Cannabis will be tested as a pain relief drug on thousands of Brits and if successful, could see the drug prescribed on the NHS.
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Cannabis will be taken daily through inhalers in the trial with 5,000 participants with chronic pain, caused by conditions including arthritis.
The National Institute for Health and Care Excellence (Nice) will then assess if cannabis should become an approved treatment for as many as 15 million adults.
Around one in three adults in England have chronic pain, defined as pain lasting more than three months.
Cannabis on the NHS could prevent people self-medicating and may be safer than opioids, the conventional treatment for chronic pain conditions.