{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/cannabis/58","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_7351-markdown","title":"My diagnosis is \"mild\" cerebral palsy   ","slug":"my-diagnosis-is-mild-cerebral-palsy","content":"\"My diagnosis is \"mild\" cerebral palsy; some symptoms are like fibromyalgia. In addition:  muscle spasms, chronic pain, leg weakness, difficulty sleeping.  In my four years on medical marijuana, the blessed herb has “quelled” my pain enough to get some sleep, but not deep enough sleep to ever feel rested.   My question for you is:  What do you believe to be the best ratio of THC to CBD for muscle spasms and resulting pain.  I wrote THE MEDICAL MARIJUANA HANDBOOK: A PATIENT’S GUIDE TO HOLISTIC HEALING WITH CANNABIS, so I know a bit on the topic -- but it's not easy finding specific ratios for specific issues. And, as I'm sure you know, other cannabinoids like CBN, CBG and CBC are also noted to help with pain and spasms, but almost never listed in a chemical analysis available to patients. A very well respected M.D. who has written books on cannabis told me to use a ratio of 3:1 CBD:THC.  So I’m doing my own trial on that right now, using two separate products to get that ratio – or close to it, anyway.  But I’d love to know your opinion.  Thanks for being there and for your help! Norma\"\n_____________________\nI certainly don't have the kind of problems that you've had to deal with since birth but your question has significant complexity. I actually would like to know what you're doing the rest of the day. Are you taking CBD during the day? Do you have a good sleep hygiene, like wearing sunglasses about an hour before bedtime? Do you have a stressful job? Do you notice your mind won't shut up? Do you maintain a healthy blood level of vitamin D3? Are you doing Sativa and then following it with Indica? Have you tried a large doses of CBD or concentrated CBD? Are you rubbing your body down with 1:1 CBD: THC Salve before bedtime? Are you taking concentrated calcium (increases muscle spasms) or do you take magnesium? Have you had your genetic chart done with a methylation analysis? If you have your methylation analysis it may reveals at you need specific nutrients, or if you have COMT snps (Single nucleotide polymorphisms) in your chart, it indicates that you are very sensitive to neurotransmitter imbalances and you may benefit from stabilizing the neurotransmitters with other supplements.\nI would love to continue this dialogue but I can only answer one time and then you must come back in with a new entry in order for me to answer you again.\n\ndrolson\n_____________________\nHello there!  To start off, I want to  say kudos for taking the challenges of even \"mild\" CP and going on to overcome said challenges and even write a book on med. cann that has helped others!  Besides the excellent advice from Dr. Olsen, I might add that you might want to look into two sets of  med cann products.  One set, for daytime, might have more CBD & THC  and the other set of med cann products with more THC & CBN.   The reason that I don't set a specific ratio of cannabinoids is that every person is different in their response!  At least for me, one of the beauties of cann. medicine is that dosage is placed in the control of the patient.  So I say go ahead and experiment;  for example the 3:1 ratio of CBD:THC is probably not supported by any literature but by a pooled analysis of the pts seen by this physician.   However, why not experiment (carefully) w/ 2:1 ratio?  or 10:1?  Don't forget, method of cann. intake will also effect the pharmacodynamics/ pharmacokinetics (what the drug does to the body and vice versa).  That is, using a vape-pen will be a completely different experience from trying tincture drops in tea or even micro-dosing edibles.    I hope that this helps; feel free to joing any of our qualified MD's for a tele-chat session!\n\ndrpark","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_7344-markdown","title":"Can cannabis pair with certain essential oils to help with specific medical needs?","slug":"can-cannabis-pair-with-certain-essential-oils-to-help-with-specific-medical-needs","content":"\"Have you at Evoxe found that pairing cannabis with certain essential oils help with certain medical needs? For example, I use lavender oil and CBD when my muscles are tense. \"\n_____________________\nWe have definitely found that incorporating essential oils with cannabinoids creates targeted effects in both the mind and body.  By creating these purpose driven formulas based on the responses that the body has to essential oils, we can hone in on how people want to feel when choosing different varieties of cannabis and help steer their bodies and minds in that direction.  Essential oils are cocktails of terpenes, organic compounds that exist in all living matter which provide the direction of the psychoactive experience contained within cannabis, so they are particularly effective when combined with cannabinoids to create desired effects.\n\nmichaelkatz","image":null}},{"node":{"id":"Question_7341-markdown","title":"Can I purchase from you with an AZ MM ID?","slug":"can-i-purchase-from-you-with-an-az-mm-id","content":"\"I have diagnosed Chronic Fatigue Syndrome, Fibromyalgia, Endometriosis, Interstitial Cystitis and, sadly, a couple more. The worst symptom of all these, combined, is chronic insomnia.  I typically don't fall asleep until 2:30-4:30am, sometimes I don't fall asleep at all and will watch the sunrise. This is after taking multiple types of meds (antihistamine, melatonin, benzos, etc) at about 10:30 at night. I don't drink alcohol or caffeine, nor do I nap during the day, in the hopes that I am able to actually sleep at bedtime.  Nothing works and I'm very concerned about the amount of medication that I'm taking.\n\nI haven't been anywhere near any type of cannabis for almost 30yrs, so I have no clue where to start.  \n\nMy first question is; I live in AZ.  If I am able to obtain an ID card here, am I able to consult and purchase from you?\"\n_____________________\nWe do not sell any cannabis products but we do keep you informed about cannabis products especially from our cannabis partners and you will see those advertised on our website.