{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/cannabis/9","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_11794-markdown","title":"Can I do cannabis if I’m taking Eliquis, a blood thinner?  ","slug":"can-i-do-cannabis-if-i-m-taking-eliquis-a-blood-thinner","content":"\n_____________________\nyes ,, but make sure your INR is ck 1x a week\n\nGMAN\n_____________________\nThe cytochrome p450 system accounts for 70 to 80 percent of the enzymes involved in drug clearance, making it the most important system for drug metabolism. Both THC and CBD are competitive inhibitors of three different enzymes in the cytochrome p450 system, two of which are involved in the metabolism of Eliquis (apixaban). This means that CBD and THC  are competing for the same receptors as is Eliquis. So when Eliquis is taken concurrently with CBD and/or THC, Eliquis levels could possibly rise. When Eliquis levels rise excessively, blood clotting may be compromised leading to signs ranging from frequent bloody noses all the way on up to a potentially fatal event, such as a hemorrhagic stroke or heart attack.\nhttps://ghr.nlm.nih.gov/primer/genefamily/cytochromep450\n\nAnother  case report suggested that extremely high doses of CBD can lead to markedly elevated coumadin (Warfarin) levels. Coumadin is a blood thinnner that is metabolized similarly to how Eliquis is.  Enrolled in a clinical trial evaluating CBD as a potential treatment for epilepsy, the test subject  was given extremely high doses of CBD. He was first given doses averaging 265mg, which resulted in slightly elevated coumadin levels. At doses averaging 528mg, the coumadin levels were markedly elevated. After reducing the coumadin dose, INR results normalized. Relevantly,   very few patients, if any, would ever take as much CBD.\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789126/\n\ndrkim\n_____________________\nHowever, like coumadin, a highly elevated Eliquis level can lead to serious consequences. Accordingly, you  should discuss the matter with your prescribing physician and also monitor your INR results with additional vigilance.\n\ndrkim\n_____________________\nDr. Kim points out the potential danger of taking cannabis with medications that compete for the same metabolic pathway.  Fortunately, as a practical matter there is little in the medical literature describing any actual clinical cases of excess anticoagulation based on cannabis use while on Coumadin etc.  In fact, I often speak with patients who have been using cannabis while on anticoagualant medications and none of them has ever reported a clinically significant effect requiring reduction of anticoagulant dose.  I do not consider being on anticoagulant medication a contraindication to cannabis use.  I'd say cannabis users on anticoagulant medication should be careful to have regular INRs to keep an eye on the situation, and would expect to see little change unless other medications are involved or very large amounts of cannabis are being used.\n\ndrelkind\n_____________________\nHi! \n\nWhile I couldn't find info about Eliquis, this article is pretty extensive and covers the topic of cannabis and how it affects blood pressure. I'm no medical professional, but it looks like the studies produced mixed results.\n\nThere's also bunch of handy general info on blood pressure medications side effects, as well as blood pressure readings. Definitely worth a read!\n \nhttps://www.hellomd.com/health-wellness/5c4901f99cbdac000854fc82/can-cannabis-help-lower-blood-pressure    \n\natkanesh","image":null}},{"node":{"id":"Question_11789-markdown","title":"Can cannabis be used to treat schizoaffective disorder?","slug":"can-cannabis-be-used-to-treat-schizoaffective-disorder","content":"\n_____________________\nHello, \nThe research regarding CBD and psychotic disorders is scant. \nHowever, \"a targeted literature review  from several research domains suggests that CBD shows potential for antipsychotic treatment.\"\nhttps://www.europeanneuropsychopharmacology.com/article/S0924-977X(13)00332-5/fulltext\n\n\"To date, only one published trial investigated the antipsychotic properties of cannabidiol in patients with schizophrenia. This study was rated as high risk of bias. In this 4-week parallel, active-controlled trial, 42 patients with schizophrenia were randomized to receive either cannabidiol or amisulpride ... While significant clinical improvements were observed in both treatments, no statistical significant difference was reported between groups. However, cannabidiol treatment displayed a superior side-effect profile, compared to amisulpride treatment. Specifically, cannabidiol was associated with significantly smaller weight gain, lower prolactin levels and lesser extrapyramidal symptoms.