{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/vicodin/","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_7432-markdown","title":"Suggestions for shoulder surgery?","slug":"suggestions-for-shoulder-surgery","content":"\"I currently need shoulder surgery. But I won't be getting surgery until sometime next year. I currently take one 10mg Vicodin before I go workout for the pain. So my question is how much CBD do I need to take to be equivalent to the 10mg of Vicodin. Also I'm interested in CBD drops. Thank you.\"\n_____________________\nIf your using Vicodin for pain, a 100% CBD product is most likely not going to work for you. You should use a product that has a combination of THC and CBD. If you use a product that has a 2:1 combination of CBD:THC the entourage effect might help with the pain as well as give you some anti-inflammatory effect. \nThere is no direct substitution equivalent between cannabis and narcotics since evy person reacts differently to cannabis. What may make one person completely pain free may not effect another. The best advise to go low and slow with the amount of cannanbis and how often you take it and see how it effects you.\n\nPerry Solomon, MD\n_____________________\nI agree with Dr. Solomon, a combination of both CBD and THC would probably be the best...we produce a High CBD tincture that is a ratio of 2.5 : 1, meaning there is 2 1/2 times more CBD than THC in the product. Because of the High CBD content, you should not have any psychoactive effects in low doses...\n\nPiantaTinta","image":null}},{"node":{"id":"Question_7127-markdown","title":"What CBD do you recommend for the equivalent of 500mg of vicodin (chronic skeletal pain)","slug":"what-cbd-do-you-recommend-for-the-equivalent-of-500mg-of-vicodin-chronic-skeletal-pain","content":"\n_____________________\nSince I am a physician because I originally did not trust physicians and I felt the only way to overcome that was to become the doctor I wanted, I have never taken a drug like Vicodin because I do not trust most western drugs and always go for natural, herbal, homeopathic, or nutritional before I would resort to a drug, I can't give you an exact equivalent but I can tell you that high CBD cannabis oil like AC/DC is excellent for getting rid of even severe pain. Add to that the topical cannabis salve in 1:1 CBD:TCH ratio and you should have close to 100% relief of any pain, even abdominal pain. For muscle skeletal pain, It's also necessary to be certain your vitamin D level is adequate to provide the healing support for your connective tissue and bones. You must be cautious about taking large doses of vitamin D if you are \npre-surgical because it can increase bleeding and should be stopped at least 48 hours before surgery. If you are trying to get away from Vicodin, Be sure you knows the symptoms of withdrawal because you made me treating those symptoms instead of the actual original pain you were treating. In a situation like that colleen may want to be on the oral CBD for stability and full coverage while attending to the vitamin D\n\ndrolson","image":null}},{"node":{"id":"Question_6810-markdown","title":"I want to get a card to explore pain medication alternatives to pain pills.","slug":"i-want-to-get-a-card-to-explore-pain-medication-alternatives-to-pain-pills","content":"\"Have had two knee replacements within nine weeks and don't like the effects of vicodin for pain manement.\"\n_____________________\nI have been in a lot of pain lately from the hit and run I was in and I have a broken leg,arm,and a fractured eye socket and when I smoke it takes the pain away\n\nwes\n_____________________\nIs this available in the U.K. I've lived with chronic pain for thirty plus years many medical problems and really could do with these for pain relief thanx\n\npinkfairy\n_____________________\nIs this available in the P.A. I've lived with chronic pain 20 plus years many medical problems. I can NOT stain any meds. I am posed to be on psych meds that i was prescribed by doctor they mad me very sick and gane so much wight. I fell in 2015 off of the three and a quarter deck into a flower bed. after that  4 moth later I drop two logs on my foot  broken in 2015. my back and neck is a little bit damaged it is unbearable pain.\n\nmichelecarbone\n_____________________\nI was in a similar position, but for back pain. If you're looking for pain relief through medical marijuana, without the \"high\", I highly recommend you read Hello MD's articles on CBD. \n\nYou can consume it in a variety of methods, such as tinctures, edibles, smoking/vaporizing, ointment rubs, etc. It's best to take it slow and try different options until you find one that works best for you specifically.\n\nvulture\n_____________________\nI had breast cancer in 2003, a partial lung resection for severe COPD and emphysema in 2009, lung cancer in April 2015, and then diagnosed with widespread bony metastatic breast cancer (Stage IV) in March 2016.  I'm looking for the best pain control I can find because nothing has controlled it so far.  I hear cannabis is the best but it is not let legal in our state except to treat children with epilepsy.  I also cannot afford to buy it off the streets.  Is there a program that makes THC-CBD available for cancer patients?