{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/back/","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_12366-markdown","title":"Is it safe to have general anesthesia for surgery if I used THC oil recently? I haven't used it for 2 weeks now, and by the time my surgery date arrives it will have been over a month since using it.  Thank you.","slug":"is-it-safe-to-have-general-anesthesia-for-surgery-if-i-used-thc-oil-recently-i-havent-used-it-for-2-weeks-now-and-by-the-time-my-surgery-date-arrives-it-will-have-been-over-a-month-since-using-it-thank-you","content":"\"I began experimenting with THC to help with my chronic back pain. I started with it in September 2017 and stopped in early Feb 2018.\"\n_____________________\n \nMore research needs to be done in this area, as there simply isn’t much information out there on this topic. A recent literature review conducted by Huson, Granados and Rasko (2018) found that “marijuana increased cardiac workload, myocardial infarctions and strokes in young, chronic users.” The literature review also found that those who smoked marijuana were more likely to require increased anesthetic doses to place laryngeal airways (just like smoking, marijuana causes airway obstruction). “Use within 72 hours of general anesthesia was advised against” (Hunson, Granados and Rasko, 2018). \nBased on the above literature review, it looks like you should be fine because you will have abstained from using cannabis for over a month by the time you receive general anaesthesia. I do however recommend that you let your health care providers (including your surgeon) know that you have been experimenting with THC oil recently.\n \nHuson, H.B., Granados, T.M., and Rasko, Y. (2018). Surgical considerations of marijuana use in elective procedures. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139487/ on March 2nd, 2019.\n\nLonah NP\n_____________________\n  When talking about surgery anesthesia and marijuana, all types of marijuana should be avoided. That means smoking marijuana, edibles, and synthetic marijuana.  The use of marijuana, especially immediately prior to surgery, can change the doses needed for sedation. It has been found that cannabis users requires substantially higher doses of anesthesia.  There are other reasons why use of cannabis can compromize operative and post operative period, such as  airway obstruction , respiratory cardiovascular distress, increrased depression of central nervous system (when barbiturates given after surgery), inhibition of other medication action going the same liver metabolic pathway (Huson , Granados, Rasko, 2018).\n\nTherefore, abstaining from marijuana in the weeks before surgery can decrease the likelihood of complications during and after surgery. \n\n Huson, H. B., Granados, T. M., & Rasko, Y. (2018). Surgical considerations of marijuana use in elective procedures. Heliyon, 4(9), e00779. doi:10.1016/j.heliyon.2018.e00779 \n\nkrabell14","image":null}},{"node":{"id":"Question_12320-markdown","title":"Struggling with side effects","slug":"struggling-with-side-effects","content":"\"I was instructed by my psychiatrist to start CBD oil on top of my Cymbalta because I can’t tolerate going up anymore on the dosage. First weeks of using CBD from reparable brands I felt great. Lifted my mood, gave me energy, could take multiple dosages of it a day and felt fine. But now it’s making me really sleepy, even at low dosages, I’m talking about less than 5 mg here. I take it sublingually. It’s full spectrum CBD too. If I stop taking it, the low mood will start coming back, so it is working for that but the triedness is becoming a problem. It was working so good that I felt like I’d be able to reduce my antidepressant one day. Now I feel I can’t tolerate the CBD oil. Btw, if I take it at night, I either have where I’m tired the next day or sometimes (and this is the weirdest thing) it’ll wake me up. Still is all very frustrating. \"\n_____________________\nHi there! I think it would be a great idea to discuss your experience, and tapering off of the Cymbalta, with your psychiatrist.  I would also be glad more than glad to help. But, in the meantime, it would be best to reserve the CBD for the evening, and/or reduce the dosage amount and frequency. I hope this helps!