Cannabis and Psychedelics – Leanna Standishwwuextendeded
Cannabis and Psychedelics – Leanna Standish, PhD, ND, LAC, FABNO
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
In every moment, we have two options either to do what is needed or to run away from it. The right thing means nothing but to do what is necessary and feels right to us, by keeping consequences in mind. If you do the right things just because someone is going to reward you, it may make doing the right thing a selfish thing. No matter what situation you are in, you should always do what is right. Doing the right thing only for gaining attention and publicity is unethical. Irrespective of results or benefits, believe in the process, and do the right thing, give justice. Doing the right is itself a reward.
- Shubham Shukla
Cannabidiol (CBD) as therapeutic agent for COVID-19Kevin KF Ng
The antiviral, immuno-modulatory and anti-inflammatory properties of cannabidiol (CBD) make it a potential candidate for the prevention and treatment of COVID-19.
CBD as medicine from ancient wisdom to modern science. psychoactive tetrahydrocannabinol (THC) vs non-psychoactive cannabidiol (CBD). Current use of CBD.
Cannabis and Psychedelics – Leanna Standishwwuextendeded
Cannabis and Psychedelics – Leanna Standish, PhD, ND, LAC, FABNO
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
In every moment, we have two options either to do what is needed or to run away from it. The right thing means nothing but to do what is necessary and feels right to us, by keeping consequences in mind. If you do the right things just because someone is going to reward you, it may make doing the right thing a selfish thing. No matter what situation you are in, you should always do what is right. Doing the right thing only for gaining attention and publicity is unethical. Irrespective of results or benefits, believe in the process, and do the right thing, give justice. Doing the right is itself a reward.
- Shubham Shukla
Cannabidiol (CBD) as therapeutic agent for COVID-19Kevin KF Ng
The antiviral, immuno-modulatory and anti-inflammatory properties of cannabidiol (CBD) make it a potential candidate for the prevention and treatment of COVID-19.
CBD as medicine from ancient wisdom to modern science. psychoactive tetrahydrocannabinol (THC) vs non-psychoactive cannabidiol (CBD). Current use of CBD.
There are countless questions when it comes to medical cannabis and colorectal cancer: How can it help? How do you get it? Are there drug interactions with chemo? What are the side effects? Is it legal where I live?
There are countless questions when it comes to medical cannabis and colorectal cancer: How can it help? How do you get it? Are there drug interactions with chemo? What are the side effects? Is it legal where I live?
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Webinar Information:
At this webinar you will learn:
• Basic facts about medical cannabis in Canada
• The role of medical cannabis for cancer patients
• How to access medical cannabis under the current Health Canada process
Presenter Information:
Dr. Paul Daeninck is an oncologist and palliative care consultant with CancerCare Manitoba and is an Assistant Professor at the University of Manitoba. He is the Chair of the Symptom Management and Palliative Care disease site group at CancerCare Manitoba and the President–elect of the Board of Directors of the Canadian Consortium for the Investigation of Cannabinoids (CCIC). He has a research and clinical interest in the use of cannabis and cannabinoids in patients with cancer and cancer-related conditions.
View the video: https://youtu.be/-QFcA4OrqEM
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Please share this slideshow with anyone who may be interested!
In this webinar:
● Marijuana for Medical Purposes Regulations (MMPR)
● Statistics on cannabis usage and results of the CCSN medical cannbis survey
● Differences between licensed producers and dispensaries
● Basic information on medical cannabis usage, adverse effects, potential use and contraindications
● Cannabis varieties
● How to legally access medical cannabis
Contact the presenter:
● Kaivan Talachian: ktalachian@canntrust.ca
View the YouTube video:
http://youtu.be/ZB9-z-pqqTc
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
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Medical Marijuana and Clinical Oncology in 2022"The Good the Bad and the Potentially Ugly"
Marijuana/cannabinoids are particularly appealing for oncology patients offering the possibility of a single medication to encompass a variety of problems, such as pain, nausea, anorexia, sleep disorders , and anxiety.
Dr. Malcolm Brigden - University of Calgary - Canada.
