Showing posts with label College of Physicians and Surgeons of British Columbia. Show all posts
Showing posts with label College of Physicians and Surgeons of British Columbia. Show all posts

Myths about medical cannabis (Second part) - Dr. David Frederick Hepburn

Tuesday, 31 July 2018

In a previous post we talked about 3 common myths on medical cannabis. Now Dr. David Hepburn is going to explain 2 other common myths.

4. “CBD, non psychoactive, medical, oil, good - THC, psychoactive, recreational, smoke, bad.”


Thinking that the CBD is good and the THC is bad, is a myth that does not benefit at all the uses of medical cannabis. This common myth mentioned by Dr. David Hepburn leads to the question “Is medical cannabis the same as recreational cannabis?” The answer is yes....and no. THC is used for one purpose in recreational users, to get high. But the same THC is also needed to treat various medical conditions that respond better to THC dominant strains, (e.g migraines).


Furthermore THC can make CBD work better and vice versa. However the THC is usually quite a bit lower than recreational users prefer. So the difference is in the intent and content. Recreational users dub CBD “hippie’s disappointment” and have no use for it. However CBD is a vital part of most medical uses.

THC is also medically beneficial in many conditions including: migraines, spasms, Tourette’s, nausea, some types of pain etc. Some states have believed the “THC is bad” myth and have limited it’s use or dosage, thinking that only CBD is medically useful. Big mistake. They are only cheating patients out of the benefit of THC dominant or THC:CBD combination treatments, vital for many conditions. In fact, CBD by itself is much less effective than CBD with either THC or other cannabinoids used inconjunction.

Furthermore, THC can actually have it’s psycho-activite effect mitigated by simply adding CBD. CBD serves (as a negative allosteric modulator) to change the psycho-activity while not changing the medical benefits of THC. The plant is brilliant. And should there, heaven forbid, be a little euphoria due to THC as part of terminal cancer treatment, is it terribly bad to be sick....with a smile?


5. “Cannabis is safe for youth.”

The last myth by Dr. David Hepburn:

The adolescent brain is not like a normal human brain. Prior to neuromaturation (age 25ish unless you happen to be a son of mine), the young brain is being actively pruned and connections created. During adolescence there is an explosion in development and creation of our natural cannabinoid receptors (CB1 and CB2), enzymes (FAAH and MAGL) and actual cannabinoids (anandamide and 2 AG).

These three components comprise the endocannabinoid system (ECS) that is essential to be aware of in order to understand how and why cannabis can be used as medicine. Adding plant (exogenous) cannabinoids to a teen brain, that is busy trying to determine it’s own system, may not only have a deleterious effect in the production of a normally developing system, but may also have an effect on some types of memory, learning and emotions that are not beneficial and may persist for many years, even after neuromaturation.

In fact, the prefrontal cortex, replete with ECS components, is the last part of the brain to mature. This area of the brain is responsible for executive control and, should it not be allowed to develop properly, issues ranging from decision making to impulse control can be thrown for a loop. Cannabis is a drug and needs to be respected as such. Too many youth currently think that cannabis is harmless. They are... mistaken.

To learn more about Dr. David Frederick Hepburn's work on medical cannabis visit:

Dr. David Hepburn: Change how family doctors view medical cannabis

Wednesday, 18 July 2018

Dr. David Hepburn has given talks and conferences throughout Canada and the world, trying to educate his colleagues and the audience about the use and prescription of medicinal cannabis. For several years Dr. Hepburn has been striving to change the resistance that exists in the field of medicine unto this plant and thereby promote its use for various diseases.

In this post we present the first part of an interview that Dr. David Hepburn granted a couple of years ago. In this interview Dr. David Hepburn tries to describe his effort to change how many Canadian doctors view the drug.


The interview



Why did you first become involved in prescribing cannabis about a decade ago?



