What conditions is cannabis prescribed for?

Written in association with: Dr Rajesh Menon
Published:
Edited by: Conor Lynch

In this article here, distinguished pain management specialist, Dr Rajesh Menon, provides an all-you-need-to-know guide about cannabis and its effectiveness for pain management. 

 

What is cannabis?

Cannabis, commonly called marijuana, is a plant utilized for both medicinal and recreational purposes. Its leaves, flowers, seeds, and stems contain cannabinoids, such as THC (tetrahydrocannabinol) and CBD (cannabidiol). These compounds are known for their therapeutic effects, with THC often noted for its psychoactive qualities and pain relief, while CBD is recognised for its anti-inflammatory properties.

 

 

How does cannabis help with pain management?

Cannabis provides pain relief by interacting with the endocannabinoid system, which plays a role in regulating pain, mood, and other physiological processes. THC works by altering the perception of pain, providing relief in chronic pain cases, whereas CBD’s anti-inflammatory properties help reduce pain by addressing inflammation at the source.

 

 

What conditions is cannabis prescribed for?

Cannabis is often prescribed for chronic pain, neuropathic pain, arthritis, multiple sclerosis, and certain types of epilepsy in children. It is also used to alleviate symptoms associated with cancer treatments, fibromyalgia, and migraines, helping patients manage persistent or difficult-to-treat symptoms.

 

 

What are the main effects of cannabis?

The primary effects of cannabis include pain relief, relaxation, and appetite stimulation. Users may also experience improved sleep. However, potential side effects can occur, such as dizziness, dry mouth, altered judgment, and occasionally anxiety or paranoia.

 

 

What dosage should I use?

Dosage varies by individual and depends on the type of cannabis product (oil, vapor, edibles, tinctures) and cannabinoid content. Starting with a low dose and gradually increasing until the desired effect is achieved is generally recommended. Always consult a healthcare provider for personalised dosage guidance.

 

 

What are the legal considerations?

The legality of cannabis varies. In many regions, medical cannabis is legal with a prescription, while recreational use is more restricted. Driving under the influence of cannabis is both dangerous and illegal due to its impact on motor skills. Always verify local laws before use.

 

 

Is cannabis regulated?

Since 2018, cannabis has been a schedule 2 drug under certain conditions, making medical cannabis legal in the UK in regulated settings. However, unregulated cannabis markets still exist, and quality varies widely, so it’s essential to use reputable sources.

 

 

Where does cannabis come from?

Cannabis is cultivated worldwide, including in North America, South America, Europe, and Asia. Strains are specifically bred with varying levels of THC and CBD for medical and recreational purposes.

 

 

What are the costs of cannabis?

Medical cannabis in the UK is often available through private prescriptions, with limited NHS access. The average cost is around £150-£170, depending on the form and quality.

 

 

What should I consider before using cannabis for pain management?

Before using cannabis, it’s crucial to consider potential drug interactions, the risk of dependency, and side effects. Discussing options with a healthcare provider ensures it is a safe choice for your specific needs. Also, understanding the legal aspects and sourcing cannabis responsibly will enhance its safety and effectiveness.

 

By Dr Rajesh Menon
Pain medicine

Dr Rajesh Menon is a highly experienced and skilled consultant in anaesthetics and pain management, based in Elland, Huddersfield, Yorkshire. He specialises in pain management, focusing on chronic regional pain syndrome, low back pain and chronic abdominal pain.

He possesses a wealth of knowledge and expertise in the medical field, initially graduating from the University of Calicut with Bachelor of Medicine, before pursuing a doctorate of medicine and a diploma in anaesthesia from the Mahatma Gandhi University, receiving a first class honours in both. He is currently working at the Spire Elland Hospital as a consultant in anaesthetia and pain medicine, as well as part of the NHS Calderdale and Huddersfield NHS Foundation Trust.

Alongisde his experience in chronic pain, he also holds experience working in palliative care, neurosurgery, gynaecology, surgery, orthopaedics and as part of a musculoskeletal team in managing patients with chronic pain.

Dr Menon is a firm believer in a holistic approach to pain management, concentrating on the functional and emotional well-being of patients, as well as pain relief. He considers patient empowerment to be of utmost importance, with a focus on honesty, communication and collaboration between doctor and patient. 

As part of his role as surgical division representative in the medical mangement committee of the Calderdale and Huddersfield NHS Foundation Trust, Dr Menon has developed guidelines for primary and secondary care, in keeping with the latest developments in the field of neuropathic pain management, opioids in pain management and opioids tapering guidelines.

Dr Menon is a fellow of the College of Anaesthetics, part of the Royal College of Surgeons in Ireland (RCSI) and the Fellowship of the Faculty of Pain Medicine, part of  The Royal College of Anaesthetics (FFPMRCA).

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