Personalized medicine involves the prescription of specific therapeutics best suited for an individual based on their genetic or proteomic profile. This talk discusses current approaches in drug discovery/development, the role of genetics in drug metabolism, and lawful/ethical issues surrounding the deployment of new health technology. I highlight some bioinformatic roles in the drug discovery process, and discuss the use of semantic web technologies for data integration and knowledge discovery..
Now that medical cannabis is available in Maryland as well as DC, patients are looking for guidance from clinicians – who have received little or no information about this substance in their formal training. Furthermore, much of the information being offered about the dangers and benefits of cannabis tends to be distorted positively or negatively according to the philosophical orientation of the source.
There are countless questions when it comes to medical cannabis and colorectal cancer: How can it help? How do you get it? Are there drug interactions with chemo? What are the side effects? Is it legal where I live?
There are countless questions when it comes to medical cannabis and colorectal cancer: How can it help? How do you get it? Are there drug interactions with chemo? What are the side effects? Is it legal where I live?
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Webinar Information:
At this webinar you will learn:
• Basic facts about medical cannabis in Canada
• The role of medical cannabis for cancer patients
• How to access medical cannabis under the current Health Canada process
Presenter Information:
Dr. Paul Daeninck is an oncologist and palliative care consultant with CancerCare Manitoba and is an Assistant Professor at the University of Manitoba. He is the Chair of the Symptom Management and Palliative Care disease site group at CancerCare Manitoba and the President–elect of the Board of Directors of the Canadian Consortium for the Investigation of Cannabinoids (CCIC). He has a research and clinical interest in the use of cannabis and cannabinoids in patients with cancer and cancer-related conditions.
View the video: https://youtu.be/-QFcA4OrqEM
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
Please share this slideshow with anyone who may be interested!
In this webinar:
● Marijuana for Medical Purposes Regulations (MMPR)
● Statistics on cannabis usage and results of the CCSN medical cannbis survey
● Differences between licensed producers and dispensaries
● Basic information on medical cannabis usage, adverse effects, potential use and contraindications
● Cannabis varieties
● How to legally access medical cannabis
Contact the presenter:
● Kaivan Talachian: ktalachian@canntrust.ca
View the YouTube video:
http://youtu.be/ZB9-z-pqqTc
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
Medical Marijuana and Clinical Oncology in 2022"The Good the Bad and the Potentially Ugly"
Marijuana/cannabinoids are particularly appealing for oncology patients offering the possibility of a single medication to encompass a variety of problems, such as pain, nausea, anorexia, sleep disorders , and anxiety.
Dr. Malcolm Brigden - University of Calgary - Canada.
Personalized medicine involves the prescription of specific therapeutics best suited for an individual based on their genetic or proteomic profile. This talk discusses current approaches in drug discovery/development, the role of genetics in drug metabolism, and lawful/ethical issues surrounding the deployment of new health technology. I highlight some bioinformatic roles in the drug discovery process, and discuss the use of semantic web technologies for data integration and knowledge discovery..
Now that medical cannabis is available in Maryland as well as DC, patients are looking for guidance from clinicians – who have received little or no information about this substance in their formal training. Furthermore, much of the information being offered about the dangers and benefits of cannabis tends to be distorted positively or negatively according to the philosophical orientation of the source.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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5. ECS ligands
Ligands are substances that attach to receptors
Substances that attach to or activate the ECS receptors are all cannabinoids
There are 3 sources of cannabinoids: 1) endocannabinoids made in the body, 2)144
different phytocannabinoids that come from marijuana plant, and 3) synthetic
cannabinoids
6. 3 species of Cannabis
Cannabis sativa, cannabis indica, cannabis ruderalis
7. Terpenes
Gives cannabis its aroma and part of its medicinal properties
Each cannabis variety has a unique mix of terpenes: the terpene profile that can vary
from plant to plant
8. Flavinoids
Nutrient rich pigments (flavus=yellow) found in plants, fruits and teas
Broad range of biological and pharmacological activities e.g. anti-inflammatory, anti-
allergy and anti-tumor
Cannabis contains 29 different flavinoids
9. FDA approved synthetic cannabinoids
Dronabinol
Nabiximols
Nabilone
Approved to treat anorexia or wasting caused by HIV and AIDS and nausea and
vomiting caused by chemotherapy for cancer treatment
10. Colorado’s Medical MJ Laws
https://www.safeaccessnow.org/colorados_medical_marijuana_laws
To recommend medical marijuana, a physician must: 1. Have an active MD or DO
license in good standing with the state of Colorado. 2. Submit a copy of your current
DEA Certificate to the Registry. If a copy of the DEA certificate is not already on file,
please email it to: medical.marijuana@state.co.us 3. Have a bona fide physician-
patient relationship with the patient. 4. Conduct a physical examination each year and
review patient’s medical history to certify the patient has a qualifying debilitating or
disabling medical condition. 5. Complete a physician certification for the patient. A
new physician certification is required each year as part of the patient’s renewal
process. 6. Provide a copy of the physician certification to the patient for their
application packet. 7. Keep a copy of the completed physician certification in the
patient’s medical record.
