Even the NIH’s National Institute on Drug Abuse lists medical uses for cannabis. There are at least two active chemicals in marijuana that researchers think have medicinal applications. Those are cannabidiol (CBD) which seems to impact the brain without a high— and tetrahydrocannabinol (THC) which has pain relieving properties and is largely responsible for the high. But scientists say that limitations on marijuana research mean we still have big questions about its medicinal properties. In addition to CBD and THC, there are another 400 or so chemical compounds, more than 60 of which are cannabinoids. Many of these could have medical uses. But without more research, we won’t know how to best make use of those compounds. More research would also shed light on the risks of marijuana. Even if there are legitimate uses for medicinal marijuana, that doesn’t mean all use is harmless. Some research indicates that chronic, heavy users may have impaired memory, learning, and processing speed, especially if they started regularly using marijuana before age 16 or 17.
A recent report by the National Academies of Sciences, Engineering, and Medicine said there was definitive evidence that cannabis or cannabinoids (which are found in the marijuana plant) can be an effective treatment for chronic pain. The report said that is “by far the most common” reason people request medical marijuana. For some of the following medical benefits, there’s good evidence. For others, there’s reason to continue conducting research.
That same report said there’s equally strong evidence provided by Doctors in Florida can help with muscle spasms related to multiple sclerosis. Other types of muscle spasms respond to marijuana as well. People use medical marijuana to treat diaphragm spasms that are not treatable by other, prescribed medications. There’s a fair amount of evidence that marijuana does no harm to the lungs, unless you also smoke tobacco. One study published in Journal of the American Medical Association found that not only does marijuana not impair lung function, it may even increase lung capacity. Researchers looking for risk factors of heart disease tested the lung function of 5,115 young adults over the course of 20 years. Tobacco smokers lost lung function over time, but pot users actually showed an increase in lung capacity. It’s possible that the increased lung capacity may be due to taking a deep breaths while inhaling the drug and not from a therapeutic chemical in the drug.
The smokers in that study only toked up a few times a month, but a more recent survey of people who smoked pot daily for up to 20 years found no evidence that smoking pot harmed their lungs, either. The National Academies report said there are good studies showing marijuana users are not more likely to have cancers associated with smoking. One of the most common reasons that states allow medical marijuana use is to treat and prevent the eye disease glaucoma, which increases pressure in the eyeball, damaging the optic nerve and causing loss of vision. Marijuana decreases the pressure inside the eye, according to the National Eye Institute: “Studies in the early 1970s showed that marijuana, when smoked, lowered intraocular pressure (IOP) in people with normal pressure and those with glaucoma.” 
For now, the medical consensus is that doctors only lowers IOP for a few hours, meaning there’s not good evidence for it as a long term treatment right now. Researchers hope that perhaps a marijuana-based compound could be developed that lasts longer. Some studies have shown that cannabidiol (CBD), another major marijuana compound, seems to help people with treatment-resistant epilepsy. A number of individuals have reported that marijuana is the only thing that helps control their or their children’s seizures. However, there haven’t been many gold-standard, double-blind studies on the topic, so researchers say more data is needed before we know how effective marijuana is.
During the research for his documentary “Weed,” Sanjay Gupta interviewed the Figi family, who treated their 5-year-old daughter using a medical marijuana strain high in cannabidiol and low in THC. The Figi family’s daughter, Charlotte, has Dravet Syndrome, which causes seizures and severe developmental delays. According to the film, the drug decreased her seizures from 300 a week to just one every seven days. Forty other children in the state were using the same strain of marijuana to treat their seizures when the film was made and it seemed to be working. The doctors who recommended this treatment said the cannabidiol in the plant interacts with brain cells to quiet the excessive activity in the brain that causes these seizures. Gupta notes, however, that a hospital that specializes in the disorder, the American Academy of Pediatrics, and the Drug Enforcement agency don’t endorse marijuana as a treatment for Dravet or other seizure disorders. CBD may help prevent cancer from spreading, researchers in California said in mid 2000’s. Other very preliminary studies on aggressive brain tumors in mice or cell cultures have shown that THC and CBD can slow or shrink tumors at the right dose, which is a strong reason to do more research. One 2014 study found that marijuana can significantly slow the growth of the type of brain tumor associated with 80% of malignant brain cancer in people. Still, these findings in cell cultures and animals don’t necessarily mean the effect will translate to people — far more investigation is needed. Researchers know that many cannabis users consume marijuana to relax, but also that many people say smoking too much can cause anxiety. So scientists conducted a study to find the “hybrid” zone: the right amount of marijuana to calm people.
