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    #1

    Marijuana and opioids-cannot try cannabis, drug tests etc.

    C5 quad since 1995. I've taken OxyContin for pain for a number of years. It does help, but I'd like to explore the possibilities of cannabis medically and recreationally. To be perfectly honest I am relatively free of vices and wouldn't mind using it for recreational purposes very sparingly. I'm sure most people here know that at least most places in the US if you take prescription opioids you're not allowed to use marijuana. I can't get a medical card because they won't let me get one while taking opioids. So I cannot use it legally. My doctor is in a pickle. She honestly doesn't care if I try it. However, she also is required by the state to drug test me every 6 months. Marijuana in the drug test equals a fail meaning she can't write for the opioids. I'll also add that stopping the opioids is not a good option. They do help and I think weaning me off and coming up with appropriate substitutes would be an absolutely brutal process. Also afraid we could not come up with appropriate substitutes.

    So the short question… Under these conditions is there any way I can experiment with marijuana. Is there any way around the restrictions or backdoor that would allow me to legally try marijuana. Is there something I have not thought of? Basically, what can I do if I want to try marijuana? Or am I just screwed?
    Thank you
    Tags: None
    #2
    Wow. I have not heard of having to be drug tested for them to prescribe drugs

    ​​​​​​That's interesting because I just started trying cannabis for pain relief. Hoping to help minimize oxy. I really don't want to get very high so the amount I'm taking is pretty low in terms of THC.

    Anecdotally, it has not done anything for pain. The THC might be increasing that opioid "euphoric" feeling, but the pain is still brutal...

    The THC 100% works wonders for me when it comes to spasms. It almost eliminates them completely.

    Good luck

    Comment

      #3
      I had to do 2 pee test for Valium after failing the first. When Gabapentin became a controlled substance, I was called again for a drug test. I asked why, was told it was due to most ODs from opiods also had Gabapentin in their system. I'll be getting a new neurologist next year, hoping he/she is more realaxed with drug test.

      I'm currently experimenting with Delta 8, 9, 10. Mixed results so far depending on which I take. I don't like the delay effect. These will show up in drug tests. I prefer the real stuff as it has more THC (the good stuff). Smoking a pinch (small amount) just before bed allows me the best sleep. Awake with less pain & feeling crisp.

      I'm not a medical pro, just my experience. I'm not advocating for anyone to break the law.
      Attack life, it's going to kill you anyway
      Steve Mcqueen (Mr Cool)

      Comment

        #4
        All providers/prescribers are monitored by the state on opiate prescriptions. This is to prevent patients from seeking drug/opiate from multiple providers.
        Any patient who is getting opiates should be honest about other meds they are taking like recreational THC or CBD.
        Urine tests are conducted on patients to make sure they are taking what they say they are taking. Also required by state regulations. Urine tests are also screening for street drug use (ie. heroin)

        Use of benzodiazepines (I.e. Valium, alprazolam) and anti-seizure meds (gabapentin and pregabalin) are also monitored.

        Too many people have died from opiate misuse and too many providers have abused their prescribing privileges that has led to current practices.

        I have strongly encouraged my patients to wean off of opiates (ie. oxycodone) if they want to use THC or THC/CBD oral preparations. I don’t personally see a benefit in using both.

        SCI-Nursepbr
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

        Comment

          #5
          Originally posted by SCI-Nurse View Post
          All providers/prescribers are monitored by the state on opiate prescriptions. This is to prevent patients from seeking drug/opiate from multiple providers.
          Any patient who is getting opiates should be honest about other meds they are taking like recreational THC or CBD.
          Urine tests are conducted on patients to make sure they are taking what they say they are taking. Also required by state regulations. Urine tests are also screening for street drug use (ie. heroin)

          Use of benzodiazepines (I.e. Valium, alprazolam) and anti-seizure meds (gabapentin and pregabalin) are also monitored.

          Too many people have died from opiate misuse and too many providers have abused their prescribing privileges that has led to current practices.

          I have strongly encouraged my patients to wean off of opiates (ie. oxycodone) if they want to use THC or THC/CBD oral preparations. I don’t personally see a benefit in using both.

