Cannabidiol for Muscle Spasms: Efficacy, Dosage, and User Experiences

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Cannabidiol for Muscle Spasms: Efficacy, Dosage, and User Experiences

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Dr Luis Otávio Caboclo, neurologista formado no Hospital das Clinicas da FMUSP, mestrado e doutorado pela Universidade de São Paulo, professor da Faculdade de Medicina Hospital Albert Einstein. Dr Marcelo De Lima Oliveira doutor pelo departamento de neurologia do Hospital das Clinicas da Faculdade de Medicina da USP Principais indicações: Eplepsias refratárias (síndromes de Dravet, West, Lenox Gastaut, entre outras), dor crônica, espasticidade em pacientes com esclerose múltipla e caquexia com anorexia em pacientes com AIDS. Estas indicações tem nível de evidencia forte. Ainda com níveis de evidencias baixos: Autismo, controle comportamental de pacientes com Alzheimer, entre outros. A partir do artigo do Dr Elisaudo Carlini vários relatos surgiram a respeito do tratamento da epilepsia refratária, pois 1/3 desses pacientes não param de convulsionar mesmo com os melhores tratamentos convencionais (~ 600 mil pessoas no Brasil). Nos EUA, especificamente no estado do Colorado,. Charlote Figi que sofria de convulsões refratárias por ser portadora da síndrome de Dravet. Seu médico utilizou estrato de CBD para tratada-se com excelente resultado com redução drástica das crises. Mais tarde, algumas pesquisas prospectivas, randomizadas, duplo cego mostraram êxito no tratamento de convulsões nos pacientes com síndrome de Dravet e Lenox Gastaut com CBD. Aqui no Brasil, os pais de uma paciente com convulsões refratárias (Anny Fischer) criaram um movimento para liberação da cannabis para fins medicinais pela ANVISA e tiveram êxito. Outra indicação crescente é o Autismo ou TEA: as drogas utilizadas para tratar esses paciente geralmente atuam para frear as crises, porém são antipsicóticos que atrapalham na cognição e interação desses pacientes. Já existem pesquisas demonstrando os benéficos da cannabis porém, ainda há necessidade de mais artigos para aumentar a robustez das indicações. Espasticidade associada à esclerose múltipla é uma indicação clássica e robusta para o uso de cannabis e alívio dos sintomas, assim como tratamento da dor neuropatica e nociplástica. Caquexia associada ao cancer e a AIDS também é indicação robusta para uso de Cannabis. Paciente com doença de Alzheimer e Parkinson tem melhora da qualidade de vida através da redução da agressividade, espasticidade associados à cannabis. Fato é que a medicina ainda está aprendendo quais são as melhores indicações para o uso medicinal da cannabis. #cannabispodcast #cannabis #dor #esclerosemúltipla #cancer #eplepsia

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In this video I'm going to talk about cannabis and depression so cannabis and depression is a really hot topic it's a controversial topic for many people and before I started adding cannabis medicines to my own practice I have a lot of misconceptions myself about cannabis and depression over a decade ago when I was in medical school we didn't really learn anything about the endocannabanoids system...... For the full transcript of this video & to get the world’s best brain wellness, CBD, Cannabis Medicine and Evidence Based Natural Medicine info delivered straight to your inbox, head over to https://drdanigordon.com/cannabis-and-depression/ CONNECT WITH ME AT: Facebook: http://www.Facebook.com/drdanigordon Twitter: http://www.twitter.com/drdanigordon Instagram: http://www.instagram.com/drdanigordon My YouTube channel: http://www.youtube.com/user/drdanimd Linkedin: https://www.linkedin.com/in/drdanigordon/ Partial Video Transcript: I was told you know people who smoke cannabis will be a bigger risk of depression it will make their depression and mood disorders worse universally it didn't really matter what was in the cannabis whether it was really high CBD low THC there was no even distinction in what we were talking about so there was a lot of fear in the medical community around cannabis of all forms even CBD around mood disorders and depression in particular what I found when I started using cannabis medicines in my practice was that I was getting a lot of referrals with patients who suffer with depression and as most people who have suffered with depression will know or know someone who has suffered with depression it's not that depression is just in isolation and everything in there about from there life is amazing usually my patients who are suffering with depression also have an element of anxiety with their depression they sometimes have sleep dysfunction they oftentimes have chronic pain they have other things that are going on so oftentimes depression is part of this bigger picture and sometimes depression is the final common endpoint for things that have gone wrong in the brain in the body and it really the brain is in this withdraw and protect mode not going out into the world and kind of you know approach behavior mode which we all kind of want to be in to really thrive and I do a lot of brain stuff as well and when we look at eg studies of the brain when we actually look at the electrical things that are going on in the brain with depression we have an underactive left frontal lobe with depression so basically in depression want to wake the brain back up and help people interact with the world in a better way so this is where cannabis medicines can come in handy - my initial surprise so initially when someone comes to me and depression is a main feature of why they're coming to see me they've usually already tried a gazillion different things for their depression they've usually already tried things like therapy and CB CBT cognitive behavioral therapy they've tried exercise a lot of times they've tried lots of drugs a lot of times they tried other herbal medicines and none of them really worked that well so these are the times of patients who come to see me for cannabis medicine and usually what I do to start them off someone with depression is I start out with a CBD oil as a base of their therapy and I started out with taking the CBD oil in the morning in the mid afternoon or around lunchtime with food always and then really around like 5:00 p.m. in the evening

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