According to Mrs Childs, an associate professor of psychiatry at the University of Illinois at Chicago and an author of the study, “we found that THC at low doses reduced stress, while higher doses had the opposite effect.” A few puffs was enough to help study participants relax, but a few puffs more started to amp up anxiety. However, people may react differently in different situations. Marijuana may be able to slow the progression of Alzheimer’s disease. The 2006 study, published in the journal Molecular Pharmaceutics, found that THC (the active chemical in marijuana) slows the formation of amyloid plaques by blocking the enzyme in the brain that makes them. These plaques kill brain cells and are associated with Alzheimer’s. A synthetic mixture of CBD and THC seems to preserve memory in a mouse model of Alzheimer’s disease. Another study suggested that a THC-based prescription drug called dronabinol was able to reduce behavioral disturbances in dementia patients. All these studies are in very early stages, though, so more research is needed. Marijuana may ease painful symptoms of multiple sclerosis, according to a study published in the Canadian Medical Association Journal. Jody Corey-Bloom studied 30 multiple sclerosis patients with painful contractions in their muscles. These patients didn’t respond to other treatments, but after smoking marijuana for a few days, they reported that they were in less pain. The THC in marijuana seems to bind to receptors in the nerves and muscles to relieve pain says certified marijuana doctors in tampa florida. Treatment for hepatitis C infection is harsh: negative side effects include fatigue, nausea, muscle aches, loss of appetite, and depression. Those side effects can last for months, and lead many people to stop their treatment course early. A study in the European Journal of Gastroenterology and Hepatology found that 86% of patients using marijuana successfully completed their Hep C therapy. Only 29% of non-smokers completed their treatment, possibly because the marijuana helps lessen the treatment’s side effects. Marijuana also seems to improve the treatment’s effectiveness: 54% of hep C patients smoking marijuana got their viral levels low and kept them low, in comparison to only 8% of nonsmokers. Patients with inflammatory bowel diseases like Crohn’s disease and ulcerative colitis could benefit from marijuana use, studies suggest. University of Nottingham researchers found in 2010 that chemicals in marijuana, including THC and cannabidiol, interact with cells in the body that play an important role in gut function and immune responses. The study was published in the Journal of Pharmacology and Experimental Therapeutics. The body makes THC-like compounds that increase the permeability of the intestines, allowing bacteria in. But the cannabinoids in marijuana block these compounds, making the intestinal cells bond together tighter and become less permeable. But the National Academies report said there isn’t enough evidence to be sure whether marijuana really helps with these conditions, so more research is needed. Marijuana alleviates pain, reduces inflammation, and promotes sleep, which may help relieve pain and discomfort for people with rheumatoid arthritis, researchers announced in 2011.
Researchers from rheumatology units at several hospitals gave their patients Sativex, a cannabinoid-based pain-relieving medicine notes many tampa marijuana doctors. After a two-week period, people on Sativex had a significant reduction in pain and improved sleep quality compared to placebo users. Other studies have found that plant-derived cannabinoids and inhaled marijuana can decrease arthritis pain, according to the National Academies report. A study published in the American Journal Of Medicine suggested that pot smokers are skinnier than the average person and have healthier metabolism and reaction to sugars, even though they do end up eating more calories. 
