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Understanding Chronic Insomnia and its Cause and Effects

Chronic insomnia is a long-term pattern of difficult initiating or maintaining sleep. Sleep disorders, like insomnia, are problems with the quality, timing, and amount of sleep, which result in daytime distress and impairment in functioning.1

Our sleep-wake cycle is controlled by the body’s internal clock known as circadian rhythm. Circadian rhythms are physical, mental, and behavioural changes that follow a 24-hour cycle. It can influence important functions in our body, such as hormone release, digestion, body temperature, and sleep cycle. Usually, our circadian rhythm closely follows the daily pattern of day and night. However, many people have sleep schedules that cause misalignment of their circadian rhythm.

Shift work is one example of a situation in which individuals are unable to get the sleep they need. Travel is also a common cause of disturbed sleep. In some people, circadian rhythms can be shifted forward or backward without a clear cause, resulting in persistent difficulties in sleep timing and overall sleep quality. Poor sleep can also trigger or worsen other health conditions, creating a complex chain of cause-and-effect of insomnia.

Sleep quality can be hampered by a demanding work schedule and high level of stress, but the contrary is also true. It’s difficult to perform well when you’re nodding off at your desk, fatigued, have poor energy, and lack creativity.

Many medical conditions, such as PTSD, pain, and sleep apnea, have the potential to disrupt sleep.

Can medical cannabis help with sleep?

A recent high-quality human clinical trial demonstrated that giving cannabis, specifically THC 10mg-20mg in oil form, one hour before bed improved sleep quality and insomnia significantly. The research implies that mixing THC with CBD can help people who are new to THC or who are sensitive to it avoid or lessen the unpleasant psychoactive effects of THC.2


References:
[1] Qaseem, A., Kansagara, D., Forciea, M., Cooke, M., Denber, T.D., et al. (2016). Management of chronic insomnia disorder in adults: a clinical practice guidelines from the American College of Physicians. Annals of Internal Medicine, 165(2). 125-133.
[2] Walsh, J.H., Maddison, K.J., Rankin, T., Murray, K., McArdle, N., et al. (2021). Treating insomnia symptoms with medicinal cannabis: a randomized, crossover trial of the efficacy of cannabinoid medicine compared with placebo. Sleep Research Study, 44(11), 1-8.

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An Alternative Solution to the Opioid Crisis
Chronic pain is rarely isolated; it is frequently linked with sleep disturbances and emotional distress, forming the well-known “Pain Triad”. These three interconnected ailments can affect a person's quality of life. For example, a high level of pain can lower your mood and reduce your quality of sleep. Medications typically used to treat the Pain Triad The drug classes that correlate to the three pillars of the pain triangle are listed below1. Medical cannabis is a promising alternative for all, and it is likely to avoid the negative side effects associated with these drugs, particularly opioids. Medical cannabis as an alternative solution to the opioid crisis Medical cannabis is a promising alternative to opioids for the treatment of chronic non-cancer pain2, which is the most common indication for its use. Other areas where cannabis has showed promise to date are in fact covered by drug classes overwhelmingly used to the three pillars of the pain triad. Moreover, cannabis may well spare patients many of the side effects associated with opioid use3. For those interested in using medical cannabis as an adjunct therapy option to opioid, Starseed offers several product options that maybe helpful for patients. Starseed’s clinic partner ‘North Star Wellness’ is also available for medical cannabis consultations free of charge. With 9 clinics across Ontario and a team of expert health care professionals, North Star Wellness offers in-person and telemedicine consultations for patients in need of education and medical authorization for cannabis. Register and book your appointment today. References: [1] National Pain Centre (2017). The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain. Hamilton, ON: McMaster University. Retrieved from http://nationalpaincentre.mcmaster.ca/documents/Opioid%20GL%20for%20CMAJ_01may2017.pdf [2] Benedict, G., Sabbagh, A., & Conermann. (2022). Medical cannabis used as an alternative treatment for chronic pain demonstrates reduction in chronic opioid use – a prospective study. Pain Physician Journal, 25, E113-E119. Retrieved from https://www.painphysicianjournal.com/current/pdf?article=NzQwOA%3D%3D. [3] Ergisi, M., Erridge, S., Harris, M., Kawka, M., Nimalan, D., et al. (2022). An updated analysis of clinical outcome measures across patients from the UK medical cannabis registry. Cannabis and Cannabinoid Research, X(X), 1-10. Retrieved from https://www.liebertpub.com/doi/epdf/10.1089/can.2021.0145.

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