{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/anxiety/12","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_7364-markdown","title":"Exeffor xr and cannibis ","slug":"exeffor-xr-and-cannibis","content":"\"My wife is on 225 mg dose of exeffor and is using two strains of  cannibis one is a daytime which has less than 1% thc and 13.8 % CBD , the night time one is 7.5% thc and 14% cdn - she has s severely deformed neck and is going through laser and chiropractor adjustments - she is in severe pain with her neck and is getting headaches at the back of  her head . We are concerned about any interaction issues with the cannibis and is there other strains for nighttime use that might be better for the headaches and neck pain. She suffers from anxiety due to the neck issues - opiates have nearly killed her so we're not going back there  - my main concern right now is there any issues with the interaction from the cannibis and the exeffor FYI - her current usage on the daytime cannibis is about a gram and a half and 1/2 a gram at night \nThanks\nMike\"\n_____________________\nYes, there are concerns for interaction between these two medicines. \nIncreased muscle spasm is one of the side effects that should be reported but I don't know if her pain and muscle spasm has increased since she started using the medication.\nHeadache is also listed as a side effect and she should talk with her doctor about this particular symptom.\nIncreased anxiety is another side effect that should be reported to the doctor.\nLow dose THC actually increases serotonin so she actually might do well with a little more THC in the evening, possibly a 1:1.\nIt could be quite likely that the Effexor dose needs to be reduced, she is at the max dose, but that should be left up to her treating physician.\nAs an osteopathic physician I can tell you the changes in the spine do not occur suddenly unless there's a very traumatic injury. Was this a traumatic injury that caused her neck deformity? If not, I would caution against trying to straighten the spine, you want a functional spine and is the straightening is occurring to rapidly it is very likely can increase her anxiety as a warning system.\nIt does sound like it's time to go back and visit her managing physician to possibly have her medication level reduced.\n\ndrolson","image":null}},{"node":{"id":"Question_7350-markdown","title":"How likely is it the Nys will add anxiety to the list for medical marijuana?","slug":"how-likely-is-it-the-nys-will-add-anxiety-to-the-list-for-medical-marijuana","content":"\n_____________________\nNY State's medical Cannabis program is dissapointingly restrictive and only allows doctors to reccomend oral cannabis products for ALS, cancer, epilepsy, HIV/AIDS, Huntington's Disease, Inflammatory bowel disease, Parkinson's, Neuropathies, Multiple Sclerosis, and Spinal Cord Damage. Chronic Pain was recently added to this short list, and it may be your best bet to gain legal access. I doubt anxiety or any other \"psychiatric\" illnesses will be included anytime soon.\n\nandrewvanmd","image":null}},{"node":{"id":"Question_7349-markdown","title":"How do I wean my son off all the antidepressant anti anxiety meds and start him on cannabis?","slug":"how-do-i-wean-my-son-off-all-the-antidepressant-anti-anxiety-meds-and-start-him-on-cannabis","content":"\n_____________________\nIf your son is on two different medications; anxiety medication and anti-depressant medication, then it can be a little tricky. \n\nI would suggest high CBD:THC ratios for his anxiety, but for his depression I would recommend the opposite. However, high levels of THC can trigger anxiety. \n\nFirst, I would choose to taper off his anxiety medication, and then after time attempt to do the same with the other. \n\nFor anxiety: I would recommend tapering off the medication and at the same time purchasing a 24:1 ratio CBD vaporizer pen and using that as needed combined with the decrease in pharmaceutical medication. If a vape cartridge is not enough you make need to try different forms and higher concentrations of CBD.\n\nFor depression (but after anxiety symptoms have subsided): I would recommend that your son goes to a dispensary and tries whatever he likes that is high in THC content. He should follow his eyes and in particular trust his nose when selecting various strains of flowers as individual people have individual needs and the best smelling flower may be his path away from depression. \n\nAs always, you should speak to a doctor before following my advice :)\n\nBartSmart\n_____________________\nThis will depend specifically what kind of meds he is on. Some may require a psychiatrist's supervision to properly titrate the meds safely. Bart's answer pretty much takes it all from there :)\n\nryan\n_____________________\nI'm not a doctor, but involved in research and also write on clinical cannabis for Leafly. Most of the research out there on THC and CBD for depression and anxiety is preclinical (either small human studies or lab studies). In preclinical studies on THC for depression there have been some conflicting findings, but it does seem THC produces biphasic responses whereby low/moderate doses can be helpful, whilst high doses can exacerbate symptoms. For example, high doses of THC can exacerbate anxiety. Likewise, I know of at least one animal study in which low dose THC boosted