          SCI-Nursepbr
          I can appreciate your point about patient and provider misuse of prescription opiates. I'm one of the ones that use them properly from beginning till now. I've always kept my dose as low as humanly possible, probably a little lower than it should've been. So I'm just a little frustrated with being treated like a criminal. Or rather with the assumption that I am a criminal. Because that's what the drug test implies. Also, on the other side of the coin not allowing patients on opiates to try THC also helps protect drug company profits. They will happily let me try Cymbalta and Effexor, which have terrible side effects and terrible withdrawal problems, but somehow THC is special. Honestly, I have felt the benefit to using both. Again this is sparingly. So I've not used massive amounts of THC over a long period of time combined with opiates. But, one time here and one time there has helped a ton with my spasms… I could eliminate both baclofen and clonazepam from my spasticity meds if I was allowed to use cannabis and stay on the opiates. So that's 2 substances, one of which is controlled, out of my body and one in, the THC. And then I could perhaps experiment with weaning off of opiates. The fact is all of the doctors I've seen for pain control, and I've seen a fair number, seemed to not want me to wean off of opiates… You get phrases like "let's not reinvent the wheel". They are content with me as is, which isn't really acceptable to me anymore. What's also not acceptable is spending a lot of time and discomfort weaning off the opiates, just so I can try THC on a regular basis. So bringing back to my point, is there any way around the rules (working within the system) so I could try THC even if it's just a small dose while still on the opiates? Has anyone had any luck with this?

          Comment

            #6
            https://codes.ohio.gov/ohio-administ...ule-4731-32-03

            Sections 6 and 8 seem relevant. Sec. 6 seems to require an eval for benzo and opiate interaction; Sec. 8 seems to leave drug testing (for potential abuse) up to the doctor’s discretion. But I’m not a doctor or lawyer in OH. Seems to be info out there, though.

            Also, there is a state run hotline for medical cannabis questions. https://www.medicalmarijuana.ohio.gov
            "I have great faith in fools; ‘self-confidence’, my friends call it." - Edgar Allen Poe

            "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

            Comment

              #7
              Originally posted by Oddity View Post
              https://codes.ohio.gov/ohio-administ...ule-4731-32-03

              Sections 6 and 8 seem relevant. Sec. 6 seems to require an eval for benzo and opiate interaction; Sec. 8 seems to leave drug testing (for potential abuse) up to the doctor’s discretion. But I’m not a doctor or lawyer in OH. Seems to be info out there, though.

              Also, there is a state run hotline for medical cannabis questions. https://www.medicalmarijuana.ohio.gov
              Thank you for referring me to this. I feel rather silly for not finding them on my own. I just get bogged down in trying to research sometimes that I can't see the forest through the trees. Thanks again for providing these links. I will look at them both and see where I can get.

              Also, hope that my prior message to SCI nurse didn't sound angry. It was written with a matter of fact tone. But I took a look at it again and it does sound rude. But not intended that way at all.
              Thanks again
              • Likes 1

              Comment

              • C1Jeff
                #7.1
                C1Jeff commented
                1 Nov 2022, 11:02 PM
                Editing a comment
                I have spent quite a lot of research and time on this subject because I also have issues with pain and have been taken oxycodone. I don't know if it's because I live in California but my pain doctor actually mentioned trying to implement THC and CBD to help with pain. Through my searching I found this place which has very reasonable pricing, Great shipping, and great variety of products. I am not sponsored by them or anything it's just the best option I found. http://rwrd.io/umxsnin?c they have a wide variety of gummy's and different strengths, but also keep in mind you can split them into smaller pieces for a smaller dose. There is loads of information to help you make the best choice even information from the doctors that work with the website. You can message me if you want more information such as what I am using and how much!

                Now as far as your other question about the testing, if you use THC and have a test coming out the best thing to do is drink tons and tons of water to flush out the THC. Depending on how much you have this could be multiple gallons over the days before your test. Hopefully this helps!
              #8
              FWIW, cannabis doesn’t “work” for me, in the spasticity sense. I mean, it gets me high, sure, but that’s about it. It does, however, make my nerve pain much worse, for a period of time (30-60 minutes, or so), before I start to notice any “relief”. By ‘relief’, I mean I seem to care less about the pain. I still experience it, but it inhibits and bothers me less, which I guess is fair to call “a win”. Side effects of being stoned all the time are a bit much though, for me.
              "I have great faith in fools; ‘self-confidence’, my friends call it." - Edgar Allen Poe

              "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

              Comment

                #9
                which state are you in ? i have mmj card in NYS and i have a intrathecal hydromorphone pump, no problems or conflicts



                cauda equina

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