I was in the group that wanted nothing to do with cannabis, and it actually came from a physician [friend] in Ontario whose mother had cancer. He phoned me up and said, 'My mom is in Victoria, she is an octogenarian, cancer-stricken and her doctor won't help her. My mom would never miss a tax date or jaywalk, and yet the one thing that's helped her with both her pain and her chemo-related symptoms is cannabis.' And would I help her out? Finally I capitulated and said, 'Okay, I will help her apply for the [federal medical marijuana] program.'


I began to explore more into that and I watched this sort of explosion I guess the same way [American neurosurgeon and media personality] Sanjay Gupta would have.


He's made a 180 and I have too.



Why are Canadian doctors are so reluctant to prescribe?

They don't want to be recommending something that we've all been taught is bad for you. The reticence is legitimate, I think that it's normal. 'Hey, listen, I don't know anything about it, I'm not keen on prescribing it.' The standard things that I would hear is, 'We want to see more research into it, etc. etc.' That's a vicious circle – there isn't the research being done because of the fact that the government has made it unreachable.

So you recommend cannabis for conditions and symptoms without the clinical trials that back up such prescriptions?

There remains a lot of good studies to be done. But because it is safe and tolerable and we know it works for a lot of people for conditions in which the research is lacking, that doesn't mean we necessarily rob the person of the opportunity to use it now. We sit in our office day after day and year after year and we hear patients who sit down and say, 'Doc, the thing that really works for me, to be honest with you, is cannabis.' We trust these patients and we know them not to be jaywalkers. When you hear it long enough, you begin to realize that it's something that is working for these people…

Here ends the first part of the interview in our next post we can read the rest of the interview, we invite you to read the next part because we can see how Dr. David Hepburn mentions very interesting things about the uses of medicinal cannabis

If you want to know more about Dr David Frederick Hepburn work visit his websites:



Which medical disorders? - Dr. David Hepburn

Friday, 27 April 2018

British Columbia, College of Physicians and Surgeons of British Columbia, cpsbc, Dave Hepburn, David Hepburn, Dr. David Frederick Hepburn, Dr. Hepburn, medical cannabis, reliable doctor

There is sufficient reason to believe that medicinal cannabis can help in cases of:
  • pain and muscle spasms or cramps associated with multiple sclerosis or spinal cord damage; 
  • nausea, loss of appetite, weight loss and debilitation due to cancer or AIDS; 
  • nausea and vomiting associated with chemotherapy or radiotherapy used in the treatment of cancer, hepatitis C or HIV infection and AIDS; 
  • chronic pain (mainly pain associated with the nervous system, for example that caused by a damaged nerve, phantom pain, facial neuralgia or chronic pain which remains after the recovery from shingles); 
  • Gilles de la Tourette syndrome; 
  • therapy-resistant glaucoma.

Patients and doctors have also reported positive effects on a range of other conditions, including Crohn’s disease, ulcerative colitis, epilepsy, itching, migraine, rheumatism, rheumatoid arthritis, ADD and brain trauma. These positive effects still need to be confirmed by scientific research. (For more information, go to www.cannabis-med.org.)

At present, medicinal cannabis does not cure the disorders mentioned above, but it can relieve the symptoms associated with them. It may also enable other medication to be given at a lower dosage, and reduce their side effects. It is up to doctors to determine whether treatment with medicinal cannabis would benefit a patient, given his or her diagnosis and circumstances. In doing so, they are not limited to the list of conditions given above. A doctor will only prescribe medicinal cannabis if the standard treatments and registered medicines are not having the desired effect or are causing too many side effects.

