Reader Comments

Arctic Blast

by Alisa Princy (2020-01-13)


There are significant Arctic Blast Review potential side effects with opiate medications. This may include constipation, depression, sedation, euphoria, dizziness, fatigue, anxiousness, clammy skin, confusion, respiratory depression, and a slew of others. One of the biggest issues seen is tolerance and/or addiction with opiates. Tolerance is when the patient's chronic pain condition doesn't change, but the same amount of pain medication doesn't quite provide adequate pain relief any longer. One of the newer options in 16 states plus the District of Columbia is medicinal marijuana. Treatment with marijuana may offer substantial relief that may decrease the need for high doses of opiates or in some cases provide relief where opiates do not work well. For instance, opiate medications are not a great choice for peripheral neuropathies. They just don't modulate the pain well, whereas, medical marijuana works very well for these issues. Medical marijuana does not preclude the need for interventional pain management. With a disc herniation or a focal problem where a pain management injection would help, medical marijuana is not the answer. When patients are on chronic pain medications with a pain doctor, typically a pain contract is signed. The "contract" usually states that while a patient is under his or her care, the patient will not use illicit drugs. Unfortunately, marijuana is still federally illegal despite the fact it is now legal in 16 states. And most pain doctors perform drug screening on their patients. So if a patient is under a contract, gets tested, and turns up positive for THC (the active component of marijuana), is it appropriate for the pain doctor to terminate the patient? It's a simple answer as to whether or not the pain doctor has the right to terminate the patient, but not a simple answer as to whether it's appropriate. If the pain agreement states that the doctor has the right to terminate a patient if the drug test turns up positive for narcotics not being prescribed, then that is difficult to refute. If the patient is given the opportunity to rectify their termination by ceasing the marijuana use and re-testing in a few weeks, once again that is the doctor's prerogative. Ethically, the situation is not so simple. Patients deserve effective pain management, and there is a big push in American not to undertreat. Medical marijuana has shown effectiveness in a number of chronic pain conditions and numerous other conditions such as severe nausea/vomiting and cancer.

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