{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/opioids/","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_12305-markdown","title":"Looking for non-psychoactive pain relief","slug":"looking-for-non-psychoactive-pain-relief","content":"\"Breast cancer patient, finished with Chemo, had 1st surgery, next surgery in 4 months.  Want to stop using prescribed opiate pain killers, but need to get steady pain relief.  Any suggestions?\"\n_____________________\nHi there!\nYour choices would be between  either pure CBD products, or those with low concentrations of THC in  relation to CBD. When searching for the latter—which should be somewhat  more effective than pure CBD—look for ratios of between 10:1 and 20:1.  Ratios indicate the parts of CBD vs parts of THC; most often, the first  number indicates the portion of CBD; the second, the portion of THC. So,  10:1 would indicate 10 parts of CBD, per every part of THC. Therefore, a  10:1 product would contain a higher proportion of THC than would a 20:1  product. \n\nSome excellent products to consider:\nhttps://www.hellolift.com/products/5b57a71f02f1740001522f78/cbd-hemp-oil-capsules\nhttps://www.hellomd.com/products/58ed54d1c064b41c99fad29e/181-sublingual-drops\nhttps://www.hellomd.com/products/5bce4990644bb2fbfe167141/cbd-rich-wild-strawberries\nIf the pain is localized, I also recommend topical products with BOTH CBD and THC (topical creams won't cause psychoactivity):\nhttps://www.hellomd.com/products/5b6e09bd96120c00012c6935/13-releaf-balm\nhttps://www.hellomd.com/products/5b6e0e4a96120c00012c6946/31-releaf-balm\nI hope this helps!\n\ndrkim","image":null}},{"node":{"id":"Question_12080-markdown","title":"What strain can I use for opiate withdrawals? ","slug":"what-strain-can-i-use-for-opiate-withdrawals","content":"\n_____________________\nHi there!\nTapering off of opiates is never pleasant, potentially dangerous, and should always be performed under the close supervision of a  physician.  Symptoms during withdrawal may include: muscle aches,  restlessness, anxiety, runny nose, sweating, insomnia, abdominal  cramping, diarrhea, nausea and vomiting. Cannabis should help alleviate  pain, anxiety, insomnia, restlessness and nausea; these issues are best treated with a decent amount of THC. Accordingly, I would likely discourage, unless  the patient were averse to THC, using a very high CBD vs low THC product, nor would I recommend very high CBD strains in this situation.  Here are products and strains for you to consider:\n\n 1. https://www.cbd.org/products/chocolates/1-1-chocolate - a \"whole plant\" 2:1 edible\n2. http://dosist.com/pen-relief/ - a 1:2 vaporizer pen\n3. http://kivaconfections.com/products/bars/ginger - a 1:1 \"whole plant\" edible\n\nSome CBD strains to consider: \nSweet and Sour Widow - a 1:1 indica strain \nPennywise - a 1:1 indica strain \nCannatonic - a 3:1 hybrid strain\n\nSome \"standard\" strains to consider (indica or indica dominant hybrids):\nGrand Daddy Purp\nNorthern Lights\nGod's Gift\nChocolate Chunk\n\nHope this helps!\n\ndrkim\n_____________________\nHello, \n To deal with opioid dependence and withdrawal symptoms can be very difficult; and \"cannabis can be safer than other harm reduction options like methadone and Suboxone\" (Sulak, 2018). It does not have the risk of a fatal overdose and has a lower risk of dependence and problematic use than other psychoactive substances. \nI would recommend patients who use cannabis to help with their opioid addiction and withdrawal symptoms to start with a liquid cannabis preparation (tincture or oil) that can be administered under the tongue. The method allows for intermediate onset of benefits and easy dosage adjustments by precise dose while using drops or an oral syringe.\n The oral liquid preparation of cannabis should be taken 3 to 4 times daily or with every administration of an opioid drug. \n The content of CBD and THC is important. \"For most of patients, a CBD:THC ratio of approximately 1:1 is broadly effective and well tolerated\" (Sulak, 2018).  Those who are  sensitive to THC can reduce potential unwanted effects by using a CBD:THC ratio of 4:1 or higher. \nEvery two-three days,  the dose choosen preparation can be slowly increased by 1 to 2 mg for THC and CBD correspondingly.   Most patients achieve good results up to 15 mg of THC per dose. \nHopefully the information helped. \nFor more information you can read https://healer.com/wp-content/uploads/2018/04/Healer-Medical-Cannabis-Opioid-Guide.pdf\n\nSulak, D. (2018).  Medical Cannabis Opioid Guide. \n\nkrabell14","image":null}},{"node":{"id":"Question_11792-markdown","title":"I am have currently just weened myself off all opioid medications first time in 9 years.","slug":"i-am-have-currently-just-weened-myself-off-all-opioid-medications-first-time-in-9-years","content":"\"I am in Ohio and our program keeps getting pushed back.  Now I can’t function. Migraines, vertigo and chronic leg pain have made me housebound while my doctors just bounce me around with different insurances declining alternative therapy’s. Any suggestions to help get me to October.  