Cannabis vs. Opioids

North America has been hit hard by the opioid epidemic. Prescriptions have increased 400% percent since 1999, and with this trend a shocking increase in fatal overdoses has followed. Every day, 40 people now die from prescription narcotic overdoses. Many also move on to heroin because it is cheaper, easier to find, and more potent.

Could cannabis be part of the solution? Quite possibly. An increasing number of studies provide evidence that many patients can use cannabis instead of opioids to treat their pain, or they can significantly reduce their reliance on opioids.

A University of Michigan March 2016 study published in the Journal of Pain provides some compelling data. They found that cannabis:

  • Decreased side effects from other medications
  • Improved quality of life
  • Reduced use of opioids (on average) by 64%

“We are learning that the higher the dose of opioids people are taking, the higher the risk of death from overdose,” said Dr. Daniel Clauw, one of the study’s researchers and a professor of pain management anesthesiology at the University of Michigan Medical School. “[The] magnitude of reduction in our study is significant enough to affect an individual’s risk of accidental death from overdose.”

Kevin Ameling, a chronic pain patient who now works for a Colorado-based non-profit cannabis research advocacy group called the IMPACT Network, is a success story. Ameling believes cannabis saved him from a life of dependency on prescription drugs. In 2007, he suffered a severe fall and was prescribed a cocktail of prescription drugs that included OxyContin, Tramadol, Clonazepam, and Lexapro. The pain became so severe that he had to progressively increase dosage while the OxyContin became less and less effective.

Living in Colorado, he decided to try medical marijuana in 2013. He claims he achieved results immediately and was able to significantly reduce his prescription intake. He cut his OxyContin dosage by 50%, reduced Clonazepam from 3 mg to 0.5 mg, Lexapro from 30 mg to 5 mg, and Tramadol from 300 mg to 75 mg.

“It’s hard to express in words what a life changer medical marijuana has been for me,” said Ameling. “I was becoming increasingly worried about having to take higher doses of prescription drugs that can be highly addictive and toxic. Not only was I able to cut back significantly, with cannabis I can often skip the OxyContin with no adverse effects, something I couldn’t do before.”

Article from leafly.com

Cannabis Is Safe and Effective at Treating Pain in the Elderly

Published: February 2, 2018

The elderly (+65 years of age) represent a rapidly growing cohort of medical cannabis consumers, so a better understanding of cannabis’ efficacy and safety in these patients is needed. To address this, a recent survey was conducted in over 900 elderly Israeli patients who used medicinal cannabis for at least six months.

Regardless of strain preference, 93.7% of patients reported that cannabis improved their symptoms after six months of use.

In this study, 75% of the patients had no prior history with cannabis consumption, making this a powerful assessment of the onboarding experience in the elderly. Most patients began using cannabis for pain-related conditions including cancer pain, but a smaller number of patients were using it to treat chemo-related nausea, Parkinson’s disease, post-traumatic stress disorder, and Crohn’s disease. While THC-forward strains were the most consumed, CBD-rich strains were especially common in patients suffering from pain, chemotherapy side effects, Parkinson’s disease, and inflammatory diseases.

Regardless of strain preference, 93.7% of patients reported that cannabis improved their symptoms after six months of use. It was particularly helpful in reducing pain, on average reducing pain from an 8 (on a scale to 10) to a 4. This reduction in pain led 15% to entirely stop their opioid pain medications.

Overall, cannabis use improved quality-of-life from “bad” to “good” with few adverse side effects. The most common side-effects, dizziness and dry mouth, were reported in only 10% and 7% of patients, respectively. Two percent or less reported confusion, disorientation, or weakness.

Together, these findings strongly support the safety and efficacy of medicinal cannabis in an elderly population for treatment of pain-related conditions.

Article from leafly.com