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I have this sneaking suspicion that a lot of the people talking about “adverse effects” haven’t ever been high, and have no real idea that being buzzed is really just feeling really, really good. I think of it as “normal.”
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I wanted an official take.
Cannabis is a synergistic with opioids, meaning that a lower than threshold dose of each will get you greater results than either will alone.
- That makes it a good choice for tapering back opioids.
Legal states consistently find that active and operating dispensaries and access to cannabis leads to
- Lower opioid deaths
- Lower numbers of opioid prescriptions written
Numerous patient studies in the U.S., Canada and Israel have had respondents consistently reply that they choose to include cannabis in their regimen because
- They feel better
- They have fewer negative side effects
So we have this quandary of
- Continuance of the Schedule 1 lie and all its inherent restrictions
- Absolutely no clinical guidance from the governments
- Widespread access to cannabis
It’s to our collective benefit to look at:
- The supporting data for using cannabis for pain.
- How we can use this data to best effect.
- How to communicate that cannabis isn’t the cure-all or a poison. It’s one more pain medicine available to the patients, and this is how to use it.
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The ECS:
The ECS is widespread through the cellular community, regulating
- receptors
- ligands
- enzymes for control This is an interesting way to put this, and the first I’ve heard it expressed this way.
“Relax, eat, sleep, forget, protect.“
- Memory
- analgesia
- appetite
- stress
- sleep
Tetrahydrocannabinol (THC) is analgesic, mood-altering, appetite stimulating.
- partial agonist to CB1 and CB2
I’ll finish later.The sheer number of varied cannabinoids in cannabis is causing some of the problem. Pharmaceutical companies like to isolate the effective molecule and market that. Cannabis has the infamous “Entourage Effect.”
- Cannabidiol (CBD) doesn’t bind to any ECS receptors we know of.
non-intoxicating- May be protective against the intoxicating effects of THC
- anti-inflammatory
- anti-convulsant
- peripheral pain effects
Clinicians and researchers are frustrated about the rush of CBD products. You can buy the, anywhere, but to research effects to nail down therapeutic applications you must have a Schedule 1 permit.
I listened to the rest of this, and the man falls into the official line of addiction and dependence concerns that I think are a bogus smokescreen to keep us from being courageous enough to return to the idea that we don’t need clinicians to heal.
I get so tired of hearing about the dangers of cannabis when there is no real danger. I have no patience for perpetuating the erroneous science that was pursued with the sole intent to vilify cannabis.
The report by the National Academy Of Sciences has so little validity in my world where facts rule over propaganda and bad science that I turn off as soon as a speaker mentions that the data they’re going to present was gained by that report.
And that was where I lost interest with this young man, who speaks of the value of cannabis to save us from the opioid crisis out of one side of his mouth, then speaks of the addictive quality of a plant that one can’t get addicted to.
How can we be seen as credible when we hold to the lies?
Exhibit 2-6DSM-IV-TR Criteria for Substance Abuse and Substance Dependence
Category Criteria Substance Abuse A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a 12-month period:
- Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (e.g., repeated absences or poor work performance related to substance use; substance-related absences, suspensions, or expulsions from school; neglect of children or household)
- Recurrent substance use in situations in which it is physically hazardous (e.g., driving an automobile or operating machinery when impaired by substance use)
- Recurrent substance-related legal problems (e.g., arrests for substance-related disorderly conduct)
- Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance (e.g., arguments with spouse about consequences of intoxication, physical fights)
Substance Dependence A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more)of the following, occurring any time in a 12-month period:
- Tolerance, as defined by either of the following: (a) a need for markedly increased amounts of the substance to achieve intoxication or desired effect, or (b) markedly diminished effect with continued use of the same amount of the substance
- Withdrawal, as manifested by either of the following: (a) the characteristic withdrawal syndrome for the substance, or (b) the same (or closely related) substance is taken to relieve or avoid withdrawal symptoms
- The substance is often taken in larger amounts or over a longer period than intended
- There is a persistent desire or unsuccessful efforts to cut down or control substance use
- A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects
- Important social, occupational, or recreational activities are given up or reduced because of substance use
- The substance use is continued despite knowledge of having a persistent physical or psychological problem that is likely to have been caused or exacerbated by the substance (e.g., current cocaine use despite recognition of cocaine-induced depression, continued drinking despite recognition that an ulcer was made worse by alcohol consumption)
They were followed by the announcement of cannabis dependence criteria in the DSM-5 under the chapter on diagnosis of “Substance-Related and Addictive Disorders” (18). The specific diagnostic criteria are: Inclusion: Requires at least three of the following symptoms, developing within one week of ceasing (or reducing) cannabis use that has been heavy and prolonged.
i. Irritability; anger or aggression
ii. Nervousness or anxiety
iii. Sleep difficulty
iv. Decreased appetite or weight loss
v. Restlessness
vi. Depressed mood
vii. Somatic symptoms causing significant discomfort
Exclusion: If the symptoms are attributable to another medical condition or better explained by another mental disorder, including intoxication with or withdrawal from another substance, do not make diagnosis.
These participants were surveyed after they had been using marijuana, which may decrease the accuracy of their recollections. Say what?