For more information, consult Dr. David Frederick Hepburn online material:


Market Wired, Award Winning Columnist Dr. David Frederick Hepburn Embarks on Speaking Tour: http://www.marketwired.com/press-release/award-winning-columnist-dr-dave-hepburn-embarks-on-speaking-tour-2166319.htm

CBC News, Q&A with Dr. David Frederick Hepburn, B.C. doctor going on medical marijuana speaking tour: http://www.cbc.ca/news/canada/british-columbia/q-a-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour-1.3213458





Cannabis Culture, Q&A with Dr. David Frederick Hepburn, B.C. Doctor Going on Medical Marijuana Speaking Tour: http://www.cannabisculture.com/content/2015/09/04/qa-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour


Cannabis Digest, Teaching Cannabis Medicine in Canada: Interviews with Dr. David Frederick Hepburn and Dr. Robert Sealey: https://cannabisdigest.ca/teaching-cannabis-medicine-canada-interviews-dr-david-hepburn-dr-robert-sealy/



Leafly, Cannabis Shows Great Promise in Treating Cancer—Let’s Not Wreck It With Hyperbole: https://www.leafly.com/news/health/cannabis-shows-great-promise-treating-cancer-lets-not-wreck-hyperbole

Side Effects - Dr. David Frederick Hepburn

Wednesday, 18 April 2018

British Columbia, College of Physicians and Surgeons of British Columbia, cpsbc, Dave Hepburn, David Hepburn, Dr. David Frederick Hepburn, Dr. Hepburn, medical cannabis, reliable doctor

Patients generally tolerate medicinal cannabis well. A low dosage often provides sufficient relief, so that side effects rarely occur. When they do, it is usually the result of a high dosage or combined use with a substance such as alcohol that intensifies the side effects.

Known side effects of medicinal cannabis are mood-altering effects, insomnia and heart palpitations. Other effects are: relaxation, fits of laughter, feeling hungry, heightened sensitivity to the perception of e.g. colour and music, lethargy and distorted temporal and spatial awareness. Your reaction time may also be slower, especially during the first hours after use.

If you take a large dose, you can get ‘high’. This is a feeling of euphoria which slowly subsides into feeling satisfied, peaceful and calm. The altered perception may cause you to feel confused. These effects usually disappear after a few hours.

If you have a genetic predisposition to psychosis (like schizophrenia) or other mental health problems, please consult your specialist before using medicinal cannabis. You should also consult your doctor if you are a cardiac patient. Continuous use of cannabis during pregnancy can affect the foetus. Also, certain components of cannabis - like THC - end up in breast milk. That is why the use of medicinal cannabis is not advisable during pregnancy and while breastfeeding. For more information, consult your doctor or pharmacist.

The principal effects caused by cannabis are those that result from smoking and the already well known dependence to the substance.

Effects caused by Smoking

Smoking cannabis regularly is bad for your health. Smoke damages the lungs and could lead to infections of the nose, throat and lungs. For this reason, smoking medicinal cannabis is not recommended. Instead, inhaling cannabis using a reliable vaporiser is a more suitable method.
Addiction

Addiction is unlikely with cannabis used as a medicine. You should take particular care, however, if you have been addicted in the past. High dosages of medicinal cannabis taken over a longer period may lead to addiction. Quitting may then cause withdrawal symptoms, such as mild forms of restlessness, irritability, insomnia and nausea.

For more information, consult Dr. David Frederick Hepburn online material:

Market Wired, Award Winning Columnist Dr. David Frederick Hepburn Embarks on Speaking Tour: http://www.marketwired.com/press-release/award-winning-columnist-dr-dave-hepburn-embarks-on-speaking-tour-2166319.htm

CBC News, Q&A with Dr. David Frederick Hepburn, B.C. doctor going on medical marijuana speaking tour: http://www.cbc.ca/news/canada/british-columbia/q-a-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour-1.3213458





Cannabis Culture, Q&A with Dr. David Frederick Hepburn, B.C. Doctor Going on Medical Marijuana Speaking Tour: http://www.cannabisculture.com/content/2015/09/04/qa-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour


Cannabis Digest, Teaching Cannabis Medicine in Canada: Interviews with Dr. David Frederick Hepburn and Dr. Robert Sealey: https://cannabisdigest.ca/teaching-cannabis-medicine-canada-interviews-dr-david-hepburn-dr-robert-sealy/





Leafly, Cannabis Shows Great Promise in Treating Cancer—Let’s Not Wreck It With Hyperbole: https://www.leafly.com/news/health/cannabis-shows-great-promise-treating-cancer-lets-not-wreck-hyperbole

