Cannabis Nurse Truths

By: Dr. Denise Foster
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  • Summary

  • Cannabis Nurse Truths is the voice of reason in a bureaucracy of nonsense. Dr. Denise Foster, PhD, MSN, RN, CNE is a nationally-recognized expert on the medicinal use of cannabis. She teaches doctors, nurses and other educators in its use in modern medicine. We talk about all things cannabis and highlight the research that continues to indicate that cannabis is medicine. New episodes every Wednesday!
    Copyright 2024 All rights reserved.
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Episodes
  • Ep. 33 - Medical or Adult Use, It's All the Same Cannabis

    Ep. 33 - Medical or Adult Use, It's All the Same Cannabis
    Sep 4 2024

    Medical or adult use? Which should you use? What are the differences? Are there differences? Currently in the United States, cannabis users have two legal options in states that have legalized either medical or adult-use cannabis. Although many of the differences between them are related to access, there are many other issues at hand when consumers make the decision to purchase at either a legal adult-use or medical dispensary.

    In this episode of CNT, we highlight the differences between medical and adult-use cannabis, but keep in mind... it's all the same weed.

    Episode Resources

    French, M.T., Zukerberg, J., Lewandowski, T. E., Piccolo, K.B., & Mortensen, K. (2022). Societal Costs and Outcomes of Medical and Recreational Marijuana Policies in the United States: A Systematic Review. Medical Care Research and Review, 79(6), 743–771. https://doi.org/10.1177/10775587211067315 Gibson, L.P., Giordano, G.R., Bidwell, L.C., Hutchison, K.E., & Bryan, A.D. (2023). Acute Effects of Ad Libitum Use of Commercially Available Cannabis Products on the Subjective Experience of Aerobic Exercise: A Crossover Study. Sports Medicine (Auckland, N.Z.). https://doi.org/10.1007/s40279-023-01980-4 Lin, L.A., Ilgen, M.A., Jannausch, M., & Bohnert, K.M. (2016). Comparing adults who use cannabis medically with those who use recreationally: Results from a national sample. Addictive Behaviors, 61, 99–103. https://doi.org/10.1016/j.addbeh.2016.05.015 Page, R.L., Allen, L.A., Kloner, R.A., Carriker, C.R., Martel, C., Morris, A.A., Piano, M.R., Rana, J.S., & Saucedo, J.F. (2020). Medical Marijuana, Recreational Cannabis, and Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation, 142(10), e131–e152. https://doi.org/10.1161/CIR.0000000000000883 Szejko, N., Becher, E., Heimann, F., Grotenhermen, F., & Müller-Vahl, K.R. (2024). Medicinal Use of Different Cannabis Strains: Results from a Large Prospective Survey in Germany. Pharmacopsychiatry, 57, 133–140. https://doi.org/10.1055/a-2261-2269 Turna, J., Balodis, I., Munn, C., Van Ameringen, M., Busse, J., & MacKillop, J. (2020). Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users. Comprehensive Psychiatry, 102, 152188. https://doi.org/10.1016/j.comppsych.2020.152188
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    54 mins
  • Ep. 32 - THC Dose: How High Is Too High?

    Ep. 32 - THC Dose: How High Is Too High?
    Aug 28 2024

    In 2020, an estimated 209 million people around the world, or just less than four per cent of the global population, reported using cannabis in the past 12 months. Around the world, cannabis is being legalized or decriminalized and hundreds of thousands of patients are currently being treated with medicinal cannabis. Cannabis products are becoming increasingly diverse, and vary considerably in their concentrations of the one psychoactive cannabinoid found in cannabis, delta 9 tetrahydrocannabinol, also known as THC. It is in use of THC that we develop risks and harms from cannabis.

    Currently, there is no standardized THC dose or measure that has been recommended by experts, and there are no approved treatments for THC intoxication. On this episode of Cannabis Nurse Truths, we review the concerns with standard THC dosing - just how high is too high?

