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A Guide to Medical Marijuana for Chronic Pain Relief: Strains, Delivery Methods, and Obtaining a Cannabis Card

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Chronic pain affects millions of people worldwide, significantly impacting their quality of life and often leading to the development of other health conditions. Traditional treatments with prescription medications can sometimes be insufficient or accompanied by undesirable side effects, leaving patients in search of alternative methods for pain relief. Medical marijuana has emerged as a promising option for many chronic pain sufferers seeking an effective and natural treatment that offers a safer alternative to prescription opioids and other medications.

In this ultimate guide to medical marijuana for chronic pain relief, we delve into the diverse world of medical cannabis strains and delivery methods specifically tailored to address chronic pain and provide valuable information on obtaining a medical cannabis card. 

With a solid understanding of the components and benefits of medical marijuana, patients can begin their journey to effectively manage chronic pain, improve their well-being, and regain control over their lives.

Understanding Chronic Pain and Medical Marijuana

Chronic pain is defined as persistent discomfort lasting longer than three to six months or beyond the expected duration of injury healing. This complex and multifaceted condition is linked to various medical conditions such as arthritis, fibromyalgia, neuropathy, and inflammatory disorders. Standard medical treatments, including opioids and over-the-counter pain relievers, often provide limited relief and may carry the risk of addiction or adverse side effects.

Medical marijuana has demonstrated potential as a safe and effective alternative for chronic pain management, offering patients symptom relief and improved overall functionality. The cannabis plant contains numerous active compounds, most notably cannabinoids like THC and CBD, which interact with the body’s endocannabinoid system to modulate pain sensations. Additionally, terpenes found in cannabis can also contribute to the plant’s pain-relieving properties.

Choosing the Right Strains for Chronic Pain Relief

Various strains of medical marijuana possess distinct properties, resulting from different cannabinoid and terpene profiles. Finding the most suitable strain for chronic pain management depends on several factors, including the type and intensity of pain, individual tolerance levels, and desired effects. Some strains to consider for chronic pain relief include:

1. Harlequin: A CBD-dominant strain known for its remarkable pain relief and anti-inflammatory properties without overpowering psychoactive effects. Harlequin is ideal for patients seeking clear-headed pain relief during daytime hours.

2. ACDC: Another CBD-rich strain noted for its analgesic and anti-inflammatory effects, this plant offers minimal THC content and is excellent for patients managing neuropathic pain without strong psychoactive effects.

3. Blackberry Kush: Noted for its high THC content, Blackberry Kush provides substantial pain relief and relaxation, making this strain ideal for patients experiencing severe chronic pain who also require help falling asleep.

Exploring Delivery Methods for Chronic Pain Management

The most effective ways of administering medical marijuana for chronic pain relief can vary significantly from person to person. Key factors to consider may include the speed of onset, duration of relief, ease of administration, and personal preference. Common delivery methods include:

1. Inhalation (Smoking or Vaporizing): Inhalation offers a faster onset of effects, generally providing relief within minutes. However, the benefits may wane after a few hours. Vaporizing, or vaping, is often viewed as a healthier alternative to smoking due to reduced exposure to combustion byproducts.

2. Oral (Edibles, Capsules, or Tinctures): Oral administration often provides a longer duration of pain relief, but it can take up to two hours to experience the full effects. This method is preferable for patients seeking sustained relief and is particularly useful for patients with gastrointestinal or digestive pain.

3. Topical (Creams or Balms): Topical applications of medical marijuana-infused products are designed for localized pain relief, offering targeted relief directly to affected areas like muscles, joints, or the site of inflammation without systemic effects.

Obtaining a Medical Cannabis Card and Accessing Medical Marijuana

Navigating the process to legally obtain medical marijuana can seem intimidating, but with the proper guidance, patients can ensure they have access to the relief they seek. To access medical cannabis for chronic pain management:

1. Review State Laws: Familiarize yourself with the specific regulations in your state regarding medical marijuana and qualifying conditions, as laws and requirements vary significantly.

2. Consult with a Medical Professional: Schedule an appointment with a healthcare provider experienced in prescribing medical marijuana to discuss your chronic pain, potential benefits, and risks associated with treatment.

3. Apply for a Medical Cannabis Card: Following a recommendation from a medical professional, submit the required documentation and fees to obtain a medical cannabis card, granting you legal access to medical marijuana treatment.

4. Locate a Reputable Dispensary: Find a trusted and reputable medical marijuana dispensary in your area, where knowledgeable staff can guide you in choosing the best strains and delivery methods for your specific needs.