\"\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678490/#b21-cpn-15-301\n\nHowever, if you do decide to try CBD, do so under the guidance of your psychiatrist. And it is imperative that you use pure CBD, since THC may trigger or exacerbate a psychotic episode. \n\ndrkim","image":null}},{"node":{"id":"Question_11781-markdown","title":"What, if anything, is the difference between Medical and Recreational Marijuana?","slug":"what-if-anything-is-the-difference-between-medical-and-recreational-marijuana","content":"\n_____________________\nThe difference would be in the laws and possession limits. For example, in California, recreational customers can purchase up to 28 grams (1 ounce) of flower, 8 grams of concentrate, and grow up to 6 plants for personal use. In addidtion, recreational customers are only allowed to make one purchase per day, whereas medical patients can purchase in larger quantities (up to 8 ounces of flower) and can make more frequent purchases as they are not limited to one per day. For a state by state breakdown on the cannabis laws in the US, check out this article to learn more: https://www.hellomd.com/health-wellness/5a85fbfcf24d1300077ccb4e/cannabis-in-america-a-state-by-state-guide\n\nnsavelli","image":null}},{"node":{"id":"Question_11779-markdown","title":"  Can you do Telehealth consults for people in Georgia who now qualify for Medical Marijuana usage?","slug":"can-you-do-telehealth-consults-for-people-in-georgia-who-now-qualify-for-medical-marijuana-usage","content":"\n_____________________\nOur doctors service is currently only available to those physically located in California or New York at the time of their consultation, and will only allow you access to the California or New York medical marijuana system.\n\n\nBartSmart\n_____________________\nHi there! \n\nGeorgia currently offers a low-THC oil program that you may qualify for! You can learn more about it here: https://dph.georgia.gov/low-thc-oil-registry \n\nI hope this information helps! :-) \n\nVeronicaB","image":null}},{"node":{"id":"Question_11778-markdown","title":"How do I get a medical marijuana card for the state of Delaware ","slug":"how-do-i-get-a-medical-marijuana-card-for-the-state-of-delaware","content":"\n_____________________\nHi there! \n\nUnfortunately, HelloMD is not currently offering doctors consultations for the state of Delaware. Our doctors service is available to patients in California, New York and Canada. \n\nHere is some information about obtaining a medical marijuana recommendation in Delaware: \n\n-You must be at least 18 years of age (minor patients must have consent from a legal guardian or parent)\n-You must be a resident of Delaware with a driver's license or state ID from Delaware, or be able to provide proof of residency\n-You must have a qualifying medical condition; the adult patient qualifying condition list can be found here: http://dhss.delaware.gov/dph/hsp/medmarconditions.html \n-You must have a Physician Certification from a Delaware licensed MD or DO \n\nYou can learn more about the Delaware Medical Marijuana Program by here: http://dhss.delaware.gov/dph/hsp/medmarpt.html\n\nI hope this information helps! :-) \n\nVeronicaB","image":null}},{"node":{"id":"Question_11765-markdown","title":"I am interested in growing my own marijuana to consume in smoothies. ","slug":"i-am-interested-in-growing-my-own-marijuana-to-consume-in-smoothies","content":"\"Most of the reading I have done about growing emphasizes flowers and buds. I am wondering if pinching off the buds will yield more leaves or if there is a better way to go about this.\"\n_____________________\nWe recommend waiting for the havest to finish before removing the leaves. Buds produce trichomes which benefit the plant in numerious ways.\n\nTrichomes give cannabis its unique mental and body effects so without the trichomes your leaves may not have as much of the desired effect that you are looking for from cannabis. \n\nCannabis plants need essential oils to deter insects and protect the plants as well, and trichomes come into effect here as well. \n\nYour plant may be healthier if you allow the buds to grow naturally and then at the end of the harvest you may collect all your leaves at once. Leaves then can then be flash frozen so that they can be preserved for later use. \n\nBartSmart","image":null}},{"node":{"id":"Question_11762-markdown","title":"I need a copy of my medical marijuana card","slug":"i-need-a-copy-of-my-medical-marijuana-card","content":"","image":null}},{"node":{"id":"Question_11761-markdown","title":"Can you tell me what some of the bad effects of marijuana are? ","slug":"can-you-tell-me-what-some-of-the-bad-effects-of-marijuana-are","content":"\"I just got my medical marijuana card and am wondering if you can provide some guidance. I'd like to avoid having a bad experience, if possible. Thanks!\"\n_____________________\nHello,\n\ndrkim\n_____________________\nI'm glad you asked that question because, although cannabis is not toxic, it can cause transient unpleasant effects when it is used inappropriately. To begin with, as with many other substances, the effects can change as the dose increases rather than just get stronger, so it behooves a new user to be cautious in starting with small amounts and increasing the amount taken in modest increments.  I strongly recommend reading  https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana. You will find that the ratio of two compounds found in cannabis, CBD and THC, is important in determining its effects. Large amounts of THC without the presence of sufficient CBD can be too stimulating for some people and actually even cause anxiety, when smaller doses adequately balanced with CBD are often helpful for reducing anxiety.  Other adverse effects of taking too much cannabis can include vertigo, nausea, confused thinking, and the anxiety from being incapacitated by these symptoms.  