Seniors are giving rave reviews for medical marijuana.
[gap height=”15″]
In a new survey, those who turned to it for treating chronic pain reported it reduced pain and decreased the need for opioid painkillers.
[gap height=”15″]
Nine out of ten liked it so much, they said they’d recommend medical pot to others.
[gap height=”15″]
“I was on Percocet and replaced it with medical marijuana. Thank you, thank you, thank you,” said one senior.
[gap height=”15″]
Another patient put it this way: “It [medical marijuana] is extremely effective and has allowed me to function in my work and life again. It has not completely taken away the pain, but allows me to manage it.”
[gap height=”15″]
Study co-author Dr. Diana Martins-Welch said, “The impact of medical marijuana was overwhelmingly positive. Medical marijuana led them to taking less medications overall – opioids and non-opioids – and they had better function and better quality of life.” Martins-Welch is a physician in the division of geriatric and palliative medicine at Northwell Health, in Great Neck, N.Y.
[gap height=”15″]
The biggest complaint the researchers heard about medical marijuana was the cost. “It’s an out-of-pocket expense. Insurance doesn’t cover it because it’s federally illegal,” Martins-Welch explained.
[gap height=”15″]
As for unwelcome side effects, Martins-Welch said sedation was what she heard about the most. “A lot of people don’t like feeling sleepy,” she said.
[gap height=”15″]
It’s also important to work with your doctor to find the right dose, since pain experts say that too little or too much doesn’t ease pain.
[gap height=”15″]
Thirty-one states have some type of medical marijuana law on the books, according to the National Conference of State Legislators.
[gap height=”15″]
“Every state has its own laws, like what a qualifying condition is. There are a lot of differences. And you can’t take a product from one state and cross another state line,” Martins-Welch said.
[gap height=”15″]
According to federal law, medical marijuana is still illegal in the United States. “There are legal fears. Some practitioners worry that the DEA [U.S. Drug Enforcement Administration] might come after them,” she added.
[gap height=”15″]
Medical marijuana is different than just picking up some pot and smoking it.
[gap height=”15″]
“The goal with medical marijuana is to find the dose that gives a therapeutic benefit without a high, or slowing reaction time or causing sedation,” Martins-Welch said. “To find that right dose, we start low and go slow.”
[gap height=”15″]
“It [medical marijuana] is extremely effective and has allowed me to function in my work and life again.”
[gap height=”15″]
In fact, it’s important to work with a doctor because there’s a “therapeutic window” with THC, the active component in marijuana that causes the high, according to Dr. Mark Wallace, a board member of the American Pain Society.
[gap height=”15″]
If you get a dose that’s within that window, the pain is relieved. If you get too little, you won’t get pain relief, and if you go over the therapeutic window, pain is actually worsened, Wallace explained.
[gap height=”15″]
The study included a 20-question survey of nearly 150 seniors who had used medical marijuana for chronic pain. The seniors had received their medical marijuana from dispensaries in New York or Minnesota.
[gap height=”15″]
The average age of the seniors was 61 to 70, and 54 percent were female. Many (45 percent) used a vaporized oil in an e-cigarette device. Twenty-eight percent used a medical marijuana pill.
[gap height=”15″]
Twenty-one percent said they used medical marijuana daily, while 23 percent said they used it twice a day. Another 39 percent said they used it more than twice a day, the researchers noted.
[gap height=”15″]
About half the time, medical marijuana had been recommended by a doctor. One-quarter of the seniors decided to try medical marijuana at the urging of a friend or family member. Almost all – 91 percent – would recommend medical marijuana to someone else.
[gap height=”15″]
When asked how medical marijuana affected their pain levels, the seniors reported going from a 9 (on a pain scale of zero to 10) down to 5.6 a month after starting the medical marijuana.
[gap height=”15″]
Wallace said he’s seen many positive results from the use of medical marijuana in his patients.
[gap height=”15″]
“The geriatric population is my fastest-growing patient population. With medical marijuana, I’m taking more patients off opioids,” he said.
[gap height=”15″]
“There’s never been a reported death from medical marijuana, yet there are 19,000 deaths a year from prescription opioids. Medical cannabis is probably safer than a lot of drugs we give,” Wallace said.
[gap height=”15″]
Medical marijuana can also stimulate appetite, Martins-Welch said, which is a “godsend for cancer patients,” though extra eating may not be a welcome side effect for everyone.
[gap height=”15″]
Martins-Welch said it’s best to discuss potential drug interactions with your doctor, but it’s usually OK to mix marijuana and opioids. She said she’d caution against mixing medical marijuana with alcohol.
[gap height=”15″]
The study findings were presented recently at the American Geriatrics Society meeting in Orlando, Fla. Studies presented at meetings are typically viewed as preliminary until they’ve been published in a peer-reviewed journal.
[gap height=”15″]
SOURCES: Diana Martins-Welch, M.D., physician, department of medicine, division of geriatric and palliative care medicine, Northwell Health, Great Neck, N.Y.; Mark Wallace, M.D., board member, American Pain Society, and professor, anesthesiology, University of California, San Diego, and program director, UCSD Center for Pain Medicine; May 3, 2018, presentation, American Geriatrics Society meeting, Orlando, Fla.
[gap height=”15″]