\nIn order to purchase products from California, you must be in California because I don't think any cannabis company will ship across state lines. To obtain a California recommendation you must be physically present in California at the time of your interview.\nIn order to answer your question regarding your chronic insomnia, you would have to pose the question as a new one since I can only answer once for your current question.\nI would like to know what treatment plan you're using currently that isn't working. Are you doing Sativa followed by Indica? If so, you're just bumping your THC up over and over again and stimulating your brain. When you are doing Sativa and you want to go to sleep, add a healthy dose of CBD and it will combine with a high THC in the Sativa to make an Indica. If you go to sleep and can't stay asleep then you may need CBN. If you have a stressful day I doing courage that you use CBD through the day to help with your sleep at night.\nIf you need additional information, please send it in another question or you can wait and see if I other doctors and answers this question you have posed.\n\ndrolson","image":null}},{"node":{"id":"Question_7339-markdown","title":"I vape marijuana oil and it works for me. Is it really a healthier option over other methods?","slug":"i-vape-marijuana-oil-and-it-works-for-me-is-it-really-a-healthier-option-over-other-methods","content":"\n_____________________\nTinctures applied under the tongue offer an option with rapid onset, precise dosing and  good absorption. Many different formulations are available. Try varying ratios of CBD:THC and deciden what works best for you and your lifestyle.\n\nandrewvanmd","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_7318-markdown","title":"Where can I buy cannabis plants for home garden?","slug":"where-can-i-buy-cannabis-plants-for-home-garden","content":"\n_____________________\nI would check with your local dispensaries...many dispensaries have members that grow cannabis plants, many are clones that have roots and are ready for transplant. Cost usually is around $12-$18 depending on size.\n\nPiantaTinta","image":null}},{"node":{"id":"Question_7315-markdown","title":"What is the best cannabis strand to help induce eating?","slug":"what-is-the-best-cannabis-strand-to-help-induce-eating","content":"\"I am looking to help my 77 year old father. He lost 45 pounds in 4 months.  Haven't found any reason, as of yet.  He needs to induce hunger without anxiety.\n\"\n_____________________\nPersonally I use cannabis to help with Migraines and the side effects I get are the \"munchies\", or a stimulation to my appetite. I generally smoke \"Purple\" strains such as Granddaddy Purple or Purple Urkle. These strains are Indica and generally put me to sleep as well. A Hybrid I use to stimulate appetite recently has been Gorilla Glue #4, but that is a Sativa dominate strain that can induce anxiety in some.\n\nBartSmart\n_____________________\nI keep hearing the strain Tahoe OG thrown around when it comes to appetite. Similar to Bart, I also hear Purple strains are great for appetite, specifically purple platinum. \n\nI also find Girl Scout Cookies has a modest appetite boost and you can't go wrong with many of the cookie strain crosses.\n\nryan","image":null}},{"node":{"id":"Question_7313-markdown","title":"Effects on sleep","slug":"effects-on-sleep","content":"\"Why do my dreams go away if I smoke cannabis daily for about a week? And then, why do they return so vividly if I take a tolerance break? \"\n_____________________\nAccording to an 2014 article on LeafScience.com, here is their answer to your question:\nMarijuana and REM Sleep\n\nThe brain is most active during REM sleep and most dreaming is thought to occur during this stage. Numerous studies have shown that using marijuana before bed reduces REM sleep. Researchers believe this is why marijuana users report fewer dreams.\n\nDuring the night, the brain cycles through 4 different stages of sleep, spending the most time in deep sleep (or slow-wave sleep) and REM sleep. The amount of time spent in these two stages is closely related. In fact, studies show that marijuana lengthens the time the brain spends in deep sleep, which leads to less REM sleep.\n\nIngesting THC or marijuana before bed also appears to reduce the density of rapid eye movements during REM sleep. Interestingly, less REM density has been linked to more restful sleep.\n\nMost studies on marijuana and REM sleep have looked at the effects of THC. However, other compounds in marijuana may interfere with THC’s effect on sleep. For example, CBD has been found to promote wakefulness compared to taking THC alone.\nWhat Happens When Quitting\n\nRegular users of cannabis experience an abnormal increase in REM sleep when use is stopped. This is called the REM rebound effect, which leads to longer and denser periods of REM sleep. The REM rebound explains why cannabis users often experience highly vivid dreaming when trying to quit.\n\nThe sleep disturbances that occur during cannabis withdrawal usually begin 24-72 hours after quitting and can persist for up to 6-7 weeks.\n\nInterestingly, the REM rebound is not unique to cannabis use. Other substances that interfere with sleep, such as alcohol and sleep medications, can cause REM rebound too. What’s more, people who are sleep deprived often undergo a rebound in non-REM sleep.\n\nThe rebound effect appears to be the body’s way of coping with being deprived of certain stages of sleep.\n\nPiantaTinta","image":null}},{"node":{"id":"Question_7303-markdown","title":"Do you have any CBD vape pens?","slug":"do-you-have-any-cbd-vape-pens","content":"\"I'm not in a legal medical marijuana state. Do you ship?\"\n_____________________\nUnfortunately, the FDA has just made all marijuana extracts, including CBD-only, Schedule 1. :( :( https://www.theweedblog.com/cbd-schedule-1-drug-dea/\n\njareth","image":null}},{"node":{"id":"Question_7302-markdown","title":"What type of marijuana is used in the Engage vape pen?","slug":"what-type-of-marijuana-is-used-in-the-engage-vape-pen","content":"\"Are there any additives?\"","image":null}}]}},"pageContext":{"limit":12,"skip":684,"numPages":63,"currentPage":58,"id":5052,"name":"Cannabis","slug":"cannabis","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}