Consumer Experiences with Delta-8-THC: Medical Use, Pharmaceutical Substitution, and Comparisons with Delta-9-THC

Cannabis and Cannabinoid Research, Journal Year: 2021, Volume and Issue: 8(1), P. 166 - 173

Published: Nov. 19, 2021

Introduction: Cannabis products containing delta-8-THC became widely available in most of the United States late 2020 and rapidly a significant source revenue for hemp processing companies, especially states where use delta-9-THC remains illegal or requires professional authorization medical use. Scientific research on is scarce, previous clinical studies included combined total 14 participants, leading some state governments to prohibit it until its properties effects are better understood. Methods: Researchers developed an online survey consumers addressing broad range issues regarding delta-8-THC, including treatment health conditions. Previous cannabis informed components. Results: Patterns had both similarities with differences from products. Administration methods were primarily edibles (64%) vaping concentrates (48%). About half participants (51%) used treat conditions, anxiety panic attacks (69%), stress (52%), depression bipolar disorder (46%), chronic pain (41%). Participants compared very favorably pharmaceutical drugs reported substantial levels substitution both. Most did not inform their primary care provider (78%) confident provider's ability integrate into (70%). Knowledge effective dosages was low, participants' knowledge Internet own experiences. Conclusion: Harm reduction central component public health. Although legal environment becoming more restrictive comparison delta-9-THC, results suggest that may be equally desired purposes lower undesirable adverse effects. All policies practices should by empirical evidence. Considerable will needed systematically verify patterns collaborations among academic researchers, government, industry valuable developing base other cannabinoids.

Language: Английский

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Comparison of Medical Cannabis Use Reported on a Confidential Survey vs Documented in the Electronic Health Record Among Primary Care Patients

JAMA Network Open, Journal Year: 2022, Volume and Issue: 5(5), P. e2211677 - e2211677

Published: May 23, 2022

Importance

Patients who use cannabis for medical reasons may benefit from discussions with clinicians about health risks of and evidence-based treatment alternatives. However, little is known the prevalence in primary care how often it documented patient electronic records (EHR).

Objective

To estimate according to confidential survey compare EHR report.

Design, Setting, Participants

This study a cross-sectional performed large system that conducts routine screening Washington state where nonmedical are legal. Among 108 950 patients completed (between March 28, 2019, September 12, 2019), 5000 were randomly selected use, using stratified random sampling frequency past-year race ethnicity. Data analyzed November 2020 December 2021.

Exposures

Survey measures patient-reported (ie, explicit use), any reason(s) implicit use).

Main Outcomes Measures

data linked year before screening. included documentation and/or use. Analyses estimated compared EHR-documented accounting nonresponse.

Results

Overall, 1688 responded (34% response rate; mean [SD] age, 50.7 [17.5] years; 861 female [56%], 1184 White [74%], 1514 non-Hispanic [97%], 1059 commercially insured [65%]). The on was 38.8% (95% CI, 31.9%-46.1%), whereas 26.5% 21.6%-31.3%) 35.1% 29.3%-40.8%), respectively. 4.8% 3.45%-6.2%). Compared sensitivity specificity 10.0% 4.4%-15.6%) 97.1% 94.4%-99.8%),

Conclusions Relevance

These findings suggest common among legal most not EHR. Patient report identifies more questions

Language: Английский

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Endometriosis and Cannabis Consumption During the COVID-19 Pandemic: An International Cross-Sectional Survey

Cannabis and Cannabinoid Research, Journal Year: 2022, Volume and Issue: 7(4), P. 473 - 481

Published: Jan. 28, 2022

Introduction: Endometriosis affects 1 in 10 women worldwide, with most experiencing difficulties achieving adequate symptom control. These have been compounded by the onset of COVID-19 pandemic due to worldwide shifts health care resource allocation. As cannabis is a relatively common form self-management endometriosis, this study aims explore impact on consumption those endometriosis. Methods: An anonymous, cross-sectional online international survey was developed and promoted endometriosis advocacy/support organizations worldwide. Respondents needed diagnosis be aged between 18 55. Results: A total 1634 responses were received from 46 different countries. The average age respondents 30, mean 25. Eight hundred forty-six (51%) reported consuming past 3 months, 55% these reporting use for management only. One five (20%) having consumed previously, reason discontinuation (65%) access during COVID. Those who had legal more likely consume than without (p<0.0001) disclose usage professionals (p<0.0001). reasons COVID increased stress/anxiety (59%) lack normal medical (48%). Pre-pandemic, mostly at least once day (61%) inhaled forms (51.6%). Consumption people (57%) pandemic. During just under quarter (23%) changed their mode consumption, reduction (39.5%) an increase edibles (40%) or oil (25.2%). Conclusions: Cannabis especially relief, among some starting restrictions that occurred Difficulties accessing unpleasant/unwanted side effects current previously it. may important part when routine restricted.