\n\ndrkim","image":null}},{"node":{"id":"Question_12227-markdown","title":"HI In the state of texas I can only carry less than 2 oz of pot. I would like to bring some gummies back with me but cant be more than 2 oz (pot).  HOw many gummies can I bring back which is equlivant to 2 oz of pot ?  thank you  JPG","slug":"hi-in-the-state-of-texas-i-can-only-carry-less-than-2-oz-of-pot-i-would-like-to-bring-some-gummies-back-with-me-but-cant-be-more-than-2-oz-pot-how-many-gummies-can-i-bring-back-which-is-equlivant-to-2-oz-of-pot-thank-you-jpg","content":"\n_____________________\nHi there!\nI don't think they meant you can carry 2oz of cannabis, or the equivalent amount of edibles: Comparing the THC content in 2 ounces of cannabis vs. the number or weight of the gummies would be impossible. \nI hope this helped some!\n\ndrkim","image":null}},{"node":{"id":"Question_12224-markdown","title":"If I make an MCT oil using Floracy Full Extract Cannabis Oil and each 1ml dropper full is 10-13mg THC/12-15mg CBD how strong is that to help severe back pain?","slug":"if-i-make-an-mct-oil-using-floracy-full-extract-cannabis-oil-and-each-1ml-dropper-full-is-10-13mg-thc-12-15mg-cbd-how-strong-is-that-to-help-severe-back-pain","content":"\"@\"\n_____________________\nIt's great that you know the dosage of your homemade tincture! The amount of tincture necessary to help with pain is different for every individual depending on their unique endocannabinoid system and prior experience with cannabis. In general, we recommend that first-time consumers or those unsure of their dosage \"start low and go slow\": start with a small amount of product, wait 20-30 minutes to let the full effects manifest, and then decide if taking more would be helpful for your goals.\n\nFor reference, 10mg of THC is considered a \"standard\" dose for edibles. If a dropperful of your tincture contains up to 15mg of THC, you may want to be careful about how much you take at one time!\n\nKevin P.","image":null}},{"node":{"id":"Question_12050-markdown","title":"My mother suffers from Parkinson's Disease and spinal stenosis","slug":"my-mother-suffers-from-parkinsons-disease-and-spinal-stenosis","content":"\"Would you recommend a particular CBD product for relief of her pain (mostly back and leg pain)? Would you recommend adding THC to the CBD if she also has trouble staying asleep at night?\"\n_____________________\nHello there!\nSeveral  preclinical studies demonstrated that modulating the endocannabinoid  system may be useful in treating some motor symptoms of Parkinson's  disease. Unfortunately though, results from clinical studies have been  inconclusive and conflicting. However, \"an open-label  observational study assessing the clinical effect of cannabis on motor  and non-motor symptoms of PD revealed significant improvement after  treatment in tremor (P < 0.001), rigidity(P = 0.004), and   bradykinesia (P < 0.001).\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/24614667\n\nAlso, typical neuropathological features of Parkinson's include  degeneration of dopaminergic neurons--several studies suggest that cannabis has antioxidant, anti-inflammatory and other properties that could be  neuroprotective, which may explain some of the positive results some studies have show regarding cannabis and Parkinson's.\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926438/\n\n\ndrkim\n_____________________\nAnd although the research regarding cannabis and motor symptoms of PD has  been conflicting, cannabis has been shown to mitigate many of the non-motor symptoms which often accompany Parkinson's, such as insomnia, pain, anxiety and depression.\n\nAltogether, I consider cannabis as a valuable adjunctive medicine for the treatment of Parkinson's, which should improve the quality of life for most patients afflicted with Parkinson's disease and may even slow the progression of the disease and reduce motor symptoms.\n\nHigher  concentrations of CBD vs THC, such as 20CBD:1THC, will lessen, or even  eliminate psychoactive effects, while still providing pain relief.  However, products with similar levels of CBD and  THC, such as 1:1, are more effective at treating pain, insomnia and  anxiety.  