7 Tips For Talking To Your Doctor About Cannabis Or CBD
Cannabis has re-emerged into mainstream culture, along with many of its constituents, like CBD. Many people are now discussing cannabinoid use with their doctors. Use this simple list of tips to optimise the conversation.
Cannabis and CBD are increasing in popularity. Multiple countries around the world now enable patients to legally pick up cannabis prescriptions. Regardless of whether you live in a region where it’s legal or prohibited, it can help to do some homework before bringing cannabis up with your doctor. Use the tips below to enter your appointment feeling confident and armed with the right questions.
Why do you want to use cannabinoids? If you’re going to bring up cannabis or CBD use with your medical professional, you should be serious about your decision. Don’t treat the conversation like a joke or casually add it in at the end of your appointment. If you want to discuss this topic seriously, you need adequate time to work things out with your doctor.
If you happen to live in a region under prohibition, bringing up cannabis use can be nerve-wracking. If you’re serious about it and believe it can make a beneficial difference to your life, present your case as such. Don’t undermine yourself by perpetuating stereotypes or false information.
DO YOUR RESEARCH BEFORE THE APPOINTMENT
It’s up to you to conduct the necessary research on your condition and the laws surrounding cannabis and CBD before your appointment. It’s also on you to delve into research on cannabinoids, terpenes, and the endocannabinoid system itself, so you can be as informed as possible from all angles.
UNDERSTAND YOUR CONDITION
Even a basic grasp on your condition will help you feel more at ease and encouraged than facing the unknown. Expand your personal research into how exactly cannabis and CBD might impact you. Attending the doctor’s office with this knowledge in hand will help you understand your doctor’s response and approach. It will also give you a leg to stand on if your doctor questions your choice.
WHAT IS THE LOCAL LAW REGARDING THE USE OF CANNABIS OR CBD?
Cannabis and CBD laws fluctuate around the world. They can even change from state to state or county to county. Learn about your local cannabis and CBD laws before speaking to your doctor about it. As a non-psychoactive cannabinoid, CBD remains legal in many countries. However, many medical systems don’t view it as a medicine.
Some countries have legalized cannabis for medicinal use, but even possession of the herb remains an offence in many nations. Review the laws of your country to see if it’s worth pursuing any further.
LEARN ABOUT CANNABIS AND CBD
Many systems are behind the times when it comes to scientific findings. Of course, detailed clinical trials confirming the efficacy of substances take time. However, many biology textbooks don’t even feature the endocannabinoid system. Most patients are left to educate themselves when it comes to cannabis or CBD. Chances are—in countries under prohibition—your doctor might not be well-versed on either.
Read up on cannabinoids and the function of the endocannabinoid system before your consultation. Showing your knowledge on the topic might even help introduce your physician to something they weren’t really aware of.
THINK ABOUT WHICH TYPE OF CANNABIS OR CBD PRODUCT WOULD SUIT YOU BEST
You may already be experimenting with cannabis before approaching your doctor. In this case, you probably know which strain, extract, or even specific cannabinoid works best for you. If not, it’s worth exploring the options. THC produces a psychoactive effect that may help boost the mood, soothe the body, and raise the spirits. It certainly helps many people get out of bed in the morning and start their day off with a positive mindset.
CBD produces no psychoactive high, but provides a lucid and clear-headed effect that allows users to remain fully functional and productive. Certain extracts also exist that possess varying ratios of the two cannabinoids to fit specific needs.
Aromatic molecules known as terpenes also dictate the effects of a particular strain or extract, producing a synergistic effect  with cannabinoids. Myrcene, for example, exerts more of a relaxing sensation. In contrast, limonene produces more of a lively and refreshing effect.
WRITE DOWN QUESTIONS YOU WANT TO ASK ABOUT CANNABIS OR CBD
Writing down a list of questions before your appointment will help you get the answer you’re looking for. It can be easy to forget specific questions during a consult, so bring the list in with you. Examples of questions you might want to ask include:
• Will cannabis or CBD interact with any of my medications?
• What type of cannabis or CBD would be most effective for me?
• What would be the best way for me to consume cannabis?
• Where can I find more reliable information on cannabis?
• Are there any side effects I should be aware of?
BE TRANSPARENT WITH YOUR DOCTOR
Honesty is the best policy. Doctors take confidentiality seriously. Tell them everything, from why you think cannabis might help you to your concerns about taking it. The more honest and transparent you are, the more they will understand your situation and try their best to help you.
LISTEN TO YOUR DOCTOR’S CONCERNS
It can be tempting to try and undermine your doctor’s opinion. Sure, taking charge of your own health through good diet, stress management, and sensible cannabis use can be transformative. However, Google doesn’t have all the answers. If your doctor has concerns about your cannabis or CBD use, you need to take their points seriously.
DON’T BE AFRAID TO ASK FOR A SECOND OPINION
That said, doctors don’t always get it right, especially in regards to cannabis. The herb has only just re-entered mainstream culture in the most progressive countries, and doctors don’t learn a whole lot about it in school. If you think your doctor might have overlooked something, follow your gut and ask another medical professional for a second opinion.
