The Leaf THE LEAF November-December 2019 | Page 11

upwards of 80% — opt to stay on it because it helps their sleep," he said. It is important to note that medical cannabis is administered in very small doses — typically starting at a range of about 1 mg to 2 mg — and is very different from the cannabis that is used recreationally. "The doses that are being marketed on the recreational side have no place on the medical side. It is way too much and can actually worsen the patient's pain, worsen sleep, and can cause agitation and paranoia," he said. There is a misperception that treating elderly patients with medical cannabis may be unsafe and increase the risk for falls due to dizziness or cognitive impairment. However, Wallace said, the clinical experience at his centre suggests this is not the case. "We are finding that the geriatric population can successfully use medical cannabis without any adverse effects. I am having a lot of success with geriatric patients. It is amazing that even patients in their 90s are using it successfully. https://www.medscape.com/viewarticle/9126 24_print 2/