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Cananbis Residents 2018

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PRESENTATION OUTLINE

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MEDICAL CANNABIS

Ian Mitchell, MD, FRCP
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INTRODUCTION

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DISCLOSURES

Site Scholar - Kamloops Family Medicine program
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HISTORY

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Fentanyl Contamination of Cannabis?

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Indica vs Sativa

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ENDOCANNABINOIDS

THE BLISS MOLECULES
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THC

TETRA-HYDRO-CANNABINOL
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CANNABIDIOL

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Clinical Usage

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CHRONIC PAIN

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ARTHRITIS

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Neuropathic Pain

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Fibromyalgia

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CANCER

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Crohn's

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SUBSTITUTION

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INSOMNIA

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Questions?

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Overdose

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Euphoria/Anxiety

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Cognitive Impairment

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Schizophrenia

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Gateway Drug?

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Public Health Benefits

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25% Less Opiate Mortality

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Reduced Domestic Violence

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Decreased Alcohol

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Questions?

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Patient Issues

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Travel

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Licensed Producer

  • Legal
  • Cheaper
  • Higher quality
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Licensed Producer

  • Mail order only
  • Limited selection
  • Big Business
  • Need MD/NP
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Dispensary

  • Illegal
  • Variable quality
  • Expensive
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Dispensary

  • Street locations
  • Edibles, tinctures, topicals
  • Criminal to Mom&Pop
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Dispensary

  • Medical Record or Prescription
  • Confidentiality concerns
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How to Use Cannabis

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Start Low, Go Slow

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Smoking

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Vaporizer

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VAPE PENS

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Cannabis Oils

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Edibles

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Topicals

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Case

Neuropathic pain
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Questions?

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Ian Mitchell