Just lying down in a darkened room for a few hours will be all that is necessary to feel well again and no 'treatment' is required.  Cannabis is remarkably non-toxic to human physiology and by itself poses no known threat to any organ system.  One other suggestion: try to keep in mind that taking alcohol or other medications with cannabis can create a lower threshold for adverse effects, and the disinhibition from alcohol can make that slope slippery.  I hope this is helpful. \n\ndrelkind\n_____________________\nHi there!\n\nI agree with @drelkind !  Like any controlled substance, when used correctly, you should be able to reduce the chance of experiencing any bad effects of marijuana. This is why we always encourage patients to begin their consumption with a very small amount and increase as needed to achieve the desired effects.\n\nWith that said, the bad effects of marijuana will vary from person to person. Some examples of these effects include increased heart rate, coughing or difficulty breathing, nausea or light-headedness and feeling sluggish. These effects could come on immediately or hours after consumption. If you are noticing some bad effects of marijuana, here are a few tips to help you manage until you feel you are back to normal;\n\nConsume a High-CBD product if you have one available. CBD can help reduce the bad effects and decrease feelings of being “too high.” Also, try to stay hydrated by drinking water or juice with lots of antioxidants to help flush out the activated THC. Lastly, it always helps to relax as much as possible! If taking a nap is an option, try getting some rest! If you cannot take a nap, do your best to stay calm and remember that the bad effects of cannabis will eventually subside.\n\nI hope this information helps! :-) \n\nVeronicaB","image":null}},{"node":{"id":"Question_11757-markdown","title":"Are there differences in REM sleep between CBD and THC?","slug":"are-there-differences-in-rem-sleep-between-cbd-and-thc","content":"\"I am aware that marijuana suppresses REM sleep, which is something that I have missed incredibly, so after learning of this I stopped smoking entirely and have been dreaming nightly. I am a legitimate medicinal marijuana user, however, and my arthritis, aches and pains have come back. With that being said, I am trying to find research on (but have had no luck) whether or not CBD oil would also suppress REM sleep, or if using that would allow me to figuratively have my cake and eat it too? I want to be able to continue dreaming lucidly, vividly, and nightly as I currently am, but I also don't want to have to deal with the pain. Thank you for your time.\"\n_____________________\nHello,\nAccording to one study, similar to THC, CBD was shown to reduce the time spent in REM sleep. The study also suggested that CBD reduced stage 4 sleep. \nhttps://www.sciencedirect.com/science/article/pii/S0014579306008155\nHowever, in order to better understand how CBD affects your own ability to dream, I recommend that you consume pure CBD at the same time you would take your \"standard\" cannabis. If you still don't dream much, try taking the dose earlier, so that the CBD and or/THC has more time for elimination. \n\n\ndrkim\n_____________________\nThe effect of cannabis on REM sleep duration is well established, and most regular cannabis users report increased dreaming upon stopping their cannabis use.  I agree with Dr. Kim that you should just go ahead and try pure CBD to see if it affects your dreaming.  Here is some evidence that CBD does not, in fact, disturb the normal sleep cycle https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895650/   \nOf course, I also want to note that I'm not aware of any adverse health effects attributable to the shortening of REM sleep in regular cannabis users.  There is a potential health consequence of REM deprivation, but no evidence at all that the changes observed with cannabis use in any way constitute 'deprivation.'  For some people (eg PTSD patients) this reduction in dreaming is, in fact, experienced as therapeutic, especially when subjectively compared with their former sleep quality.  \n\ndrelkind","image":null}},{"node":{"id":"Question_11740-markdown","title":"Which fat is best to feel the effects of THC?","slug":"which-fat-is-best-to-feel-the-effects-of-thc","content":"\"Someone told me that you have to have fat with your marijuana, specifically THC, to feel anything or get high. Is that true? And if it is, which fat is best -- I bought tinctures with olive oil and other stuff with coconut oil. Are they both good for THC?\"\n_____________________\nThat is partly true. While some edibles containing THC that are consmed bond to your body fat, there are plenty of others that bond in different ways. For example, several products that we carry, such as the Level tablinguals or the Petra mints, the THC is absorbed through your saliva glands for a faster, more precise dosing. \n\nnsavelli\n_____________________\n\nTHC is \"fat-soluble\". \n\nThe word “soluble” actually means “able to be dissolved.” When THC is classified as 'fat-soluble' it has to do with how THC is absorbed and stored in the body.