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Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

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201–210 of 223 posts

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#201

Earlier quoted context omitted.

So is tobacco and while I've known the occasional person who grew it, it's pretty uncommon. I've also been surprised that tobacco companies don't get in on the legalise marijuana thing. Possibly they are suffering so much from bad press they don't think they could withstand the backlash...

As I understand it, growing tobacco takes a lot of time and effort. You need to bury it and store for some time before it gets good. If growing good quality tobacco was as easy as growing good quality marijuana, I suspect a lot more smokers would do so.

"was as easy as growing good quality marijuana!

Growing your own MJ and have it taste like it does when you by from a pro, is a feat though. When you curate cannabis the right way, the flavors of cheese, berry, fruit, pine or other, comes through.

I think botanists or people who can read and have a habit of, you know, Google up on stuff, will do pretty good at growing their own stuff.

Why Big Cig is dodging this must purely be because of potential bad-will. I bet they feel like I do whenever I raise my voice on a cannabis-related topic at work: will this give me cred or back-lash like a MF?

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#202
post #196

Earlier quoted context omitted.

What do you mean ?

> let the persons in need organize and spread the knowledge That's lobbying. In todays world, lobbying is a dispicable act, at least if you are into science or if you like stuff that has been proven by scientific measures. In today's world, lobbying VETOes science.

Hummm, lobbying implies influencing Law to me.

Spreading knowledge isn't blocking science if done with scientists and people with conflicts if interests (unlike grabbing public projects or impeding legal change in your favor).

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#203
post #75

Earlier quoted context omitted.

I was diagnosed with chronic pain syndrome, and when given the opportunity, had my doctor switch my prescription from opioids to cannabis. I don't think that one can appreciate how effective it is for chronic pain, until you've had to use it for that.

Any specific strain / method? Weed does absolutely nothing for me in terms of pain mgmt. Tried a dozen strains, cbd pills... I just feel stoned :/

I had the best effect managing pain with high CBD low THC strains - meaning strains with over 7% CBD and one percent or less THC. If you vaped or smoked them, I am surprised that they made you stoned - all the pain-free people who have tried it with me have complained that they didn't feel anything at all. For me, the pain relief is so profound and quick acting that I can pinpoint the second it starts to have an effect.

Eating cannabis has very different effects to smoking it, due to liver metabolism. I am not sure what it does to CBD, but the psychoactive metabolite of THC does not have the same effects. Eating cannabis is more than just a different delivery method - it's essentially a different drug entirely.

Unfortunately, while I found CBD strains most effective for pain, I personally have not been able to tolerate them - they cause me memory problems that I have not found any mention of in the literature, not anyone else who experiences them.

It's important to note that, unlike opioids, cannabis doesn't make the sensation of pain less strong, it makes it less urgent.

This means that if you won't necessarily feel a direct effect on the pain, but that its subsequent effects aren't as strong - the pain is not as exhausting, distracting, or debilitating.

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#204

Earlier quoted context omitted.

I was diagnosed with chronic pain syndrome, and when given the opportunity, had my doctor switch my prescription from opioids to cannabis. I don't think that one can appreciate how effective it is for chronic pain, until you've had to use it for that.

Could you recommend what products specifically help you the most? I've had chronic neck and back pain for years. Smoking marijuana actually tends to make it worse, but I haven't experimented with specific strains, ingestion methods, etc.

It's important to note that, unlike opioids, cannabis doesn't make the sensation of pain less strong, it makes it less urgent. This means that if you won't necessarily feel a direct effect on the pain, but that its subsequent effects aren't as strong - the pain is not as exhausting, distracting, or debilitating. In fact, the initial 'come-on' of cannabis tends to make me more aware of my pain for a few seconds.

Moreover, my pain is neuropathic, rather than physiological in nature, and so what works for me, may not work for other forms of pain. That said, I had the best effect managing pain with high CBD low THC strains - meaning strains with over 7% CBD and one percent or less THC. For me, the pain relief is so profound and quick acting that I can pinpoint the second it starts to have an effect, and it has the added benefit of leaving me sober enough that I can go about my business.

Unfortunately, while I found CBD strains most effective for pain, I personally have not been able to tolerate them - they cause me memory problems that I have not found any mention of in the literature, not anyone else who experiences them.

So, what do I use, when I need to keep the pain at bay? Usually I reach for a concentrate of a indica-dominant hybrid, or an pure indica. I stay way from Sour Diesels, and the like, as they don't agree with me, but these things tend to be individual in nature.

Sorry not to be much more help: all I can really recommend is low THC/high CBD strains, and smoking/vaping concentrates or hashish rather than eating, at least until you find something that works for you.

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#205
post #6

Earlier quoted context omitted.

Treating chronic pain has less to do with pain relief and more to do with mental health. Sometimes people just want to forget or feel different for a while. Also, opiates suck!

I've had a ton of pain for a few months (chronic?). It didn't affect my mental state, as far as I know. It did however hurt.

I think chronic pain is described as anything over 12 months; but more so dealing with it for years or decades (sometimes a person's entire life) tends to wear you down quite a bit, especially when this is accompanied by a reduction in mobility, motor skills, etc.