Varieties in Pharmacies - Dr. David Frederick Hepburn

Tuesday, 10 April 2018

British Columbia, College of Physicians and Surgeons of British Columbia, cpsbc, Dave Hepburn, David Hepburn, Dr. David Frederick Hepburn, Dr. Hepburn, medical cannabis, reliable doctor


There are several varieties of medicinal cannabis which have different compositions and strengths, and thus different effects. There are three varieties of medicinal cannabis available through pharmacies: Bedrocan, Bedrobinol and Bediol. Each variety has its own predetermined strength and composition.
What variety is best depends on the symptoms. For example: there is reason to believe that inhaling cannabis with a high CBD content (like Bediol) provides effective relief for pain and muscle spasms in patients with multiple sclerosis (MS). Because of the anti-inflammatory properties of CBD, this variety may be more effective than others for patients with inflammatory conditions.

Cannabis with high levels of THC (Bedrocan and Bedrobinol) is preferred for disorders such as Gilles de la Tourette syndrome, therapy-resistant glaucoma and symptoms like weight loss, nausea and vomiting.

In case of chronic neural pain, Bediol is often prescribed first (for inhaling). If this provides insufficient relief, a variety with a higher THC content is substituted. It is also possible to start with Bedrocan (as tea) or combine varieties and methods of administration.

The effects not only depend on your symptoms, there are large variations between individuals, too. Your doctor will discuss with you which variety and what method of administration are best in your case.

Quality

Medicinal cannabis has to meet certain quality criteria. It must not contain any pesticides, heavy metals, fungi or bacteria. This is strictly monitored. Research has shown that the cannabis sold in coffee shops hardly ever meets the quality standards of medicinal cannabis from the pharmacy. It’s cultivated under specific, controlled conditions by growers who are licensed by the Office of Medicinal Cannabis (OMC).


For more information, consult Dr. David Frederick Hepburn online material:

Market Wired, Award Winning Columnist Dr. David Frederick Hepburn Embarks on Speaking Tour: http://www.marketwired.com/press-release/award-winning-columnist-dr-dave-hepburn-embarks-on-speaking-tour-2166319.htm

CBC News, Q&A with Dr. David Frederick Hepburn, B.C. doctor going on medical marijuana speaking tour: http://www.cbc.ca/news/canada/british-columbia/q-a-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour-1.3213458





Cannabis Culture, Q&A with Dr. David Frederick Hepburn, B.C. Doctor Going on Medical Marijuana Speaking Tour: http://www.cannabisculture.com/content/2015/09/04/qa-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour


Cannabis Digest, Teaching Cannabis Medicine in Canada: Interviews with Dr. David Frederick Hepburn and Dr. Robert Sealy: https://cannabisdigest.ca/teaching-cannabis-medicine-canada-interviews-dr-david-hepburn-dr-robert-sealy/



Leafly, Cannabis Shows Great Promise in Treating Cancer—Let’s Not Wreck It With Hyperbole: https://www.leafly.com/news/health/cannabis-shows-great-promise-treating-cancer-lets-not-wreck-hyperbole

Instructions for use and dosage - Dr. David Frederick Hepburn

Tuesday, 3 April 2018


British Columbia, College of Physicians and Surgeons of British Columbia, cpsbc, Dave Hepburn, David Hepburn, Dr. David Frederick Hepburn, Dr. Hepburn, family physician, medical cannabis, reliable doctor

Tea


Bedrocan is the most suitable variety for making tea.

• Boil 500 ml of water in a pan with the lid on.

• Add 0.5 grams (about 2 teaspoons or 1 measuring scoop) of medicinal cannabis.

• Turn down the heat and let the tea simmer gently for 15 minutes with the lid still on the pan.

• Take the tea off the stove and pour it through a sieve.

• Keep the tea in a thermos flask if you plan to drink it the same day.

