Posts Tagged ‘joint pain’

NSAIDS (motrin, voltaren) increase risk of heart attack and stroke study finds; Medical Marijuana as an alternative

Posted By Dr. Sean Breen on June 15th, 2010

An important study just came out in the periodical “Circulation: Cardiovascular Quality and Outcomes” which demonstrated an increased risk of fatal and non-fatal heart attack and stroke for healthy patients who routinely use NSAIDS (non-steroidal anti-inflammatory drugs) such as motrin, ibuprofen, diclofenac, voltaren, celebrex, naprosyn, aleve etc. to treat pain.  This is a very important study and you those patients who routinely pop motrins or take dicofenac to treat pain need to read.    Marijuana has for many years been found to have potent anti-inflammatory effects without any of the increased risks associated with commonly prescribed NSAID’s.

The study examined the risk of heart attack and stroke in over 1 million patients who averaged 39 years of age and had no significant health problems (high blood pressure, heart disease, diabetes etc) over an 8 year period.    They found that patients who regularly used NSAID’s to treat chronic pain were 29% more likely to have a heart attack or stroke.   This is significant because how many people do you know (you included) head to the local CVS and pick up a bunch of Motrin for that chronic pain or ache without considering the side effects??  They estimate that 20% of the population has been PRESCRIBED (not including those who get it over the counter) NSAIDS at one time or another for pain.

We are beginning to understand in medicine that many treatments that we used to believe were safe are actually significantly dangerous to patients (for example hormone replacement therapy in post-menopausal women).   NSAIDS can cause significant gastro-intestinal bleeding and now we find out increase the risk of heart attack and stroke significantly.

One thing the study did find is that if you really need to use an NSAID for pain the safest one in the study was Naprosyn, commonly known as Aleve.

You may not know that there are over 60 cannabinoids in the cannabis (marijuana) plant that exert their effects on the body.  Many of them specifically decrease the inflammatory response and thus reduce pain.   Cannabis has very few unwanted side effects.  You can not overdose from it!   It does not effect your kidneys or liver.  It is not addictive.  It does not cause ulcers or bleeding.  It is one of natures best remedies for pain and inflammation.

I can not tell you how many older patients I see everyday that want to stop taking their “pain pills” for chronic pain.   The stories I hear about how cannabis has improved the quality of their life are truly remarkable.  They love being able to vaporize it as opposed to having to smoke it.

I HIGHLY recommend that if you are suffering from chronic pain (for any reason) that you come into my office and we can discuss the benefits and risks of using marijuana to treat your symptoms.   Simply call 877-721-0047 or pre-qualify for free online and one of my staff will contact you shortly.

Dr. Breen, Medical Director, Medical Cannabis of Southern California


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Tired of Side Effects of Prednisone? Try Cannabis

Posted By Dr. Sean Breen on March 27th, 2010

As medical director for medical cannabis of southern california I often evaluate patients who take regular high doses of prednisone.  Prednisone is the atomic bomb for inflammatory conditions such as crohns, ulcerative colitis, sever asthma and many other medical conditions.   Unfortunately it’s effects do not come without significant side effects.  Many patients can get relief of these side effects by using cannabis.

Typically patients who have to take prednisone experience sleeping irregularities, abdominal pain and bloating, appetite issues, nervousness and restlessness.  Many times it can cause an acute and temporary psychosis.   Prolonged use can cause weight gain, headaches, muscle pain and severe restlessness.

Unfortunately many patients who take prednisone have few other options.

ENTER CANNABIS.

Patients who use cannabis to combat some the more common side effects of prednisone typically respond and do much better.  In addition, because cannabinoids have anti-inflammatory properties it can relieve the inflammation and decrease the amount of prednisone that patients have to use.

I recently followed up with a 42 women with severe colitis (inflammation of the digestive tract) who within 6 months was able to stop her use of prednisone completely!  She is sleeping better, has an increased appetite (she was losing weight secondary to not eating…not good) and has less abdominal pain and indigestion.

This is common with many patients that I evaluate.  If you or someone you know is taking prednisone regularly and would like an evaluation to see if cannabis can help please feel free to contact my office at 877-721-0047 and schedule an appointment.

Be blessed and have a great day!

Dr. Breen, Medical Director www.MCSoCal.com

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Marijuana (Cannabis) and Cystic Fibrosis; A Case Study

Posted By Dr. Sean Breen on October 24th, 2009

Just yesterday I evaluated a 19 year old male patient who was diagnosed with Cystic Fibrosis.   He and his mother came in to see me because he had used cannabis in the past to specifically treat the heart burn and joint pain that he suffered on a daily basis.   In addition he claimed that when he inhaled cannabis into his lungs using a vaporizer it helped to clear out some of the mucus that patients develop on a regular basis.   He wanted to see if becoming a medical marijuana patient was possible.

Cystic fibrosis is a genetic disorder that effects 1/4000 newborns in the United States.   The main defect in patients with cystic fibrosis is in a protein that regulates chloride transport across the cell membrane.   The result is that CF patients produce large amounts of mucus in the lungs and pancreas leading to difficulty breathing and poor digestion.  It is typically diagnosed when newborns fail to grow properly or when children have breathing difficulties early on in life.  The average life expectancy is 38 years.