So, for most people, it takes some trial and error before  finding a compromise that provides noticeable relief, while also  avoiding unwanted side effects.\nAs an example:\nFor pain and PD treatment-\nhttps://www.cbd.org/cbd-soft-gels-41 - take one capsule every three to four hours. Each pill should contain 2.5mg of THC, which will likely cause mild psychoactive effects. \nIf you'd like to avoid any psychoactive effects, I'd recommend a product, such as https://www.cbd.org/products/chocolates/18-1-chocolate, also taken every three to four hours\nFor sleep and PD treatment-\nhttps://www.cbd.org/products/chocolates/1-1-chocolate - take one piece one to two hours before bedtime.\nHope this helps!\n\n\ndrkim","image":null}},{"node":{"id":"Question_12046-markdown","title":"How long does it tak for a pharmacist to call back? I called my dispensceray on Tuesday and again today, still no answer from the pharmacist. ","slug":"how-long-does-it-tak-for-a-pharmacist-to-call-back-i-called-my-dispensceray-on-tuesday-and-again-today-still-no-answer-from-the-pharmacist","content":"","image":null}},{"node":{"id":"Question_12041-markdown","title":"I'm looking for a CBD/THC tincture that will help me with anxiety and sleep as well as back pain","slug":"im-looking-for-a-cbd-thc-tincture-that-will-help-me-with-anxiety-and-sleep-as-well-as-back-pain","content":"\n_____________________\nHi there!\nCannabis tinctures/oils with higher  concentrations of CBD vs THC, such as 20CBD:1THC, will lessen, or even  eliminate psychoactive effects, while still providing some pain and anxiety relief.  However, products with similar levels  of CBD and THC, such as 1:1, are more effective at treating pain, insomnia and anxiety.  So, for most people, it takes some trial and error before finding a compromise that provides noticeable relief, while also avoiding unwanted side effects. However, in most instances, I would initially recommend high CBD:THC ratios during the day, such as \nhttps://www.cbd.org/products/drops/18-1-drops\nAnd products with more THC during the evening to more effectively help treat the pain, anxiety and insomnia, such as\nhttps://www.cbd.org/products/drops/1-1-drops\n\nHow to use a sublingual tincture:\nhttps://www.youtube.com/watch?v=Y_G4OqWxgys\n\n\n\ndrkim","image":null}},{"node":{"id":"Question_12005-markdown","title":"I'd like to be contacted when this product comes back in stock.","slug":"id-like-to-be-contacted-when-this-product-comes-back-in-stock","content":"","image":null}},{"node":{"id":"Question_12003-markdown","title":"When do you expect to have LUXLYTE SLEEP back in stock?","slug":"when-do-you-expect-to-have-luxlyte-sleep-back-in-stock","content":"","image":null}},{"node":{"id":"Question_11965-markdown","title":"I started the process to get a prescription and I’d like to cancel and back out. Can I get a refund please? ","slug":"i-started-the-process-to-get-a-prescription-and-id-like-to-cancel-and-back-out-can-i-get-a-refund-please","content":"","image":null}},{"node":{"id":"Question_11941-markdown","title":"What CBD product is good for back pain?","slug":"what-cbd-product-is-good-for-back-pain","content":"\n_____________________\nHello,\nA paper published by the University of South Carolina, School of Medicine, stated that \"the fact that both Cannabinoid-1 and Cannabinoid-2 receptors have been found on immune cells suggests that cannabinoids play an important role in the regulation of the immune system.\" They found that when THC was administered, immune cell activity was reduced, which is to say that inflammation was reduced. \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2828614/\n\nAnd while cannabis research has historically focused on THC, synthetic cannabinoids, or our own naturally occurring cannabinoids (endocannabinoids), there is an evergrowing body of research regarding the anti-inflammatory effects of CBD. In a study with very exciting implications -- this time performed on mice with artificially induced arthritis -- researchers concluded that, similar to THC, \"CBD, through its combined immunosuppressive and anti-inflammatory actions, has a potent anti-arthritic effect\" which may even \"block the progression of arthritis.