SweetSue said:
Yes, Eloise is now opioid free. It was that experience that brought her to cannabis, and quite frankly, after an extensive career in oncology in a legal state she was furious that none of her own medical support staff had never recommended it as a pain relief. It became her passion to see cannabis used more openly medicinally.
I'd recommend you try the suppositories. It's a tough sell, but an effective pathway for chronic pain, particularly of the lower back. I'm conversing with a member over at Magnus8's topicals study hall who uses a good canna pain cream to great effect for multiple pain issues. Topicals are also highly underrated, until you try them.
I'll review the class again today to see if there's anything I missed on the opioid withdrawal plan, but I think I caught the gist of it. Multiple pathways, CBD and THCa for daytime, high THC for night. Some will need more THC, and some will need more CBD, but it's a methodical game of trial and error to find the personal regimen anyway. Start low and titrate up slowly, as always.
She did mention that step one is to get to the point where cannabis will manage the pain and then slowly begin weaning off the opioids, increasing THC or CBD values as necessary. And she mentioned that it sometimes takes a massive amount of THC to offset the pain. This is where I believe suppositories become such a valuable resource. You'll be able to get the THC in, and avoid the first pass through the liver.
Take a couple apigenin capsules about 30-45 minutes before the cannabinoid doses and you'll gain even more time for those cannabinoids to circulate through the system because the enzymes in the liver will be caught up by the sheer numbers of apignen molecules needing metabolized. Competitive inhibition is your friend with cannabinoid therapies.
I have experience I can share. Multiple years on tramadol up to 400 mg a day. Long chat with the doc about side effects and complications from long term use. Doc has just come back from some seminar and what was explained there is with long term use, the opioids lose effectiveness and in fact start to contribute to the pain / cause the pain you are trying to fix.
I was already on a low dose of cannameds. Roughly 5mg thc/cbd 4 to 5 times a day. Cannasnacks (dried decarbed bud bits in or on something) all through the day.
We launched a tramadol reduction program where the dose was reduced in stages over 6 weeks then it became zero.
There were no side effects, no withdrawal symptoms, nothing. At the end I actually felt better because there were no opioids floating around messing things up.
What I learned was that the tramadol was not helping me in any way. Cannabis with no tramadol was better than tramadol with or without cannabinoids.
Based on this and a couple of friends now off the opioids, I have to disagree with first part of the red paragraph.
If you keep taking the opioids, the cannabinoids will never catch up. They will never manage the pain.
Based on my experience the cannabis program must be underway - low doses are fine.
But people must immediately start the opioid reduction program for it to have any impact. I did both for several months and nothing changed.
Why so much emphasis on this?
I want people to know that they can start an opioid reduction program and they wont feel worse