{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/insomnia/2","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_12262-markdown","title":"cbd use for chemo patients","slug":"cbd-use-for-chemo-patients","content":"\"My brother has a form of Luekemia and is on his 8th round of Chemo.  He is exhausted and can't sleep.  He lives in NY, but can't even muster the strength to see a physician regarding the use of Medical Marijuana.  Are there products I can send him (CBD)?  Which ones are recommended for his situation?  Is there a patient advocate that could help him navigate the system and get some kind of physician's council and perhaps a medical marijuana card?  I live in GA and cannot help him myself with the process.\n\n\"\n_____________________\nHello,\nThis is my personal opinion: I believe that THC  should not be feared by cancer patients.  I firmly believe that cannabis is  one of the most valuable medicines in this setting. \nCBD  on its own will do very little to help your brother get a good night's sleep; most of the mood-boosting properties of cannabis come from THC;  THC is responsible for nausea relief and appetite stimulation; and most studies regarding cannabis' tumor-fighting properties center around THC.  This is not to say that CBD has no role in the fight against cancer;  there are several studies which suggest it has anti-tumor properties;  and the combination of CBD and THC is superior to THC on its own in many  respects, including offsetting side effects from THC. However, symptoms, treatment side effects, and effects on the psyche are  alleviated primarily by THC. \n\nVery high CBD strains and products with higher concentrations of CBD vs THC, such as 20CBD:1THC, will lessen, or even eliminate psychoactive effects. However, standard strains and products with similar levels of CBD and THC, such as 1CBD:1THC, would be more effective at treating pain,  nausea, anorexia, insomnia and depression.\n\ndrkim\n_____________________\nI recommend  formulations offered by Care By Design.  I like that they use the whole plant when making their  products, rather than isolating only THC and CBD; offer a variety of  ratios; offer all routes of  administration, other  than combustion;  clearly label their products in mgs of THC and CBD per  dose; and are relatively easy to find.  \nhttps://www.hellomd.com/products?brandRef=brand%3A585b1fa58b61a100115fa333\nhttps://www.cbd.org/products\nhttps://www.cbd.org/find\n\nIf  you want pure CBD that can be legally mailed, I recommend Elixinol hemp  CBD products. They use organic hemp, CO2 extraction and have a \"whole-plant philosophy\". \nhttps://www.hellomd.com/products/5b57a95202f1740001522f9f/cbd-hemp-oil-drops\n\nI recommend that your brother set up an appointment with HelloMD New York. Your brother would then gain legal access to medical marijuana, and not just hemp-derived CBD. I wish your brother and your family the  best of luck.\nhttps://www.hellomd.com/new-york\n\nBest regards,\nDr. Kim \n\n\ndrkim","image":null}},{"node":{"id":"Question_12251-markdown","title":"Will vaping pot before surgery complicate anesthesia. I stopped yesterday. Hysterectomy in 5 days. I’ve read conflicting information from studies and articles. ","slug":"will-vaping-pot-before-surgery-complicate-anesthesia-i-stopped-yesterday-hysterectomy-in-5-days-i-ve-read-conflicting-information-from-studies-and-articles","content":"\"Also I read pot will slow down recovery and make scarring more prominent. Is this true? How long after surgery should I wait before vaping. I use Cannabis for insomnia, anxiety and tummy issues from anx. Thank you \"\n_____________________\nHi there!\nSince you've stopped six days prior to surgery, you should be fine. \nThere are three main considerations:\n1.  Smoking marijuana can lead to respiratory complications during and  after surgery. However, when considering your abstinence of 6 days, and that you vaporize cannabis, respiratory complications are unlikely: The temperature of combusted cannabis is much higher than vaporized cannabis. Additionally, vaporized cannabis does not release the  lung-damaging byproducts of combustion, which also interfere with wound  healing. \n2. Heavy use of cannabis may alter the  metabolism—via competitive inhibition—of most anesthetic agents, which  would necessitate higher amounts of anesthetic. This effect would be of  meaningful concern if used the day of, or heavily the day prior.