    Episode Resources

    Bhaskar, A., Bell, A., Boivin, M., Briques, W., Brown, M., Clarke, H., Cyr, C., Eisenberg, E., de Oliveira Silva, RF., Frohlich, E., Georgius, P., Hogg, M., Horsted, T.I., MacCallum, C.A., Müller-Vahl, K.R., O’Connell, C., Sealey, R., Seibolt, M., Sihota, A., … Moulin, D.E. (2021). Consensus recommendations on dosing and administration of medical cannabis to treat chronic pain: Results of a modified Delphi process. Journal of Cannabis Research, 3(1), 22. https://doi.org/10.1186/s42238-021-00073-1 Freeman, T. P., & Lorenzetti, V. (2020). ‘Standard THC units’: A proposal to standardize dose across all cannabis products and methods of administration. Addiction, 115(7), 1207–1216. https://doi.org/10.1111/add.14842 Glare, P., Chye, R., Bloch, M., Arya, M., Moore, A., & Montgomery, J. (2023). Tolerability and Efficacy of a 10:25 Preparation of Δ9-Tetrahydrocannabinol and Cannabidiol for Treatment of Chronic Back or Neck Pain: A Multiple-Dose Escalation Study. Medical Cannabis and Cannabinoids, 6(1), 66–76. https://doi.org/10.1159/000531232 Leung, J., Stjepanović, D., Dawson, D., & Hall, W. D. (2021). Do Cannabis Users Reduce Their THC Dosages When Using More Potent Cannabis Products? A Review. Frontiers in Psychiatry, 12, 630602. https://doi.org/10.3389/fpsyt.2021.630602 Rozanc, J., Klumpers, L.E., Huestis, M.A., & Tagen, M. (2024). Tolerability of High-Dose Oral Δ 9 -THC: Implications for Human Laboratory Study Design. Cannabis and Cannabinoid Research, can.2023.0209. https://doi.org/10.1089/can.2023.0209

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    54 mins
  • Ep. 31 - T-Break: Fact or Fiction?

    Ep. 31 - T-Break: Fact or Fiction?
    Aug 21 2024

    It is well known that individuals who use high doses of cannabis for a long period of time will develop tolerance to THC. To overcome tolerance to THC, there are two choices - use more THC or take a THC break, also known as a T- Break. Numerous online forums suggest varying ways to manage a T-Break; a recent Internet search resulted in over 36 million hits on how to reduce THC tolerance.

    The problem with these online T-Break guides, however, is that none of them are empirically based, meaning that there is currently no evidence to support the methods suggested online. In this episode of Cannabis Nurse Truths, we consider the data related to cannabis tolerance and how numerous factors may interfere with your T-Break.

    Episode Resources

    Allsop, D. J., Copeland, J., Norberg, M. M., Fu, S., & Molnar, A. (2012). Quantifying the Clinical Significance of Cannabis Withdrawal. PLoS ONE, 7(9), e44864.

    Ansell, E. B., Bedillion, M. F., Farris, S. R., Gilbert, J. M., Koch, M. M., & Thureen, S. E. (2023). Cannabis use breaks in young adults: The highs and lows of tolerance breaks. Drug and Alcohol Dependence, 249, 109951.

    D'Souza, D., Cortes-Briones, J., Ranganathan, M., Thurnauer, H., Creatura, G., Surti, T., ... & Skosnik, P. (2015, December). Rapid changes in CB1 receptor availability in cannabis dependent males after abstinence from cannabis. In Neuropsychopharmacology (Vol. 40, pp. S589-S590). Fontana, T. (2024). T-Break Guide: Take a Cannabis Tolerance Break. University of Vermont. Fontana, T. J., Schulz, J. A., Budney, A. J., & Villanti, A. C. (2022). Feasibility and utility of a structured guide for cannabis tolerance breaks in young adults. Journal of American College Health, 1-5. Ramaekers, J. G., Mason, N. L., & Theunissen, E. L. (2020). Blunted highs: Pharmacodynamic and behavioral models of cannabis tolerance. European Neuropsychopharmacology, 36, 191-205. Spindle, T. R., Cone, E. J., Schlienz, N. J., Mitchell, J. M., Bigelow, G. E., Flegel, R., ... & Vandrey, R. (2019). Acute pharmacokinetic profile of smoked and vaporized cannabis in human blood and oral fluid. Journal of Analytical Toxicology, 43(4), 233-258. Sponsor: hemphavenwellness.com or Hemp Haven Cannabinoid Dispensary Click HERE to schedule your FREE cannabis consultation with a professional cannabis nurse
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    54 mins
Physical Illness & Disease Hygiene & Healthy Living
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