CannabisClinicansRx facilitates clinical discussions, provides information and tools to achieve optimal outcomes for individuals utilizing medical cannabis in the medical setting
Clinical Case Presentation Forums
A clinical issue specific deep dive to explore the role of effective and safe use of Medical Cannabis. Builds on crowd sourced information and participation by wide range of clinicians, researchers and patients.
Featured Case : Cannabis in the Management of Complex Regional Pain Syndrome
Ms. Rothstein is a 31-year-old woman with a long-standing history of complex regional pain syndrome in her right leg and foot. She describes spontaneous, excruciating pain — mainly burning and deep aching — in her right lower leg, as well as allodynia and hyperalgesia. She is currently receiving gabapentin, at a dose of 600mg orally three times a day, and oxycodone, at a daily dose of 20 mg orally, but has had little alleviation of her pain. She is frustrated by the drowsiness, fatigue, and constipation associated with use of the medications. She reports that her pain has made it difficult to concentrate. She notes her pain is at 8-10 out of 10 most days. She has had to limit her activities. She has avoided social interactions and has had more difficulty in her work.
She is motivated to find alternative treatment regimens. She is also concerned about the risk of opioid dependence. She inquires about a prescription for medical marijuana for her chronic pain.
Coming Case Presentations
Cognitive Dysfunction
Ruth is an 85 YO female with history of depression, anxiety and Neurocognitive DO who presents with her daughter for psychiatric follow up.
Since her last appointment she had spent time with family on Cape Cod and than in California. The daughter noted general cognitive function decline. She had to move to apartment with supervision. She had increasing periods of agitation and confusion, mostly in the afternoon. There was no significant depression or anxiety.
Family inquires about medical cannabis
Chemotherapy Side-effects
Marilyn is a 68-year-old woman with breast cancer metastatic to the lungs and the thoracic and lumbar spine. She is currently undergoing chemotherapy with doxorubicin. She reports having very low energy, minimal appetite, and substantial pain in her thoracic and lumbar spine. For relief of nausea, she has taken ondansetron and prochlorperazine, with minimal success. She has been taking 1000 mg of acetaminophen every 8 hours for the pain. Sometimes at night she takes 5 mg or 10 mg of oxycodone to help provide pain relief.
Developing and conducting digital technology facilitated research of real-world use of Medical Cannabis by individuals and their caregivers for medical conditions and symptoms. Coming soon:
Covid 19: The individual suffering from respiratory problems due to virus
Cognition: Individuals who are currently diagnosed with cognitive dysfunction.
Pain: Individuals who currently suffer from pain conditions.
Sleep: Individuals who currently experience sleep difficulties.
News and Updates
Is It Time to Legalize Cannabis? John J. Miller, Psychiatric Times April 2019
Top news from International Association for Cannabinoid Medicines (IACM).
Science/Human: MS patients taking cannabis were able to reduce intake of opioids and benzodiazepines
According to a retrospective chart review of 77 patients diagnosed with multiple sclerosis treatment with cannabis allowed one third to reduce the intake of other medications, including opioids. Scientists of Dent Neurologic Institute Amherst in New York, USA, published their study results In the Journal Neurology. Subjective improvement endorsed by patients was extensive, with alleviation of ... more
Science/Human: Cannabis motivates to do more exercise
Science/Human: CBD may be helpful in Fragile X syndrome according to case reports
Science/Human: Cannabis use is associated with a lower probability of obesity in healthy people
Science: Degradation of THC over a course of 4 years under different storage conditions
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