Thursday 1 February 2024

Why Cannabinoids Instead of Opioids?


A recent review published by the Pain and Therapy journal found cannabinoids to be a likely favourable adjunctive or replacement for opioids for diverse forms of acute and chronic pain. According to it, cannabinoids have yielded positive results in various trials over opioids, particularly for neuropathic pain. It has been demonstrated to alleviate chronic pain in the elderly population and to result in the discontinuation of opioids medications. The review also found cannabinoids have a lower side-effect profile than opioids and may be used in tandem with opioids to produce more powerful analgesia.

A survey by researchers from the United States reported that patients found cannabis use to be a helpful adjunct and alternative to opioids in managing their chronic pain. They also claimed to get the extra benefit of enhancing their ability to work and quality of life.

The Tilray Observational Study from Canada gives an individual-level insight on cannabinoids substitution for opioids and other prescribed medicines, along with the resulting improvement in quality of life over a 6-month period. According to this study, the use of cannabis for chronic pain can result in a reduction in opioid use and its subsequent harmful effects. This has the potential to improve patient quality of life and general public health.

Cannabis consists of various biologically active molecules that can influence pain physiology. Comprehensive reviews of the literature support the potential safety and pain-relieving efficacy of cannabinoids for chronic pain. The beneficial effects appear to peak after three months of frequent cannabis use. Another study has claimed to decrease the illicit use of opioids for chronic pain as well as fentanyl exposure rates.

Microdosing CBD is a method of consuming very small doses of cannabidiol on a daily basis. In a randomised control trial, a significant decline in pain intensity was observed with a dose of 0.5mg to 1mg of cannabis in 27 patients with chronic neuropathic pain. The trial concluded that people can benefit from cannabis-based treatments for their chronic pain. A retrospective evaluation found a low dose of cannaboids helpful in reducing chronic pain, post-traumatic stress disorder-related insomnia, self-harm and nightmares in inmates with serious mental illness. It can be useful in reducing emotional exhaustion, anxiety, and burnout.

For a new cannabis user, microdosing can be an excellent starting point. The goal of microdosing marijuana is to achieve the desired impact throughout the day with a few repeated doses instead of one huge dose.

Microdosing of marijuana can be carried out via various forms like tinctures, gummies, pastilles, etc.

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