Responsible Use and Expectations for Chronic Pain Relief

When incorporating medical marijuana into a chronic pain treatment plan, adherence to responsible use guidelines and proper dosing is crucial. Start with low doses and gradually increase if necessary, paying close attention to the effects and potential side effects. Remember to monitor progress and adjust the strain, delivery method, or dosage as needed to find the optimal balance for relief.

Chronic pain sufferers should maintain realistic expectations when using medical marijuana, understanding that while it may provide significant relief, it may not completely alleviate all pain symptoms. Incorporating other supportive therapies, such as physical therapy, relaxation techniques, or cognitive-behavioral therapy, can contribute to a comprehensive care plan for effective pain management.

Overall, medical marijuana offers a promising and versatile option for managing chronic pain, empowering patients with the knowledge and tools to access personalized and effective care.

Embracing the Power of Medical Marijuana for Chronic Pain Relief

In conclusion, medical marijuana has demonstrated compelling potential as an alternative treatment for chronic pain sufferers seeking a safer and more natural approach. By understanding the different strains and delivery methods available, obtaining a medical cannabis card, and following responsible use practices, patients can unlock the pain-relieving powers of this versatile plant. At United Patients Group, we strive to provide comprehensive resources, expert guidance, and trustworthy product recommendations to empower patients to make informed decisions when incorporating medical marijuana into their pain management plans.

At United Patients Group, our mission is to empower patients with knowledge and resources to make informed decisions about incorporating medical marijuana into their treatment plans and to ensure they can do so safely and effectively. Explore our extensive archive of expert articles, product reviews, patient success stories, and premium products and begin your journey to a more comfortable and fulfilling life!

The post A Guide to Medical Marijuana for Chronic Pain Relief: Strains, Delivery Methods, and Obtaining a Cannabis Card appeared first on United Patients Group.



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Does Francis Ford Coppola Consume Weed

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His talent created Apocalypse Now, the Godfather movies and now Megalopolis – but does he consume marijuana?

He is a legend in the film industry and directed Apocalypse Now and the Godfather. He burst on onto the scene in the 1960s and 70s and brought in a new generation of movies. Known as one of the greatest directors of all time, he also went on to make a name in the wine industry. Displayed at one of the wineries are some of his five Academy Awards, six Golden Globe Awards, two Palmes d’Or, and his British Academy Film Award (BAFTA). With all the creativity and pressure, does Francis Ford Coppola consume weed?

RELATED: Vinyls and Marijuana Go Together

The 60s and 70s were when weed came out of the closet and from New York to LA creatives, artists, celebrities and every day people tried a little. “Turn on, tune in, drop out” was the counterculture-era phrase popularized by Timothy Leary in 1966. The talented director was able to reflect the past and embrace the new with his film.  It was one of his early successes, Apocalypse Now, which  marijuana burst into the open. There are great clips of Dennis Hopper stoned on set.

Megalopolis could be the last major project film for the director, and it has taken him 40 years to get it made.  His unique approach is again make headlines with the team sharing he has spent hours on end smoking plenty of cannabis while everybody waited.

“I never took any drugs in my life at all except for some grass,” Coppola said. “I found that the effect that the grass would have on me is interesting. One, it would make me extremely focused, so if I was trying to evaluate a script or write a script, I wasn’t thinking of all the things where my feelings were hurt about this or I was worried about that.”

He added, “I’m sure grass affects different people in different ways. For me, I tended to be very focused. If I smoked a joint, I couldn’t fall asleep. I’d want to work. And often, I stayed up all night trying to rewrite a script.”

RELATED: How To Microdose Marijuana

A savoy businessman, he turns his passion into money. His love of wine had made him money with two wineries, his love of beauty and travel has brought him a luxury hotels and his love of cannabis has brought him into the industry. Coppola launched Sana Company in partnership with Humboldt Brothers in 2018 and released the brand known as The Grower’s Series.

 



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Can lemon-smelling weed cause less anxiety than others?

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Top study takeaways:

  • Ever eat mangos to help you get higher? Maybe pound some lemonade to prevent anxiety
  • Test subjects who vaped lots of the terpene limonene with their weed reported lower anxiety in a small study

Leafly Ph.D Nick Jikomes dissects the hype new study on the smell molecule limonene below. Report your findings in the comments section.

The “entourage effect” is the idea that the psychoactive effects of cannabis result from a combination of different plant molecules. The idea is widely used in the cannabis industry to help explain the distinct effects that cannabis strains are reported to have–each one contains a different combination of THC, terpenes, and other compounds. These claims have been largely theoretical, with limited empirical evidence to show that specific combinations of cannabinoids and terpenes reliably induce measurably different effects in humans.

A new study, however, investigates whether the common cannabis terpene limonene, when consumed together with THC, results in different effects compared to THC on its own.