serotonin, while high doses depleted it (an animal study, and of course \"mice are not men,\" but in absence of clinical research, important to take note.) \n\nCBD, on the other hand, seems to be effective not just for anxiety, but for depression as well. CBD is a 5-HT1A agonist (5-HT1A is a subtype of the serotonin receptor), so it functions in some ways similarly to SSRIs. Likewise, individuals with depression often suffer hippocampal degradation, and CBD has been shown to promote neurogenesis, restoring some of the loss suffered from depression. \n\nI would be highly cautious around using high THC for depression as we have studies that in those who genetically predisposed, THC can trigger or exacerbate certain psychiatric disorders. \n\nI've written a couple of articles you may find useful:\n\n- \"How CBD Works for Treating Anxiety\" \nhttps://www.leafly.com/news/health/cbd-for-treating-anxiety and \n\n- \"Does Cannabis Interact with Antidepressants?\" \nhttps://www.leafly.com/news/health/cannabis-interact-antidepressants. \n\nAlso, important to note: CBD does appear to interact with with some drugs like Depakote by inhibiting the activity of cytochrome P450. And, finally, when considering \"weaning off\" of a prescribed medication, I would always consult with a physician knowledgeable in cannabis-based treatments. I've heard of (and personally know of) some bad outcomes by people who didn't follow proper protocols and hopped off their meds without professional supervision.\n\njeremykossen\n_____________________\nThanks, Jeremy!  He is indeed correct about his study results about CBD and THC.  In addition, there's also the aforementioned entourage effect at the CB1 receptor that shows that other receptor types (including serotonergic receptors) are also activated when CBD and THC  are both at the receptor.  However, the problem is that these are molecular bio studies and like Mr. Kossen has already mentioned, a lot of the research in only at this level or the animal-study model.  May I offer another perspective as a clinician who has seen a lot of mental illness?  Many of my patients actually do better when combining low doses of cannabis with low doses of anti-depressant medications, another type of synergy at work!  In any case, please do not attempt to wean off antidepressant meds unless under an MD supervision (there is a documented antidepressant withdrawal syndrome that can occur).  If your son is being weaned off these meds, I would also highly recommend that a behavioural therapy treatment plan is in place (CBT/DBT/gestalt etc).  Please keep in touch and let us know how things are going!\n\ndrpark","image":null}},{"node":{"id":"Question_7340-markdown","title":"Beside anxiety,  I get nerve pain due to type 2 diabetes, what kind of product do you recommend for this pain ","slug":"beside-anxiety-i-get-nerve-pain-due-to-type-2-diabetes-what-kind-of-product-do-you-recommend-for-this-pain","content":"\n_____________________\nWe recommend our BALANCE or BALANCE+ vaporizers based on the patient feedback we've received.  BALANCE+ contains THC and so is only available to medical cannabis patients in CA right now, but our BALANCE hemp derived CBD vaporizer is available nationwide.  Here's what one patient using the BALANCE vaporizer had to say about how it worked for her Type 2 diabetes related pain:\n\n'This is my first experience with CBD. I'm a 70 year old woman. I'm a diabetic and have been really suffering for many years with excruciatingly painful leg and foot cramps, especially at night, sometimes waking me with ferocious pain. Over the years after complaining of this at every doctor's visit, I've tried so many supposed cures but nothing has ever worked. Magnesium, quinine, heat;  you name it I've tried it. The doctors say there is nothing to help. However, since I've started using the Evoxe Balance high CBD vape pen each night before bed, my leg cramps have miraculously disappeared!  And I cannot believe what a difference this has made in my life. I also find that my blood sugar numbers seem to be in better control as an added benefit. I am so thankful to have found this product.'\n\nBALANCE can be purchased directly from our website at EvoxeLabs.com/Balance, and if you're a CA resident you can find locations that carry our products near you at EvoxeLabs.com/locations\n\nmichaelkatz","image":null}},{"node":{"id":"Question_7338-markdown","title":"What are the best strains for anxiety?","slug":"what-are-the-best-strains-for-anxiety","content":"\"I have a question regarding the best strain for panic disorders and anxiety.  Jack Herer strains tend to not give me anxiety, but I've noticed any other sativa will throw me into a panic attack. I need a strain that will help with my anxiety without giving me couch lock as well. Thank you !\"\n_____________________\nHave you tried CBD? If you take too much CBD at one time it will make you tired but if you take smaller doses more frequently you should function completely normally. You don't mention what you're trying to do, are you trying to work or clean the house? If you are trying to work and you have to go to an office it might be wise to consider CBD instead of high THC.\n\ndrolson\n_____________________\nHere are few best strains to get relief from anxiety:\r\n1. Gorilla Glue\r\n\r\n2. 