KEEP A RECORD OF YOUR EXPERIENCE WITH CANNABIS OR CBD
Writing things down can help you keep track of your experiences. Figure out what works well for you through trial, error, and experimentation. Jot your thoughts and sensations down in a journal. Was a particular cannabis strain too strong? Perhaps a specific formula of CBD oil didn’t quite live up to your expectations? The more you record, the more you’ll learn.
Talking to your doctor about cannabis or CBD can be nerve-wrecking at times. Use these tips for a smooth and successful conversation.
How to Talk to Your Physician About Medical Cannabis: 10 Points to Guide You
Living with chronic pain is challenging, especially when opioids may be less available. If you are wondering about other pain relief options—including medical cannabis—here’s a guide discussing alternatives with your doctor.
There are many ways to start a conversation with your doctor If you feel awkward bringing up the topic of medical marijuana. If you suffer from a chronic medical condition and have not found adequate relief from pain and other symptoms using traditional medicines, you may be thinking about trying medical cannabis (also commonly referred to as medical marijuana) as part of your treatment strategy.
A growing number of states (currently 31 plus the District of Columbia) have approved cannabis use for medicinal purposes to treat a host of serious and chronic medical needs from nerve pain to nausea and anxiety. (Note: the conditions which qualify for its use vary from state to state.) According to proponents, medical cannabis can relieve pain, reduce inflammation, lessen nausea/improve appetite, control epileptic seizures and more. Also of note, in a Fall 2018 PPM online patient poll, about half of respondents said they had tried medical marijuana to help alleviate their pain or pain-related symptoms.
If you have a medical condition that qualifies for medical cannabis use in your state, you can start by talking to your primary care physician about the options, benefits, and risks of using it therapeutically for your specific situation, says David Bearman, MD, a physician with 40 years of experience in the substance abuse field and author of the recent book, Drugs Are NOT the Devil’s Tools: How Greed and Discrimination Led to a Dysfunctional Drug Policy and How It Can Be Fixed.
10 Key Considerations
Before broaching the subject, It is helpful to know the basics about medical cannabis and some of the issues and concerns involved in its usage. Here are some points to help guide your conversation with your physician:
#1. Not all medical cannabis is the same.
Photo courtesy Robin R. Buckallew, hosted by the USDA-NRCS PLANTS Database Medical cannabis comes from the Cannabis sativa plant, and there are hundreds of different strains out there. “Cannabinoids are the molecules in the cannabis plant matter that have a medical value and perform certain actions in the body,” explains Sharmilla K Patil, MD, CAS, FDM, who serves as the CMO of Divine Balance Medical Group and CEO of Greentech Laboratories, Inc.
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Two of the best-known types of cannabinoids contained in most strains are THC (delta 9 tetrahydrocannabinol) and CBD (the name for cannabidiol). THC causes the psychoactive effect that people typically associate with cannabis use; CBD offers many therapeutic applications without the psychoactive properties.
Most people use a strain that contains a mixture of both compounds. Experts say low doses of THC can be effective for treating anxiety, attention deficit disorder (ADD) and post traumatic stress disorder (PTSD). Higher doses are typically required for pain relief.
#2. Medical cannabis can be used to treat a variety of conditions.
“Some of the more frequent reasons for cannabinoid medicine specialists [or other physicians] to recommend cannabis is to treat pain and to treat anxiety,” Dr. Bearman says. “Other common conditions that cannabis can address include [but aren’t limited to] migraines, epilepsy, ADD/ADHD, PTSD, depression, Crohn’s disease, nausea, appetite stimulant, Parkinson’s Disease, multiple sclerosis, fibromyalgia, complex regional pain syndrome (CRPS), rheumatoid arthritis, lupus, and autism.” (Keep in mind that the conditions cannabis is approved to treat will depend on the state in which you live.) Your doctor may be able to discuss your condition and explain how medical cannabis can be used to address your symptoms.
Some people are not good candidates for this form of treatment. Your practitioner should be able to tell you if this is true for you. As with any medication, pregnant women should consult a doctor before use and those with schizophrenia should use cannabis only under the supervision of a psychiatrist.
In addition, Dr. Bearman points out that the US Food and Drug Administration (FDA) offers a warning for users of Marinol (prescription synthetic THC) and other psychoactive drugs, which is not to drive, operate heavy equipment or engage in dangerous activity until the substance’s affects are evaluated in them. Something to keep in mind when using medical cannabis as well.
#3. Medical cannabis comes in several forms.
Dr. Bearman suggests you ask your physician to recommend the best ratio of THC to CBD to look for in a marijuana strain, as well as to offer a suggested dosage and route of administration. Medical cannabis can be taken in a variety of forms, including being smoked, vaporized, sublingually (under the tongue), ingested, and used topically. When you visit a dispensary with your doctor’s recommendation, if the staff there is experienced and well-informed, they can also help guide you to identify the best option for the type of results you are seeking. Some patients prefer to grow their own cannabis. You can also talk to your doctor about going this route, too.