\n3.  If used the day of, or heavily the day prior, cannabis may also lead to unpredictable fluctuations in blood pressure, which might make the case much more complicated for the anesthesiologist.\nI hope this helps!\n\nRegarding the scarring:\nIf anything, cannabis (not smoked) would only help prevent scarring.  \nScarring  (fibrosis) is defined as the formation of excess fibrous connective  tissue which occurs after an injury, such as a surgical incision.\nThere are a few studies which suggest that cannabis attenuates the  fibrotic response:\n\"CB2 agonists attenuated the infiltration of inflammatory cells in bleomycin-induced skin fibrosis.\"\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757881\n\ndrkim\n_____________________\n\"Our  findings indicate that CB2 limits leukocyte infiltration and tissue  fibrosis in experimental dermal fibrosis. Since selective CB2 agonists  are available and well tolerated, CB2 might be an interesting molecular  target for the treatment of early inflammatory stages of systemic  sclerosis.\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/19333940\nHowever,  CBD binds the CB2 (Cannabinoid 2) receptor very weakly; THC binds the  CB2 receptor with high affinity -- so it would be THC, rather than CBD,  attenuating the fibrotic process in the manner described above. \nAlthough, a study published in 2011 did conclude that \"CBD treatment attenuates diabetes-associated myocardial fibrosis.\" \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3026637/\n\nThere was also a study that concluded that \"a combination of the oils of four plants: sesame (Sesamum indicum L.), wild pistachio (Pistacia atlantica Desf.), hemp (Cannabis sativa L.), and walnut (Juglans regia L.) significantly reduced the healing time from major burns. \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292211/.\n\nSo,  rather than exacerbating the scarring process, cannabis might reduce scar formation, and it might even shorten healing time.\nI would  recommend:\nhttps://www.hellomd.com/products/5b6e09bd96120c00012c6935/13-releaf-balm \nIt's a 1CBD:3THC cream, that I believe aligns well with the above research.\n\nI hope this helps!\n\n\ndrkim","image":null}},{"node":{"id":"Question_12246-markdown","title":"Energy vs sleep.","slug":"energy-vs-sleep","content":"\"All my life smoking has ALWAYS given me energy. No matter what I smoke. Never been a sit still and just be high. I now suffer from insomnia. What should I look for to help me sleep?\"\n_____________________\nHi there, \n\nIf you are suffering from insomnia, my recommendation would be to look for cannabis products with that are indica dominant. Sativa dominant strains are known to be much more stimulating and cerebral, often giving people a level of energy. However indica dominant strains are much more sedating, making you feel medicated and they are great for alleviating sleeping problems, as well as pain and other symptoms. Some of the more potent indica dominant strains would be various Cookie crosses (GSC, Blue Cookies, GMO/Garlic Cookies, Tropicana Cookies, Cookies and Cream, White Tahoe Cookies), Sunset Sherbert, various Gelato phenotypes (#25, #33, #41/Bacio, #45, Mochi, Gello), various OG strains (Fire OG, SFV OG, Banana OG, Tahoe OG, etc.), Cherry Pie, Grandaddy Purple, Kush strains, etc. These are just some of my favorite indica dominant strains to use, but please note there are many more great indica strains out there. \n\nnsavelli","image":null}},{"node":{"id":"Question_12058-markdown","title":"Would medical cannabis help with symptoms of Biopolar II? ","slug":"would-medical-cannabis-help-with-symptoms-of-biopolar-ii","content":"\"Hello. I am 26 years old and have had experience with recreational weed in the past. However i found that medicated Weed has helped with my anxiety which is one of my main symptoms of Bipolar. Along with getting to sleep and staying asleep. I get very little to no sleep most nights without my current meds. Though they are working, i fear that i might not have access to them 6 months from now. Seeing as its my last year of being under my parents medical insurance and i only work part time which means no benifits. (Though i am looking for a better job atm.) I am also still in school. I have been trying to figure out if Medical Marijuana would be a good alternative. Any help would be greatly appreciated. Thanks in advance.