This Is How Marijuana Treats Seizures

Over the years, the use of medical cannabis (marijuana) has generated both a seemingly never-ending debate, and a growing interest from the public due to its medicinal properties. As of today, almost thirty states have allowed the use of medical marijuana as a treatment method for debilitating diseases. One of the chronic illnesses for which the use of medical cannabis is often allowed is epileptic seizures. This illness affects the life and health of millions of people around the world. But how does marijuana help alleviate the effects of this debilitating condition?

Can Medical Marijuana Treat Seizures?

One of the staple cases that showed medical cannabis can help treat seizures is the Charlotte Figi case. Figi, a resident of Colorado, suffered from continuous seizures. After many attempts at treating the girl’s condition, her parents decided to give her medicinal cannabis high in CBD (cannabidiol). By adding this drug, the girl’s seizures were reduced from 300 grand mal seizures per week to only two or three seizures per month.

While this case can illustrate medical cannabis’ ability to help treat seizures, it is important to understand how this worked and whether it’s reasonable to apply this lesson to you.

What is a Seizure?

A seizure is when the brain’s electrical activity becomes dysregulated and all the neurons fire repeatedly at the same time. This disrupts the function of the area of the brain where this rhythmic synchronized firing is happening. According to the Centers for Disease Control and Prevention (CDC), “Epilepsy is a disorder of the brain that can cause seizures… Epilepsy can affect people in very different ways… because there are many causes and many different kinds of seizures.”

The following are commonly associated with developing seizures:

  • Head Injuries and Traumatic Brain Injuries (TBI)
  • Strokes
  • Brain Tumors
  • Meningitis
  • Encephalitis

However, most seizure disorders occur for no known reason.

Types of Seizures Caused by Epilepsy

Seizures are generally divided into two main categories known as “Generalized” and “Partial” seizures. Generalized seizures are when the rhythmic neuronal firing encompasses the whole brain. These typically cause loss of consciousness and characteristic rhythmic limb movements called Tonic-Clonic Movements.

Partial seizures are caused by electrical impulses originating in a specific or focused part of the brain which may or may not cause loss of consciousness but will typically cause some dysfunction that is problematic.

Common Epileptic Seizure Medications

Medications available to treat epilepsy are known as “Anti Epileptic Drugs,” or AEDs. Common AEDs include Levetiracetam (Keppra), Lamotrigene (Lamictal), Topiramate (Topamax), Gabapentin (Neurontin), Phenytoin (Dilantin), Carbamazepine (Tegretol), Clonezepam (Klonopin), Clobezam (Frisium), and others.

Medical Marijuana as a Treatment for Seizures

Cannabis, or more specifically CBD (cannabidiol), which is one of the many cannabinoid medicines in cannabis, has been shown to help reduce seizures. However, it is extremely important to note that this has only been shown in children with rare genetic seizure disorders. These children have either Dravet’s Syndrome or Lennox-Gastaut Syndrome.

Recent studies suggest that the use of CBD can help to alleviate seizures in these children. A study published by the Journal of Epilepsy Research, which analyzed the results of three therapy trials involving purified CBD found the following of patients with different epileptic syndromes: “For the first time, there is now class 1 [strong – sic] evidence that adjunctive use of CBD improves seizure control in patients with specific epilepsy syndromes.”

Also, it is important to be aware that dosing matters: small doses are not effective for these children. Only high doses (10-20mg/kg) are effective.

Given the nature of the illnesses these children have, it is not medically reasonable to generalize to other children with different seizure disorders, nor to adults.

Medical Marijuana Doctor Serving Massachusetts

There are many people in the United States who suffer from epileptic seizures. While using medical cannabis will not cure this illness, you might have questions about whether it can provide assistance in alleviating its symptoms. You should always – we cannot stress this enough – consult with your treating physician to see how medical marijuana can help you.

Jordan Tishler is member of Skipta, which is the leading social network of specialized online medical communities for verified healthcare professionals. Skipta’s growing network of more than 30 specialized online medical communities enables healthcare professionals to communicate, consult and exchange information within private and secure platforms. Skipta supports the medical advancement of its members by offering a range of collaborative peer based services that aid quality of care and contribute to improved patient outcomes. For more information, please visit skipta.com.

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What Is Marijuana ‘Reclaim’ And Is It Bad For You?