Language: Английский

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The impact of education on attitudes toward medical cannabis

PEC Innovation, Journal Year: 2021, Volume and Issue: 1, P. 100009 - 100009

Published: Dec. 3, 2021

This research explores the impact of patient education on reducing historical and current stigma.Participants were recruited through social media, parenting with community organizations, snowball sampling. A pretest posttest method was utilized. Participants viewed five balanced educational videos about medicinal cannabis. Attitudes toward medical cannabis measured a modified version component Recreational Medical Cannabis Scale (RMCAS). In total, 111 participants completed all requirements study.Results Wilcoxon Sign Rank Test demonstrated significant increase in RMCAS (1.18, p = 0.029).Health is an effective intervention to reduce stigma associated Future health policies must take balanced, education-focused, proactive stance barriers care that exist due negative use.Innovation: Historically, has focused areas such as tobacco, automobile safety, vaccinations, obesity, like. applied area improve attitudes it access.

Language: Английский

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Cannabis Use for Endometriosis: Clinical and Legal Challenges in Australia and New Zealand

Cannabis and Cannabinoid Research, Journal Year: 2022, Volume and Issue: 7(4), P. 464 - 472

Published: Jan. 3, 2022

Introduction: Endometriosis is a difficult to manage condition associated with significant disease burden. High levels of illicit cannabis use for therapeutic purposes have been previously reported by endometriosis patients in Australia and New Zealand (NZ). Although access legal medicinal (MC) available through medical prescription via multiple federal schemes, barriers patient remain. Methods: An anonymous cross-sectional online survey was developed distributed social media advocacy groups worldwide. Respondents were asked about versus usage, their understanding pathways status, interactions health care professionals. Results: Of 237 respondents who diagnosis endometriosis, 186 (72.0%) Australian 51 (88.2%) NZ self-administering illicitly. Only 23.1% 5.9% accessed doctor's prescription, 4.8% no reporting legally self-administer cannabis. Substantial substitution effects (>50% reduction) observed users nonopioid analgesia (63.1%), opioid (66.1%), hormonal therapies (27.5%), antineuropathics (61.7%), antidepressants (28.2%) antianxiety medications (47.9%). respondents, 18.8% 23.5% not disclosing doctor, citing concern over repercussions, societal judgment, or doctors' reaction presumed unwillingness prescribe MC. Conclusions: self-reported positive outcomes when using management demonstrating potential Despite this, many are without supervision. While evidence substantial effect demonstrated these data, particular the clinical consequences supervision, particularly regard drug tapering cessation certain that Improving doctor communication MC may improve oversight, preference adoption acquisition supply reducing cannabis-associated stigma.

Language: Английский

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Planting the seeds for success: A qualitative study exploring primary healthcare providers’ perceptions about medical cannabis

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(3), P. e0295858 - e0295858

Published: March 7, 2024

Background In Canada, cannabis legalization altered the way that public can access for medical purposes. However, Canadians still struggle with finding healthcare professionals (HCPs) who are involved in counselling and authorization. This raises questions about barriers causing this breakdown care. Our study explored perceptions of primary care providers regarding their practice. Methods Semi-structured interviews were conducted by Zoom HCPs Newfoundland Labrador (NL) to discuss experiences non-medical Family physicians nurse practitioners practicing NL included. The interview guide coding template developed using Theoretical Domains Framework (TDF). A thematic analysis across TDF was then conducted. Results Twelve participants diverse demographic backgrounds experience levels interviewed. Five main themes emerged including, knowledge acquisition, internal influences, patient external HCP systemic influences. domain resulting greatest representation codes environmental context resources. Interpretation findings suggested have significant gaps authorizing cannabis, which limited practice competence confidence area. Referring patients clinics, while enforcing harm-reduction strategies, an interim option developing guidelines educational resources as prominent facilitators promote authorization within system.

Language: Английский

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Feasibility pilot of a novel coaching intervention to optimize cannabis use for chronic pain management among Veterans

Journal of Cannabis Research, Journal Year: 2025, Volume and Issue: 7(1)

