What the guidance says
Cannabinoid studies suggest small improvements in some chronic pain outcomes, with side effects. Results vary by product and condition.
Read the guidance: NCCIHAll condition guides
Medical Cannabis for Chronic Pain in Thailand
Review persistent pain, sleep disruption and your current pain treatment. Talk through your options with an authorized Thai practitioner.
Do not stop prescribed pain treatment or combine cannabis with sedating medicines without medical advice.
Consultations from ฿500
Start consultationHow the prescription process worksAuthorized Thai practitionerThai ID or passport
Prepare for your review
- Pain diary: location, severity and triggers
- Current medicines and treatments you have tried
- Relevant diagnoses, scans or specialist notes
What to discuss
Bring a clear picture of your symptoms and current care. These prompts can help you prepare; they are not a diagnosis.
Your symptoms
Where pain occurs, how long it lasts and what changes it.
Daily life
How pain affects movement, sleep, work and daily activities.
Current care
Pain medicines, physiotherapy and what has or has not helped.
Evidence and care options
Discuss your next steps
Ask how any proposed treatment fits your existing pain plan, what improvement to track and when to arrange follow-up.
Three steps to a medical review
Share your history
Describe your symptoms, current treatment, medicines and previous reactions.
Review your options
The practitioner considers the evidence, your risks and other treatment options.
Agree on next steps
Follow the care advice. PT33 documentation is issued only if medically appropriate.
Chronic pain and medical cannabis: FAQs
What chronic pain details matter in a PT33 review?
Share where the pain is, how long it has lasted, pain severity, past diagnoses, imaging or clinic notes, and how pain affects sleep, mobility, and work.
Should I mention opioids, muscle relaxants, or sleep medicine?
Yes. Pain medicines, opioids, muscle relaxants, sleep aids, alcohol use, and sedatives can change risk, so the clinician should review them before any THC use.
Can medical cannabis replace my current pain treatment?
Do not stop prescribed pain treatment unless your clinician tells you to. The review looks at whether cannabis may fit alongside your existing care plan.
When is chronic pain not suitable for an online cannabis review?
New severe pain, injury, fever, unexplained weight loss, weakness, numbness, or chest pain should be assessed urgently through medical care before a cannabis review.
How is PT33 used after a chronic pain approval?
If approved, the Thai-issued PT33 document guides quantity, duration, and licensed dispensary handling for the chronic pain review path.
What does the consultation fee cover?
Consultations start at ฿500 for the practitioner’s assessment and advice. The fee does not guarantee a prescription; the final price depends on the service you choose.
Prescription guides
Talk through your options
Consultations from ฿500