If you already have experience using medical marijuana or personal-use cannabis, you may have come into contact with matter known as “reclaim” or “resin” (not to be confused with “rosin,” which is another way of making cannabis concentrates). Reclaim is a sticky brown or black substance that is a byproduct created from ash, tar, and carbon in the process of combustion. It typically accumulates on the surfaces of pipes or bongs. Some stoner blogs and web forums encourage people to “reclaim” this material from the inside of their pipe and smoke it in order to stretch their dollars. As a physician, I discourage this practice because smoking reclaim can be harmful to your health.

Why Marijuana (Cannabis) Reclaim Can Be Harmful to Your Health

When a device for smoking cannabis (such as a glass pipe) is used repeatedly, a dark substance called “reclaim” will accumulate over time. This material can be removed or reclaimed  with physical objects, like bobby pins. Alternately, reclaim can be dissolved with various cleaning products.

Once removed, reclaim should be discarded, not smoked. Keep in mind that if you use a cleaning product or solvent, that too can introduce harmful toxins. In fact, let me take a moment to remind you that I don’t recommend smoking at all, for health protection reasons. Instead, vaporizing flower is a much safer method of using cannabis.

Getting back to the hazards of reclaim, it can retain a concentration of pesticides, heavy metals, residual solvents, and toxins — none of which are substances you want entering your body. Moreover, let’s not forget reclaim’s main component: tar. Smoking tar, under any circumstances, is harmful to your lungs. Just because the respiratory risks of cannabis use are smaller than those associated with tobacco use, that doesn’t mean smoking a tar-based byproduct of cannabis is safe. While it’s true that cannabis is generally safe for use in healthy adults, it’s important to exercise common sense.

The chemical contents of reclaim are impossible to gauge without sophisticated laboratory equipment of a caliber not found in any household. All a layperson can be certain of is that reclaim contains some ratio of carbon, ash, tar, and cannabinoids such as Tetrahydrocannabinol (THC), the cannabinoid chiefly responsible for marijuana’s physiological and psychoactive effects. Not only does this make reclaim dosing imprecise to the point of uselessness, it’s also a rather inefficient – and dirty – way of administering THC.

Research suggests that reclaim may have a slightly higher THC content than the cannabis flower, with one 2008 study published in the Journal of Forensic Science finding that, among 452 samples of reclaim and marijuana plants seized by British police, “The content of the psychoactive cannabinoid delta 9-tetrahydrocannabinol (THC) varied widely. The median THC content of herbal [C]annabis and reclaim was 2.1% and 3.5%, respectively.” A 2015 study published in Psychological Medicine put the THC content of reclaim closer to 5 percent. The United Nations Office on Drugs and Crime estimates the figure to be as high as 20 percent.

In summary, there are several disadvantages to reclaim, yet essentially no benefits which could not be better delivered by cannabis or cannabinoid-based medical products. Not only does reclaim produce unpleasant odors while causing a mess; far more importantly, it introduces the patient to a host of risks that could be easily avoided.

Don’t be fooled by hobbyist websites that tell you to save money by collecting reclaim. The amount of money saved is ultimately negligible, and simply isn’t worth the potential health risks. All individuals who use cannabis, particularly medical patients with compromised immune systems, are advised to exclude reclaim from their use.

Ask a Boston Marijuana Doctor About Getting a Medical Card

While reclaim should be avoided, medical cannabis provides gentle and efficacious relief for a variety of debilitating medical conditions. As of Summer 2017, qualifying conditions in Massachusetts under state law include, but are not limited to, the following:

  1. ALS (Amyotrophic Lateral Sclerosis, Lou Gehrig’s Disease)
  2. Cancer
  3. Crohn’s Disease
  4. Glaucoma
  5. Hepatitis C
  6. HIV/AIDS
  7. Multiple Sclerosis
  8. Parkinson’s Disease

In addition to the qualifying conditions listed above, patients can also obtain physician recommendations for medical cannabis if they have been diagnosed with other debilitating or disabling conditions, such as a condition that produces intractable pain which does not respond to other forms of treatment.

If you or someone you love has been diagnosed with a condition on the list above, or if you are simply interested in learning more about how to safely use cannabis for sexual enhancement or emotional wellness, contact Inhale MD at (617) 477-8886 for a confidential consultation. With offices conveniently located in Brookline and Cambridge, and additional offerings of secure online consultations, Inhale MD endeavors to make medical cannabis safer and more accessible for Massachusetts residents statewide.

