Posts Tagged ‘ambien’

PTSD (Post Traumatic Stress Disorder) and Medical Marijuana; A supplemental Treatment Approach

Posted By Dr. Sean Breen on July 20th, 2010

Lately I have been seeing more and more patients with PTSD looking to medical marijuana as an alternative to the medications that their psychiatrists have prescribed.   Because I have an office in Long Beach next to the VA and also take care of many Marines from Camp Pendleton I am seeing more and more how cannabis is helping them.

Let me make one point that is very important for PTSD patients to understand.  Medical Marijuana is not going to cure your symptoms. You will still need ongoing therapy and psychiatric counseling to REALLY get past this time in your life.   What medical marijuana can do if help you reduce your dependence on drugs like Trazodone/Xanax/Ambien for sleep and reduce your dependence on mood stabilizers like paxil/prozac/seroquel.  Often these medications have side effects that do not justify the benefit of taking them daily.    Many of my patients tell me that one or two doses using a vaporizer when they come home from work helps them relax and get a good nights rest.

Being a combat veteran myself I understand the stresses that our veterans go though and what they experience when they get home.  I spent 9 months with an infantry unit (1/4 out of Camp Horno, 1MARDIV) in Iraq from Jan-Sept 2003.   I definitely witnessed my share of casualties and had more than one RPG sent my way.   I have lost Navy Corpsman to bullets and covered a KIA marine with a US flag in the heat of battle.   There is nothing more terrifying than the thought of being killed on a regular basis.

I do not take this medication lightly and want to make sure that our military leadership and veterans understand that medical marijuana is an option for them to consider.   It make work and it may not.  But I think it is worth discussing and you should be willing to give it a try if you are frustrated with your current treatment plan.

I have offices in Long Beach and Irvine and see patients 5 days per week.   Our office number is 877-721-0047 or contact us through the web at www.mcsocal.com

Semper fi,

Dr. Breen

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Marijuana (Cannabis) as alternative treatment for menopause; Medical Marijuana Doctors

Posted By Dr. Sean Breen on June 2nd, 2010

Today at my Irvine office I evaluated a 51 year old women who wanted an evaluation to see if medical marijuana could provide relief for some of the symptoms she has been experience as a result of menopause.   Specifically she had been suffering from severe hot flashes which caused secondary insomnia.   As a result of not being able to sleep well she was “always tired” during the day.  Her ob/gyn had tried prescribing paxil and ambien to help relieve her symptoms but the side effects were worse than what she was trying to relieve.    A few weeks back a friend of hers that had a medical marijuana card for chronic pain gave her some marijuana to try to improve her sleep.  The results “were amazing” she told me.

The first night she vaporized (inhaled smoke free) one pinch of a cannabis strain called OG Kush.  She described lying down and falling asleep almost immediately.  Prior to that she would “toss and turn” for a few hours before finally falling asleep.  She reported that she slept 8 hours for the first time in 2 years!   As a result she woke up feeling rested and was able to be more productive the next day.  She plans on using marijuana for the duration of her menopausal symptoms and is “so relieved” that she has a “more natural alternative.”

Menopause occurs because of decreasing estrogen levels in the womens body.   It typically occurs around the age of 51.   Many women experience hot flashes, vaginal dryness and nights sweats.   Many women also report feeling anxious or even depressed.   It can be a very difficult time for women as there reproductive organs “shut down” for good.   Typically doctos try giving their patients SSRI’s (antidepressants such as Paxil), Ambien to improve sleep and benzodiazepines to treat anxiety.   Hormone replacement therapy used to be the gold standard to reduce the typical symptoms but recent studies showed an increased risk of cardiovascular disease and breast cancer.

I see many women who get great results by using small amounts of cannabis in the evening to reduce their symptoms.  Because cannabis is such a benign medication (very little unwanted side effects) I believe that it is a great alternative to try.   It is not addictive, is not toxic to any major organ system and be used as often as necessary.  In addition if vaporized (vs smoked) there are no harmful side effects from smoke which limits most patients from even trying it.

