All posts tagged: sleep

Adolescent Cannabis Use Linked to Sleep Disturbances

Sleep Disturbances, Psychosocial Difficulties and Health Risk Behavior

Summary info:

A Dutch study investigated sleep disturbances in adolescents. Sleep disruption was linked to cannabis use, psychosocial difficulties, health risk behavior, and increased suicidality. Additionally, gender disparity in results suggests that girls may be more susceptible to sleep disturbances than boys , a result consistent with past recognition of some gender discrepancies in cannabis activity. These results highlight the importance of discouraging haphazard cannabis use, during adolescence, and the need for further gender-focused research surrounding sleep habits and cannabis use.

Dr Caplan, CED Foundation, and the #MDTake:

There are a few important issues that converge in this review. Generally, the question of adolescents’ use, (as an alternative way of describing the question of effects on a developing brain.) Also, this paper raises valuable questions about how cannabis may be interacting with sleep hygiene, for better or for worse. Psychosocial impact and risky behaviors are very complex topics to engage, even with a fairly large population sample of (n=16,781.) There are lots of intercorrelated topics assessed, analyzed, and discussed in the review, and it is all-too-easy to want to find causal patterns that are not apparent, again for better or worse, unless one chooses to construe the results or interpretation with causation in mind. Realistically, it is very likely to find overlap in a population of adolescents who have psychosocial difficulties, engage in risky behaviors, have increased risk of suicidality, and consume cannabis. To point to one of the components, arbitrarily, as the primary cause of the others is to unnecessarily and unjustly oversimplify a complex set of circumstances. The essential tenet, different genders seem to react differently with cannabis, is an excellent take-away, and also that we have much more still to learn.

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This paper is also stored here:    http://bit.ly/314TsEC     inside the CED Foundation Archive

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Benjamin Caplan, MDAdolescent Cannabis Use Linked to Sleep Disturbances
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Video: Cannabinoid Delivery Systems for Pain and Inflammation Treatment

A 2018 literature review summarizes the various ways patients can consume cannabis (orally, topically, etc.) and the pain reductions associated with each method. The review focuses on the treatment of multiple sclerosis, cancer, anorexia, arthritis, and other painful disorders.

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This paper is also stored here:    http://bit.ly/2TSZ2Wr     inside the CED Foundation Archive

Benjamin Caplan, MDVideo: Cannabinoid Delivery Systems for Pain and Inflammation Treatment
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80%: Cannabis extremely helpful for pain; 82%: helped reduce or stop over-the-counter medications; 88% able to stop taking opioid painkillers

“The study, published in the Journal of Psychoactive Drugs, which looked at 1,000 people taking legalized marijuana in an American state found that among the 65% of people taking cannabis for pain, 80% found it was very or extremely helpful.”

“82% of these people being able to reduce, or stop taking over the counter pain medications, and 88% being able to stop taking opioid painkillers.”

“74% of the 1,000 interviewees bought it to help them sleep – 84% of whom said the marijuana had helped them, and over 83% said that they had since reduced or stopped taking over-the-counter or prescription sleep aids.”

“The study adds weight to the theory that widening access to medical cannabis could lower the use of prescription painkillers, allowing more people to manage and treat their pain without relying on opioid prescription drugs that have dangerous side effects.”

“This is backed up with other research that shows that states with medical cannabis laws have a 6.38% lower rate of opioid prescribing and that Colorado’s adult-use cannabis law is associated with a relative reduction in opioid overdose death rate from 1999 to 2010.”

“”Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen cause GI bleeding or kidney damage with chronic use. Paracetemol (Acetaminophen) toxicity is the second most common cause of liver transplantation worldwide, and is responsible for 56,000 ER visits, 2600 hospitalizations, and 500 deaths per year in the U.S.”

Link to news brief: https://eurekalert.org/pub_releases/2019-07/tfg-cmb062819.php

View this review (yellow link) or download:

This paper is also stored here:    http://bit.ly/2JmB7Lv     inside the CED Foundation Archive

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Benjamin Caplan, MD80%: Cannabis extremely helpful for pain; 82%: helped reduce or stop over-the-counter medications; 88% able to stop taking opioid painkillers
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Video: Cannabis, Cannabinoids, and Sleep: a Review of the Literature

Researchers published a literature review that investigates the relationship between cannabis and sleep. They examined six major sleeping disorders: insomnia, sleep apnea, REM behavior disorder, nightmares, sleep with chronic pain, and daytime sleepiness.