\n\n5ommie5\n_____________________\nI've had a number of patients who have either been able to tolerate post-TKA Surgery pain relief with cannabis or switch from opiates to cannabis rather quickly and seamless!  Please feel free to talk to any of our outstanding MD's during HelloMD business hours and we get get your started on gettomg med cann for analgesia/ pain mgmt!\n\ndrpark","image":null}},{"node":{"id":"Question_10992-markdown","title":"I'm having surgery and want to avoid pain meds and I'd love some suggestions?","slug":"im-having-surgery-and-want-to-avoid-pain-meds-and-id-love-some-suggestions","content":"\"THC tends to make me anxious. Is there a suggestion of how to use marijuana to help with pain and allow me to avoid excessive pain meds post surgery? I assume I will need some but want to avoid too much Vicodin or OxyContin.\"\n_____________________\nYou might consider marijuana products that contain a higher concentration of CBD, cannabidiol. \n\nThis is a cannabinoid found in cannabis which seems to be especially helpful for pain and inflammation. CBD by itself is not psychoactive and should not increase anxiety. It also counteracts the psychoactive effects of THC. \n\nStrains have been grown to be higher in CBD and lower in THC for patients that dislike the effects of THC. There are also CBD oil tinctures and edibles available which are longer acting than inhaled medicine. I would recommend a ratio of CBD to THC of 1:1, or greater. \n\nBest wishes for your surgery!\n\ndredmunds","image":null}},{"node":{"id":"Question_10763-markdown","title":"Discharged by PCP for POSSESSING a Medicinal Cannabis ID Card","slug":"discharged-by-pcp-for-possessing-a-medicinal-cannabis-id-card","content":"\"I went to my required 3 month \"follow-up\" appt with the Nurse Practitioner at my PCP's office on Fri. 20 Feb. 2016. I take big pharma, in the form of Vicodin 5/325, for excruciating shoulder pain following a radical acromionectomy 19 June 2008 along with additional meds for a myriad of \"issues.\"\n\nWhen Isabel Lee, RNP pulled out the UA cup & asked \"When was your last dose?\" I told her the night before and that I \"might test positive for THC. While I can't smoke [diagnosed w/COPD] my daughter and her friends do smoke, a lot - they also have MMC's -- but I live in a condo & didn't want to get reported for the smell, so I got a card to protect myself.\" (Not entirely true, I do enjoy pain free moments with edibles.) However, I was given 30 days worth of my medication, Lab orders for a CBC and told to follow up with a different Dr., \"you cannot come back here.\"\n\nIt appears that not only do our Doctor's and their \"staff\" get to decide how well we are are going to feel, they now dictate who we associate with as well. Since it's my daughter, she's a bit more important than any Nurse Practitioner, but my question is simple: Can a Primary Care Physician abandon a patient because they are \"IN POSSESSION\" of a \"Medicinal Cannabis ID Card?\" I would test + for THC today, but I wouldn't have on Fri. 20 May 2016.\n\nThis is CA where Medicinal Cannabis is LEGAL, can they do this to me, do I have any recourse? Additionally, I'm on SSI/Disability so my choice of PCP's taking \"New Patients\" is extremely limited.\"\n_____________________\nJust as  patient can discharge a physician, a physician can discharge a patient as well. There are some caveats to that however. Physicians can discharge patients from their medical practice for any\nlegitimate and non-discriminatory reason, and thus terminate the doctor-patient relationship. \n\nAccording to the Medical Board of California, in order to avoid allegations of patient abandonment (unprofessional conduct), a physician should notify patients of the following in writing when the physician wishes to discontinue care:\n\n1) The last day the physician will be available to render medical care, assuring the patient has been provided at least 15 days of emergency treatment and prescriptions before discontinuing the physician's availability.\n\n2) Alternative sources of medical care, i.e., refer patient to other physicians, by name, or to the local medical society's referral service.\n\n3) The information necessary to obtain the medical records compiled during the patient's care (whom to contact, how and where).\n\nThe reason that a physician uses to end their relationship are varied. Some of those that are appropriate and acceptable are:\n\nTreatment nonadherence—The patient does not or will not follow the treatment plan.\nFollow-up nonadherence—The patient repeatedly cancels follow-up visits or is a no-show.\nOffice policy nonadherence—The patient uses weekend on-call physicians or multiple healthcare practitioners to obtain refill prescriptions when office policy specifies a certain number of refills between visits.\nVerbal abuse—The patient or a family member is rude and uses improper language with office personnel, exhibits violent behavior, makes threats of physical harm, or uses anger to jeopardize the safety and well-being of office personnel with threats of violent actions.\nNonpayment—The patient owes a backlog of bills and has declined to work with the office to establish a payment plan.\n\nIf a patient is part of of Managed Care Plan the language in it may prevent the physician from discharging a patient.