\"\n_____________________\n When using cannabis, it is very important to maintain a relationship with a mental health provider. I have followed many patients with bipolar disorder who have done well with cannabis therapy. CBD is great for reducing anxiety and appears to be a good mood stabilizer. THC is needed for mood elevation because CBD, by itself, sometimes makes depression worse. For type ll bipolar, I usually recommend a CBD:THC ratio of about 5:1-1:1.\n\ndrfrye\n_____________________\nI'm so sorry to hear that you are going through this difficult time.  I think cannabis can be a useful tool for you but only in the context of functioning mental health team.   If you haven't already, talk to you psychiatrist & other mental health providers and discuss your probable future situation and options that you might have.  Alot of providers I have worked with, if they've seen you for awhile, might still agree to see you during this transition time, even if money is short.   In terms of the cannabis, yes it can be useful but only if used properly.  I always warn pts that having mental health issues greatly increases the risk of abuse/ psychological dependency on cannabis so there has to be some discipline in usage.  In addition,  I have personally seen cannabis in high doses actually worsen anxiety, paranoia, & even psychosis;  usage of cannabis needs to be kept \"low & slow.\"  Besides anxiety & mood management,  one of the most important roles of cannabis is to improve sleep which is critical when dealing with any mental health disorder.  As an extra step, besides moderate use of cannabis, I highly recommend the following book that was recommended to me concerning bipolar management:   \n\"Bipolar Disorder: A Guide for Patients and Families\" by  Dr. Francis Mark Mondimore.  We wish you the best; please feel free to come back and let us know how you are doing!\n\ndrpark","image":null}},{"node":{"id":"Question_12041-markdown","title":"I'm looking for a CBD/THC tincture that will help me with anxiety and sleep as well as back pain","slug":"im-looking-for-a-cbd-thc-tincture-that-will-help-me-with-anxiety-and-sleep-as-well-as-back-pain","content":"\n_____________________\nHi there!\nCannabis tinctures/oils with higher  concentrations of CBD vs THC, such as 20CBD:1THC, will lessen, or even  eliminate psychoactive effects, while still providing some pain and anxiety relief.  However, products with similar levels  of CBD and THC, such as 1:1, are more effective at treating pain, insomnia and anxiety.  So, for most people, it takes some trial and error before finding a compromise that provides noticeable relief, while also avoiding unwanted side effects. However, in most instances, I would initially recommend high CBD:THC ratios during the day, such as \nhttps://www.cbd.org/products/drops/18-1-drops\nAnd products with more THC during the evening to more effectively help treat the pain, anxiety and insomnia, such as\nhttps://www.cbd.org/products/drops/1-1-drops\n\nHow to use a sublingual tincture:\nhttps://www.youtube.com/watch?v=Y_G4OqWxgys\n\n\n\ndrkim","image":null}},{"node":{"id":"Question_12003-markdown","title":"When do you expect to have LUXLYTE SLEEP back in stock?","slug":"when-do-you-expect-to-have-luxlyte-sleep-back-in-stock","content":"","image":null}},{"node":{"id":"Question_11973-markdown","title":"Is there a correlation between Cannabis and REM sleep?","slug":"is-there-a-correlation-between-cannabis-and-rem-sleep","content":"\n_____________________\nHello! Like most research done in the cannabis field, the effects of cannabis on sleep cycles is still in its infancy and requires more research to make some solid arguments.  That being said, the studies on cannabis and sleep that were conducted in the 1970’s did show that varying levels of THC decreased the amount of REM sleep that participants experienced.  We know that a lot of our dreaming is done during the REM sleep cycle, so there has been some correlation made between the use of cannabis with a decreased occurrence of dreaming.  Again, we should keep in mind that the evidence is limited, and further research is required, along with a better understanding of its clinical implications. \n\nCheck out this article by one of the contributing writers at HelloMD.  