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Task force recommends new guidelines on cannabis for chronic pain

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An international task force recently suggested new guidelines for using cannabis for chronic pain management.

The world of medicine is turning towards using cannabis for treating a number of medical conditions in patients. It has been used for soothing symptoms of cancer, Alzheimer’s, glaucoma, IBD, and most prominently chronic pain. According to a research carried out by University of Michigan, about two-thirds of all medical cannabis patients are those that need support to combat chronic-pain. Recently, an international task force has shared some newly issued guidelines for dosing and administering cannabis to manage chronic pain in patients.

What is Chronic Pain?

Almost everyone experiences pain in some form during their lifetime. In fact, sudden pain acts as a tip off for the nervous system that a possible injury can occur. This is what typical pain looks and feels like to the body. Its severity reduces slowly as the site of injury repairs itself.

Chronic pain however, is different from a typical form of pain. Any pain that lasts for more than twelve weeks can be classified under this category. The period of pain can range from weeks to even years in patients, reducing their physical capacity to perform tasks. It limits their endurance and flexibility, causes irritability, anxiety and sometimes depression.

Data collected from 15 states of United States showed that chronic pain is the most common reason for patients use of medicinal marijuana.

Science behind cannabis use and pain relief

Cannabinoids receptors are located through out the human body and play an important role in controlling a number of physiological responses. These include appetite regulation, pain-detection, mood, memory and anxiety among many other bodily functions.

The chemical structure of cannabinoid receptors is very similar to the phytocannabinoids produced by strains of the cannabis plant. This chemical propensity of cannabis plants makes it easier for them to attach with the brain’s receptors and bring about changes in the everyday functions of the human body.

The most convincing depiction of the therapeutic properties of cannabis was seen in the clinical studies of cancer patients.

Cancer causes chronic pain in a variety of ways. It causes severe nerve damage, inflammation and grows tumors by invading bone and other sensitive tissues.

Dr.Ilana Braun is a cancer psychiatrist at the Dana-Farber Cancer Institute of Boston. She is the lead author of a study published in the Journal of Clinical Oncology. According to the findings of the study, nearly half of all oncologists recommend medical cannabis to their patients.

New guidelines on cannabis use for chronic pain management

Despite of the success of cannabis for managing persistent pain, the ‘evidence base’ to support its effectiveness is lacking.

About 80% of oncologists talk with their patients about cannabis as an alternate treatment. In contrast to this, less than 30% of them feel they have sufficient knowledge about its medicinal use.

In the light of these facts, an international task force conducted a virtual PAINWeek meeting last week with the intent to put forward new guidelines for cannabis use by patients suffering from chronic pain.

The task force stressed the need to educate clinicians about the applications of cannabis in chronic pain management. “We as a task force believe it’s extremely important to bring medical cannabis to patients, “said Alan Bell, MD, of the University of Toronto. He further added,”There’s a huge knowledge gap and no way clinicians can fall back on a specified dosing regimen.”

In addition to this, other recommendations made by the members of the task force highlighted the importance of proper dosage and administering of the drug to the patients.

The task force led by Arun Bhaskar MD recommended using a Delphi process for arriving at dosage levels that could work best for patients.

Under this process, experts will voice their opinions on suitable methods and dosages via questionnaires. The final analysis will then be based on these individual opinions for reaching a consensus among the experts.

The 20-clinician Global Task Force on Dosing and Administration of Medical Cannabis in Chronic Pain led by Arun Bhaskar M.D made the following recommendations:

1- Start with a ‘routine’ measure

This involves giving them 5 mg of CBD two times in a day. Introducing THC should only be considered if there is no response by patients to 40 mg of CBD daily. The staring dose for THC should be 2.5 mg everyday. The dosage should not exceed 40 mg daily.

2- Adopt stringent doses for geriatric patients

Elderly patients or those with multiple chronic diseases should be treated via a conservative route. This will involve starting the THC dosage at 1 mg daily and taking up the dosage by low degrees.

3- Rapid Protocol for severe chronic pain patients

Rapid protocol means giving a balanced dosage of CBD-THC to patients suffering from severe pain. In addition, all those patients who have had previous exposure to cannabis consumption can also be eligible for this protocol. The recommended dosage for these patients can begin with 2.5-5 mg per each compound once or twice daily.

 

A graduate in Bachelors of Business Administration, Yumna Haq is an ardent researcher and a dedicated writer. Having lived in three different counties, her cultural exposure is vast, allowing her to reflect more knowledge in her work. She's currently working for Cannabis Health Insider as a news writer.

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Cannabis Oil Effectively Reduces Chronic Pain

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The use of cannabis oil and other medical items containing marijuana legal since 2018 in the UK. However, the evidence of marijuana being efficacious has come under light recently. Researchers are discovering the effectiveness of marijuana oil in chronic pain patients.

Multiple studies occurred to determine the effectiveness of cannabis oil. Patients receiving marijuana as part of their treatment feel much better and experience improvement in their health.