This 19 y/o patient uses numerous medications to loosen the mucus secretions in his airways.   At the time of my evaluation he was being treated for active tuberculosis which is not uncommon in patients with CF.  Because of the thickened mucus in his airways, bacteria typically can grow without an appropriate immune response.    All of these medications that he was taking was causing nausea, GERD, lack of appetite and joint pain.  For his pain he was prescribed oxycontin and given trazodone to help him sleep. His mother was concerned about the high addictive properties in opiate narcotics and wanted her son off them.

Cannabis was an excellent supplement to his medication regimen.  He will be able to stop taking oxycontin for pain.   He will be able to eliminate the trazodone for sleep.  In addition his appetite will certainly improve and his GERD symptoms should be reduced greatly.  As his mother explained to me in my office, “when he uses cannabis his quality of life improves.”   If that is the goldstandard for prescribing a medication then certainly this is a case where you can easily make an argument for medical cannabis.

If you would like to visit with Dr. Breen to see if cannabis can help you with your illness simply visit our website at www.MCSoCal.com and pre-qualify for free online.   Or call 877-721-0047.  We have clinic locations in Encinitas, Long Beach and Irvine.

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Treating Arthritis With Marijuana (Cannabis)

Posted By admin on October 19th, 2009

As medical director for Medical Cannabis of Southern California I often evaluate patients who suffer from arthritis.   Many patients are unaware of the significant anti-inflammatory properties that cannabinoids (the medically active ingredients in the plant) have.    Arthritis (inflammation and an overall degradation of the joint) can be secondary to an old injury or as a result of aging.  This joint pain often causes daily pain and also many of my patients have difficulty sleeping at night as a result of “not being able to get comfortable.”

For patients who are unaware of cannabis and its effects on decreasing pain and inflammation this is a very exciting discovery.   In the mid 1980’s scientist discovered that the human body contains two specific types of receptors which cannabinoids bind to in the body.   They are primary located in the nervous and immune systems.  As a result of medicating with the plant patients almost feel an immediately relief of their pain and joints become inflamed.

The reason why I think patients should give cannabis serious consideration is because it is very safe when compared to many of the NSAIDS (non-steroidal anti-inflammatory drugs) such as motrin and tylenol.  NSAIDS can cause ulcerations in the lining of the digestive tract and as a result many patients have developed bleeding which can potentially be life threatening.   Tylenol can also be very toxic to your liver.    Cannabis does not have a negative affect on any of the major organ systems (if vaporized)  and is easily tolerated.    Typically patients can vaporize a small amount prior to going to bed and they end up getting a very restful sleep and wake up feeling much more rested and pain free.

For more information on cannabis and how it can help you please visit our website at www.MCSoCal.com  Dr. Sean Breen specializes in discussing the benefits and risks of medicating with cannabis with patients.  His offices are located in Long Beach, Irvine and Encinitas.

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Alternative Treatments for Crohn’s Disease; Marijuana (Cannabis)

Posted By admin on October 15th, 2009

As medical director for Medical Cannabis of Southern California I often evaluate patients with Inflammatory Bowel Disease.  Let me discuss a case that I had yesterday.

A 34 y/o female presented with a diagnosis of Crohn’s disease c/o frequent abdominal cramping, loose stools and a lack of appetite.  She was diagnosed in her late teens and has been suffering for many years.   She came to me in desperation because none of the treatments her gastroenterologist has recommended have been effective.   She was placed on prednisone for 10 years and “went insane”.  In addition  she experienced severe edema (water retention) which made “me puff up like a baloon”.  She could not tolerate methotrexate (which is a immune modulator) during periods of remission.   In addition she also has chronic intermittent knee and elbow pain which is common with patients with Crohn’s disease.

She said she made an appointment to come into my office because her father in law was a medical cannabis patient and had her try some of his medication during an episode with severe nausea and abdominal cramping.   Her response was “amazing”.  She stated it almost instantly alleviated her abdominal cramping and her nausea vanished. She was so encouraged by the results that she decided to give it a try a few more times with consistent results.  The great thing about it sas that it also improved her appetite and helped her sleep.

Crohn’s disease is a disorder where the bodies immune system attacks the cells on the lining of the intestinal tract causing ulcers.   It typically occurs in the teens and 20’s and then has a increase in recurrence in patients in their 50-70’s.  It is characterized by severe nausea, abdominal cramping and loose stools (bloody or watery).  Because it is an immune disorder it can also attack the joints causing joint pain, the skin causing various skin lesions and the eyes.   There is no treatment that can cure crohn’s disease so doctors focus on treating the patients symptoms.  Typically anti-inflammatory medications are given including corticosteroids.  Immune modulators like methotrexate are often given during periods of remission.   If serious complications occur (bowel narrowing, fistuals or full thickness ulceration) sometimes surgery is necessary.

Cannabis is a great alternative and complimentary treatment for patients with crohn’s disease.  It has shown to eliminate nausea, reduce abdominal cramping and also increase patients appetites.  It can also reduce the amount of loose stools patients suffer from during the day.   The great thing is that it is very well tolerated and has minimal side effects.  it is not toxic to any of the major organ systems and if vaporized (vs smoked) it does not affect a patients lungs.  It is certainly worth trying for patients who suffer with this terribly debilitating disease.

For more information please visit our website at www.mcsocal.com and pre-qualify for free online from the comfort of your home.  We have clinic locations in Long Beach, Irvine and Encinitas (San Diego)

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