What conditions can be treated with medical cannabis in the UK?
Patients often ask for the UK's list of qualifying conditions. There isn't one — the law leaves the decision to the prescribing specialist. What exists instead is a narrow set of licensed NHS uses, and a broader set of conditions private specialists consider case by case.
The short answer
- There is no statutory list of qualifying conditions in the UK.
- Three medicines are licensed for specific uses: severe childhood epilepsies, MS spasticity, and chemotherapy-induced sickness.
- Private specialists consider a wider range of long-term conditions where standard treatments have failed.
- Evidence strength varies hugely between those conditions — being commonly treated is not the same as being well evidenced.
- Being on any list is not a qualification, and not being on one is not automatic refusal.
Why there is no official list
Some countries run a statutory list of qualifying conditions. The UK deliberately does not. When cannabis-based products were rescheduled in 2018, Parliament left the decision to the clinical judgement of specialist prescribers rather than defining who qualifies.
So when you see a "qualifying conditions" page — including the section below — read it as a description of what UK specialists commonly assess, not as a legal entitlement. The practical consequence is that your diagnosis opens a conversation; it does not settle it.
The three licensed uses
Three cannabis-based medicines hold a UK licence, and these are the uses the NHS prescribes for most often. Their evidence base is the strongest in this field, because it was strong enough to satisfy the medicines regulator.
| Medicine | Used for | Notes |
|---|---|---|
| Cannabidiol (a purified CBD liquid) | Seizures associated with Lennox–Gastaut syndrome and Dravet syndrome, alongside clobazam, in patients aged 2 and over | Recommended by NICE in technology appraisals; started by a specialist epilepsy service |
| THC:CBD oromucosal spray (nabiximols) | Moderate to severe spasticity in multiple sclerosis where other treatments have not worked | NICE recommends a four-week trial, continued only if spasticity-related symptoms improve by at least 20%; must be started and supervised by a specialist in MS spasticity |
| Nabilone (a synthetic THC-like capsule) | Nausea and vomiting caused by chemotherapy, as an add-on when standard anti-sickness medicines are not enough | NICE recommendation applies to adults aged 18 and over |
Note what this table is not: it is not a menu. These medicines are prescribed by NHS specialist services for these specific uses, and access still depends on meeting the clinical criteria.
Conditions UK specialists consider privately
Outside those licensed uses, UK specialists in private practice consider a wider range of long-term conditions where standard treatments have not given adequate relief. The list below reflects common UK practice. It is not a promise, and the evidence behind each entry differs a great deal.
Each condition below links to its own guide, setting out what UK specialists consider, what the published research found — with a link to the study itself — and the risks that weigh against treatment.
Pain conditions
- Chronic non-cancer pain, including long-term back and neck pain
- Neuropathic (nerve) pain, including sciatica and diabetic neuropathy
- Fibromyalgia
- Arthritis-related pain, including osteoarthritis and rheumatoid arthritis
- Complex regional pain syndrome
- Endometriosis-related pain
- Cancer-related pain and palliative symptom control
Neurological conditions
- Multiple sclerosis, particularly spasticity and associated pain
- Epilepsy, including treatment-resistant epilepsy
- Tourette syndrome and some other tic disorders
- Parkinson's disease symptoms, in selected cases
- Cluster headache and migraine, in selected cases
Mental health conditions
- Anxiety disorders, including generalised anxiety disorder
- Post-traumatic stress disorder
- Sleep disorders linked to an underlying condition being treated
Mental-health prescribing is assessed particularly carefully. THC can worsen anxiety in some people, and a personal or family history of psychosis or schizophrenia weighs heavily against THC-containing treatment.
Gastrointestinal and other conditions
- Inflammatory bowel disease, including Crohn's disease and ulcerative colitis
- Irritable bowel syndrome
- Nausea and appetite loss associated with illness or its treatment
Common is not the same as well evidenced
Chronic pain is the most frequent reason for private prescriptions in the UK, and it is also the condition for which NICE explicitly recommends against cannabis-based medicines outside a clinical trial. Both facts are true, and holding them together is the honest position.
NICE assessed the evidence for population-level NHS use and found it insufficient. That guidance does not remove a specialist's ability to prescribe an unlicensed medicine to an individual with unmet clinical need, which is the space private prescribing occupies. What it does mean is that you should expect your clinician to frame treatment as a monitored trial with a review point, and to be candid about how uncertain the evidence is for your condition. We go through this in more detail in Can medical cannabis treat my condition?
If your condition is not listed
Absence from a list is not a refusal. Specialists assess the person, not the label, and rarer conditions are considered on their individual merits.
What matters more than the name of your condition is whether it is diagnosed and documented, whether standard treatments have been properly tried, and whether the balance of benefit and risk works for you. If you are not sure where you stand, see What are the requirements?
Frequently asked questions
What conditions can medical cannabis be prescribed for in the UK?
There is no official list. On the NHS, prescribing is largely limited to three licensed medicines: cannabidiol with clobazam for seizures in Lennox-Gastaut and Dravet syndromes, a THC:CBD spray for multiple sclerosis spasticity, and nabilone for chemotherapy-induced nausea and vomiting. Privately, specialists consider a broader range of long-term conditions — including chronic and neuropathic pain, fibromyalgia, arthritis-related pain, multiple sclerosis, epilepsy, anxiety disorders, post-traumatic stress disorder, sleep disorders linked to an underlying condition, Tourette syndrome, endometriosis, inflammatory bowel disease and cancer-related symptoms — always case by case.
Is chronic pain a qualifying condition for medical cannabis in the UK?
Chronic pain is the single most common reason people are treated privately in the UK, but it is not a 'qualifying condition' in any legal sense, and NICE guideline NG144 recommends against offering cannabis-based medicines for chronic pain outside a clinical trial. A private specialist may still prescribe for an individual with unmet clinical need after standard treatments have failed.
Can I get medical cannabis for anxiety or PTSD in the UK?
UK specialists do consider anxiety-related conditions and post-traumatic stress disorder, and they are among the more common reasons for private prescriptions. The trial evidence is limited, and THC can worsen anxiety in some people, so assessment is careful and a personal or family history of psychosis is taken seriously. It is a case-by-case clinical decision, never automatic.
Can I get medical cannabis for insomnia?
Sleep problems are usually considered where they are linked to an underlying condition a specialist is already treating, such as chronic pain or a neurological condition, rather than as a stand-alone reason to prescribe. Standard sleep assessment and treatment normally comes first.
Does having a condition on a clinic's list mean I will get a prescription?
No. Clinic condition lists describe what a service assesses, not what it approves. Whether treatment is appropriate depends on your diagnosis, your treatment history, your other medicines and conditions, and the specialist's judgement about the balance of benefit and risk for you.
Sources and further reading
Every factual statement on this page is drawn from the following public sources. Links open in a new tab and are not affiliated with Flora House.
- NICE guideline NG144: Cannabis-based medicinal products
- NICE NG144: Recommendations
- NHS: Medical cannabis (and cannabis oils)
- NICE technology appraisal TA614: Cannabidiol with clobazam for treating seizures associated with Dravet syndrome
- House of Commons Library briefing CBP-8355: Medical use of cannabis
- British Medical Association: Cannabis-based medicinal products
- MHRA: The supply, manufacture, importation and distribution of unlicensed cannabis-based products for medicinal use