\n\nSince I am not a attorney, I cannot comment on the legality of your PCP's choice to discharge you. I can only comment as to their complete ignorance regarding cannabis and their close minded attitude.\n \n\nPerry Solomon, MD\n_____________________\nThe following is my opinion only as an experienced licensed provider for 45 years.\nI am sorry to hear of your grief but for every dark side there is a positive. This is likely a doctor you want to be away from if the doctor has that much judgement, it may be a blessing they forced you to leave. \nPatients must wake up to the fact that we have been sold to the insurance company as if it's legal for them to own humans. The insurance CEO now controls the way the doctor practices medicine. I personally had an insurance CEO call me up and forbid me to help people get well, he said my job was to drug people and that's all he would pay for because insurance is not to help people get well but to maintain their disease.\nThat being said, and getting well it's up to you and I don't think your doctor has helped you very much. You certainly want to know what your vitamin D level is because most people in chronic pain have a vitamin D deficiency or a drug addiction problem from pharmaceutical drugs. There are so many ways to help you get well but you must look for a doctor that will help you with this and it will require that you do some research and change what you're doing with your cannabis. If you took your CBD cannabis regularly you've very likely could be out of pain especially if you maintain a blood level of vitamin D (25-OH D) above 50 ng/mL for optimal health benefits and additional pain relief. Add topical CBD salve to your program and used should be able to go six hours without pain medicine. We are here to help you and you can be healthier so take this as an opportunity to work on improving health and prove the doctor was wrong by treating you in such a disrespected manner.\nThe doctor should be brave enough to stand up to the insurance company instead of refusing you. Start by loving your self and recognize that many of us are shedding our old pain body because it doesn't work anymore.\nI also recommend that you read Eckhart Tolle, \"The Power Of Now\"  and \"A New Earth\" to help you stay in present moment in order to resolve your stress & anxiety, both only contribute to your pain and let your spirit shine through so positive people will find him. This is a journey worth taking. I hope to see you on the path.\n\n\ndrolson\n_____________________\nContact Leo dispensary for MJ card  very affodable and rapid https://www.drleommjdispensary.com/  Contact Dr Leo He is going to give you a solution to your problem, And you will get all stuffs from him ad well. Text:   (410)449-0527  \n\nDrleommj","image":null}},{"node":{"id":"Question_10558-markdown","title":"Can I use cannabis as a replacement for Vicodin?","slug":"can-i-use-cannabis-as-a-replacement-for-vicodin","content":"\"I suffer from chronic back pain and have been using vicodin. However, my doctor has stated that I need to end my reliance on this drug, and I am looking for a replacement. Advill and others don't provide the relief I am looking for. What cannabis products might be a good choice for me?\"\n_____________________\nCannabis has had more and more positive feedback in people trying to cut down or eliminate their opioid use. Every day in the United States about 44 people die as result of opioid overdoses. There has never been a reported death from cannabis use. Donald Abrams, MD, a professor of medicine at University of California, San Francisco, has studied the effects of medical marijuana on pain since the mid-1990s. In 2011, he published a small study of 21 patients that found that the addition of marijuana to a twice-daily opioid regimen led to a 25 percent reduction in pain. It suggests cannabis could allow pain patients to lower their opioid dosage and still get pain relief.\n\nIt seems that patients can get short term pain relief from cannabis that contains only 1.3 percent tetrahydrocannabinol (or THC), the ingredient that gives marijuana its psychotropic effects. Pot used for recreational purposes has 6 to 12 percent THC, but can go as high as 20 percent. A  higher concentration of cannabidiol (CBD) mixed with a little THC seems to be the best bet for decreasing opioid use. There is one called “20:1,” named for its ratio of CBD to THC. \n\nThe fastest way to obtain relief is by smoking or vaping the cannabis product. Tinctures or capsules are effective as well as using an edible that can last the longest.\n\n\n\nPerry Solomon, MD\n_____________________\nThe short answer is, yes!