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Does Marijuana Have Any Health Risks For Patients With Cardiovascular Problems?

More lethal than car accidents, cancer or acts of violence, cardiovascular disease is the number one leading cause of death in the United States.  According to the American Heart Association, heart disease caused nearly a quarter of all deaths in Massachusetts in 2010 – five times more fatalities than stroke, about eight times more than Alzheimer’s disease, and nearly 12 times more than diabetes mellitus.  There’s no disputing the fact that cardiovascular disease is a serious and widespread health issue in Massachusetts – the question is whether marijuana is safe for people who have already been diagnosed.  While marijuana has health benefits for many medical conditions, patients diagnosed with heart disease or high blood pressure should consult with a doctor before exploring cannabis treatments.

Is it True that Smoking Marijuana Can Give You a Heart Attack?

You may have heard biased sources claim that “smoking marijuana can give you a heart attack.” Remember: despite the sedative, relaxing effects of cannabis, it actually increases your heart rate.  This increases your heart’s need for oxygen, which may result in heart attack if your coronary arteries are blocked or narrowed.

However, the risk, it turns out is rather small, and applies mostly to people who have known heart disease.

One study, published in Circulation in 2001, found that marijuana may increase the risk of heart attack (myocardial infarction) – but only among who are already predisposed toward cardiovascular problems like coronary artery disease.  Even then, marijuana use was described as a “rare trigger” for myocardial infarction.  Realistically, vigorous physical activities like sex or jogging are more likely to induce heart attacks than cannabis use.

And, to reiterate an important risk factor, it’s primarily individuals with heart disease who should be concerned about adverse cardiovascular events.  As a 2002 study published in the Journal of Clinical Pharmacology rightly pointed out, “Marijuana’s cardiovascular effects are not associated with serious health problems for most young, healthy users, although occasional myocardial infarction, stroke, and other adverse cardiovascular events are reported.”

The question then becomes, how often is “occasional”?

What is the Likelihood of Suffering a Heart Attack from Using Cannabis?

According to the Circulation study, in which 3,882 patients (68% male, 32% female) were interviewed an average of four days after experiencing a heart attack, only 124 – less than 4% – reported using marijuana during the past year.  From that already narrow sample, only nine people – less than 8% of the marijuana group, and just 0.2% of the study sample overall – reporting using within the hour their heart attack symptoms started.  The study determined that the risk of having a heart attack within an hour of using marijuana was 4.8 times greater than normal, but that “the elevated risk rapidly decreased thereafter.”

But what about the risk for people who aren’t already living with cardiovascular disease?  As the Clinical Pharmacology study mentioned, incidents are rare.  The Circulation study could point to only three prior reports of heart attack “occurring in close proximity to marijuana use in otherwise low-risk individuals.”

The first, published in Clinical Toxicology 1979, noted a 25-year-old male who suffered a heart attack “in the virtual absence of risk factors… after smoking a cigarette containing marijuana.”  The study, however, fails to specify whether the cigarette contained other ingredients, such as phencyclidine (PCP), which was a popular recreational drug during the late ‘70s when the study was published.

The second, published in European Heart Journal in 1985, cited a “previously healthy 33-year-old” whose symptoms began an hour earlier “while smoking marijuana at a party.”  Again, the possibility exists that the marijuana was laced with other substances, or that the individual had intentionally consumed other substances (e.g. alcohol, recreational drugs), particularly because the use occurred at a party, and because the same individual “had taken marijuana on three occasions in the previous three years with no ill effects.”

The third, published in the International Journal of Cardiology during the early nineties, examined a healthy 17-year-old male described as a “daily user.”  The study claimed that “Marijuana use may be a much more common cause of acute myocardial infarction than is generally realized,” but was unable to provide extensive data supporting this suspicion.

The takeaway?  Marijuana can temporarily increase your risk of having a heart attack, particularly if you are elderly or have already been diagnosed with a heart condition.  While the risk is both short-lived and statistically slim, it’s still very important that you talk to your doctor about medical marijuana instead of experimenting on your own.

Cannabis and Irregular Heartbeat (Cardiac Dysrhythmias)

As a 2012 study published in Harm Reduction Journal uncovered, “[C]ardiac arrhythmia [i.e. irregular heartbeat] ha[s] been associated with the use of cannabis.  The occurrence of arrhythmias such as atrial fibrillation seems to be associated with effects resulting from the parasympathetic stimulation induced by cannabis and observed with the use of higher doses.”  Additionally, another study published last year in Substance Abuse noted that “Marijuana smoking has been shown to exert adverse effects on the cardiovascular system and often causes… tachycardia [i.e. rapid heart rate] and hypotension [i.e. low blood pressure].  It is also reported to be a possible cause of paroxysmal atrial fibrillation.”