The study analyzed data from more than 4,500 adult Americans — 579 of whom were current marijuana smokers, meaning they had smoked in the last month. About 2,000 people had used marijuana in the past, while another 2,000 had never used the drug. The researchers studied how the participants’ bodies responded to eating sugars. They measured blood-sugar levels and the hormone insulin after participants hadn’t eaten in nine hours, and after they’d eaten sugar. Not only were pot users thinner, their bodies also had a healthier response to sugar. Of course, the study couldn’t determine whether the marijuana users were like this to begin with or if these characteristics were somehow related to their smoking. Marijuana is safer than alcohol. That’s not to say it’s risk-free, but cannabis is much less addictive than alcohol and doesn’t cause nearly as much physical damage. Disorders like alcoholism involve disruptions in the endocannabinoid system. Because of that, some people think cannabis might help patients struggling with those disorders. Research published in the HRJ found that some people use marijuana as a less harmful substitute for alcohol, prescription drugs, and other illegal drugs. Some of the most common reasons patients make that substitution are that marijuana has less negative side effects and is less likely to cause withdrawal problems. Some people do become psychologically dependent on marijuana, and it is not a cure for substance abuse problems. But from a harm-reduction standpoint, it can help. Still, it’s worth noting that combining marijuana and alcohol can be dangerous, and some researchers are concerned that this scenario is more likely than one in which users substitute a toke for a drink.
If you’re new to cannabis-based medicine, trying to figure out the best medical cannabis product to treat your condition can be downright confusing. In some states, product names range from humorous to downright awful , but how does a patient determine what strain or product is best for them? Will Harlequin treat my inflammatory bowel disease? What is useful for chronic pain?
Most conventional pharmaceuticals that you may be familiar with are made up of a single active pharmaceutical ingredient, while marijuana is a highly complex plant with many dozens of active ingredients (known as cannabinoids and terpenes). This complexity is largely what enables cannabis to be so therapeutically versatile. Some might argue cannabis is Mother Nature’s medicine cabinet. But, cannabis’ myriad of natural ingredients — along with the dizzying varieties of strains and product names present challenges to most patients who are trying to find relief for their symptoms.
The fact is, there is no “one-size-fits-all” treatment. Because cannabis is natural and comprised of so many active ingredients, finding the best medical cannabis product and dosage for your particular condition often requires a bit of trial and error.
Step 1: Determine the Optimal Cannabis Chemical Profile Starting Point for Your Condition
Currently, the most important factor in finding the right treatment for your condition and the best way to ensure you are getting the same treatment every time is the ratio of the major cannabinoids THC (Δ9-tetrahydrocannabinol) and CBD (cannabidiol). While Vireo products still contain the other cannabinoids in the plants, dosing is mainly focused on THC and CBD which are the most-studied cannabinoids for treating disease. THC is the only cannabinoid responsible for the intoxication (“high”) associated with cannabis. If you’re choosing a THC-dominant medical cannabis product, our pharmacists will help you choose a level of THC in our products that will minimize the risks of side effects including intoxication and the risk of inadvertent over-medication. Also, it’s helpful to know that CBD can potentially eliminate many of the side effects commonly experienced with THC.
When examining your options, consider your condition. High CBD medical cannabis products are best for epilepsy. THC dominant products, on the other hand, are preferred by patients with chronic pain or who are undergoing palliative cancer care to help with the symptoms of nausea, vomiting, and low appetite. Medical cannabis is remarkably nuanced (each patient can benefit from very different ratios and very different doses for very different conditions). Our experienced pharmacists are a tremendous resource to help you find that optimal dose, stay at that optimal dose, and avoid side effects and complications.
Of course, don’t ignore personal preferences and your unique physiology. Are you new to cannabis? If so, you may want to start with a medical cannabis product recommended by a Florida marijuana doctor that is higher in CBD and lower in THC, or at least more balanced. If you’re suffering from a condition that may be more responsive to THC, you can always work your way up over time. Medical cannabis is a unique medical treatment in that the body develops tolerance to side effects faster than it does to the therapeutic benefits says lakeland marijuana specialist.