#4. Side effects are usually minor but do exist.
“While cannabis does have a few side effects, they are generally dose related and occur more frequently in novice users, and in most cases nonmedical recreational consumers,” Dr. Bearman points out. “These side effects include paranoia, panic attacks, and dysphoria [a feeling of deep uneasiness or dissatisfaction]. Therefore, the best advice with medical cannabis is to “start low and go slow,” he stresses.
#5. You don’t need a prescription for medical cannabis but you do need a physician’s recommendation.
If you are an appropriate candidate for medical cannabis treatment, your physician can provide a medical cannabis recommendation that can be used in your state. Since medical cannabis is classified as a Schedule 1 drug, doctors don’t formally prescribe it; they recommend usage. A physician’s recommendation is needed to purchase the substance at a medical marijuana dispensary.
You may also want to use the recommendation to apply for a formal medical marijuana card, which enables you to be a registered medical cannabis user in your state. (Note: The card is an optional step in many states, but be sure to find out the laws where you live.) Dr. Bearman points out that the benefit of having a medical cannabis card is to offer protection in the event you need to prove to law enforcement that you are using it for a valid medical reason. Law enforcement may ignore the doctor’s letter (the courts will recognize it, however) but the card is an official state document and can help you avoid unnecessary hassle.
#6. Cannabis use laws vary by state.
To learn the medical cannabis laws in your state, several online resources are available. Sites such as the National Organization for the Reform of Marijuana Laws (NORML), the Marijuana Policy Project, and the United Patient’s Group provide information about regulations in each state. You can also call your state legislators for more information about local regulations.
It’s also important to understand that medical marijuana is prohibited under federal law but in states with controlled medical cannabis laws, patients with physician’s recommendations don’t generally need to be concerned about this. In 2014, Congress budgeted no money to enforce the federal anti-marijuana law (the Controlled Substances Act of 1970) in states where cannabis is legal. The US Drug Enforcement Agency (DEA) points out that the laws are meant to protect against drug rings and aren’t meant to target individual people using cannabis for approved therapeutic reasons.
“No patient should be worried. The states that have medical marijuana usually have amendments that protect patients and physicians from federal laws,” stresses Philip S. Kim, MD, CEO and founder of the Center for Interventional Pain Spine, LLC, in Newark, Delaware.
Dr. Kim also points out that for people in states that don’t have medical cannabis laws, they can ask their doctor about dronabinol, a synthetic THC and the generic form of Marinol, which is FDA approved and available nationwide.The National Institute on Drug Abuse (NIDA) website reports that medications containing THC that are approved by the FDA can help with nausea control, improved pain, reduced inflammation and improvements in muscle control issues.
#7. There’s more than one way to start the conversation with your doctor about using cannabis therapeutically.
If you’re unsure how to bring up the subject of using medical cannabis with your doctor, Dr. Bearman has a few possible openings. Try talking about someone else you know (“a friend”) who is using medical cannabis effectively; mentioning a book on the subject that you have recently read or a documentary or news show you’ve watched or asking about research you’ve discovered on the Internet. “Any of these tactics can kick off a conversation with your doctor,” he says.
#8. Not all doctors are up on the latest research on medical cannabis.
You shouldn’t assume that your doctor is well versed in the current medical cannabis literature. One way to find out his level of knowledge is to inquire if he or she has attended any continuing education programs or workshops about cannabis recently. Dr. Bearman says that you shouldn’t be surprised if the answer is, “no.”
“Most physicians have not even been taught about the endocannabinoid system [the neurotransmitter system that cannabis affects for results], let alone the medicinal value of cannabis [the plant matter] and cannabinoids [the molecules]. Even physicians who make cannabis recommendations may be unfamiliar with its value, dosing, and/or strain in treating a less common condition that may respond favorably to cannabis,” Dr. Bearman explains. So, be sure to do your homework and understand the options and issues involved in using medical cannabis.
#9. If your physician doesn’t recommend cannabis for you, you can still find a doctor who specializes in this treatment.
If your condition qualifies you to use medical cannabis in your state and you don’t have any contraindications that make usage risky, but your primary care physician isn’t comfortable making a cannabis recommendation, ask him or her for a referral to another clinician. Medical cannabis practitioners can also be tracked down online through resources such as the Medicinal Marijuana Association.
#10. Medical cannabis use can negatively impact your career and finances.
While the majority of states have some type of medical cannabis law in place to make it accessible for patients who qualify, there are still some important implications that people should think about before they decide to use it. For instance, regular usage could impact life insurance premiums and could also put you at risk on the job in some circumstances if your employer performs drug testing and is not willing to recognize the medical benefits of this drug. (Dr. Bearman notes that the use of synthetic THC [dronabinol] will be reported as a negative test result, so this could be worth considering.)
Your best bet is to ask your doctor about the benefits and risks associated with any options you are considering so you can determine what makes the most sense for your specific symptoms and circumstances.
If you're considering trying medical cannabis for pain relief, here's how to speak with your doctor about getting a recommendation for the substance that is currently legal in 28 states.