\n\nNot all fats break down THC equally. Olive oil was once one of the more desirable options as it absorbs healthy nutrients easier than butter. Coconut oil seems to have taken the top ranking by being the best at cannabinoid absorption due to its ability to break down cannabis very well because of coconut oil's high levels of saturated fat. Bottom line, the higher the saturated fat levels the better it breaks down THC because THC is fat soluble.\n\nCoconut oil has the highest saturation rate followed by palm kernal oil, and then butter.\n\nCoconut oil may be your healthiest bet but its not the least expensive so you can try unsalted butter as well. Personally, a nice greasy cheese pizza works well for me ;) \n\nBartSmart","image":null}},{"node":{"id":"Question_11739-markdown","title":"What are the strongest marijuana strains out there? ","slug":"what-are-the-strongest-marijuana-strains-out-there","content":"\"I'm interested in knowing what strains have the highest THC percentage. I have chronic pain and need really strong cannabis to help me get through the day.\"\n_____________________\nIt depends on what effect you are looking to get, and also the types of strains and the exact high THC percentages that you prefer. From the symptoms that you are describing, the strongest marijuana strains I would recommend would mainly be heavy indica strains. If you prefer more flavorful marijuana strains I would suggest the various Gelato strains, GSC, Sunset Sherbet, Grand Daddy Purple, Purple Punch, Cherry Pie, Afghani, etc. However if you prefer less flavorful strains that still have high THC percentage, I would recommend Gorilla Glue #4, the various OG strains, Kush based strains, God's Gift, Northern Lights, etc. \n\nnsavelli\n_____________________\nIf getting enough THC were all that is needed you could just smoke or eat more, rather than try different strains. But the differences in effects between cannabis varieties seems to have a lot do with what else is in the plant, particularly the amounts of the many other cannabinoid compounds and, perhaps even more importantly, the amounts of the various essential oils (terpenes). It has been observed that pain relief is often best with whole-plant preparations in order to take advantage of the interaction of all the active compounds in cannabis working together, which is sometimes termed the \"entourage effect\" (try a search on that term). The Indica dominant varieties are often experienced as more sedating in their effects, and for some people this might contribute to better pain relief.  But sedation is not always appropriate for 'getting through the day.”  There is no variety of cannabis that has been shown to be 'better' for pain relief.  That effect is highly individualized.  Many patients who try various hybrid strains will find one or two whose effects they prefer to the others, and use that clue to try related strains until they discover what seems most helpful for their symptoms.  This is why I always suggest patients persevere in their exploration if the first cannabis they try doesn't provide as much relief as they are looking for.  I wish you success in your quest \n\ndrelkind\n_____________________\n \nAfter doing some research, I’ve found that the strongest marijuana strains consistently have over 20% THC content, and have been known to test upwards of over 30% THC. Durban Poison, Chemdawg, Godfather OG, and Strawberry Banana are some of the strains that I’ve found with the highest THC percentage. I’ve tried most of these strains and I must say that I agree with these being listed as some of the strongest marijuana strains. As long as you are located in our service area, you can purchase Chemdawg through us. \n\nYou can use this link to view more info: https://www.hellomd.com/products/5af63e661bf83e0007fdd9d1/chemdawg\n\nRyanG","image":null}},{"node":{"id":"Question_11738-markdown","title":"Can Cannabis be used to treat Vetiligo and how does that work?","slug":"can-cannabis-be-used-to-treat-vetiligo-and-how-does-that-work","content":"\"I have Vetiligo. I was wondering if Cannabis be used as a treatment of Vetiligo or for auto immune diseases such as ITP. I tried Cannabis a few years ago and soon after that my Chronic ITP (autoimmune disease) was cured. I am not sure if it was Cannabis that cured it as at that time, I was also on other immunosuppresant drugs, such as steroids and azathioprine, that may have had a part to play or it could have been just a coincidence. Right now, I am putting Eczhemus and steroid ointment on the Vetiligo affected areas and its not working out. Your reply would be highly appreciated. Thank you.\"\n_____________________\nVitiligo is an autoimmune condition that causes your own body to destroy your skin's pigment-producing melanocytes.  Cannabis helps decrease inflammation, and therefore often helps people with autoimmune conditions; however, once a melanocyte is destroyed in the skin I do not see any data that supports your melanocytes coming back with the use of cannabis.  Whether it decreases the progression of the disease by decreasing your stress level is unknown as well.  I also have no ancetdotal reports of patients with improvement of their Vitiligo.  \n\ndrb","image":null}}]}},"pageContext":{"limit":12,"skip":96,"numPages":63,"currentPage":9,"id":5052,"name":"Cannabis","slug":"cannabis","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}