Gathering Evidence Of Cannabis Oil Being Effective For Chronic Pain Patients

The United Kingdom Medical Cannabis Registry enrolls one hundred and ten patients. The purpose of enrolling these patients was to observe the effectiveness of cannabis oil. Moreover, through these patients, the impact of marijuana on overall improving quality of life was determined.

ALSO READ: New York Cannabis Board Relaxes Medical Cannabis Rules

The registry reports that enrolled patients feel much better after one, three, and six months of cannabis oil intake. They experience that their pain reduces after using medical pot. They experience comfort, and their sleep quality has improved hugely. According to the registry, there are significant improvements in patients’ health-associated quality of life.

The National Health Service of the United Kingdom has a strict cannabis oil prescription policy. It is hard for patients to get a marijuana prescription because of the strict rules of the NHS. Patients who don’t respond well to conventional therapy have access to medical marijuana. The conditions under which patients can access medical marijuana include pain sufferers, individuals with anxiety issues, and multiple sclerosis.

About sixty-five percent of the patients part of the study had never used cannabis oil or medical marijuana. The participants are primarily diagnosed with chronic non-cancer pain, neuropathic pain, and fibromyalgia.

16% of the participants suffered from fibromyalgia and 48% percent from chronic non-cancer pain. Twenty-four percent of the participants are suffering from neuropathic pain.

Experts Focus On Research

For the betterment of society and its safety, it is vital to gather research-based evidence. Doctors and scientists consider it essential to discover the realities of using cannabis before prescribing it.

Dr. Simon Erridge is the head of research at Sapphire Medical Clinics. In a statement, he said that the number of medical marijuana prescriptions is increasing quickly in the UK. In this situation, it is essential to determine the outcomes of patients. Collecting real-world practical evidence regarding cannabis oil consumption is vital.

According to Dr. Simon, this research that they conducted is one of a kind in Europe. His team will continuously review inpatients, outpatients, and marijuana products via the Medical Cannabis Registry UK. So far, the selection of observational data has occurred. In the future, more critical research, including randomized controlled investigations, will occur.

Sapphire Medical Clinics developed the registry. They survey patients suffering from various diseases receiving separate prescriptions depending upon their condition. Surveying these individuals enables us to reduce the knowledge gap.

Filling the blank space regarding medical marijuana and cannabis oil in scientific knowledge helps a lot. The study’s findings were published in the well-known scientific journal, the Journal of Clinical Pharmacology.

The research does prove that medical marijuana is effective in improving multiple conditions of people. But researchers require more research to form guidelines, funders, and licensing agencies.

Adven is a subsidiary of Curaleaf International. It is one of the largest independent marijuana companies in Europe. Adven cannabis oil was used in studies such that the average CBD dose was 20mg per day. The average THC dose that participants get is 1mg per day. Administration of cannabis oil occurs in a ratio CBD/THC of 20 to 1.

More participants enrolled in the survey process. Sapphire Medical Clinic plans to continue its survey-based research.

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Oklahoma On Its Way To Legalize Marijuana And Alter Medical Cannabis Reforms 

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Oklahoma cannabis legal

Activists in Oklahoma are filling marijuana legalization. For the 2022 ballot, they are willing to introduce medical cannabis reform. On Thursday, the activists of the state legalized adult-use weed products. Moreover, they remodel the existing medical pot program of the state.

The activists formally introduced the measures to the secretary of state’s office. After the signature-gathering, the constitutional amendments will occur.

ALSO READ: Cannabis Oil Effectively Reduces Chronic Pain

Last month, Oklahomans for Responsible Cannabis Action (ORCA) announced late that it was close to finalizing the language of the initiatives. The final set of amendments occurs after soliciting feedback from a wide range of advocates and stakeholders.

Medical Cannabis Reforms 

Medical cannabis reforms in the state have many flaws and loopholes that lead to problems. Jed Green is the director of ORCA. According to Jed, the initiatives the activists are introducing are to fix the issues that have emerged in the state’s medical marijuana program.

The amendments and new policies will also generate opportunities for the weed industry with adult-use legalization. According to Jed, these initiatives will enable the people of Oklahomans to keep operating the marijuana business successfully.

New Marijuana Policies

Under the new policy, individuals 21 or above will have permission to keep eight ounces of marijuana. They can purchase such an amount from any legal retailer or dispenser. The new policy also allows one person to own 12 plants of cannabis for personal use.

The new reforms suggest imposing a fifteen percent excise tax on the sale of weed products. There are multiple numbers of programs that will receive revenue generated from those taxes.

After deducting the implementation cost, the rest of the money is divided into various programs. These programs include water-related infrastructure, substance misuse treatment programs, people with abnormalities or disabilities, and many more.

Some of the revenue money will be for law enforcement training and cannabis research projects. The initiatives have measures for those that have faced resentencing for marijuana convictions.

