Update 12 October 2018 - Cannabis-based medicinal products will be able to be prescribed by specialist doctors for conditions including epilepsy following a change in the law laid in parliament. From 1 November 2018 specialists, such as neurologists, will be able to prescribe medicinal cannabis on a case-by-case basis where the patient has an unmet special clinical need that will not respond to licensed medications. Anyone who is under a specialist should discuss their treatment plan with them.
Cannabinoids are a class of compounds that interact with receptors throughout your body. CBD is just one of dozens of cannabinoids found in cannabis, including tetrahydrocannabinol (THC), which is the one responsible for marijuana’s famous high. Medical cannabis is technically any cannabis product used for medicinal purposes, and these can contain THC or CBD or both, said Nick Jikomes, a neuroscientist at Leafly, a website that provides information about legal cannabis. “A common mistake people make is to think that CBD is ‘the medical cannabinoid’ and THC is ‘the recreational cannabinoid.’” That’s inaccurate, he said, because THC is a potent anti-inflammatory and can be helpful for pain.
Since then several other so-called endocannabinoids and their receptors have been discovered. Scientists have come to recognize that endocannabinoids interact with a specific neurological network—much the way that endorphins, serotonin, and dopamine do. Exercise, Mechoulam notes, has been shown to elevate endocannabinoid levels in the brain, and “this probably accounts for what jogging enthusiasts call runner’s high.” These compounds, he explains, apparently play an important role in such basic functions as memory, balance, movement, immune health, and neuroprotection.
Runners pushing themselves daily might want to try more. Floyd’s of Leadville owner Bob Bell says that the company’s 50-milligram soft gels are its top seller. Talansky says his baseline is a 25-milligram gel, plus applying a strong topical cream three to five times a day if a specific body part is bothering him. He takes more on his hardest training days to speed recovery.
Our oils are not made from blends of different strains, and are in fact strain specific. Using the same strain each time means better consistency, so you can expect the same effects each time. Another advantage of using a single strain is that you can anticipate the effects of the oil based on its dried flower counterpart. If you’ve used a strain in dried flower format, you’ll receive similar effects with the oil, although the time course of effects is likely to be different.
At Noho’s Finest, a medical marijuana dispensary in the Los Angeles area, Damaris Diaz checks the scent and stickiness of her products. Crossbreeding has yielded powerful new hybrid strains that are much higher in psychoactive THC than those in decades past—a source of concern for health officials, who cite evidence that the prolonged smoking of high-THC varieties can adversely affect the developing brain.
According to the American Glaucoma Society, cannabis has demonstrated the ability to lower IOP in both normal individuals and in those with glaucoma, and therefore might be a natural glaucoma treatment. One cautionary fact about cannabis’ ability to lower IOP is that it only works for a short time, so patients would have to use cannabis about every three hours.
At a cannabis competition in Santa Rosa, California, a young enthusiast becomes a human billboard for a company that sells devices to vaporize the drug. California allows marijuana for medical but not recreational use. As “ganjapreneurs” seek to capitalize on the legalization movement, the paraphernalia industry has expanded dramatically, employing a sleek aesthetic—and a certain sex appeal—to market products once confined to head shops.
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The list includes marijuana (undifferentiated by strain) and heroin. (While the federal government oversees marijuana research, marijuana use is regulated, in part, by state laws.) As a result, scientists who study the compound must follow a host of restrictive rules. Last year, responding to a request from several governors to change marijuana’s designation, the Drug Enforcement Administration announced that all cannabis would remain a Schedule 1 drug.
From their small town in southwestern Maine, Meagan and her husband, Ken, took Addy to Boston to consult with neurologists. These epileptic seizures, they concluded, were the result of a congenital brain malformation called schizencephaly. One of the hemispheres of Addy’s brain had not developed fully in utero, leaving an abnormal cleft. She also had a related condition called optic nerve hypoplasia, which caused her eyes to wander—and which, further tests revealed, made her all but blind. By summer Addy was having 20 to 30 seizures a day. Then 100 a day. Then 300. “Everything was misfiring all at once,” says Meagan. “We were afraid we were going to lose her.”
Specific city and county laws have been enacted to regulate how citizens and tourists may possess and consume marijuana. Penalties exist for driving while under the influence of marijuana. Someone driving under the influence of marijuana is considered impaired in both Colorado and Washington when five nanograms per milliliter (ng/mL) of blood or more of active THC is detected.
THC is the primary psychoactive compound in marijuana and it is what people are searching for when they want a product that gives them a "high." Unlike THC, CBD isn't known to cause psychoactive effects, and is therefore attractive to those who want to avoid the high but who believe there are other benefits of CBD, said Sara Ward, a pharmacologist at Temple University in Philadelphia. [Healing Herb? Marijuana Could Treat These 5 Conditions]
Typically, pharmaceutical companies making cannabis-based medicines have sought to isolate individual compounds from the plant. But Mechoulam strongly suspects that in some cases those chemicals would work much better in concert with other compounds found in marijuana. He calls this the entourage effect, and it’s just one of the many cannabis mysteries that he says require further study.
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