The tachycardia and hypotension observed in the study were both described as being “well-tolerated.”  However, they can still pose some health hazard for patients with compromised cardiovascular systems, particularly patients with prior atrial fibrillation.

Consult with a Medical Marijuana Doctor in Massachusetts

While marijuana carries some risks for cardiovascular patients, others may benefit from carefully-monitored use under the guidance of a qualified medical cannabis physician.  If your quality of life is being negatively impacted by a serious medical condition associated with high blood pressure, you may be a good candidate for medical cannabis.  For example, cannabis can help diabetes patients control their glucose and lower insulin resistance.  Call Dr. Tishler at (617) 477-8886 to start discussing the health benefits of medical marijuana in a private consultation.

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Is Medical Marijuana Harmful To Dental Health?

The short answer to this question is no: medical marijuana is not bad for your teeth, tongue, gums, or lips. While some studies have claimed that cannabis is linked to oral cancer, these findings are subject to debate, as we’ll explore in this article. That being said, dry mouth from smoking cannabis can lead to tooth decay and gum disease, as can neglecting dental care due to drowsiness caused by marijuana. Fortunately for medical marijuana patients, it’s easy to avoid these problems by following some basic care tips.

Does Smoking Marijuana Cause Oral Cancer?

If you’re a regular reader of our cannabis blog, you may have seen our article about marijuana myths. If you didn’t, here’s what you should know: unlike smoking tobacco, smoking cannabis will not significantly increase your risk of developing cancer. That’s because cannabis and tobacco smoke are not equally carcinogenic (cancer-causing), as the Harm Reduction Journal noted in a 2005 study of the same name.

As we pointed out in our deconstruction of cannabis myths, tobacco products like dip and cigarettes are loaded with chemical compounds called nitrosamines. Nitrosamines can be found in all kinds of consumer products, including makeup and condoms, and some of them don’t have any harmful effects on human health. However, the nitrosamines in tobacco products – aptly named tobacco-specific nitrosamines – are highly carcinogenic. The worst offenders are referred to as NNN and NNK, and are known to encourage the growth of malignant tumors.

NNN, NNK, and other carcinogenic nitrosamines are formed during the process of air-curing tobacco – not marijuana – hence the term “tobacco-specific.” Cannabis does not contain these nitrosamines, and far from possessing carcinogenic qualities, can actually help hinder the growth of certain tumors, such as gliomas (aggressive tumors which form in the brain or spine).

During recent years, various sources have asserted that smoking marijuana increases the risk of developing oral cancers. For instance, the Australian Dental Journal published a 2005 study which stated that “Cannabis smoke acts as a carcinogen and is associated with dysplastic changes and pre-malignant lesions within the oral mucosa.” However, these claims are controversial and have been countered by other researchers.

For instance, a 2008 study published in Otolaryngology – Head and Neck Surgery found that “an increased risk of cancer was found with increasing tobacco use, alcohol consumption, and decreased income but not increasing cannabis use.” Additionally, a study published last year in Cancer Epidemiology, Biomarkers, and Prevention noted that “associations of marijuana use with oropharyngeal and oral tongue cancer are consistent with both possible pro- and anticarcinogenic effects of Cannabinoids,” and that “additional work is needed to rule out various sources of bias.”

Cavities, Dry Mouth, And Gum Disease: Tooth Care Tips For Cannabis Patients

Even though smoking cannabis is unlikely to increase your risk of developing oral cancer, there are still some dental hazards medical cannabis patients should be wary of. Though varied, these hazards all stem from a single cause: dry mouth, or “cottonmouth,” which is a common side effect of cannabis smoke inhalation. When Cannabinoids (such as THC) bind to CB1 and CB2 receptors located in the jaw’s submandibular glands, the glands lose their ability to receive input from the parasympathetic nervous system, causing a disruption in normal saliva production. The result? Dry mouth.

