The Leaf THE LEAF November-December 2019 | Page 9

Medical Cannabis Safe, Effective for Neurologic Symptoms in the Elderly By Caroline Cassels – May 6th 2019 - Medscape The findings were presented at the American Academy of Neurology (AAN) 2019 Annual Meeting. Promising Findings Estimates from the Centres for Disease Control and Prevention show that approximately 80% of older adults in the United States have at least one chronic condition. In addition, it is estimated that 2.1 million Americans use medical cannabis. To evaluate the efficacy and adverse events of medical cannabis in an elderly population, the investigators conducted a retrospective chart review of patients aged 75 years or older who were attending a neurologic outpatient clinic. PHILADELPHIA — Medical cannabis may be safe and effective in the treatment of a wide range of chronic symptoms related to various neurologic illnesses in elderly patients, early research suggests. In a preliminary study, investigators at the Dent Neurologic Institute in Buffalo, New York, found that the drug provided elderly patients relief from chronic pain, sleep disorders, and anxiety related to diseases such as amyotrophic lateral sclerosis, Parkinson disease, neuropathy, spinal cord damage, and multiple sclerosis. "Our findings show that medical marijuana is well-tolerated in people age 75 and older and may improve symptoms like chronic pain and anxiety," study investigator Laszlo Mechtler, MD, said in a release. "With legalisation in many states, medical marijuana has become a popular treatment option among people with chronic diseases and disorders, yet there is limited research, especially in older people," he added. The study included 204 patients (129 women and 75 men) enrolled in New York State's Medical Marijuana Program. The average age of the participants was 81. The patients took tetrahydrocannabinol (THC) and cannabidiol (CBD), the main active ingredients in cannabis, in various ratios for an average of 4 months and had regular follow-up visits. Medical cannabis was taken by mouth as a liquid extract tincture, capsule, or via an electronic vaporiser. Results of the retrospective study showed that 69% of participants experienced some symptom relief. The most common conditions that improved were pain, for which 49% of patients experienced relief; sleep symptoms, for which 18% experienced relief; neuropathy, for which 15% experienced improvement; and anxiety, for which 10% experienced relief.