A bit of limonene is in many weed varieties

Limonene is one of the most abundant terpenes found in commercial cannabis. Cannabis strains with the highest limonene levels typically contain between 1 to 3% limonene by weight. Commercial THC-dominant cannabis flower today often has THC content in the 20-25% range, meaning that the most limonene-rich strains will have a roughly 20:1 ratio of THC to limonene. 

Limonene is found naturally in many citrus fruits. On its own, it has a pleasant, citrus aroma. A limited number of animal studies have observed anti-anxiety effects in rodents given limonene. Similar observations have been made in human studies, although they had small sample sizes or lacked important controls. Given that anxiety is a common side effect of THC—especially when relatively large doses are consumed—it has been hypothesized that limonene may be able to mitigate these effects. If true, this would suggest the possibility that THC-dominant strains high in limonene might be less likely to elicit anxiety than those with lower limonene content. 

Vaping limonene and THC—for science!

A robust terpene profile in weed adds to the flavour and overall experience. (MysteryShot/Adobe Stock)
(MysteryShot/Adobe Stock)

In this new study, researchers at Johns Hopkins administered different combinations of THC, limonene, and a placebo of distilled water to twenty human subjects in a double-blind trial. Each person participated in several separate vape sessions where they received one of the following:

  • Limonene alone (1mg or 5mg)
  • THC alone (15 mg or 30 mg)
  • THC + limonene together (15 or 30 mg THC + 1 mg limonene)
  • THC + limonene together (15 or 30 mg THC + 5 mg limonene)
  • THC + limonene together (30 mg THC + 15 mg limonene)
  • Placebo (distilled water)

The subjects were healthy adults who used cannabis intermittently. A hand-held Might Medic vaporizer (made by Storz and Bickel) was used for administration. Subjects consumed 15 and 30 mg doses of THC because, based on previous research, those doses often trigger small (15 mg THC) to moderate/large (30 mg THC) psychoactive effects, with the larger dose expected to trigger more side effects like anxiety. Researchers assessed participants using standardized questionnaires. One of these, the “Drug Effect Questionnaire,” asks subjects to rate various subjective drug effects on a 0-100 scale. Another, the “State-Trait Anxiety Inventory (STAI-S),” assessed their anxiety/distress levels before and after drug administration. Researchers also tracked heart rate, blood pressure, and plasma levels of THC and limonene. (For more details on the study methods, including the standardized procedures, check out the paper itself.)

What did they find? Did the presence of limonene affect the subjective effects of THC, or reduce side effects like anxiety and paranoia?

Three limonene-dominant hype strains

A photo of Connected Gelonade — Lemon Tree and Gelato. (David Downs/Leafly)
Gelonade. (David Downs/Leafly)

And the results come in

I recently spoke with the lead author of the study, Dr. Ryan Vandrey of Johns Hopkins University, about how his team designed the study and built in important controls. For one: test subjects received the real deal molecules, not some burned-up version.

“We made sure that when we heated it at this temperature, this device, we didn’t convert these things into something else,” Dr. Vandrey explained. “So we were very careful to get our dosing methods secure, and to work with this. We opted for inhalation and vaporization in particular, so we know that our doses are being delivered fully and completely.”

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Consumption of THC went as planned. The control placebo containing 0 mg THC did not cause substantial subjective effects, anxiety or paranoia, or changes in heart rate. Consumption of 15 or 30 mg of THC did trigger these changes, with the higher dose producing larger effects on average.

“We picked two doses of THC, 15 milligrams and 30 milligrams, which to the occasional cannabis user will get people moderately high at pretty dang high,”

Dr. Ryan Vandrey, Johns Hopkins University

Related

How to order weed delivery online with Leafly

But did consumption of limonene together with THC lead to different effects compared to the same dose of THC alone? Yes—if you’re limonene-maxing.

When limonene was administered alone, without THC, its effects did not differ compared to the placebo.

But with co-administration of THC and limonene, however, the team saw differences compared to THC alone, but only at the highest dose of limonene (15 mg).

Compared to 30 mg of THC alone, consumption of 30 mg THC + 15 mg limonene resulted in lower subjective ratings for “anxious,” “paranoid,” and “unpleasant drug effect.”

Subjective ratings of “anxious” and “paranoid” were less than half of those seen with 0 mg limonene.

Subjective ratings of “anxious” and “paranoid” were less than half of those seen with 0 mg limonene.

Although the result was statistically significant at the highest limonene dose (20 mg), the sample size (n=20) was small and it’s not clear if most subjects saw this effect, or a small minority experienced large differences.

The presence of limonene did not influence physiological measures like heart rate, nor did it lead to differences in the intensity of THC’s subjective effects or blood levels of THC.

