment for Multiple Sclerosis will be added here once it has been reviewed by a qualified professional. Your specialist is the person to ask about treatment.

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Information on this page is for general guidance only and does not constitute medical advice. The evidence base for cannabis-based medicines varies. Always consult a qualified healthcare professional before making decisions about your treatment.