If you are in menopause or would like more information on whether you could benefit from using cannabis feel free to make an appointment at 877-721-0047.  There is NO FEE if you do not qualify or decide not to use it.

Respectfully,

Dr. Breen

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PMS (Premenstrual Syndrome), PMDD (premenstrual dysphoric disorder) and Marijuana (Cannabis): An alternative treatment

Posted By Dr. Sean Breen on April 26th, 2010

As medical director for Medical Cannabis of Southern California I often evaluate women who suffer from pre-menstrual syndrome (PMS).  They often complain of headache, pelvic pain, breast pain, difficulty sleeping, bloating, irritability, anxiety, depression and an inability to concentrate.   Typically the standard treatment that their doctors prescribe do not work well enough and they would like to try cannabis.   I have seen amazing results with women who vaporize cannabis to treat their PMS.

Standard treatment for many of these women are SSRI’s (anti-depressants) to treat any of their mood symptoms (irritability, depression and anxiety), high dose NSAIDS (naprosyn/motrin) for pain, spirinolactone for edema, ambien for sleeping difficulties and occasionally other no pharmaceutical therapies (Calcium and Magnesium Supplements)  The problem is that these treatment modalities come with many unwanted side effects…. and/or do not provide adequate relief.   SSRI’s can cause apathy and affect patients sex drive.  NSAIDS can cause dangerous gastro-intestinal bleeding, ambien can be addicting and often makes patients extremely groggy upon awakening and spirinolactone can cause electrolyte disturbances.

Studies have shown that up to 75% of women suffer from PMS/PMDD on some level.  That is an enormous amount of people that are taking a lot of different medications that are not only ineffective but can be very dangerous if taken regularly.

Once patients understand how cannabis works in the body they are much more comfortable trying it for their PMS symptoms.  Cannabis can be extremely relaxing, elevate patients moods and assist with sleep.  (good bye SSRI and Ambien).  It is amazing at relieving pelvic pain and headaches (good bye NSAIDS) and can increase a patients libido.

What I tell my patients is that it is definitely worth giving it a try.  If it works…GREAT!  If not…. simply don’t use it.   In the meantime it is not going to damage your liver, kidneys or cause GI bleeding.  You can not overdose on it and there is an extremely low potential for physical or psychological addiction.

Lastly, you can easily avoid smoking it by using a vaporizer which allows you to inhale the medicine SMOKE FREE!

If you suffer from PMS/PMDD and would like to discuss using cannabis to treat your symptoms feel free to give us a call at 877-721-0047.  Or you can simply pre-qualify for FREE at www.mcsocal.com

Be blessed,

Dr. Breen


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Marijuana (Cannabis) and PTSD (post traumatic stress disorder)

Posted By Dr. Sean Breen on March 31st, 2010

Today in my Irvine clinic I had two patients who were suffering from Post Traumatic Stress Disorder (PTSD).  One was unfortunately physically and verbally abused by her boss and the second was involved in a very traumatic car accident where he lost one of his best friends.   Both of these patients experienced a combination of difficulty sleeping, recurring nightmares, avoidance and depression.

The first step in their recovery process involved psychotherapy which both were receiving.  One of them had started group therapy as well.   These two treatment modalities are pretty standard for patients who suffer from PTSD.

At this point many of you reading this may be wondering why and how they ended up in my office?  The reason is because each was started on 4 medications and for one a 5th was added.   One stated that they “felt like a zombie” and the others emotions “were completely dulled”.   Here is the list of medications that they brought in.

1) Trazodone: is an anti-depressant which affects the serotonin levels in your brain: in these cases it was being used to assist with insomnia.

2) Ambien: is a drug used to induce sleep as well.  It works similar to benzodiazepines in that it binds to the GABA receptors in the brain.  Patients often are worried about the addiction potential and complain of feeling very groggy upon awakening with daytime drowsiness that can affect work performance.

3) Lorazepam (Ativan): is a drug used to treat acute anxiety and insomnia.  Is a benzodiazepine and affects the GABA receptors in the brain.  Patients often worry about its addiction potential and increasing tolerance and dependence.