It’s important to take dry mouth seriously, because this “mild” condition is actually anything but. Chronic dry mouth – technically known as xerostomia, from the Greek for “xeros” (“dry”) and “stoma” (“mouth”) – can open the door to a host of negative health effects, including:

  • Decreased or altered sense of taste.
  • Difficulty swallowing and speaking clearly.
  • Sore, crusty, cracked skin at the corners of the mouth, which is called angular cheilitis or perleche.
  • Sore throat.
  • Accumulation of dental plaque.

Dental plaque, a build-up of bacteria which appears as a slimy white or yellow substance, is of particular concern because it can lead to:

Cavities and tooth decay, known as dental caries from the Latin for “rotten.” Untreated decay and cavities will continue to worsen with time, which might eventually necessitate a costly and unpleasant root canal or tooth extraction. In addition to causing a substantial amount of pain, tooth decay can also lead to halitosis (chronic foul breath) and infection.

Gum disease, which is also referred to as periodontal disease. Some common types of gum disease include:

  • Gingivitis – Inflammation (“-itis”) of the gums. Warning signs include swelling, soreness, discoloration, tenderness, and bleeding.
  • Periodontitis (Pyorrhea) – Inflammation of the periodontium, or tissue around the teeth. Warning signs include bad breath, unpleasant taste, loosening of the teeth, and the formation of abscesses, or small pockets of pus.

Some plaque build-up is normal, and occurs naturally in everyone. However, cannabis users have an increased susceptibility due to frequent dry mouth. Therefore, medical marijuana patients should be extra-diligent when it comes to scheduling regular dental cleanings. The American Dental Association recommends at least one annual cleaning at minimum, so cannabis patients may want to consider scheduling a cleaning every six months.

In the meantime, you can reduce the effects of dry mouth by following these simple, affordable precautions:

When smoking, be sure to keep water on hand, and keep reminding yourself to take a sip every couple of minutes. This will make sure your mouth gets continually rehydrated, instead of drying out because you chugged all your water at once. (And yes, we do mean water. Sugary beverages like soda and fruit juice will only dry out your mouth even more. If you find water a little boring, try seltzer instead.)

Try chewing some sugar-free gum, or sucking on a sugar-free candy, which will stimulate saliva production.
Consider purchasing a humidifier, which will increase moisture in the air. (Now that the dry winter season is upon us, a humidifier might be a good idea, anyway.) If you’re willing to go with a no-frills model, you can spend as little as $15 or $20, depending on where you shop.

Stop using any mouthwashes that contain alcohol. Mayo Clinic recommends Biotene Dry Mouth Oral Rinse or ACT Total Care Dry Mouth Rinse as alternatives.

Try to cut down on your caffeine intake. If you’re not ready to give up your morning fix completely, experiment with switching from coffee to tea, or to a different blend or brand of coffee with a lower caffeine content.

Remember to always breathe through your nose instead of your mouth.

Consider switching from smoking to vaporizing, which involves steam. (For more information, see our article about different methods of using cannabis.)

Last but not least, we couldn’t neglect a quick mention of “the munchies” in an article about cannabis and dental health. Needless to say, the combination of snacking plus drowsiness equals bad news for your teeth. Each time you accidentally doze off without brushing, you give plaque and decay greater opportunity to take hold. We know it’s tough to fight fatigue when you’re on the verge of drifting off, but for the sake of your teeth (and your dental care bill), always make an effort to brush before you go to bed. If nothing else, at least keep some dental floss in your nightstand. A few years from now, you’ll be glad you did.

If your quality of life is being negatively impacted by a serious medical condition, you may be a good candidate for medical cannabis. Call InhaleMD at (617) 477-8886 to start discussing the health benefits of medical marijuana in a private consultation.

Jordan Tishler is member of Skipta, which is the leading social network of specialized online medical communities for verified healthcare professionals. Skipta’s growing network of more than 30 specialized online medical communities enables healthcare professionals to communicate, consult and exchange information within private and secure platforms. Skipta supports the medical advancement of its members by offering a range of collaborative peer based services that aid quality of care and contribute to improved patient outcomes. For more information, please visit skipta.com.

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Can Marijuana Help Treat Symptoms Of Cerebral Palsy?

Cerebral palsy (CP) is a congenital, neurological disorder which affects the patient’s muscle movements, balance, and physical coordination. While some people experience mild CP symptoms and are able to ambulate independently, patients living with severe cerebral palsy have mobility problems that can cause intense pain while making it difficult or impossible to perform basic tasks without assistance.  While a variety of medications, such as muscle relaxants and anticholinergics, are available for easing the effects of CP, these drugs are not always successful in providing effective relief for patients. However, medical marijuana might be able to help cerebral palsy patients manage their symptoms and enjoy a better quality of life.

