11 | November | 2006

Cannabis helps drug withdrawal, say doctors

November 11, 2006 — Mahakal / מהכאל

Fred Gardner writes,

This summer I surveyed 19 PC doctors who, between them, had approved and monitored cannabis use by more than 140,000 patients. Herewith some replies to a question about patients reporting reduced reliance on pharmaceuticals.

Frank Lucido, MD: “Chronic pain patients report reduced use of opioids, NSAIDs, muscle relaxants, sleeping pills. Psychiatric and insomnia patients reduce use of tranquilizers, SSRI antidepressants, and sleeping pills. Neurologic patients reduce use of opioids, muscle relaxants, NSAIDS, triptans and other migraine headache remedies.” Marian Fry, MD: “Medications discontinued or reduced include Oxycontin, Norco, Percoset, Vicodin, Flexerol, Soma, Valium, SSRI antidepressants, and blood-pressure medications Norvasic and Hydrochlorothiazide. Approximately 1% of my patients report reduced reliance or discontinuation of seizure medication by substituting Cannabis for Dilantin and remaining seizure free. Many of my Glaucoma patients no longer require their Timoptic drops and are able to maintain normal pressures with the use of Cannabis. Many of my patients who have lost hope in conventional pharmaceutical treatments report enhanced health, decreased pain, decrease depression and an overall sense of well being despite chronic illness.”

Helen Nunberg, MD is medical director of MediCann, a statewide chain of clinics through which 53,000 patients have received approvals. Nunberg reviewed records of 1,800 patients seen at nine clinics. “Prescription drug substitution is very significant,” she writes. “51% of the 1,800 patients report using cannabis as a substitute for prescription medications; 48% report using cannabis to prevent prescription medication side effects; 67% report using cannabis to reduce dosage of prescription medication; 49% of patients using cannabis for chronic pain were previously prescribed an opioid (such as hydrocodone) by their personal physician.”

Philip Denney, MD: “Cannabis allows significant decreased use or elimination of many prescription medications, particularly narcotics. Patients usually report decreases of 50% or better.”

Tom O’Connell, MD: “Vicodin and other opioids; lithium; Klonopin; various sleep aids; and the whole gamut of psychotropic medications from Prozac to Xanax. I don’t tell patients to stop taking anything, but I will suggest they discuss it with the prescribing doctor. I have the feeling that most don’t.”

Robert Sullivan, MD: “Opiates, muscle relaxants, antidepressants, hypnotics (for sleep), anxiolytics, neurontin, anti-inflammatories, anti-migraine drugs, GI meds, prednisone (for asthma, arthritis).”

William Eidelman, MD: “Opioids, sleeping pills, anxiolytics, SSRI anti-depressants.”

Hanya Barth, MD: “Approximately 90% of my patients have at one time or another tried traditional medications for their symptoms and found that they produced significant side effects. With cannabis most patients report either being able to manage their symptoms without any other medications, or using less than they would ordinarily have to. It is not unusual to have patients come for a recommendation, bringing a whole bag of medications that they are taking. They might then return the following year saying that they no longer needed many of them and had cut back on many others.

“It is also true that most patients who were using alcohol to manage their symptoms or who were abusing alcohol or speed or opiates, etc. find that they can stop these drugs when they have marijuana. Many also report that they were using those drugs to manage certain symptoms such as pain or anxiety and then became addicted. This is especially true of certain populations, mainly the homeless and the mentally ill. Even cigarette smokers often state that they can substitute cannabis for nicotine.

“What amazes me overall is the efficacy and lack of side effects. It is not that the pain stops but that the mind doesn’t fixate on the pain in the same way. In addition, the muscles that become tense around an area of pain can cause secondary symptoms, which then are relieved with cannabis. If someone is in pain and/or anxious, he or she often has a hard time sleeping. With cannabis, patients report that they are able to sleep better, wake up more refreshed, have less secondary depression and are able to function more efficiently the following day. Many hypnotics can only be taken at a certain time (not at 4 a.m., for example). However, having a puff of cannabis at that time will help them fall back asleep without a morning hangover.”

Dr. A: “Narcotics, including heavy narcotics such as Fentanyl.”

William Courtney, MD: “While the percentage of patients in my practice using cannabis for management of ADHD is small, those who have discovered its benefits are pleased that they can achieve control without having to continue to use Ritalin, etc.”

Tod Mikuriya, MD: “Opioids, sedatives, non-steroidal anti-inflammatories, and SSRI anti-depressants are commonly used in smaller amounts or discontinued. These are all drugs with serious adverse effects.”