To find medical cannabis products that match your optimal cannabinoid ratio (THC to CBD), don’t put much stock in imprecise strain classifications like indica, sativa, and hybrid. These groupings can be misleading as (contrary to popular perception) they have little to no correlation to how much THC or CBD is in a product. If you have previous experience with marijuana, be sure to share that with your medical cannabis pharmacist tampa marijuana doctors. Based on many factors, most important of them being your input, they can help you find your ideal treatment, which may include more that one ratio.
Step 2: Choose a Delivery Method That Best Suits Your Condition, Needs, and Comfort
Next, let’s talk for a moment about medical cannabis product delivery methods: In other words, how you’ll actually take your cannabis medicine.
Though some may previously have interfaced with cannabis by smoking it in “flower” form, that’s not an option because of the potential for inconsistencies in both dosage and product orlando marijuana doctors. And, of course, smoking is a lung irritant, which runs its own potential risks.
Step 3: Prepare for a Bit of Trial and Error
While the complexity of cannabis means there’s no single medical cannabis product and intake method that’s best for every person and intake methods eliminate much of the trial-and-error typically associated with finding the right cannabis medicine says sarasota marijuana doctors. Nonetheless, as we mentioned before, everyone is different, and it may take a bit of trial-and-error to find the ideal cannabinoid ratio and intake method that works best for you. Don’t be discouraged if you don’t see as much relief as you might expect on the first go.
Whatever product and intake method you choose, we’d like to remind you of a simple phrase:
“Start low. Go slow.”
This means that we advise patients to start with a very low dose and wait enough time for the effects to take hold says fort lauderdale marijuana doctors. We understand that our patients are looking for immediate relief and we do our best to help them achieve that. However, it is preferred to underdose and increase until a patient feels the right effect, rather than rush ahead and cause both unwanted and unnecessary side effects. This safe approach to dosing is similar to many other traditional medications, and it will go a long way towards ensuring you get the safe, desired effects you’re looking for with cannabis medicine lake mary marijuana doctors. One of the most important aspects of medical cannabis when compared to other accepted treatments, especially those for pain, is that there has never been a record of a death caused by medical cannabis overdose.
Further Resources & Publications:
- Americans for Safe Access: State-by-State Legal Information and Forms for Recommending Cannabis
- Americans for Safe Access: Resources for Patients
- Americans for Safe Access: Becoming a State-Authorized Patient
- Project CBD: What Is The Endocannabinoid System
- Medscape: Endocannabinoids
- Healer.com: Cannabis Education
- Australian Government Department of Health: Health Professional Information & Education
- Government of Canada: Information for Health Care Professionals
- Amercian’s Marijuana Map
There is nothing wrong or illegal about discussing medical cannabis with your doctor. Federal courts have ruled that the First Amendment protects doctors in discussing medical cannabis and recommending it to their patients. Doctors are accustomed to patients bringing ideas to them about treatment options and preferences, and cannabis therapeutics should be no different. Your doctor may be unfamiliar with medical cannabis and hesitant to recommend it, so bring documentation to explain the science and support your experience. A medical marijuana doctor with an understanding of your medical history is the best person to consult first about medical cannabis. However, we understand that not everyone has a regular doctor, and many physicians remain unfamiliar with the medical uses of marijuana or are afraid of getting in trouble. In addition, some patients are concerned with their current health insurance company finding out about their use of medical cannabis. For these and other reasons, many patients consult one of the many doctors with a specialty practice in medical cannabis. Understand your state requirements and ask for a written recommendation. Be prepared to tell your doctor specifically what condition or symptoms you treat with cannabis therapeutics. If you have medical records related to the condition or symptoms, bring them. Honestly describe how long you’ve had the problem, when you began treating with cannabis, the amount of cannabis you use, how often, and by what delivery method.
If you’re interested in getting started on medical marijuana treatment. Please contact our office today to see if you qualify!