Cannabis Relieves Muscle Pain Caused By Cerebral Palsy And Multiple Sclerosis

Recent, peer-reviewed medical research has shown that cannabis is highly effective in relieving pain caused by CP-associated spasticity, or muscle tension, which may manifest as:

  • Spastic Quadriplegia – Spasticity affecting the face, torso/trunk, and each limb.
  • Spastic Hemiplegia – Spasticity affecting only the right or left side of the body, with effects generally more pronounced in the affected arm than leg.
  • Spastic Diplegia – Spasticity primarily affecting the legs, with milder effects on the arms.

According to a study published several years ago in the American Journal of Physical Medicine and Rehabilitation, which surveyed 83 adult CP patients regarding methods of pain relief, “The [pain] treatment that was rated as providing the most relief was marijuana.”  Comparing the results of patient surveys, researchers found that cannabis as an analgesic outperformed hypnosis, nerve-blocks, and anticonvulsant medication (e.g. Neurontin, Lamictal, Topamax).  The study noted that “patients with CP are using [cannabis] for pain management and are finding it to be at least as effective as other more standard treatments for pain.”

Cerebral palsy shares some similarities with the nervous system disorder multiple sclerosis (MS), which, like CP, can also cause muscle rigidity, pain, and impaired coordination.  MS also shares another similarity with CP: the pain it causes can be effectively managed with marijuana.  A 2008 study published in the Journal of Neuropsychiatric Disease and Treatment, which focused on the relationship between Cannabinoids and MS-associated spasticity, made an important observation about marijuana and pain relief:

“Current treatments of MS are partially effective and with risks of side effects that patients are often unable to tolerate.  This has led some MS patients to self-medicate with cannabis, which is suggested by anecdotal evidence to be beneficial in controlling symptoms such as spasticity, pain, tremor, and bladder dysfunction, claims supported by recent clinical trials of medical cannabis extracts.”

Marijuana Has Milder Side Effects Than Prescription Drugs For CP And MS

The Neuropsychiatric study was right to point out that conventional medications for MS (and CP) can be tough on the body.  Not only is medical marijuana equally or more effective than a host of other remedies – it also has much milder adverse effects.

Negative side effects of using marijuana are generally limited to dry mouth, coughing, sore throat, and, in some patients, temporary feelings of anxiety which dissipate after several hours (if experienced at all).  By comparison, the anticonvulsant drug Neurontin (gabapentin), which is used to treat both CP and MS, can cause:

  • Depression or increase in suicidal thoughts.
  • Multiorgan hypersensitivity, a potentially life-threatening allergic reaction.

Unfortunately, despite its patient-confirmed ability to gently and effectively reduce pain from muscle stiffness related to CP and MS, cannabis remains woefully underutilized as a treatment method.  As the Rehabilitation study on CP pain noted, “[L]ess than 5% of the sample [for a total of only four out of 83 people] reported ever using this drug for pain.”

The good news is that, as Massachusetts and other states continue to create or expand medical marijuana programs, cannabis seems destined to become increasingly popular as a safe and gentle pain-reliever for CP and MS patients.

While Massachusetts’ medical marijuana act in its current form does not explicitly name CP as a qualifying condition (as it does MS), the legislation does contain a broader provision which allows physicians to recommend cannabis therapy for diseases and disorders not otherwise specified in the text of the act.  If your doctor determines that the health benefits of using medical cannabis would, in your case, outweigh the drawbacks, he or she may make a written recommendation so that you can become a registered medical marijuana patient in Massachusetts.

If you’re living with cerebral palsy or multiple sclerosis, and your current medication isn’t helping to significantly reduce your symptoms, medical cannabis may be able to provide additional relief with minimal adverse effects.  To talk about whether medical marijuana could be right for you, call Dr. Tishler at (617) 477-8886.

Jordan Tishler is member of Skipta, which is the leading social network of specialized online medical communities for verified healthcare professionals. Skipta’s growing network of more than 30 specialized online medical communities enables healthcare professionals to communicate, consult and exchange information within private and secure platforms. Skipta supports the medical advancement of its members by offering a range of collaborative peer based services that aid quality of care and contribute to improved patient outcomes. For more information, please visit skipta.com.

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