(Although personally I think while mental health is a large component of chronic pain management I'd say the pain management itself is still the primary issue at hand)

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#206
post #192
post #144

Earlier quoted context omitted.

The efficacy and safety of the treatments are not the issue. The issue is when government uses the threat of violence to prevent people from accessing substances that cause no harm to others. I agree that people should not use it as treatment without seeking help, but there are far more dangerous substances you can buy over the counter. E.g. acetaminophen/paracetamol causes a range of deaths via liver failure every y…

It makes you wonder what The Goverment's agenda is, does it not? I mean, either you base you actions on science or you base it on something other than science. It's a shame politics so often lead to uninformed decisions. To me, these days, politics seems like a grown-up version of the high-school game you used to play when you wanted to become popular. But of course, the real issue here money. Everyone wants it. Need…

Bingo. Just follow the money and see who profits from cannabis being illegal.

1. Can't put a patent on it and can literally grow it in your backyard - pharmaceutical industry is going to lose a large chunk of cash inflow from anti-nausea and opioids. Not to mention the fact a large portion of opioid/herion addicts started out on prescription medicine, which leads into my other points.

2. The entire law enforcement procedures will have to rethink the status quo. Smelling cannabis was a great way to have "reasonable suspicion" for violating privacy, and going after cannabis dealers were incredibly easy targets to bust. Don't forget RICO that gives LE a nice cash bonus from drug dealer assets.

3. Prison industry will have a hard time filling in the since a large majority of the prisoners are nonviolent drug offenders. Perhaps with less opioid addicts that sought cannabis instead would cause some extra vacancy as well.

4. The Cartel and several other underground organizations that I have a hard time believing would not have ties to politicians and decision makers on the subject.

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#207

Earlier quoted context omitted.

No, most opioid pain treatments have far more severe side effects than pot, and they tend to have a high risk of serious addiction that limits their dosage.

>most opioid pain treatments have far more severe side effects than pot What are those? Beyond the physical addiction, which shouldn't be much of an issue with proper dosage.

First, physical addiction is an issue, since the "proper dosage" to mitigate a particular patient's pain can easily be higher (or more frequent) than the "proper dosage" to avoid addiction; so on one hand some patients have to suffer without being able to increase the dose, and on the other hand the statistics show that even if in theory it "shouldn't be much of an issue", in practice addiction does happen.

But for the pure side effects, the most common issues are constipation and nausea. Then there's sedation (which may be comparable to effects of pot), and of course the suppressed breathing which makes accidental overdoses potentially deadly, unlike pot. Especially for chronic pain management, the long term effects add up, then you also risk liver damage, etc.

https://www.ncbi.nlm.nih.gov/pubmed/18443635 is a good place to start if you're interested in details.

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#208

Earlier quoted context omitted.

Given the incredibly low toxicity of cannabis, "more cannabis" should be a working strategy here. 2x, 5x, 20x the dose until you get past the new threshold caused by NSAIDs?

You can only get so high. After a while more cannabis won't have an effect.

Ever tried concentrates? You might go to sleep for a while, but "not have an effect?"

Heh.

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#209
post #196

Earlier quoted context omitted.

> let the persons in need organize and spread the knowledge That's lobbying. In todays world, lobbying is a dispicable act, at least if you are into science or if you like stuff that has been proven by scientific measures. In today's world, lobbying VETOes science.

Hummm, lobbying implies influencing Law to me. Spreading knowledge isn't blocking science if done with scientists and people with conflicts if interests (unlike grabbing public projects or impeding legal change in your favor).

Yeah, I didn't intend a value judgment on lobbying in general, so much as to highlight how unfair/unreasonable it is to put that obligation on sick people. Why can't we fix what's obvious? Any of us could end up sick in the future.

Re: Given Choice, Patients Will Choose Cannabis Over Prescribed Opioids

#210
I was 8 hours from heading to the airport for a family trip to Amsterdam last summer when I burned the heck out of the fingers of my right (dominant) hand. It was probably the most pain I had ever been in, even including a compound fracture of the clavicle that involved 8 screws and a metal bar to repair. The latter caused me to get addicted (unknowningly) to opioids (hydrocodone) which led to a miserable week of withdrawl symptoms. I didn't take any opioids a year later after the surgery to remove all that hardware.

I told the doctors at the hospital I didn't want to get addicted again, so they gave me Tramadol.

I made it to Amsterdam and, that night, I finally gave in and took one of the Tramadols. It put me through a loop and wringer, but took away the pain and let me sleep through the night mostly.

The next day, my wife came back to our place with a "space muffin", or pot-laced chocolate brownie thing. I had never had any edibles before. That night, I figured, what the heck, they're always talking about medical uses so I ate it.

I have never been so surprised at something anecdotal in my life.

The pain was gone just as well as the night before with Tramadol. Furthermore, although the edible definitely was psychoactive, I was much more functional and less out of it than the single Tramadol I took, and felt much better the next day - not hung over.

I became a strong medical marijuana advocate that night.

Damn shame we don't have this available in my home state in the USA. Damn shame we have a moron of a President who loves states rights except when he doesn't (most of the time?). Damn shame we have a war on drugs.

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