4) Prozac (Fluoxetine): is a drug most commonly used to treat depression.  It affects the serotonin receptors in the brain.   Many patients complain about it’s side effects.  Specifically, it can affect a patients sex drive and sexual performance.

5) Seroquel (quetiapine): is a drug often used to treat schizophrenia and bipolar disorder.  Often I have seen patients prescribed this to assist with insomnia as well.

The problem that these patients had with their psychiatrists treatment plan is the  amount of medications that they were taking throughout the day.  They literally felt like walking zombies; out of touch with their personal relationships.  They also experience unwanted side effects.  This is a very common theme that I hear from patients.

So where does cannabis come into play?  For one I think the goal is to get these patients off there medications used to treat the anxiety and insomnia.  For these patients the goal was to eliminate the need for the Ambien, Ativan and Trazodone IMMEDIATELY.

I encourage them to continue the prozac if it is helping with their mood.  As long as the side effects are not too bad I think this is a reasonable medication for them to stay on until the therapy allows them to cope without any medications.

Many times the goal for my patients is to substitute cannabis for one or more of the medications that they currently take.  Cannabis, if used appropriately, can replace many varieties of medication.  It can assist with falling asleep, decreasing anxiety, improving mood, stimulating appetite  and also decreasing patients use of other drugs such as alcohol.

I will follow up with them in a few weeks and blog about how they are doing. Stay tuned!

If you would like more information on seeing if cannabis can improve the quality of your life please feel free to call my staff and schedule an appointment to come in.  I would be happy to take care of you.

Visit us at www.mcsocal.com or call 877-721-0047

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Can’t sleep? Economy, Family, Health

Posted By Dr. Sean Breen on March 25th, 2010

As medical director for medical cannabis of southern california I am amazed at the amount of patients who have difficulty falling asleep or wake up throughout the night.   One of my 10 commandments when it comes to perfect health is “Thou shall get sleep.  As your sleep goes so does your health.” You can eat perfectly and exercise all day but if you are getting adequate rest you will be prone to illness mostly secondary to a compromised immune system.

On a very basic level all of cells require glucose (nutrition) oxygen and a method of removing waste (lymphatic system).   Our body rests, cleanses and rejuvinates when we get sound sleep.

I won’t go into detail of the various stages of sleep and the brain waves that we can measure.  But what I will do is make it very simple and break this down BARNEY STYLE.

CANNABIS HELPS YOU FALL ASLEEP, STAY ASLEEP AND WAKE UP FEELING RESTED.

Unlike many sleeping aids such as Ambien (which is similar to a benzodiazepene ie. valium) which makes patients feel extremely groggy and tired the next morning, cannabis generally has little to no associated morning grogginess.

I can not tell you how many patients are using cannabis to treat acute and chronic insomnia!  I am glad that I can help improve the quality of their lives!

If you would like to find out if cannabis can improve the quality of your life please feel free to call my staff at 877-721-0047 and schedule an appointment to come to my Irvine or Long Beach office.

Respectfully,

Dr. Sean Breen

mcsocal@me.com

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Alternative treatment for perimenopause; Marijuana (Cannabis)

Posted By Dr. Sean Breen on October 15th, 2009

As medical director for Medical Cannabis of Southern California I frequently evaluate women who suffer from the symptoms of perimenopause.   Fortunately cannabis can be a great alternative treatment for many of the symptoms women experience during this time.    As women age they begin to experience hormonal changes which is the bodies natural result of transitioning from a fertile child bearing state to the end of her reproductive years.   This period of time leading up to menopause is called perimenopause.  The onset of perimenopause typically occurs around 40 years of age but can happen sooner or later depending on that womens specific genetics and physiology.  Symptoms are a result of fluctuating levels of estrogen and ultimately LH and FSH(luteinizing hormone, follicle stimulating hormone).