They found that THC might worsen daytime sleepiness and delayed onset of sleep; however, THC might help patients who suffer from sleep apnea and nightmares. Meanwhile, CBD might reduce daytime sleepiness and insomnia while increasing the total amount of sleep.

View this review (yellow link) or download:

This paper is also stored here:     http://bit.ly/2KSSSoi    inside the CED Foundation Archive

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Benjamin Caplan, MDVideo: Cannabis, Cannabinoids, and Sleep: a Review of the Literature
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Treating insomnia with cannabis

Many people use cannabis to treat insomnia, as THC has proven effects. What about CBD? There are no clear, incontrovertible studies, and effects differ by the user, but there are promising results. More noticeably, certain terpenes have been shown to be quite effective, for example, Myrcene. http://bit.ly/2F9PXUp

Benjamin Caplan, MDTreating insomnia with cannabis
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Cannabidiol in Anxiety and Sleep: A Large Case Series

In a study of 72 psychiatric patients given CBD in capsule form, researchers found that cannabidiol successfully decreased anxiety and improved sleep over the course of three months. 

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This paper is also stored here:    http://bit.ly/2WDo4yV     inside the CED Foundation Archive

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Benjamin Caplan, MDCannabidiol in Anxiety and Sleep: A Large Case Series
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Video: Cannabis For Symptoms of chronic pain, seizures, and inflammation

View this review (yellow link) or download:

This paper is also stored here:   http://bit.ly/2l4sexZ      inside the CED Foundation Archive

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Benjamin Caplan, MDVideo: Cannabis For Symptoms of chronic pain, seizures, and inflammation
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Dronabinol May Provide Relief for Sleep Apnea Patients

Medical Cannabis and the Treatment of Obstructive Sleep Apnea: An American Academy of Sleep Medicine Position Statement

Obstructive sleep apnea is a sleep disorder causing episodic airway obstruction that results in the brief “apneic” (cessation of breathing) episodes for brief periods of time. A recent study investigating Dronabinol, a synthetic cannabis derivative, as a potential therapy for sleep apnea resulted in an improvement of 32% in the apnea-hypopnea index. However, the American Academy of Sleep Medicine does not endorse medical cannabis as a treatment for sleep apnea, due to what they point to as a lack of knowledge surrounding the long-term effects of its use. ” Based on these results, cannabis and its components should be further researched to determine its potential for sleep apnea treatment.

This paper is also stored here: http://bit.ly/2YZDTN3 inside the CED Foundation Archive

Benjamin Caplan, MDDronabinol May Provide Relief for Sleep Apnea Patients
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Adolescent Cannabis Use Can Impact Sleep Habits

Exploring Interventions for Sleep Disorders in Adolescent Cannabis Users

The effects of cannabis on sleep are varied and dependent on dosage and the component of cannabis in question. For instance, low doses of cannabidiol (CBD) have an energizing effect, while higher doses can prompt drowsiness. Cannabis use among adolescents results in similar although occasionally more pronounced effects on sleep than among adults. Previous studies have reported a relationship between cannabis use and an individual’s “sleep duration, self-reported sleep problems, and insomnia.” Furthermore, many newcomers to cannabis approach the plant as an aid to sleep, and regular cannabis use may result. This may lead to an increase in tolerance and, upon attempts to quit, a disruption in sleep and REM may rebound. At a time when sleep is crucial to development, considering the wide field of unknowns and potential impact, adolescents should proceed cautiously, and with restraint, when consuming cannabis.

http://bit.ly/2KfJYky

Benjamin Caplan, MDAdolescent Cannabis Use Can Impact Sleep Habits
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Video: Medical Marijuana: What Physicians Need to Know

A video adaptation of “Medical Marijuana: What Physicians Need to Know”

This paper is also stored here:   (http://bit.ly/2KxqoAe)      inside the CED Foundation Archive

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Benjamin Caplan, MDVideo: Medical Marijuana: What Physicians Need to Know
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