1. I'm going to try it. After 5 back surgeries I'm addicted to my pain medication. I have to take pills whether I have pain or not just to not feel sick. I tried to quit several times and anxiety with no sleep defeats me every time. I go insane with anxiety. If weed can help me stay calm then I'm gonna try!

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  3. I could not disagree more. I won’t get into my entire medical history, HIPPA and all. One day I lost use of my legs. Over the course of 3.5 years I had 4 back surgeries that all went sideways, including massive bilateral DVT’s. I was also diagnosed with Osteoporosis and Osteoarthritis at 35. When I saw my first Pain Management Doctor I told him in no uncertain terms, I did not ever want be on OXY. Over the course of 7 years, I ended up on 2 meds with terrible side effects, then Hydromorphone and finally OXY. I rotated between the 2 for 3 years. Last year I chose to STOP OXY, cold turkey, though I did start medical marijuana 6 months earlier. I paired that with 3 x’s a week Aquatic Physical Therapy. I cannot possibly give words to the massive improvement in my quality of life. It is like I’m myself again. Sure there is pain, but it is managed. I do have bad days, but there are other contributing issues to that.

    I primarily Vape, use an Ice Water Bong, use edibles and tinctures. I do not like the feeling nor the taster of the burnt herb. Though edibles have a different over all effect because of how they are metabolized in the liver, I am very responsible. Medical Marijuana and Aquatic Physical Therapy are my ONLY forms of Pain Management for going on 2 years. I know when to use Sativa and when to take Indica, and I avoid hybrids. When I try any new product,, I start with a smaller dosage than I would normally take, until I can asses how it affects me.

    I should also mention, I intentionally rarely drive. There is no denying the absolute efficacy of Medical Marijuana for me. I’m also smarter than the average bear, which plays in heavily. I also do not have an addictive personality, so that helps as well.

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  4. When we say "there is no evidence," it's important to distinguish between a topic that has been thoroughly investigated and there being simply a lack of evidence due to not looking.
    Currently, marijuana is illegal at the federal level, and the few labs that have funding from the federal government that can study marijuana are only allowed to study its negative effects. The fact that there is currently no evidence that medical marijuana can prevent opioid overdoses isn't really evidence against the claim, but a sign this topic needs further investigation.

  5. I’m curious- it sounded like these studies looked from a macro lens way the effect of these policies statewide- is there any clear conclusions to be made at a more individual level to deprescribe chronic opiate users while offering marijuana as an alternative? I’m thinking of this analogous to using e cigarettes as a step down from cigarettes; are there any similarities?

  6. I feel like a big factor in the increase in the mortality caused by the opioid epidemic is the access to fentanyl, and the contamination of street access opioids with fentanyl. I know that's been the driving factor here in Canada. There is also the problem of quality of medication. I have heard from a wide variety of sources, and had personal experience with the low quality of easily accessible legal medical cannabis. Accessing through compassion clubs, which skirt the line of legality, have recieved much stronger and longer lasting effects. I have found that in order to achieve therapeutic dose for my pain, I have to smoke upwards of 2 grams a day, which is insane in terms of cost and time commitment.

  7. I am a big fan of cannabis, especially since I developed syringomyelia, a spinal cord condition that cannot be cured with surgery or drug therapy, all that can be done is to manage the symptoms through pain management measures, for that marijuana works beautifully. The only other option is long term opioid medications and that's one hell of a slippery slope. Marijuana works incredibly well for the pain but it also has many other side benefits as well.

  8. Question: Did the opioids in the study include the pain killer that became an epidemic in itself or was that drug excluded? I ask because a family member became addicted after having the drug prescribed and many have died from overdoses during this period. IOW, did the subsequent study include only the drugs examined in the first study?

  9. Would have been curious to learn how the later study on medical marijuana states dealt with the possible fact that in the time since the initial JAMA study was published some states may have been more likely to legalize medical marijuana because of a perceived benefit with regards to opiate overdoses. Presumably, those states would be states with a significant overdose problem, so there may be a selection bias, whereas the period before may have been more random. Dr. Carroll is right to point out that there are many factors at play here, but I think it's incredibly important to remember that policy is not at all random.

  10. Switching from painkillers to marijuana still isn't fixing the problem. There are legitimate uses for drugs but the majority of those who abuse drugs are using them as a way to cope with emotional issues. We need to treat the cause of drug abuse and not keep substituting one drug for another.

  11. Did these studies break down of the types of opioids used? Like Morphine vs Fentanyl? Did they do a chemical analysis of the cannabis used? Like linalool or β-myrcene content? Or did they treat all opioids and cannabis as equal?

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