It goes into more depth about this topic:\n\nLinhD NP","image":null}},{"node":{"id":"Question_11971-markdown","title":"Does a correlation exist between Cannabis and it's effect on REM sleep?","slug":"does-a-correlation-exist-between-cannabis-and-its-effect-on-rem-sleep","content":"\n_____________________\nHello and thank you for the great question, \nStudies have show that THC reduces the proportion of time spent in REM sleep, while increasing the proportion of time spent in stage 4 sleep; CBD does not seem to alter the sleep cycle. \nhttps://ascpt.onlinelibrary.wiley.com/doi/abs/10.1002/cpt1972133426\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895650/\nStage 4 is the most restorative stage of sleep -- it is when the body repairs itself, stimulates growth and development, and boosts immune function. REM sleep plays an important role in learning and memory function, since this is when your brain consolidates and processes information from the day before so that it can be stored in your long-term memory. Dreaming also plays a role in the processing of emotional memories, and  balancing mood and learning.\n\nWhile decreasing the fraction of time spent in the  REM stage seems detrimental, for many, the absolute amount of time spent in the REM stage of sleep may increase, since the overall amount of sleep has increased. However, if you don't difficulty falling asleep, and you miss your dreams, you should abstain from cannabis for a few hours before bedtime, and/or lower the dose of THC at nighttime. \nFor more information on cannabis' effect on the sleep cycle, here is a link to an excellent article:\nhttps://www.hellomd.com/health-wellness/5a7b94a8f24d1300077ccb39/does-cannabis-reduce-rem-sleep-and-your-ability-to-dream\n\n\ndrkim\n_____________________\nHello and thank you for the great question, \nStudies have show that THC reduces the proportion of time spent in REM sleep, while increasing the proportion of time spent in stage 4 sleep; CBD does not seem to alter the sleep cycle. \nhttps://ascpt.onlinelibrary.wiley.com/doi/abs/10.1002/cpt1972133426\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895650/\n\nStage 4 is the most restorative stage of sleep -- it is when the body repairs itself, stimulates growth and development, and boosts immune function. REM sleep plays an important role in learning and memory function, since this is when your brain consolidates and processes information from the day before so that it can be stored in your long-term memory. \n\nWhile decreasing the fraction of time spent in the  REM stage seems detrimental, for many, the absolute amount of time spent in the REM stage of sleep may increase, since the overall amount of sleep has increased. However, if you don't difficulty falling asleep, and you miss your dreams, you should abstain from cannabis for a few hours before bedtime, and/or lower the dose of THC at nighttime. \nFor more information on cannabis' effects on the sleep cycle, here is a link to an excellent article:\nhttps://www.hellomd.com/health-wellness/5a7b94a8f24d1300077ccb39/does-cannabis-reduce-rem-sleep-and-your-ability-to-dream\n\n\ndrkim","image":null}},{"node":{"id":"Question_11888-markdown","title":"Can you recommend best product as a sleep aid? I can fall asleep but can’t stay asleep","slug":"can-you-recommend-best-product-as-a-sleep-aid-i-can-fall-asleep-but-can-t-stay-asleep","content":"\n_____________________\nHello! For help maintaining sleep, I recommend to use 2.5mg edible cannabis right at bedtime. 2.5mg is a low dose to start; you can increase the dose over time if necessary. If you wake with morning grogginess, decrease the dose. \n\ndrjacquelynlew\n_____________________\nHello, \nI agree with Dr. Lew, in that it's THC, rather than CBD, that helps most when treating insomnia. And as Dr. Lew suggests, it's always best to start low and go slow. Also, because the main issue for you is staying asleep, edibles would likely be the best solution; taking the edible very close to bedtime should also help you stay asleep  longer. Here are a few quality products to consider:\nhttp://kivaconfections.com/products/petra\n2.5mg THC/serving\nhttp://sensiproducts.com/product/sensi-chew-insomnia-with-melatonin/\n10mg THC, 4mg melatonin/serving\nhttp://kivaconfections.com/products/bars\n5mg THC, 5mg CBD/serving\n\n\ndrkim\n_____________________\nActually,  sleep disturbance challenges reveals to us why Cannabis is amazingly beneficial for so many people.  