Published: Jan. 25, 2025

Abstract Introduction Chronic pain is common among Veterans, some of whom use cannabis for pain. We conducted a feasibility pilot study novel coaching intervention to help Veterans optimize medical products management (NCT06320470). Methods The drew from scientific literature, consultation with experts, Veteran input via Community Advisory Board, and tenets motivational interviewing. Participants were chronic who endorsed current or interest in using management. received up 4 individual sessions videoconference, spaced approximately 2 weeks apart. assessed (adherence, satisfaction, acceptability) preliminary effects on symptoms 14 after baseline. primary outcome was the Patient Global Impression Change (PGIC), exploratory outcomes included domains Patient-Reported Outcomes Measurement Information System (PROMIS)-29. Results Of 22 enrolled participants, 17 attended sessions, 3 sessions. Among those completed end surveys (16/21), 87.5% very completely satisfied 81.3% rated as extremely helpful. All participants reported improvement PGIC, 63% reporting much improvement. statistically significant decreased intensity (7.1/10 vs. 5.7/10) interference (T-score 66.3 61.8), increased social satisfaction 41.4 44.3). noted helpful factors, including co-developing personalized plan, discussing questions/concerns, trying different approaches cannabis-based treatment. Conclusions In this clinically improvements symptoms. Our results support evaluating larger, efficacy trial.

Language: Английский

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Visions of Cannabis Control

Oxford University Press eBooks, Journal Year: 2023, Volume and Issue: unknown

Published: Dec. 7, 2023

Abstract Visions of Cannabis Control documents the history cannabis policy and role racism, labelling, stigmatization. The book argues that these problems stem from failure to properly frame prohibition as result moral panics have been instigated, perpetuated, sustained in ways are difficult dislodge. Stan Cohen argued reforms designed replace carceral tendencies within correctional institutions often extend such approaches into our communities. idea criminal justice reproduce what they were intended disrupt is depressing provocative. It remains relevant revolution currently underway around world. Racial disparities arrests persist, exacerbated by laws make it legal possess but illegal consume anywhere your home. Too often, liberalization comes at cost expanding paternalistic public health models abstention-based diversion programs. Finally, goal dismantling disrupting illicit markets has undermined onerous regulations, anemic marketing efforts, promote consumer-centered approaches. Emphasizing goals ahead market conditions complicates an industry. To understand future policy, examines experience six countries several US states through lens criminological theory, recent research, practice. presents options guide responsible regulation extensive research practice, finally concluding sustaining reform will require ensuring those affected policies consulted, respected, included.

Language: Английский

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Primary care provider attitudes, experiences and practices about cannabidiol (CBD) and barriers to patient-provider communication about CBD use: A qualitative study

PEC Innovation, Journal Year: 2022, Volume and Issue: 1, P. 100044 - 100044

Published: April 28, 2022

Federal hemp legalization and ongoing shifts in US marijuana laws have led to increased population-wide use of cannabidiol (CBD) supplements, often without the knowledge primary healthcare providers (PCPs). Given potential risks related CBD use, especially vulnerable subgroups, improved communication is warranted. This study aimed examine PCP attitudes, experiences, practice behaviors provider-reported barriers with patients about use. Fourteen PCPs were recruited participated semi-structured interviews. Transcripts digitally analyzed using inductive thematic analysis. Analyses identified that most had neutral views by their patients. The found discussions initiated Most cited lack time, discomfort, low-quality evidence, low prioritization as reasons for not discussing rarely screen or discuss them A number exist open dialogue CBD. Our first in-depth report on findings our significantly impact future behaviors. These results can inform system policies around screening training. In doing so, these efforts may mitigate risk optimize benefits expanding market.

Language: Английский

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Healthcare provider and medical cannabis patient communication regarding referral and medication substitution: the Canadian context

Journal of Cannabis Research, Journal Year: 2022, Volume and Issue: 4(1)

Published: June 13, 2022

Abstract Background Patients use medical cannabis for a wide array of illnesses and symptoms, many substitute pharmaceuticals. This substitution often occurs without physician oversight, raising patient safety concerns. We aimed to characterize doctor-patient communication patterns in Canada, where there is mature market national regulatory system cannabis. Methods conducted an anonymous, cross-sectional online survey May 2021 seven days with adult Canadian federally-authorized patients ( N = 2697) registered two global companies evaluate perceptions Primary Care Provider (PCP) knowledge regarding PCPs, including PCP authorization licensure other medications. Results Most participants (62.7%, n 1390) obtained from their PCP. Of those who spoke about (82.2%, 2217), 38.6% 857) reported that had “very good” or “excellent” and, on average, were moderately confident PCP’s ability integrate into treatment. Participants generally higher ratings secondary care providers, 82.8% 808) rating provider’s as “excellent.” Overall, 47.1% 1269) substituting pharmaceuticals substances (e.g., alcohol, tobacco/nicotine). these, 31.3% 397) delay informing up 6 months more, 34.8% 441) was still not aware substitution. Older, female odds disclosing PCPs. Conclusion the surveyed considered PCPs knowledgeable PCPs’ treatment plans. However, substituted medications consulting These results suggest lack integration between mainstream healthcare may be improved through education clinical experience.

Language: Английский

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