The typical symptoms that my patients complain of are insomnia (or a break from their normal sleeping patterns), irritability, headaches, nightsweats, hot flashes, decrease libido, vaginal dryness and overall emotional instability.   When many of these patients visit their primary care physicians they are offered a myriad of drugs to treat these symptoms.  For there headaches they are told to take NSAIDS such as motrin.  For there difficulty sleeping they are given drugs like ambien and lunestra.  For their emotional instability they are prescribed anti-depressants and anti-anxiety drugs such as lexapro and xanax.     In the end they are left with 4 or 5 different medications to take that have their own set of side effects that patients have to deal with.   Most of my patients get fed up and are “tired of taking so many pills.”  They are looking for a more natural approach to treat their symptoms.

The great news is that cannabis can alleviate many of the symptoms that perimenopausal women experience.   It is a great sedative and helps patients sleep through the night.  It can relieve the pain associated with headaches.   In addition, it functions as an anxiolytic and helps relax and calm patients after a long day.    Lastly, many strains of cannabis can increase a patients libido and enhance their sexual experiences with their partners.   The advantage I believe that cannabis has over many of these drugs is that the medically active ingredients found in the plant (collectively called cannabinoids) have few intolerable side effects.   Once they enter the bloodstream they bind to receptors throughout our nervous and immune systems and produce their physiological effects.   Within minutes patients feel relaxed and euphoric.  Many times the pain subsides immediately.    Because there has not been one documented overdose from cannabis use it is very safe and patients don’t have to worry about using too much.   I tell all of my patients that it is definitely worth a try.  ”if it helps and improves your quality of life, then great!  If not, simply stop using it.” The good news is that it is not toxic to any of your major organ systems and is not chemically addicting.   So there is little risk in giving it a try.

If you are worried about having to smoke it please see my website and read about the benefits of vaporizing cannabis (smoke free!).   If you would like more information please visit my website at www.MCSoCal.com or call 877-721-0047 and schedule an appointment.  You can also pre-qualify for free online from the comfort of your own home.   We have office locations in Long Beach, Irvine and Encinitas (San Diego)

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Alternative Treatment for Insomnia: Marijuana

Posted By Dr. Sean Breen on September 18th, 2009

As medical director for Medical Cannabis of Southern California I evaluate patients with difficulty sleeping all the time.   Their complaints many times have one of two characteristics; difficulty falling asleep or frequent awakenings without the ability to fall back asleep.   Typically they have been to their primary care physicians who prescribe drugs such as Ambien or Lunestra.   Other times if anxiety or stress is the cause for their insomnia they are given benzodiazepines such as Xanax or Valium to help them sleep.  Trazadone is another common medication prescribed for sleep.   The common theme that I hear regarding these medications is that, although they help patients fall and stay asleep, they feel completely groggy and tired the following day.  This then makes them less motivated and productive at work and also affects their relationships.  The other issue is the side effects of many of these drugs.  For example, benzodiazapenes can be highly addictive and often patients develop a tolerance and dependence.  I always discuss with patients that you have to weight the benefits and risks of any treatment a doctor recommends.

Cannabis (marijuana) is an extremely effective sleep aid.   It’s advantages is that patients will get a restful sleep and not wake up feeling groggy.   It is not toxic to any of the major organ systems and has very few side effects.   Patients can simply vaporize*** a small amount 10-30 minutes before lying down.   Usually within 10-15 minutes they will be enough sedation to fall asleep adequately.  As far as a particular strain, cannabis falls into two general categories, indicas and sativas.   Indica strains tend to be better for sleep because they have a lower concentration of THC (tetrahydrocannabinol) are more of a sedative.  They are not going to produce the intense head high that many sativa strains can cause.   Indicas tend to be more of a “body high”.   They are also great for chronic pain.  Many of our pain patients who can not fall asleep as a result of not being to get in a comfortable position do really well with indicas.

If you would like to be evaluated by a physician to see if you may benefit from using cannabis please feel free to visit our website at www.MCSoCal.com and pre-qualify for free.   Dr. Sean Breen is medical director for Medical Cannabis of Southern California and treats patients at his three offices in Long Beach, Irvine and Encinitas.

***Vaporizers allow patients to inhale the medication without having to smoke it.  It is the preferable way to medicate for ALL patients.  For more info visit www.MCSoCal.com

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