Daily Press (Sunday)

Senior citizens embrace marijuana oil for pain relief

- By Joe Graedon and Teresa Graedon King Features Syndicate

Q: I have had great results from marijuana oil for neuropathy. Last year, I had extreme pain in my feet at night. They were so swollen that I had trouble putting my shoes on in the morning. I could not be as active as usual.

I took prescribed gabapentin for the pain. When I read in your column about natural approaches such as benfotiami­ne, curcumin and alpha-lipoic acid, I started taking them. Almost all my neuropathy symptoms disappeare­d, and I no longer need the gabapentin. At 88, I still get occasional foot pain at night. It is instantly relieved by topical marijuana oil.

I live in an upscale retirement community, and a large number of people here are using marijuana oil to relieve pain without side effects.

A: Cannabis-based medicines have some scientific support for chronic pain (Pain Physician, September 2017). In states where medicinal marijuana is unavailabl­e, some people are using cannabidio­l (CBD) oil instead. This cannabis-derived compound does not make people high and has become widely available without a prescripti­on. More clinical research is needed to explore its painreliev­ing potential.

Q: I had a very bad case of atopic dermatitis when I was in my teens. It cleared up after that, until recently. Now it’s back with a vengeance.

Nothing has provided much relief, including clindamyci­n and Halog cream. Can you suggest anything else?

A: Atopic dermatitis is a serious allergic skin condition. Another name for this red, itchy rash is eczema. It can be extremely uncomforta­ble, and scratching may expose the skin to infection. That may be why your doctor prescribed the antibiotic clindamyci­n.

Halog is a strong cortisone-type cream. Your doctor might prescribe a medication to calm your overactive immune reaction in your skin. Two topical immune-suppressin­g drugs have been used for years: tacrolimus (Protopic) and pimecrolim­us (Elidel). Common side effects include temporary itching and burning. Other reactions include headache, upper respirator­y tract infection, swollen glands and viral skin infections (cold sores, shingles or warts).

Two newer options are crisaborol­e (Eucrisa) and dupilumab (Dupixent). Crisaborol­e is an ointment, while dupilumab is an injection. Dupilumab is significan­tly more effective than placebo at calming symptoms of atopic dermatitis. However, it is pricey. It also can trigger troublesom­e eye symptoms such as conjunctiv­itis and keratitis (QuarterWat­ch, December 2018).

Q: I have had a bad case of blephariti­s for many years. My doctor prescribed hot compresses. It’s impossible to keep a washcloth or a gauze pad hot for more than about a minute. I discovered a great solution: using a hand warmer. This is a packet that one shakes to acti- vate and then can stuff in a glove to keep one’s hands warm in winter. It stays warm for hours. It’s hot enough to provide relief but not so hot that it hurts the eyes.

A: Thank you for sharing this intriguing idea. Another option for people with dry eyes is a Dry Eye Relief Mask (DERM). This moist-heat compress contains tiny silica beads that can be warmed in the microwave. It, too, lasts more than a minute and may prove an alternativ­e to the hand warmer. Heat can help make the oils in the meibomian glands of the eyelids less thick. This in turn can help ease blephariti­s and dry eye syndrome. In their column, Joe and Teresa Graedon answer letters from readers. Send questions to them via www .peoplespha­rmacy.com.

 ?? ERIN HOOLEY/CHICAGO TRIBUNE ?? Various cannabis oils are heated at a medical marijuana cultivatio­n facility in Joliet, Ill.
ERIN HOOLEY/CHICAGO TRIBUNE Various cannabis oils are heated at a medical marijuana cultivatio­n facility in Joliet, Ill.

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