Natural Care

Ask a Cannabis Nurse: I didn’t like pot when I was young. Can it help me sleep now?

Nurse holding a cannabis plant

In our first Ask a Cannabis Nurse column, Natural Care’s director of patient care, Karen Newell, answers a reader’s question about cannabis for sleep.

Our readers asks:

I had a stressful job for decades, and a few weeks after I retired, I fell and broke my hip. Between work and pain from hip surgery, I haven’t had a good night’s sleep in years. I’ve tried sleeping pills, and they help a bit, but then I’m groggy the whole next day. My sister-in-law can’t stop raving about medical marijuana for sleep, but I smoked a few joints back in high school and they made me anxious and wired. I want to believe, but I’m skeptical – how do I know if cannabis will work for me?

-Sleepless in Sarnia

Our nurse answers:

Sorry to hear about your insomnia, Sleepless. As you well know, it can be a devastating condition with major consequences for physical and mental health.

As for cannabis as a potential treatment, I’ve got some good news and some complicated news for you. The good news is that the joints you smoked in high school are unlikely to predict how you’ll react to cannabis now.

Many factors influence how we respond to cannabis – hormones, time of day, what we’ve had to eat, etc – and those responses change as we age.

It’s also important to know that cannabis is not one medicine, it’s thousands! Different strains have different properties, depending on their exact balance of cannabinoids (such as CBD and THC) and the terpenes, or essential oils, they contain.

I can’t say for sure why the joints you smoked in high school made you feel anxious and wired, but my guess is that they probably contained more THC than your body likes, and potentially some energizing terpenes as well.

That’s the good news! The complicated news is that the only way to know what cannabis products might help you sleep better is to try.

In general, most of my insomnia patients have success with a low dose of THC before bedtime, but I’ve had some who see remarkable improvement taking CBD during the day. Since CBD is non-intoxicating, I’ll often start there, and add THC if needed. Of course, I’ll always look at a patient’s medical conditions, as well as any prescriptions they might be on before suggesting a starting dose, but the general rule of thumb is start low, go slow and see how it goes. In your case, I’d want to learn more about your hip surgery – if pain is the main thing keeping you awake, then I’d want to see what we can do to address that first.

Cannabis has a pretty good record with chronic pain and insomnia. I can’t guarantee it will help with your specific issues, but I can confidently say we’ve come a long way since high school!

To your health,

Karen

Karen Newell is Natural Care’s director of patient care, and a registered practical nurse with over 40 years’ combined experience in hospitals, specialized pharmacy and long-term care and retirement.

Send your questions to outreach@naturalcaregroup.com and follow us on Facebook and Twitter, or keep an eye on this page for the answer.

*Reader questions are lightly edited for space and coherence.

Understanding the entourage effect

Understanding the entourage effect

THC and CBD get all the glory, but cannabis is a complex plant with hundreds of compounds. The entourage effect explains how they may work better together.
Meet your endocannabinoid system

Meet your endocannabinoid system

Our bodies are naturally inclined to respond to cannabis.

Natural Care + CannaMed: Enhanced Medical Cannabis Services

Published on August 20, 2019

Natural Care save money on medical cannabis

4 ways to save money on medical cannabis

Published on August 7, 2019

Natural Care medical cannabis chronic pain

3 reasons cannabis may ease chronic pain

Published on July 10, 2019

Natural Care medical cannabis diabetes treatment prevention

How can cannabis help diabetes?

Published on June 5, 2019

Natural Care medical cannabis studies seniors elderly

5 studies on cannabis for seniors

Published on April 17, 2019

Nurse holding a cannabis plant

Ask a Cannabis Nurse: I didn’t like pot when I was young. Can it help me sleep now?

Published on April 10, 2019

Natural Care medical cannabis is not myths misconceptions

What your kids don’t know about cannabis can hurt you

Published on April 3, 2019

Medical cananbis neuropathic pain neuropathy Natural Care

What is neuropathy and can cannabis help?

Published on March 27, 2019

Cannabis is both an ancient and promising treatment for migraine headaches.

Is cannabis better than other migraine drugs?

Published on March 20, 2019

Older woman suffering from arthritis and shoulder pain inflammation

How cannabis fights inflammation

Published on March 13, 2019

Natural Care topical cannabis medical prescription

Recipe: Quick and easy homemade cannabis cream

Published on February 27, 2019

Natural Care can cannabis replace other drugs

Is cannabis the antidote to too many prescriptions?

Published on February 20, 2019