Regulation and Use of Cannabidiol in Croatia Compared with Selected European and International Models: From Consumer Products to Clinical Practice

Cannabidiol (CBD) has attracted growing scientific and clinical interest due to its potential therapeutic applications and increasing availability across Europe. This narrative review examined the regulatory status, market availability, and clinical use of CBD in Croatia in relation to selected European Union countries and international reference models (Canada and Australia). A literature search was conducted using PubMed, Scopus, and Web of Science, complemented by official regulatory and governmental sources. The analysis included Croatia, Germany, the Netherlands, Slovenia, Italy, France, and Finland, while Canada and Australia were discussed as international reference models. Considerable differences were identified regarding the regulation of CBD-containing products, access to medical cannabis, reimbursement policies, clinical implementation, and the role of pharmacists. Germany and the Netherlands have established well-developed systems for medical cannabis use, whereas Finland represents a more restrictive regulatory model. In Croatia, CBD-containing products are widely available, but their integration into routine clinical practice remains limited. Regulatory uncertainty, insufficient professional training, and the lack of standardised clinical guidance were identified as important barriers. The findings suggest that the expansion of the consumer CBD market has generally outpaced the integration of cannabinoid-based therapies into healthcare practice across the countries included in this review. Improved professional training and clearer clinical guidance may facilitate their evidence-based implementation in clinical practice.