Using Cannabis to Treat Your MS? A Word of Caution

Stuart SchlossmanCANNABIS, Complementary & Alternative therapies and devices for Multiple Sclerosis (MS)

by Ed Tobias       July 16, 2021

 People with MS who are using cannabis take heed: A research letter published in May in JAMA Network Open reports that calls to poison control centers about people intentionally or inadvertently using plant-based or processed cannabis products have been increasing over the past several years. Public health officials are concerned.

According to the letter written by various health experts in the U.S., one problem is that a growing number of retail sales involve manufactured cannabis products rather than natural ones. These synthetic products may contain higher levels of THC than natural plant-based cannabis alone. THC is the substance in the plant that alters a person’s mental state, creating the “high” associated with marijuana. According to the experts, that extra THC could result in increased negative short-term effects, such as impaired cognition and psychomotor skills.

These negative effects may not be limited to synthetic cannabis. A recent study of long-term cannabis users with MS reports that users who stopped using the drug for 28 days improved their depression and cognitive skills, inferring that cannabis use increased depression and reduced cognition.

A small survey of 1,217 people with MS in the U.S., conducted last year by University of Michigan researchers, showed 386 (about 32%) used cannabis either strictly for medical purposes, such as nerve pain or to help them sleep, or for both medical and recreational purposes. Personally, I think this percentage is low. Take a tour of MS-related Facebook groups and you’ll find many people who report cannabis is the only thing that helps their pain, spasticity, and ability to sleep. It doesn’t appear to be a small number.

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Let’s teach our doctors about cannabis

Let’s get our doctors the information they need so they all feel comfortable prescribing cannabis. Let’s educate users about the potential dangers of synthetic cannabis and the possible downside of even the natural stuff. Let’s work to get insurers to pay for it, as they do for traditional medications. And let’s get all 50 states to legalize medical cannabis. Piece of cake, right?

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