https://www.colorado.gov/pacific/sites/default/files/CHED_MMR_Physician-
Certification_6_28_17.pdf
11. Hemp v CBD v MJ
https://www.thegrowthop.com/cannabis-health/cannabis-medical/whats-the-
difference-between-marijuana-cbd-and-hemp-cbd
Hemp, or industrial hemp, typically found in the northern hemisphere, is a variety of
the Cannabis sativa plant species that is grown specifically for the industrial uses of its
derived products. It is one of the fastest growing plants and was one of the first plants
to be spun into usable fiber 10,000 years ago.
There is significant over and under labeling of hemp derived CBD products
https://jamanetwork.com/journals/jama/fullarticle/2661569
12.
13.
14. CO qualifying conditions
Cancer
Glaucoma
HIV or AIDS
Cachexia
Persistent muscle spasms
Seizures
Severe nausea
Severe pain
Post Traumatic Stress Disorder (PTSD)
https://www.colorado.gov/pacific/cdphe/qualifying-medical-conditions-medical-
marijuana-registry
15. JAMA review article
Conclusions and Relevance There was moderate-quality evidence to support the use
of cannabinoids for the treatment of chronic pain and spasticity. There was low-
quality evidence suggesting that cannabinoids were associated with improvements in
nausea and vomiting due to chemotherapy, weight gain in HIV infection, sleep
disorders, and Tourette syndrome. Cannabinoids were associated with an increased
risk of short-term AEs.
Common AEs included dizziness, dry mouth, nausea, fatigue, somnolence, euphoria,
vomiting, disorientation, drowsiness, confusion, loss of balance, and hallucination.
https://jamanetwork.com/journals/jama/fullarticle/2338251
16. Pain control and opioid addition
https://www.linkedin.com/pulse/amid-opioid-crisis-researchers-aim-put-medical-
marijuana-arney-benson/
17. Behavioral health and QOL
May be significant QOL benefits, including decreased anxiety, pain and depression
and increased appetite and general feelings of well being associated with marijuana
us amonth patients with newly diagnosed head and neck cancer
https://www.medpagetoday.com/hematologyoncology/othercancers/74387
18. What determines your response?
Your pharmacogenetics
Your disease
The components and their concentrations in different products
Contaminants, like fungi, bacteria and chemicals
19. The entourage effect
Although the precise mechanisms of the entourage effect in epilepsy and other
disorders isn’t fully established, there are a number of potential explanations for the
greater effectiveness of whole-plant CBD-rich oil extracts compared to CBD isolates.
