I have Ulcerative Colitis and during flare ups it is horrible. Can marijuana help and if so what do I take?

by HelloMD

I have Ulcerative Colitis and during flare ups it is horrible. Can marijuana help and if so what do I take?


Answers


Answer - Dr Patricia Frye

I am going to assume that this patient is not interested in a psychoactive experience and is looking for relief from abdominal cramping, diarrhea, nausea, poor appetite, etc. With that, I would recommend a high CBD variety. CBD is not psychoactive and is highly effective in reducing gastrointestinal inflammation, visceral pain, gastrointestinal motility, nausea, and anxiety. A small amount of THC might help stimulate the appetite and elevate the mood. I recommend starting with 1-2 drops of oil or tincture under the tongue and increasing that dose by 1-2 drops every 15-20 minutes until symptoms are relieved. Once the dose is determined, it can be repeated every 2-3 hrs as needed. If without symptoms, I would continue that amount twice a day for 6-8 weeks, then reassess.


Answer - Julie Van Hove- MMJ Formulator for Akasha Care Topicals & Tinctures - Akasha Labs llc

look for a tincture containing high THCa percentages. THCa has high anti-inflammatory properties with less psychoactivity. here is a great article on it. https://www.hellomd.com/health-wellness/cannabis-shows-promise-as-a-treatment-for-crohn-s-disease-and-colitis

Find a THCa tincture- i've seen 1 ounce bottles where each drop is 0.25mg. start low 10 drops. wait to see effects. Add more drops 4 at a time (1mg) until you reach your minimum effective dose. Once there, adjusting it is easy until your find your optimum dosage level. Hope all this helps.


Answer - Dr Andrew Vanderveer twitter = @andyvanderveer facebook = andyvanderveer

Cannabis can most definitely help. Many patients suffering from inflammatory bowel disease have described to me the relief they have found with marijuana, particularly for increasing appetite, decreasing nausea, and treating abdominal pain. There are also several studies showing benefit from cannabis. I would recommend a trial of CBD rich tincture as well as inhaled (vaporized) cannabis. Cannabis suppositories are also showing promise, as they have excellent absorption and target the nerves of the lower digestive system.


Answer - I am a Certifed Aromatherapist and Canna Product Formulator of topicals and edibles

I'd like my answer to be confirmed by a Medical practitioner however you may consider a suppository to treat it acutely. Please look for a brand or someone who can formulate a real suppository that is safe for your colon, not a pill that is used to go in the rectum. You need the least amount of inflammation possible and capsule/pill will not be well received.


Answer - Founder and Patient Advocate

I'm sorry to hear that you have been struggling with Ulcerative Colitis for so long. CBD can be very helpful to people with colitis because it's such a powerful anti inflammatory. There are a lot of CBD products out there on the market, and not all of them are created equal.

In looking for CBD oil, it's important to choose a product that's made domestically. Products that claim to be legal in all 50 states are that way because they generally have little to no active ingredient. It's very important to make sure that the CBD oil has been tested by an independent lab for strength and for contaminants such as fertilizers or mold.

CBD capsules can work very well for Colitis because we augment the plant's natural terpenes to help your body absorb the CBD more easily. When you are dosing, it's generally a good idea to start with a small dose and gradually increase it until you find a dose that works for you. Patients find that if they start with a week's worth of 10mg CBD capsules, then increase the dose as needed, they generally find relief with a dose of less than 50mg a day.


Answer - Director, Cal State Caregivers Collective

As you may know, there are a large number of products on the market. I would start you on a CBD Tincture with no THC, which means you wouldn't get high.The tincture would work best. We also have CBD suppositories on hand and that may help as well. I would also take a look at your diet and increase your fish oil Omega 3 up to 1 grm a day.


Answer - Founder/Pianta Tinta, High CBD & THC Tinctures

According to an article at https://www.medicalmarijuana.com/medical-marijuana-treatments-cannabis-uses/cannabinoids-as-treatment-for-colitisulcerative-colitis/ , cannabis, both CBD and THC can be helpful with people dealing with Ulcerative Colitis.

  1. to relax the smooth muscles (slow or stop diarrhea) and prevent hemorrhoids and nutrient loss.
  2. relieve vomitting
  3. analgesic effects to relieve abdominal pain (spasms)
  4. anti-inflammation (by suppressing certain parts of immune system)
  5. anti-bacterial properties to fight infections
  6. immunosuppressive properties to relieve IBD symptoms

For fast relief, you might want to try vaping, or for consistent dosing, tinctures are a great way to go. Edibles do take a good 1-2 hours to take effect, so that might not be the route you want to go. Whatever you decide, a whole plant product will give you the best benefits.


Answer - Doctor Sharon Olson

Ulcerative colitis is an inflammatory disease so it should respond well to high CBD use but you may also want more THC in the afternoon and evening for relaxation and pain. CBD Is not psychoactive so you can use CBD when you can't be High like driving a car or going to work. You may also want to do some probiotics including Bacillus coagulens because it will not allow pathological bacteria to live in your gut. CBD comes in many different forms so you may want to experiment with different forms to see what works best for you. Don't discount the topicals.I had a severe gallbladder attack and I did not know if the topical salve would work but I started slathering on a 2:1 CBD:THC salve into my abdomen, especially under the Xiphoid process and under my ribs and my upper to mid spine and my gallbladder disease symptoms resolved completely within a week, I still have the gallstones But I can eat anything and I do not have pain. When I did have abdominal surgery I rubbed this salve into my abdomen and it was a tremendous help for my postoperative pain. In addition I did extra sub lingual spray of CBD or the nonalcoholic tincture or I would vaporize ACDC for relief of my pain and it worked typically within 10 minutes. Too much THC can cause you to be anxious and in some people it can increase their pain. You must experiment to see what works best for you but I do think you can shorten the periods of exacerbation of your disease.