\n\nI have had many patients decrease their reliance on opioids such as Vicodin, Percocet and oxycodone for pain relief by substituting often large quantities of opioids with medicinal cannabis. I strongly urge this be done under close medical supervision, guided by a physician familiar with both opioid pain medication and cannabis use. \n\nFor a longtime I struggled with my chronic pain patients for whom Tylenol and Nonsteroidal anti-inflammatories such as ibuprofen and Naprosyn didn’t offer enough pain relief. It seemed like the next step was opioids and there was very little in between to offer patients. These days I spend less time transitioning patients off their opioids and more time convincing them to try cannabis first. Using cannabis, many of my patients have avoided the whole opioid epidemic. \n\nThe choice of cannabis product for your back pain should be tailored to your individual pain relief needs. It will depend on whether your pain is constant or intermittent. Whether your pain is predominant throughout the day or whether it affects your sleep as well. It will depend on your personal situation such as your need to drive or work. \n\nVicodin is a short-term opioid that relieves pain for hours at a time. As such, it often needs to be dosed several times a day. The equivalent short term method for pain relief with cannabis could be inhalation such as vaporizing or using a vape pen. Pain relief starts within 5-10 minutes usually but only lasts 2-4 hours. \n\nOther methods of cannabis provide longer coverage of pain relief and you may find topicals, tinctures and edibles more useful. I rarely find one cannabis product fits all and often different products at different times works best. Also, it is important to understand that everyone reacts differently to cannabis products.\n\nIf you are new to cannabis use, I would recommend trying a topical CBD cream or lotion directly on the skin over you back initially, as there is no high associated with CBD topicals with perhaps time release patches being the theoretical exception. I would then likely recommend a 20:1 CBD:THC tincture in addition. If your pain was preventing sleep, I might introduce a different product such as a 1:1 THC:CBD tincture for night time pain relief and sleep enhancement.\n\n\ndrbluto\n_____________________\nIt's so frustrating when you can't get a good nights sleep! Many factors come into play but if it is your back that's keeping you awake at night that's fairly easy to resolve.\nIf you have been doing Sativa in the evening, to go to sleep you need to add CBD (Oral spray tincture works well to stop the brain chatter) but if you are doing Indica and you suffer with brain chatters the same technique works because you tend to sleep much better when your CBD and THC are in a one-to-one or equal balance. I also suggest that you may want to do a CBD dominant topical salve rubbed into your back just before bedtime to keep you out of pain and muscle spasm through the night. If you wake up in the night you can vaporize off a 1:1 vapor pen to go back to sleep. If your sleep problems are actually from an accumulation of stress and anxiety throughout the day please, consider using the low-dose CBD (an 8:1, CVD: THC should work well and does not make you high) a couple of times during the day to keep yourself calm and even with your emotions and you will actually sleep better.  Some people just don't sleep well with high THC so please be aware of that and you may need to balance with CBD. Good luck, a good night sleep is worth making some changes.\n\ndrolson\n_____________________\nLimiting your exposure to opiate medications is a great way to improve your overall health and limit the risks that come with this class of medications. Many patients experience side effects such as nausea, constipation, drowsiness, and poor appetite not to mention the long-term risks of abuse and addiction.\n\nThere are several options for pain control depending on the specific underlying cause of your pain. You may consider non-steroidal pain medications like ibuprofen, naproxen, and meloxicam. Local pain treatment with a lidocaine patch or voltaren gel is also an option with lower risk of side effects. Of course, there are non-pharmaceutical options, which is likely the reason for your question on this site.\n\nThe same principles that apply to traditional medications apply to cannabis. A topical cannabis-infused product is recommended as the first approach to pain control. This could include a cannabis-infused patch, lotion, balm, or ointment applied directly to the skin or massaged into the skin. Higher CBD content products tend to work well for this since there is an anti-inflammatory property associated with CBD.\n\nPain can also be treated with as needed vaporized cannabis products. Vaporizers work well for immediate relief since they take 5 minutes or less to feel the effect. Again, a higher CBD product is preferred due to its anti-inflammatory properties. THC can be effective but tends to be more of a way to distract from pain as opposed to treating the inflammation associated with pain. You own trial and error is important when treating pain. Just remember to use as little as needed for relief without overdoing it.\n\nFinally, don't forget about conservative pain management using physical therapy, massage therapy, heat and cold packs, and acupuncture which can be very effective for certain individuals depending on the underlying cause of the pain.\n\nsankmd\n_____________________\nFibromyalgia affects a large number of Americans, and medical marijuana can be an effective alternative to traditional pharmaceutical products.  Generally, a balanced product with both THC and CBD is a good choice for chronic pain, while avoiding excess side effects.  Products that are ingested/swallowed have a longer duration of action, so you can experience a gradual, steady pain relief effect.  