420 OG\r\n\r\n3. OG Kush\r\n\r\n4. Church OG\r\n\r\n5. Skywalker OG\r\n\r\n6. Ghost Train Haze\r\n\r\n7. MK Ultra\r\n\r\n8. Sensi Star\r\n\n\npotvalet","image":null}},{"node":{"id":"Question_7331-markdown","title":"My wife has chronic pain severe and anxiety issues. What would you recommend? (something affordable)","slug":"my-wife-has-chronic-pain-severe-and-anxiety-issues-what-would-you-recommend-something-affordable","content":"\n_____________________\nSo sorry to hear about your wife's ailments.  Patients have reported using a couple of our products for what you've described.  Our BALANCE and BALANCE+ CBD vaporizers have been used for everything from rheumatoid arthritis, to cramps associated with Type 2 diabetes, to athletic injuries, as well as for sleep and stress aids.  Our DEEP vaporizer blends indica oil with Lavender, chamomile and orange essential oils, which patients have said helps with everything from fibromyalgia to sleep and relaxation.  All of our products retail for between 40 and 60 throughout California and our BALANCE pen is available nationwide through our website at EvoxeLabs.com/Balance.\n\nmichaelkatz","image":null}},{"node":{"id":"Question_7322-markdown","title":"Can you be on an ssri inhibitor (antidepressant- namely Celexa) and cannabis?","slug":"can-you-be-on-an-ssri-inhibitor-antidepressant-namely-celexa-and-cannabis","content":"\"Do the two react positively?  I weaned myself off the Celxa four months ago and now am feeling huge anxiety, OCD, panic attacks and depression.  Surprisingly these feelings started building a few weeks ago... when I started taking Bediol oil which contains high CBD's... in particular Myrcene.  I am at a loss not knowing whether the Bediol is causing the symptoms?  I have read that Myrcene in high doses can cause huge anxiety.  I don't want to go back on Celexa... I was so happy to be off of it.  My GP is not supportive of cannabis. Is it okay to still use cannabis for my RA symptoms and Celexa for the other symptoms?  I don't want to harm my body.\"\n_____________________\nAs far as I know there is no contraindication to using celexa and cannabis concurrently. Try a sublingual tincture of high CBD cannabis that also contains THC. Take long walks in natural surroundings and eat healthy foods in moderation.\n\nandrewvanmd","image":null}},{"node":{"id":"Question_7278-markdown","title":"What would be the best strain to combat racing thoughts?","slug":"what-would-be-the-best-strain-to-combat-racing-thoughts","content":"\"Basically what would be best for acute anxiety relief in moments where your thoughts start to get out of whack and you may have a panic attack?\"\n_____________________\nGreat question and unfortunately there is no one-size answer. There is a lot out there about cannabis quelling anxiety and it is true that a large percentage of people who seek cannabis do find relief with it for their anxiety. But that said, it can go the opposite way with a strain that is too high in THC or if your THC tolerance is very low, which mine happens to be!\n\nI am going to steer you towards an article that we wrote. I like this particular one as it focuses on high CBD strains. CBD is known to be more calming.\n\nhttps://www.hellomd.com/health-wellness/top-10-high-cbd-marijuana-strains-for-anxiety\n\nI am not a doctor and this post is based on my experience and opinion only.\n\nI hope this helps!\n\npamelahadfield","image":null}},{"node":{"id":"Question_7277-markdown","title":"First time using a topical cream for pain.  ","slug":"first-time-using-a-topical-cream-for-pain","content":"\"I cannot tolerate any strong prescription pain meds.  I have bought a topical compound of EMU cream with 120CBD, 60MG THC and used it on neck, shoulders for a painful bone spur pushing into my cervical spine at C5.  After applying the cream about 5 hours later I have anxiety.  Does the cream go into my bloodstream. It helps with pain but the I hate the anxiety.\"\n_____________________\nYour question is very common. If you go by the books, then no, topicals do not go thorugh the top layers of the epidermis and they do not enter the blood stream. I will include an article below. \n\nThat said, I always think that there is a chance you could be different, the cream could be different or maybe it just happens! The only sure way to know is if you take a THC drug test, which if this helps with the pain you may want to do just to know for sure.\n\nIf you go by what research says, it is only with transdermal patches that you will get topicals that enter the blood stream. The other alternative is to try a different cream.\n\nhttps://www.hellomd.com/health-wellness/do-cannabis-topicals-pass-the-drug-test\n\nI hope this helps! I am not a doctor and this represents my research and opinion only.\n\npamelahadfield","image":null}},{"node":{"id":"Question_7249-markdown","title":"Trying to conceive","slug":"trying-to-conceive","content":"\"Hello, I am a male (30 years old) and I am trying to conceive with my wife.  I suffer from anxiety which is why I became interested in (and starting using) cannabis.  Browsing the internet for actual studies on the effects of cannabis on MALE fertility is like looking for a needle in a haystack.  There is not much good information out there for men, as it seems mostly focused on pregnant women.  I'm mostly using balanced thc:cbd ratio cannabis tinctures or vaporizers to medicate, however I'm curious what effect that could be having on my sperm and fertility as a whole.  