What is new in Oklahoma Medical Cannabis Reforms?

In 2018 voters in Oklahoma approved medical cannabis programs are open for any patient. Unlike other states, Oklahomans patients do not need to fulfill specific qualifying conditions. In addition, physicians and doctors can prescribe medical weed products to anyone they think is fit to use.

Activists suggest establishing a new OSCC Oklahoma Cannabis Commission. The aim of establishing the OSCC is to build a commission that will oversee everything regarding the state medical marijuana program.

The new policy also suggests imposing a seven percent excise tax. The authorities will utilize revenue money from the sale of these items in supporting weed research. It will be for rural impact and urban waste remediation.

Part of the revenue will also be for agriculture development and treatment programs designed for substance use disorder patients. Gross income from the sale of medical cannabis will support mental health response programs.

The tax on medical hemp products will decrease to zero gradually within one year of the enactment of initiatives. Once the proposed constitution is under-enactment, medical marijuana dispensaries will have permission to sell recreational pot items. However, it will begin within 60 days of ordinance enactment.

The activists have previously attempted to qualify some cannabis legalization measures for the 2020 ballot. But, due to less support, those measures were never put to action. To get signatures of the majority to approve ballot 2022 is essential to introduce the new medical cannabis reforms and legalize marijuana for adult use.

Without sufficient support from registered voters, new policies can never become a reality.

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New York Cannabis Board Relaxes Medical Cannabis Rules

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Cannabis Companies Making Moves Before New York Begins Recreational Cannabis Sales

New York State approves recreational and medical cannabis by passing the bill of decriminalizing and legalizing marijuana. Initially, the process got delayed, but now things are moving a step forward in implementing the bill. Governor Andrew Cuomo and legislators approve of the marijuana control board.

 

The cannabis control board, after its formation, conducted its first meeting on Tuesday. Five members of the board are taking a step closer to the commencement of legalized marijuana retail sales. 

 

What Changes Does The State Cannabis Board Make?

 

The members agree to make an official announcement of immediately relaxing rules governing the state’s medical-marijuana program. The control board expands the number of people who can prescribe medical cannabis. Now anyone from dentists to midwives can prescribe marijuana as medication. 

ALSO READ: Not All Cannabis Firms Favors Federal Cannabis Legalization

The control board permits the sale of weed flowers. It will make the drug available to people in a smokeable format. Moreover, it will lower the high prices of medical weed items in New York. 

 

Tremaine Wright is the chair of the NewYork State’s Cannabis Control Board. The mandate of the board is to make medical marijuana accessible for patients and improve patient care. Tremaine elaborates that the board takes their mandate very seriously and will immediately work on fulfilling it. 

 

Changes In The Medical Cannabis Program

 

In the first quarter of 2021, legislators made some changes to the medical marijuana program. Previously, the program authorized 150000 New Yorkers to only get access to medical cannabis for various health reasons. It is uncertain how many of the certified people are still using pot. It is unknown how many have died of terminal diseases. 

 

Of the certified people, some people have abandoned the use of marijuana due to cost issues. Some stopped their program because of the inaccessibility of weed in New York.

 

Lawmakers urge the control board not to delay medical cannabis program changes. Crystal Peoples-Stokes is the Assembly Majority Leader. Stokes, the Assembly marijuana law sponsor, and a Buffalo Democrat were among those who requested quick changes. Legislators are requested to make the necessary changes to the program before beginning the process of allowing recreational marijuana sales. 

 

Decisions regarding recreational pot, policymaking, and implementation of its rules can occur within 18 months. The state has time of 18 months before recreational marijuana sales begin in New York State. But before that, rules regarding pot as medication must undergo some alterations immediately.  

 

What More Is On Marijuana?

 

The Office of Cannabis Management has decriminalized for people 21 and older the ownership of about 3 ounces of marijuana. However, the sale of weed is still illegal in the state. The control board or agency also controls the hemp industry along with the recreational and medical cannabis industry. 

 

About 3400 healthcare professionals have permission to prescribe medical marijuana to patients that are certified or eligible. These professionals include physicians, nurse practitioners, dentists, midwives, and some assistants of physicians.

ALSO READ: Justin Bieber Gets Cannabis From California, And Launch Pre-rolled Joints – “Peaches”

The change that led to the expansion of health care professionals who can prescribe medical marijuana passed on Tuesday. It increases the number of prescribers that are recommending the drug. Now anyone with a license to dispense controlled substances can prescribe medical cannabis. 

 

The board increases the supply of marijuana for dispensing. It decreases the $50 registration fee of the patient and caregiver. It makes it easy for facilities such as hospitals to hand out medical cannabis to patients.

 

According to officials, allowing the sale of raw flowers instead of refined final formulations of marijuana will decrease production costs. As a result, it will reduce the cost of medical cannabis for patients. However, the entire marijuana plant sale will not begin on the 38 medical pot dispensaries right away. They will have to practice some quality control measures to start selling the drug. 

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