It took me a year to to get off all my meds, don’t want to go backwards.\"\n_____________________\nCongratualtions! There is a growing body of research supporting the medical use of cannabis as an adjunct or substitute for opioids. CBD is a relatively safe, non-impairing cannabinoid that has been shown to have many therapeutic effects, including the reduction of heroin-seeking behavior in mice, and positive effects on mental health conditions like anxiety, depression, psychosis and bi-polar disorder. Start with Hemp derived CBD, it's legal to buy and can hold you off until the dispensaries open when you'll then have more options.\n\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563007/\n\ntatiananp","image":null}},{"node":{"id":"Question_11771-markdown","title":"can I get certified if I'm currently taking an opioid medication? ","slug":"can-i-get-certified-if-im-currently-taking-an-opioid-medication","content":"\n_____________________\nHello,\nTaking opiates would not preclude you from obtaining a medical cannabis recommendation. In fact, cannabis should help pain patients reduce the dose of or even discontinue opiates altogether. \n\"Medical cannabis laws are associated with significant reductions  in opioid prescribing in the Medicare Part D population. This finding  was particularly strong in states that permit dispensaries, and for  reductions in hydrocodone and morphine prescriptions.\"\nhttps://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2676999\n\ndrkim\n_____________________\nCBD Hemp oil Is not Pschoactive no precription necessary  more info here http://naturalhealth1.myctfocbd.com/\n\nRm82rocks\n_____________________\nI agree with Dr. Kim that cannabis can be helpful in reducing the need for opioids in chronic pain.  Many patients describe being able to reduce or discontinue opioids using medicinal cannabis.  I want to point out that it's a good idea to take care to avoid the unpleasant side effects sometimes seen when combining both medicines at higher doses, such as dizziness and nausea, by starting with small amounts of cannabis along with your regular pain medication. Also, you might begin with one half the usual dose of pain medicine to see how the combination affects you, since cannabis can potentiate the pain relieving effects of opioids and allow patients to experience pain reduction at a lower dose of opioid.  So you can get a medical recommendation and give it a try yourself.\n\ndrelkind","image":null}},{"node":{"id":"Question_9187-markdown","title":"Newbie edibles for cronic pain.","slug":"newbie-edibles-for-cronic-pain","content":"\"I've never consume cannabis in any manner. I have been in horrible chronic pain after a leg bypass surgery period opiates are not working period have applied for a medical marijuana card. Not sure what dose to start with. I prefer edibles. Any suggestions. Thanks in advance.\"","image":null}},{"node":{"id":"Question_9111-markdown","title":"Can tincture used for pain after heart surgery instead of opioid?","slug":"can-tincture-used-for-pain-after-heart-surgery-instead-of-opioid","content":"\n_____________________\nHi there! This is not an uncommon question in the HelloMD Community. \n\nThe bottom line is that you should speak with your surgeon and/or cardiologist to express your interest in taking cannabis to manage your post-surgical pain; this will ensure you have no unpleasant interactions with other medications you may be taking. \n\nDr. Perry Solomon discusses this exact issue at length in this article: \n\nashleigh","image":null}},{"node":{"id":"Question_8907-markdown","title":"Opioid addiction rehabilitation ","slug":"opioid-addiction-rehabilitation","content":"\" \"","image":null}},{"node":{"id":"Question_8904-markdown","title":"What strains are best for getting off of opiates?","slug":"what-strains-are-best-for-getting-off-of-opiates","content":"\n_____________________\nHi there! First off, I would encourage you to join our Opioid Dependency community if you haven't done so already; you'll be able to connect with other members who are dealing with the same issues. Also, please check out the following articles, posts, and Q&As that are about using cannabis to decrease or eliminate the use of opioids:\n\nashleigh","image":null}},{"node":{"id":"Question_8734-markdown","title":"Migraines😢","slug":"migraines","content":"\"Is 20:1 tincture best for migraines?  I have been taking opioids for many years & am trying to wean off.  Is a tincture the quickest way to get relief from a migraine?