Cannabis contains THC and many minor compounds with potential anti-epileptic
activity, including THCV (tetrahydrocannabivarin (THCV) , CBDV (CANNABIDIVARIN)
, and the terpene linalool, among others. These chemicals interact synergistically with
cannabidiol to confer a holistic “entourage” or “ensemble” effect so that the
therapeutic impact of the whole plant is greater than the sum of its parts.
https://www.projectcbd.org/cannabidiol-and-epilepsy-meta-analysis
20. Why use and abuse?
https://www.nytimes.com/2018/10/27/style/cbd-
benefits.html?action=click&module=Well&pgtype=Homepage§ion=Style
Off label use
21. Is MJ addictive?
Marijuana use can lead to the development of problem use, known as a marijuana
use disorder, which takes the form of addiction in severe cases. Recent data suggest
that 30 percent of those who use marijuana may have some degree of marijuana use
disorder.18 People who begin using marijuana before the age of 18 are four to seven
times more likely to develop a marijuana use disorder than adults.19
Marijuana use disorders are often associated with dependence—in which a person
feels withdrawal symptoms when not taking the drug.
https://www.drugabuse.gov/publications/research-reports/marijuana/marijuana-addictive
22. MJ deaths?
The authors report an 11-month-old male who, followingcannabis exposure,
presented with central nervous system depression after seizure, and progressed
tocardiac arrest and died. Myocarditis was diagnosed post-mortem and cannabis
exposure was confirmed.
https://escholarship.org/uc/item/1n10w5pc#main
23. Epidiolex
The twice-daily oral solution is approved for use in patients 2 and older to treat two
types of epileptic syndromes: Dravet syndrome, a rare genetic dysfunction of the
brain that begins in the first year of life, and Lennox-Gastaut syndrome, a form of
epilepsy with multiple types of seizures that begin in early childhood, usually between
3 and 5.
https://www.cnn.com/2018/06/25/health/fda-approves-first-cannabis-drug-
bn/index.html
25. Bronchiolitis and THC levels
One in six children hospitalized for bronchiolitis in Colorado had been exposed to
marijuana, according to data presented at the Pediatric Academic Societies Meeting.
https://www.healio.com/family-medicine/pediatrics/news/online/%7B7ca05a32-
6331-4a36-92e8-bb5f3ffc2911%7D/one-in-six-children-hospitalized-for-bronchiolitis-
tested-positive-for-marijuana-exposure
26. Cannabis hyperemesis syndrome
This is a very rare syndrome that occurs in long-term heavy users of THC-rich
cannabis. CHS was first reported in the medical literature in 2004. Symptoms include
nausea, vomiting and abdominal pain. More than 90% of cannabis users who
experience these symptoms also have a compulsion to bathe in hot water during the
episode, reporting that it alleviates the discomfort.
27. Marijuana allergy
Can cause symptoms similar to hay fever, or
Contact dermatitis, or
Anaphylactic shock (if left untreated could be fatal)
Hazard for those working in the cannabis industry
https://www.healthline.com/health/allergic-to-marijuana#symptoms
28. Is Smoking Cannabis Before or After Surgery
Safe?
Best not to smoke anything before surgery
May contribute to postop bleeding
May affect appetite following bariatric surgery
https://www.leafly.com/news/health/smoking-marijuana-before-or-after-surgery
29. Does smoking MJ cause cancer?
34 epidemiologic studies on upper aerodigestive tract cancers (n=11), lung cancer
(n=6), testicular cancer (n=3), childhood cancers (n=6), all cancers (n=1), anal cancer
(n=1), penile cancer (n=1), non-Hodgkin's lymphoma (n=2), malignant primary
gliomas(n=1), bladder cancer (n=1), and Kaposi's sarcoma (n=1).
Evidence insufficient, but may change as more patients smoke more pot.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4302404/
30. Use and abuse
5% of pregnant women smoke marijuana
What Happens to Child Custody If One Spouse is Using Marijuana During a Divorce?
Is the Use of Marijuana Considered Child Endangerment?
https://www.legalmatch.com/law-library/article/marijuana-and-child-custody-
lawyers.html
31. The placebo and nocebo effect
a beneficial effect, produced by a placebo drug or treatment, that cannot be
attributed to the properties of the placebo itself, and must therefore be due to the
patient's belief in that treatment.
There is also the nocebo effect: the phenomenon in which inert substances or mere
suggestions of substances actually bring about negative effects in a patient or
research participant.
There may be a biochemical and genetic basis for both
https://www.nytimes.com/2018/11/07/magazine/placebo-effect-
medicine.html?action=click&module=Well&pgtype=Homepage§ion=The%20Ne
w%20York%20Times%20Magazine