This September, AARP marked a milestone in healthcare marijuana acceptance with the announcement that it “does not want older Americans to navigate this brave new planet of cannabis alone.” Now the Arthritis Foundation, the biggest advocacy group in the United States for persons with arthritis, is assisting its constituents figure out how to use CBD, with the “CBD Guidance for Adults with Arthritis” not too long ago published on its web site.
Clinical study on the efficacy and security of cannabinoid-primarily based medicines is nevertheless far from sufficient to satisfy the mainstream healthcare establishment. And however, with millions of persons employing these medicines, customer advocacy organizations like AARP and the Arthritis Foundation are getting they ought to balance the conservative stance of most healthcare authorities with the actual-life requires of their constituents. And as the AARP September Bulletin noted, “the tipping point has been reached.”
Like AARP, the Arthritis Foundation is stepping up to fill the data gap for older adults by outlining the dangers and rewards of cannabinoid-primarily based medicine, rationally and responsibly, for these desperately in have to have of this guidance.
Intrigued by the Prospective
The Arthritis Foundation’s official position with regards to CBD, which prefaces the guidance on usage, states that:
“We are intrigued by the possible of CBD to support persons obtain discomfort relief and are on record urging the FDA to expedite the study and regulation of these solutions. When at present there is restricted scientific proof about CBD’s capability to support ease arthritis symptoms, and no universal excellent requirements or regulations exist, we have listened to our constituents and consulted with major professionals* to create these common suggestions for adults who are interested in attempting CBD.”
I spoke with Cindy McDaniel, Senior VP of Customer Well being and Effect at the Arthritis Foundation, about the selection to come forth with suggestions for employing CBD to treat arthritis, and how the requires of older adults factored into that selection.
Abbie Rosner (AR): This previous July, the Arthritis Foundation performed a survey amongst its constituents about CBD use. Inform me about that survey. How quite a few responders have been more than 50?
Cindy McDaniel (CM): The survey had about 2600 responses. Of about 2400 responders who offered a year of birth, 69% have been persons more than 50.
AR: What have been your important take-aways from the survey?
CM: Very first of all, the largest take-away was the quantity of persons who are either employing or hunting into employing CBD, which was 79%, which is a pretty higher quantity. And when we asked what they utilized it for, treating discomfort was quantity one particular, along with anxiousness and sleep. Most reported that it did one thing for them…
But the survey told us sufficient about what we currently knew, that there’s a actual interest right here. Individuals are employing this (CBD) regardless of whether they have actual firm guidance or not, so we felt an obligation as an organization to step up and present as considerably guidance as we could, functioning with some of the professionals who are performing study on CBD in the field.
AR: Have been the survey outcomes instrumental in the Arthritis Foundation’s selection to generate the CBD suggestions? Have been other components involved?
CM: Yes, the survey outcomes absolutely have been. But the other issue was this. We listen to individuals and spend consideration to what they are asking about, regardless of whether via our social channels or other areas, and we’ve been hearing this query about CBD all year. Interestingly, we have been also beginning to hear it a lot from the medical doctors we function with, who have been asking for guidance on how to answer their patients’ concerns about CBD. So it was sort of a mixture that brought on us to say, if someone’s going to do it, it has to be us.
AR: You are walking a pretty fine line right here – you are not endorsing the use of CBD, and you are also not dismissing it. But even with no endorsing it, just putting CBD on the public agenda is a important step. How do you really feel about that?
CM: 1 of the professionals we worked with essentially mentioned to us, if we do not present guidance, persons are going to have no guidance at all. They’re going to do this anyway, so it ought to be in a way that does not harm them. The suggestions pretty intentionally do not say “use this.” What they say is, “if you are going to attempt it, here’s how to do it safely.” …. In the planet of arthritis and chronic discomfort, there are absolutely no cures. There are not even good therapies for chronic discomfort. So we attempt pretty difficult to give as quite a few selections as we believe may possibly be beneficial.
AR: The suggestions give a common overview of CBD to educate readers about its types of administration, security, legality, and so on. And eventually you send readers to their physicians to confirm if they are a fantastic candidate for employing CBD. But you ought to be conscious that most physicians are not informed about the security and dangers of CBD. Do you believe that is nevertheless a issue?
CM: I do believe that there is nevertheless a gap in knowledge… What we can hope a medical doctor will do is monitor the patient’s progress and verify about their other drugs, for the reason that a quantity of the drugs that could have contraindications with CBD are utilized to treat arthritis… If the patient was seeing discomfort relief, regardless of whether it is the drug or the CBD, the patient and medical doctor may well function collectively to adjust dosages and optimize the discomfort relief.
AR: The suggestions also mention the possibility of employing solutions with THC in legal states. Was that an concern for the Foundation to address?
CM: It was a rather bold move. When we began down this path, the initial query was, do we concentrate just on CBD or do we take on the complete gamut of healthcare marijuana? And we decided to remain with CBD as our initial foray, partly for the reason that it is far more extensively legal, and also for the reason that the FDA has taken on CBD as a solo subject this year…. Interestingly, the professionals we consulted have been saying that there is most likely far more information on THC in healthcare marijuana, and probably if a person is definitely in dire have to have of discomfort relief and the CBD alone is not functioning, the recommendation from our professionals was to probably attempt mixing in a pretty low dose of THC…. We have to have to be cautionary about the legality of THC and also the have to have to hold the dosage low. But we did make the selection to hold the THC choice in.”
AR: Are these suggestions going to seem in the Arthritis Now magazine, which has some four million subscribers?
CM: Yes, we’re performing an post on CBD for an upcoming concern. It will be from a customer point of view but definitely following these suggestions. We’re also placing collectively a customer-oriented handout that will be offered to physicians who may possibly want them to give to their individuals. Our principal affiliations are with the rheumatology neighborhood, which is a pretty little sub-section of the physicians who see persons with arthritis. So if other physicians see this as a resource they could use, that would be phenomenal.
* The major professionals are Kevin Boehnke, PhD, Daniel Clauw, MD, and Mary Ann Fitzcharles, MD.