1 / 16

Is Cannabis Right for You?

Is Cannabis Right for You?. Dr. Nick Salamie PharmD, RPh. Cannabis Prohibition. Henry Jacob Anslinger US Drug Czar 1930-1962 Major Role in War on Cannabis Spread False Information Marihuana Tax Act of 1937 Implemented an Excise Tax Destroyed Hemp Industry Opposed by AMA Richard Nixon

libitha
Download Presentation

Is Cannabis Right for You?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Is Cannabis Right for You? Dr. Nick Salamie PharmD, RPh

  2. Cannabis Prohibition • Henry Jacob Anslinger • US Drug Czar 1930-1962 • Major Role in War on Cannabis • Spread False Information • Marihuana Tax Act of 1937 • Implemented an Excise Tax • Destroyed Hemp Industry • Opposed by AMA • Richard Nixon • “War on Drugs” • 1973 DEA Creation

  3. Facts • No deaths from Cannabis ever! • ~44 deaths from RX Opioids a day • Does NOT cause respiratory depression • Used as a Medicine for 1000s of years

  4. Current Laws • Federally Illegal • Schedule I • Same level as heroin, LSD, Meth • Alcohol NOT scheduled • Cocaine schedule II • Medical Cannabis • 33 States • District of Columbia • 4 U.S. Territories • Recreational Cannabis • 10 States • District of Columbia • Northern Mariana Islands • Illinois Laws • Medical Only • 41 Qualifying Conditions

  5. AIDS • Alzheimer’s Disease • ALS • Arnold-Chiari Malformation • TBI and Post-Concussion Syndrome • Cancer • Cachexia • Causalgia • Chronic Inflammatory Demyelinating Polyneuropathy • CRPS • Crohn’s Disease • Dystonia • Fibromyalgia • Fibrous Dysplasia • Glaucoma • Hepatitis • HIV • Hydrocephalus • Interstitial Cystitis • Lupus • MS • Muscular Dystrophy • Myasthenia Gravis • Myoclonus • Nail-Patella Syndrome • Neurofibromatosis • Parkinson’s • PTSD • Reflex Sympthetic Dystrophy RSD • Residual Limb Pain • RA • Seizures • Sjogren’s Syndrome • Spinal Cord Disease • Spinal Cord Injury • Spinalcerebellar Ataxia • Syringomyelia • Tarlov Cysts • Terminal Illness Prognosis • Tourette’s Syndrome

  6. Non-Qualifying Conditions • Arthritis • Chronic Fatigue Syndrome • Depression • Diabetes • Insomnia • Migraine and Headache • Nausea and Vomiting • Neuropathy • Osteoporosis • Pain • Sexual Dysfunction

  7. Endocannabinoid System • Found in all animals • CB1 and CB2 receptors • Located all over body • Anandamide and 2-AG • Balance In the body • Pain Modulation • Phytocannabinoids as treatment • THC • CBD

  8. Endocannabinoid System • Alzheimer's Disease • Regulates Memory • Phytocannabinoids as treatment • THC • CBD • Endocannabinoid Deficiency? • Possibly Underlying Cause of Idiopathic Conditions

  9. THC • One of the major therapeutic cannabinoids • Beyond the psychoactivity (High) • Anti-inflammatory • Analgesic • Neuroprotective • Increased Potency via Gastrointestinal absorption • Side Effects • Anxiety • Dizziness • Rapid Heartbeat • Go LOW and SLOW!

  10. CBD • Second most prevalent therapeutic cannabinoid • NO prevalent psychoactivity (High) • Eliminates some of THC’s adverse effects • Sedation • Hunger • Therapeutic value • Anti-inflammatory • Anti-convulsant • Anxiolytic • Side effects • Headache • Diarrhea • Agitation • Sedation • CBD more effective with THC: “Power Couple” • Hemp vs. Whole Plant CBD

  11. First PDI Visit • Goals • Increase Quality of Life • Drug Interactions • Assess Patients Cannabis Experience • No or little cannabis experience • Intermediate cannabis experience • Advanced Cannabis Experience • Tapering Strategy if Necessary • Product selection and initial strategy • Minimum Effective Dose • Follow Up

  12. Dosage Forms • Inhalation • Combustion • Vaporization • Ingestible • Edibles • Oils (RSO) • Tablets/Capsules • Sublingual/Buccal/Oromucosal • Topical • Transdermal

  13. Recent News • “Medical pot: Elixir for the elderly?” • By Dennis Thompson • Dr. Laszlo Mechtler • Senior Researcher • 204 patients • Over 75 years old • Pain • 7 of 10 patients experienced symptom relief

  14. Getting Your Cannabis Card • Formal Diagnosis of 1 of the 41 qualifying conditions • Completion of Physician Written Certification Form by a Licensed Physician • Fingerprint/Background Check • Completion of Online Registration and and Payment • Provisional Registration

  15. Resources • Backes, Michael, et al. Cannabis Pharmacy: the Practical Guide to Medical Marijuana. Black Dog & Leventhal Publishers, 2017. • “Harry J. Anslinger.” Wikipedia, Wikimedia Foundation, 20 Mar. 2019, en.wikipedia.org/wiki/Harry_J._Anslinger. • Jenison, David. “Was Harry Anslinger a Racist?” PRØHBTD, prohbtd.com/was-harry-anslinger-a-racist. • “Marihuana Tax Act of 1937.” Wikipedia, Wikimedia Foundation, 11 Mar. 2019, en.wikipedia.org/wiki/Marihuana_Tax_Act_of_1937. • Russo, Ethan B., and Jahan Marcu. “Cannabis Pharmacology: The Usual Suspects and a Few Promising Leads.” Cannabinoid Pharmacology Advances in Pharmacology, 2017, pp. 67–134., doi:10.1016/bs.apha.2017.03.004. • Salamie, Nicholas PharmD, RPh. “Alzheimer’s Disease and the Alternative to Opioids Act.” Powerpoint File. • Thompson, Dennis. “Medical Pot: Elixir for the Elderly.” Chicago Tribune, 27 Mar. 2019. • “War on Drugs.” Wikipedia, Wikimedia Foundation, 22 Mar. 2019, en.wikipedia.org/wiki/War_on_drugs.

  16. Questions

More Related