I would like to continue to medicate my symptoms, but would like to also be sure that I'm doing the right thing for my future children by doing my due diligence here in researching possible issues with this use.\r\nIs using cannabis as a man trying to conceive something I should be concerned about?  \"\n_____________________\nNo cannabis will not decrease the likelihood of you and your wife conceiving a child. Have you heard of \"reefer madness\"? Cannabis has undergone the biggest smear campaign in history, and is still thought by some people to cause cancer, brain damage, male breast development, laziness, mental health diseases, and a decay of society. I call bull**** on all of this. Cannabis is the oldest, safest, best medicine on the planet. It is safe during pregnancy and for children. However, belief is a powerful thing, and if you and your wife believe that cannabis will hamper your ability to conceive a child, what you believe may influence the outcome.\n\nandrewvanmd\n_____________________\nActually, I have read the opposite, regular use of cannabis can interfere with male sperm production and tends to promote a larger number of abnormal sperm that are not capable of fertilization. Have you actually had your sperm analysis done to prove that you have a problem? That is usually the first test that's done because men are much easier, less expensive and less invasive to test.\r\nThe other question is, to achieve what you want isn't it worth it to consider going off your cannabis for a couple months? If your sperm count is being suppressed by Cannabis it may be possible that you may have a rebound in your sperm count by going off the cannabis and that could encourage a pregnancy at that time.\n\ndrolson","image":null}},{"node":{"id":"Question_7238-markdown","title":"I have severe anxiety and some angry outbursts. What would be the best to use but not get the high effect?","slug":"i-have-severe-anxiety-and-some-angry-outbursts-what-would-be-the-best-to-use-but-not-get-the-high-effect","content":"\n_____________________\nHello there!  I've answered questions concerning mental health in the past.  I have a vested interest in these matters because my past pain management/sports medicine/rehab training emphasized the importance of working on pt's mental states to help w/ pain states.  In addition, I've mentioned before but I have loved ones battling issues ranging from Bipolar, Schizophrenia, Anxiety disorder, PTSD, you name it.  Whenever, I here the combination of severe anxiety and angry outbursts, I get very very concerned.  I know this may not make me popular on the forum, but I have to let people know. This is a VERY dangerous situation to be in;  I wouldn't even concern myself with cannabis at this point, I would get a hold of someone from mental health serviced IMMEDIATELY. Angry outbursts are a danger sign and coupled w/ anxiety, that's even more dangerous.  Please please do yourself a favor and get help and let us know how you're doing alright? But I would avoid cannabis right now, avoid caffeine and other stimulants; I would even avoid prescription meds for anxiety that are prescribed for someone else. Do NOT dab right now. Or you can avoid these pieces of advice at your own peril. This choice is yours.\n\ndrpark\n_____________________\nHi @Jmb83 - I think Dr. Park is suggesting that rather than pharmacologic therapy, you might need to see a therapist who can take you through Cognitive Behavioral Therapy or CBT.   I also deal with high anxiety and angry outbursts, and CBT along with daily meditation are supremely helpful. There is an app called \"Calm\" that the guys and I here in the office use for about $5/mo.   Another great meditation option is the Chopra Center Meditation.   The only thing I'd say differently is that I am a huge proponent of high-CBD products for this exact scenario. My best experiences have been with AC/DC and Banana Smoothie.  When something triggers an attack, my vape pen is like a rescue inhaler!\n\nNick DeJesus\n_____________________\nYou're going to want to go with strains that are high in CBD but low in THC. CBD will give the health benefits without the \"high effect.\" We carry a great strain of flower called Harlequin that is high in CBD but low in THC. \n\ngreendoorwest","image":null}},{"node":{"id":"Question_7217-markdown","title":"I have suffer from intense pain from  interstitial cystitis and suffer from insomnia and anxiety.","slug":"i-have-suffer-from-intense-pain-from-interstitial-cystitis-and-suffer-from-insomnia-and-anxiety","content":"\"I suffer from neurogenic pain from my interstitial cystitis and have intense muscle tightness from pelvic floor dysfunction. I also suffer from insomnia and anxiety. Can cannibus help and if so what type/strains? And how do I get it?\"\n_____________________\nYes cannabis can help, you may want to try a variety of strains and methods. Cannabis can be inhaled, it can taken sublingually, it can be ingested as a food or pill, it can applied directly to the skin and it can also be used as a suppository. I would try various strains and methods and see what works best for you and your lifestyle.\n\nandrewvanmd","image":null}}]}},"pageContext":{"limit":12,"skip":132,"numPages":19,"currentPage":12,"id":4953,"name":"Anxiety","slug":"anxiety","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}