If you want to make tea for several days, use 1 gram (about 4 teaspoons or 2 measuring scoops) of medicinal cannabis for one litre of water. Then, after preparing the tea as described above, add a package or teaspoon of coffee creamer powder to the warm tea. This will keep the active substances in the tea from sticking to the inside of the teapot or cup, reducing its effectiveness. Let the tea cool down and store it in the fridge. It will keep for several days.

You may reheat the refrigerated tea, and can add sugar, syrup or honey to improve its taste. 

Dosage:

Start by drinking 1 cup (0.2 litres) of tea in the evening. If this provides insufficient relief after one or two weeks, you can – in consultation with your doctor – drink an extra cup (0.2 litres) in the morning. If the tea still provides insufficient relief, ask your doctor about inhaling medicinal cannabis using a vaporiser. Inhalation acts faster, and its effect is stronger than cannabis tea. Furthermore, the dose is easier to adjust.

Bedrocan and Bedrobinol are available in the form of dried flower tips (flos). Bediol is provided as granules, as the flower tips have been crushed. All three varieties can be used to make tea or inhaled through an inhaler. It doesn’t matter if you use the granules or the flower tips.

Inhalation

To inhale medicinal cannabis we advise you to use a reliable vaporiser.

Dosage:

• The initial dose should be about 200 mg (1 teaspoon or ½ measuring scoop).

• Place this in the vaporiser, heat the cannabis, then inhale once.

• Wait 5 to 15 minutes before inhaling again.

• Repeat this a few times – including the interval between two inhalations – until the desired effect is achieved, or until the onset of undesirable side effects (physical or mental). Start by performing this procedure once or twice a day.

• It’s important that you gradually build up your intake. Inhaling several times a day can only be considered after some time has elapsed. Always consult your doctor first, since the dosage and amounts used vary widely between individual patients.

Medicinal cannabis heated in a vaporiser can be reused up to 3 times, as active components will still be released.

Smoking cannabis – with or without tobacco – is not recommended. Nor is using a water pipe as harmful chemical are also inhaled.

For more information, consult Dr. David Frederick Hepburn online material:

Market Wired, Award Winning Columnist Dr. David Frederick Hepburn Embarks on Speaking Tour: http://www.marketwired.com/press-release/award-winning-columnist-dr-dave-hepburn-embarks-on-speaking-tour-2166319.htm

CBC News, Q&A with Dr. David Frederick Hepburn, B.C. doctor going on medical marijuana speaking tour: http://www.cbc.ca/news/canada/british-columbia/q-a-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour-1.3213458





Cannabis Culture, Q&A with Dr. David Frederick Hepburn, B.C. Doctor Going on Medical Marijuana Speaking Tour: http://www.cannabisculture.com/content/2015/09/04/qa-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour


Cannabis Digest, Teaching Cannabis Medicine in Canada: Interviews with Dr. David Frederick Hepburn and Dr. Robert Sealy: https://cannabisdigest.ca/teaching-cannabis-medicine-canada-interviews-dr-david-hepburn-dr-robert-sealy/



Leafly, Cannabis Shows Great Promise in Treating Cancer—Let’s Not Wreck It With Hyperbole: https://www.leafly.com/news/health/cannabis-shows-great-promise-treating-cancer-lets-not-wreck-hyperbole

Using Medical Cannabis - Dr. David Frederick Hepburn

Tuesday, 27 March 2018

Your doctor will determine, in consultation with you:

• Which variety would be most suitable

• What dosage you need

• How to take the medicinal cannabis

You will probably start with a low dosage (see ‘Instructions for use and dosage’). If the effect is insufficient, your doctor will gradually increase the dosage. No maximum dose has been determined. Your doctor can keep increasing the amounts of cannabis you take until an effective result is achieved. Therefore, the dose can vary from one cup of tea a week to several grams a day.

You can take medicinal cannabis in various ways. For example: prepared as tea or inhaled using a vaporiser. It is important for the effect to heat the cannabis before using it. We discourage smoking medicinal cannabis.