\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/10920191\n\nFurther, a very recently published study concluded that \"topical CBD application has therapeutic potential for relief of arthritis pain-related behaviors and inflammation without evident side-effects.\" \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851925/\n\n\n\ndrkim\n_____________________\nFurther, a very recently published study concluded that \"topical CBD   application has therapeutic potential for relief of arthritis pain-related behaviors and inflammation without evident side-effects.\" \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851925/\n\nWhen  treating chronic back pain patients, I often recommend a high CBD:low THC, such as the 18:1 products by Care By Design. I also recommend topicl creams with both CBD and THC; when applied topically, the THC will not cause psychoactive effects. \nSome products to consider: \n1.  https://www.cbd.org/products/ - 18:1 products\n2. http://sensiproducts.com/product/sensi-caps-cbd-softgels-full-spectrum-251/\n3. https://jettyextracts.com/collections/pax-era-pods - Cannatonic CBD\n4. https://shop.lordjones.com/collections/products/products/lord-jones-sigur-berry-high-cbd-gumdrops\n5.  https://apothecanna.com/products/extra-strength-relieving-creme\n6. https://getsweetreleaf.com/product/extra-strength-sweet-releaf/\n\ndrkim\n_____________________\nWhen  treating chronic back pain patients, I often recommend a high  CBD:low THC, such as the 18:1 products by Care By Design. I also  recommend topicl creams with both CBD and THC; when applied topically,  the THC will not cause psychoactive effects. \nSome products to consider: \n1.  https://www.cbd.org/products/ - 18:1 products\n2. http://sensiproducts.com/product/sensi-caps-cbd-softgels-full-spectrum-251/\n3. https://jettyextracts.com/collections/pax-era-pods - Cannatonic CBD\n4. https://shop.lordjones.com/collections/products/products/lord-jones-sigur-berry-high-cbd-gumdrops\n5.  https://apothecanna.com/products/extra-strength-relieving-creme\n6. https://getsweetreleaf.com/product/extra-strength-sweet-releaf/\n\ndrkim\n_____________________\nWhen   treating chronic back pain patients, I often recommend a high  CBD:low  THC, such as the 18:1 products by Care By Design. I also  recommend  topicl creams with both CBD and THC; when applied topically,  the THC  will not cause psychoactive effects. \nSome products to consider: \n1.  https://www.cbd.org/products/ - 18:1 products\n2. http://sensiproducts.com/product/sensi-caps-cbd-softgels-full-spectrum-251/\n3. https://jettyextracts.com/collections/pax-era-pods - Cannatonic CBD\n4. https://shop.lordjones.com/collections/products/products/lord-jones-sigur-berry-high-cbd-gumdrops\n5.  https://apothecanna.com/products/extra-strength-relieving-creme\n6. https://getsweetreleaf.com/product/extra-strength-sweet-releaf/\n\ndrkim","image":null}},{"node":{"id":"Question_11930-markdown","title":"What is the dosage of CBD a day to receive chronic back pain from disc herniation?","slug":"what-is-the-dosage-of-cbd-a-day-to-receive-chronic-back-pain-from-disc-herniation","content":"\n_____________________\nHello! I recommend to start with high ratio of CBD to THC, around 20:1. There is no standardized dosing, other than to say start low and go slow. A low dose is around 2.5 - 5 mg once a day. Increase as needed or as tolerated to find relief. In addition to an internal cannabis product, you can also try an external cream or balm to put on the skin at the site of pain. The benefit of using a CBD product is that it helps to relieve neuropathic or nerve pain and inflammation. Hope this provides you with some relief. Best of luck.\n\ndrjacquelynlew\n_____________________\nDr. Jacquelyn Lew gave a very good answer...keep in mind that if after experimenting with high CBD and you still don't get relief, some people find that adding a small amount of THC to the CBD can be helpful. If you keep the CBD content higher than the THC, you should not experience the uncomfortable effects of too much THC. \n\nPiantaTinta","image":null}}]}},"pageContext":{"limit":12,"skip":0,"numPages":16,"currentPage":1,"id":4982,"name":"Back","slug":"back","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}