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Cannabis Use in Neurologic Patients

Cannabis is used by patients with chronic neurologic conditions to address many of their symptoms.

There are two major forms of Cannabinoids – Tetrahydrocannabinol (THC) and cannabidiol (CBD). Both bind to receptors in the brain and spinal cord (the central nervous system). These receptors are believed to help with pain and the function of the immune system. THC is considered “psychoactive” which means it alters the mental state.

 

The benefits Of Cannabis in neurologic patients:

  • Chronic pain (from damaged nerves and from muscles spasm)
  • Better pain control may lead to decreased opioid use
  • Improved sleep
  • Improved mood and relaxation
  • Decreased tremor
  • Decreased Spasticity
  • Can improve urinary urgency/incontinence
  • Ant-inflammatory and immunosuppressant properties

The downsides of Cannabis use in neurologic patients:

  • May impair gait stability/more imbalance (some people report requiring more assistive devices use when “high”)
  • Some people develop a dependence on or a tolerance to cannabis
  • Not legal in all states
  • Decreased motivation affecting social life and work performance
  • Some drug interactions (such as with some antidepressants, blood thinners, anesthetic agents, etc…)
  • Cognitive impairment
  • Dizziness
  • Nausea
  • Drowsiness
  • Psychosis in patients at risk

 

Cannabis is a potential tool to help control many neurologic symptoms. Like most things, there are potential downsides as well.  It should be used as an add-on to traditional therapies.  The BeCare Neuro Link App can help you monitor the state of your symptoms (both positive and negative) if you choose to use cannabis.  It can also be used to track your cognitive health to make sure you are not doing yourself harm.

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