When inhaled, the active components of cannabis are absorbed quickly by the body. The maximum effect occurs within 15 minutes, and slowly wears off over three to four hours. It is quite easy to adjust the dose when inhaling. If the effect is insufficient, you can choose to inhale more. You can also stop when you achieve the required effect or when you start feeling side effects.

When medicinal cannabis is drunk as tea, it takes at least 30 to 90 minutes before any effects occur. The maximum effect is usually achieved after two or three hours, and it takes four to eight hours to wear off. Eating high-fat food with the tea can improve the absorption of the active substances.

For more information, consult Dr. David Frederick Hepburn online material:

Market Wired, Award Winning Columnist Dr. David Frederick Hepburn Embarks on Speaking Tour: http://www.marketwired.com/press-release/award-winning-columnist-dr-dave-hepburn-embarks-on-speaking-tour-2166319.htm

CBC News, Q&A with Dr. David Frederick Hepburn, B.C. doctor going on medical marijuana speaking tour: http://www.cbc.ca/news/canada/british-columbia/q-a-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour-1.3213458





Cannabis Culture, Q&A with Dr. David Frederick Hepburn, B.C. Doctor Going on Medical Marijuana Speaking Tour: http://www.cannabisculture.com/content/2015/09/04/qa-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour


Cannabis Digest, Teaching Cannabis Medicine in Canada: Interviews with Dr. David Frederick Hepburn and Dr. Robert Sealey: https://cannabisdigest.ca/teaching-cannabis-medicine-canada-interviews-dr-david-hepburn-dr-robert-sealy/



Leafly, Cannabis Shows Great Promise in Treating Cancer—Let’s Not Wreck It With Hyperbole: https://www.leafly.com/news/health/cannabis-shows-great-promise-treating-cancer-lets-not-wreck-hyperbole

What is medicinal cannabis? - Dr. David Frederick Hepburn

Monday, 19 March 2018

British Columbia, College of Physicians and Surgeons of British Columbia, cpsbc, Dave Hepburn, David Hepburn, Dr. David Frederick Hepburn, Dr. Hepburn, medical cannabis, reliable doctor


Cannabis consists of the dried flowers of the female Cannabis sativa L plant, also known as hemp, weed or marihuana. Cannabis contains several active substances, like dronabinol (THC) and cannabidiol (CBD). THC is mainly responsible for the effects of cannabis, but others – like CBD – may also influence the effectiveness of the drug. The chemical composition of the cannabis determines the effects and side effects. Cannabis dispensed by pharmacies complies with the strictest quality standards and is intended for medicinal use only. Therefore, it is called medicinal cannabis.

For more information, consult Dr. David Frederick Hepburn online material:

Market Wired, Award Winning Columnist Dr. David Frederick Hepburn Embarks on Speaking Tour: http://www.marketwired.com/press-release/award-winning-columnist-dr-dave-hepburn-embarks-on-speaking-tour-2166319.htm

CBC News, Q&A with Dr. David Frederick Hepburn, B.C. doctor going on medical marijuana speaking tour: http://www.cbc.ca/news/canada/british-columbia/q-a-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour-1.3213458





Cannabis Culture, Q&A with Dr. David Frederick Hepburn, B.C. Doctor Going on Medical Marijuana Speaking Tour: http://www.cannabisculture.com/content/2015/09/04/qa-with-dr-dave-hepburn-b-c-doctor-going-on-medical-marijuana-speaking-tour


Cannabis Digest, Teaching Cannabis Medicine in Canada: Interviews with Dr. David Frederick Hepburn and Dr. Robert Sealy: https://cannabisdigest.ca/teaching-cannabis-medicine-canada-interviews-dr-david-hepburn-dr-robert-sealy/



Leafly, Cannabis Shows Great Promise in Treating Cancer—Let’s Not Wreck It With Hyperbole: https://www.leafly.com/news/health/cannabis-shows-great-promise-treating-cancer-lets-not-wreck-hyperbole
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