\"\n_____________________\n@Perry Solomon, MD \n\ndjw\n_____________________\nVaping or smoking is the quickest way to deliver cannabis into your system. A tincture can take up to 30 minutes to take effect where as vaping/smoking will take minutes. One of our HelloMD doctors, Dr. Sharon Olson, suffers from migraines and recommends a topical cannabis salve for the neck and upper back as well as a 4:1 tincture of CBD:THC based on a study that found these to be effective in pain relief (see below). That said, our co-founder Pamela Hadfield finds a different medley of high CBD products have helped her wean herself off opioids to be migraine-free. You can read her story and advice here: https://www.hellomd.com/health-wellness/5833c3741acf3d000ce08758/how-to-stop-migraines. Just be aware that everyone's biochemistry is unique, so you may need to experiment to find the right line-up of cannabis products to help you. I also suffer from migraines and have just started taking a 20:1 tincture daily as a preventative and am using a 1:1 tincture plus 3:1 vape pen for attacks. Hope this helps!\n\nlyp\n_____________________\nCannabis, in the right combinations, will manage migraine pain but if you want to treat the root cause I recommend Healing Yoga.  A series of 10 or less of the right poses (done regularly) will prevent hormonal migraines.  And one puff off an Arouse vape pen before practice helps you perfect those poses!\n\nJulie B., L.Ac\n_____________________\nI have suffered from migraines since I was about 5 years old so I was extremely excited to try cannabis  migraine relief. Unfortunately my experience was terrible because I was ill informed as to the type and dosage.\nFirst of all, I used an edible so the effects lasted a good 7 hours. Second, the strain I used made me very dizzy adding to the nausea that comes with my migraines.\n\n I still haven’t found the courage to try cannabis for migraines again, but when I do, I plan to only vape, no edibles until I ‘m very familiar with the strain and the dosage. Then I will only use a CBD heavy strain to try.\n\nStill, my go to cure has been Maxalt and 4 Advil. This has worked quite well for me...\n\nproper-molly-305\n_____________________\nwww.hempworx.com/brooksrenee\n\nloveyoubyexo\n_____________________\nDon't know much about tinctures but vaping for 10 minutes will remove all possibility of the coming migrain. Better than anything I've ever done.No more dark rooms and pain meds for the ENTIRE day!\n\nroseann\n_____________________\nThe best solution I've found for Migraines is combining whole plant, non-psychoactive cannabis, bacopa, and matcha green tea. They are all brain-based herbs to relieve inflammation and clear pathways in the brain. You can find them all online, and it is much more affordable and bioavailable than a CBD tincture. \n\n@NixduExtreme\n_____________________\nd\n\nBartSmart","image":null}},{"node":{"id":"Question_8564-markdown","title":"Will these help with anxiety?","slug":"will-these-help-with-anxiety","content":"\"I suffer from anxiety (plus other conditions!) & could use something to calm it.  I have been on prescription meds for too many years & am looking for alternatives to opioids.  I can't get my mind to stop dwelling on something & need to stop beating myself up (mentally!) for something that is insignificant to others.  \"\n_____________________\nIt’ll totally help, however, be mindful of the type of strain.  I would suggest an indica (aka couch lock) you’ll totally chill.  If you are an inexperienced smoker a may compound your anxiety since you’re not used to it.\n\npoopiscoop\n_____________________\nHello! Although cannabis acts as an anxiolytic (anxiety inhibitor) in low doses, high doses can be anxiogenic (anxiety inducing) and can elicit panic reactions. However, the key here is the balance between THC and CBD. Research studies found that CBD  oil had anti-anxiety and antidepressant effects. CBD also helps counteract the negative effects THC may have such as inducing anxiety. If you are looking to address your anxiety and your pain at the same time with medical marijuana, I would recommend starting with CBD Dominant medication, and if you choose to titrate the THC to higher concentrations, stay below the 1:1 ratio.\n\ntatiananp","image":null}},{"node":{"id":"Question_8462-markdown","title":"What is the best strain for fatigue and depression? I am coming off opiates from a severe back issue. Help!","slug":"what-is-the-best-strain-for-fatigue-and-depression-i-am-coming-off-opiates-from-a-severe-back-issue-help","content":"\n_____________________\nPlease visit this interesting read on our website discussing strains for fatigue and depression:\n\nhttps://www.hellomd.com/health-wellness/top-5-marijuana-strains-to-fight-fatigue\n\nI hope this helps you! Happy that you are taking the steps to get off narcotics and treating your pain with more safe and holistic methods!\n\nrachelnp","image":null}},{"node":{"id":"Question_7974-markdown","title":"When opiods don't help , what can you suggest for a combination of scoliosis, pinched nerves and sciatica?","slug":"when-opiods-don-t-help-what-can-you-suggest-for-a-combination-of-scoliosis-pinched-nerves-and-sciatica-1","content":"","image":null}}]}},"pageContext":{"limit":12,"skip":0,"numPages":3,"currentPage":1,"id":5590,"name":"Opioids","slug":"opioids","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}