Many times I find that people are doing far too much THC and THC stimulates the brain and that's how it makes us creative and uplifted but too much TCH can also cause insomnia. I oftentimes recommend that people microdose THC during the day for a happy uplift and you can follow that with more THC in the evening but then you must take a large dose of CBD at bedtime because when CBD joins with the THC you have in your body you make Indica inside your body and you go to sleep within an hour and you wake up refreshed the next morning. In one month you will notice that you are getting better and in two months you should be awesome if you are doing enough CBD. For those of you who like the uplift from THC with no CBD during the day, do your CBD at night and this treatment plan may work much better for you.\n\ndrolson","image":null}},{"node":{"id":"Question_11878-markdown","title":"what is best for insomnia","slug":"what-is-best-for-insomnia","content":"\n_____________________\n  \nSleep is so important for our mental and physical health. However most adults are not getting enough sleep. With the rise in the amount of patients with sleep disorders many have suggested cannabis as an alternative treatment for sleeping disorders. Marijuana can restore a person natural sleep cycle. It may also relieve pain, stress and anxiety which allow for a more restful sleep. THC is a psychoactive cannabinoid in marijuana which also induces sleep. Look for a strain high in THC to help with sleep. Take a look at this Hello MD article that picks out the top 10 strains for insomnia:\nhttps://www.hellomd.com/health-wellness/57e95f663dbfe80007a42592/the-10-best-marijuana-strains-for-insomnia\n\nhelenanp","image":null}},{"node":{"id":"Question_11874-markdown","title":"Leg cramps","slug":"leg-cramps","content":"\"Hello, I get leg cramps while sleeping and with exercise.  I have some back issues that are controlled with accupressure (pain gone) I don't know if the leg cramps come from that.  I have altered diet (no alcohol because it triggers the cramps) .  I have no medical conditions and I take no medication.\n\nWhat strain of cannabis and what application is best?\"\n_____________________\nYou should be able to achieve relief with a CBD dominant topical cream applied to your low back and legs especially before bedtime but you may want to apply it more frequently for a few days to reduce any inflammation from exercise. Are you eating enough fresh, raw organic greens and getting early morning sunshine while staying well hydrated? You may want to try oral CBD tincture or edible in addition to reduce inflammation in your body. I am happy to hear that you already exercise!\n\ndrolson","image":null}},{"node":{"id":"Question_11785-markdown","title":"Best strain and method for getting off of restoral","slug":"best-strain-and-method-for-getting-off-of-restoral","content":"\" I have been on restoril for 28 years for severe insomnia and am trying to taper down and use the best strain and delivery method for falling asleep and staying asleep for 8 hours to off set rebound insomnia from tapering. I have a very difficult time just falling asleep and staying asleep.\"\n_____________________\nHello, \nThere is no need to taper down on Restoril. \nHere are some strains which are excellent sleep aids: Querkle, Granddaddy Purple, Skywalker, God’s Gift, Afghan Kush and Northern Lights.\n\ndrkim\n_____________________\nHello, \nYou should taper off of Restoril according to your prescribing physician's directions.  \nIf your problem is both falling and staying asleep, you may want to try edibles. However, many people find that vaporizing cannabis also helps them stay asleep. \n(1) Vaporize cannabis flower*\n(2) Indica edible - ingest 1 to 2 hours before bedtime. 10mg is considered a single dose. However, always start at a lower dose to check for tolerance and efficacy, e.g. 2.5mg. Edibles take up to two hours to reach peak effect, so please be patient before \ndetermining whether more is required. \nhttp://sensiproducts.com/product/sensi-chew-100-indica-for-nighttime/\n(3) HMBLDT vape pens\nhttp://dosist.com/pen-sleep/\n\n*Here are some strains which act as excellent sleep aids for most: Querkle, Granddaddy Purple, Skywalker, God’s Gift, Afghan Kush and Northern Lights. \n\n\n\n\ndrkim","image":null}}]}},"pageContext":{"limit":12,"skip":12,"numPages":20,"currentPage":2,"id":5389,"name":"Insomnia","slug":"insomnia","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}