Get An Oklahoma Medical Marijuana Card Online Today
Pain medication is the number one reason patients come to me for. Not to prescribe pain medication but for an alternative to it. Something safer. People are tired of opioids, tired of the dependency on them as well as not helping with their pain. Tired of being labeled an addict when they go to get prescriptions refilled at the doctor's office and pharmacy. So that begs the question does cannabis really help decrease prescription opioid use?
In a large prospective study published in the December issue of Pain Med, Philippe Lucas et. al. evaluated 1,145 Canadian patients for this exact question. Patients were evaluated at baseline then at 1, 3 and 6 months. A comprehensive cannabis use inventory and a questionnaire on quality of life were administered each visit. Baseline opioid use was 28% of patients which dropped to 11% at six months! Daily opioid use went from a staggering 152 morphine equivalents per day to 32 in six months! The study suggests that cannabis may play a harm reduction role in the opioid crisis as well as improving quality of life.
Recently I signed up a patient with Sickle Cell Disease. I reflected back to my residency training where the main treatment consisted of hydration, oxygen therapy and pain medications as the pain in sickle cell can be quite painful. With the opioid epidemic most physicians have dramatically pulled back on prescriptions. In a case with Sickle Cell patients can have sudden horrific pain so considering cannabis is very common.
In the Dec 2020 issue of Journal of Clinical Medicine, Donovan A. Argueta et al reviewed clinical articles in Considerations for Cannabis Use to Treat Pain in Sickle Cell Disease. The article reviewed multiple pathways that Sickle Cell patients experience pain and how cannabis can help with specific forms of pain. The review also showed that routine users of cannabis had less hospitalizations than non users per year.
Although just a review of published articles cannabis needs a second look for patients with Sickle Cell Disease and hopefully after federal deregulation large studies can be done to look more at Sickle Cell Patients, but for now I recommend anyone with Sickle Cell Disease to get their medical card.
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