There are a few articles on fibro in our Health & Wellness section that you can check out for more details, including some recommended strains.  Best of luck to you in finding improved pain relief!\n\ndrbultman\n_____________________\nThis question is a real challenge because I have different answers for different parts of the body and do you want to be awake or asleep? \nI love the topical CBD dominant salve for most all pain in my body and so far I have enjoyed many brands but my favorite is Canna Care because it is very effective at relieving pain especially the ~2:1 ratio. \nFor vaporizing, I think it is hard to beat AC/DC because it is fast and effective and it does not leave me with any psychoactive effect and no anxiety as it quickly relieves the pain. \nI personally tend to avoid edibles due to the carbs and the edibles are so regional, any recommendation would be of little benefit but I am certain another doctor might be able to give advise on edibles. \nI like a variety of tinctures but I tend to like to spray the tincture in my mouth or hold it under my tongue so that makes the strong alcoholic tinctures too hot for me but the alcohol extracted tinctures are still excellent products. \nWe have many fine products on our website so please, explore the products.\n\ndrolson\n_____________________\nConsider CBD for pain since it works well and usually very little if any side effects as long as the THC is low. Once the ratio of CBD to THC is more than 8 parts CBD to 1 part THC, it is unlikely you would notice any psychoactive effect.  If you are in pain and you want to go to sleep try a 4:1 CBD dominant or even a 2:1 or 1:1 but you will notice the psychoactive effect before you go to sleep. It will take some experimenting, go low and slow and you will find your perfect dose but do not be afraid, cannabis tends to be much more gentle than pharmaceutical narcotics or benzodiazepines.\n\ndrolson\n_____________________\nPain is one of the most common uses for medical marijuana.  Whether it's inflammation, headaches, neuropathic pain, muscle soreness, spinal injury, fibromyalgia or cramps, people have seen varying degrees of success with cannabis.\n\nwendynp\n_____________________\nI believe the best relief for severe back pain are the CBD topical salves in a 2:1 ratio, applied every hours during your waking hours to keep the pain in remission, take a high CBD oral spray or tincture in addition so you are treating yourself inside and outside And within one week you should have a profound reduction in your pain level. If you are still experiencing pain within one week please, be sure to have your vitamin D blood level checked and take vitamin D3 in order to get your blood level above 55 MG/ML for optimum pain relief.\nStay well hydrated and pay attention to your posture. If your posture is poor, the nerves can't call you on the phone to scream, \"Get off me!\" and you will experience pain. \nYou must do everything to get better or except the fact that you're not going to get better until you do everything. The body likes to be healthy and well and wants to be healthy and well and now you have the tools to get healthy and well. You cannot get enough sunshine to make enough vitamin D to correct your problem.\n\ndrolson\n_____________________\nMany good answers here, and I'd just like to mention that there is clear published medical science demonstrating that cannabis improves the pain relieving effects of opioids.  This has allowed many people to use cannabis to reduce their Vicodin dosage while maintaining adequate pain relief. \n\ndrelkind\n_____________________\nWhether it's Vicodin, Percocet or another opioid, cannabis typically works well as an alternative to these pain killers. Marijuana can either reduce opioid use or eliminate it altogether.\n\nHere's an excerpt from the above video: \n\nPamela: Dr. Solomon I love this next question because it's so timely with what's going on in the news today. Can cannabis be replaced by Vicodin?\n\nDr. Solomon:  We certainly hope so and more and more studies are showing that it absolutely can. Dr. Donald Abrams, a professor of medicine at UCSF has shown in a study that people who had been using Vicodin showed a 25% decrease in their Vicodin use when they started using cannabis to replace it. It's just remarkable how many people are seeing that the side effects of cannabis are so little compared to the side effects of Vicodin and as you know the new demands by the government are saying that people can't even get Vicodin for their chronic pain.\n\nPamela: Yeah so it's so hard to get and people are also recognizing [they] don't want to be on opioids anymore [they] want an alternative.\n\nDr. Solomon: And the dangers of opioids are huge, with suicides, overdoses, etc. As a matter of fact the 24 in the country now that have legalized medical cannabis have shown a 25-30% decrease in the opioid overdoses that occur, causing death. \n\nPamela: And my own personal story, I know that I was able to replace Vicodin with cannabis in my own pain management, so personally I do believe that it works.\n\nDanielle Lim ","image":null}}]}},"pageContext":{"limit":12,"skip":0,"numPages":1,"currentPage":1,"id":5902,"name":"Vicodin","slug":"vicodin","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}