“That’s important… because it suggests that limonene isn’t somehow interfering with THC absorption. It’s not somehow changing the pharmacology. It’s not blocking THC’s ability to bind to the cannabinoid receptor,” Dr. Vandrey told me.

Did test subjects detect any lemon?

image-of-cannabis-judge-smelling-weed
(AdobeStock)

Because limonene has a taste, smell, and influences vapor quality, blinding may have been an issue, especially at higher doses of limonene.

Put another way, if subjects could taste or smell this terpene, or noticed that the vapor felt different, it could have colored their experience.

According to Dr. Vandrey, however, the team’s drug delivery design minimized the subjects’ ability to discern what they were consuming via taste or sight.

“We did everything to maintain the blind in this study,” he said. “The drugs were sealed inside of the vaporizer, but they couldn’t see it, they couldn’t smell it or anything like that.”

Weed’s entourage effects remain hard to pin down

While the results of Vandrey’s study proved statistically significant, the size of the effect was quite modest. Co-administering THC with 15 mg of limonene resulted in decreases of anxiety, but not 1 mg or 5 mg of limonene.

It’s important to note a key caveat: Subjects were not consuming whole-plant cannabis products like those we can buy in dispensaries. They were only consuming specific combinations of THC and/or limonene.

The modest effects they saw were only seen with 30 mg of THC with 15 mg limonene, which is a 2:1 THC:limonene ratio. This is not a combination found in commercial cannabis flower. Expect a roughly 20:1 THC:limonene ratio for even the most limonene-rich strains.

Taken at face value, the results of the Johns Hopkins study indicates maxing out on limonene may reduce The Fear.

However, they do not demonstrate that limonene-rich, THC-dominant cannabis purchased from a dispensary contains enough limonene to accomplish the same goal.

If limonene or other cannabis terpenes can indeed reliably modulate the effects of THC in commercially-available cannabis products, future research will have to focus on them. Such products contain more complex mixtures of THC and a variety of terpenes and other molecules, many of which are present at low levels. Does the “entourage effect” really explain all the effects of weed? Researchers will need to carefully measure the effects of real-world stuff to know for sure.

For more detail on this study, listen to my full conversation with Dr. Ryan Vandrey. Mind & Matter is a science column by Nick Jikomes, PhD focuses on how psychoactive drugs influence the mind & body. It is inspired by the long-form science podcast, Mind & Matter.

What do limonene strains do to you? Sound off in the comments below.



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Can Microdosing Marijuana Help You

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Most people think of marijuana in a fun, recreational way – but it can help medically – and for those with anxiety….and microdosing can make a difference.

The imagine of people getting stoned is how most people thing of marijuana, but cannabis offers medical benefits which can change a patients life. From chronic pain to anxiety, it can provide a relief.  And it is one of the reasons the American Medical Association and Health and Human Services support rescheduling. But can microdosing marijuana help you?

RELATED: How To Microdose Marijuana

The answer is probably yes, but you should talk to your health professional. The most common reasons including chronic pain and anxiety.  More complex reasons include treatment of cognitive deficits, mental illnesses, and many diseases considered incurable.   But to understand the benefits, you have to understand your situation and microdosing.

Microdosing is taking from 2.5-5 mg to “take off the edge” without getting really high.  It is a point to activate within your system to allow the medical properties to have effect and still allow full functioning abilities. You may do it for a day or longer term depending on how you react and also what your healthcare professional suggests.  Roughly 75% of people have a fear of speaking (glossophobia), you may do it for a day where you have to speak to large crowds, or longer if you anxiety is ongoing concern.

While depression and anxiety treatments have improved dramatically over the course of the past decade, medication and counseling are not equally effective for everyone. In fact, according to NCBI, antidepressants proved just 40-60% effective at managing symptoms. Medical cannabis is now consider a valid treatment option with microdosing being effective.

In regards to chronic pain, medical marijuana has been proven to be much, much less addictive than prescribed painkillers, especially opioids. Microsdoing can help you through post surgery, stomach pains, or other ongoing illness which can have a significant impact on day to day life.

RELATED: Science Says Medical Marijuana Improves Quality Of Life

Gummies and vapes are the easiest way to microdose.  Very controlled small amounts in an easily portable vehicle makes it convenient to use when needed. Since gummies are absorbing differently in the body, it takes longer for them to kick in.  Vaping can hit in within 5-10 minutes. While there could be a hint of initial smell, it quickly fades and doesn’t leave an odor on clothes.

If you or someone you know has anxiety, pain or other issue which alters your daily life, talk to a professional and see if microdosing marijuana help you.

 



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