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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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New: Exclusive Prescriptions for Starseed Patients
At Starseed, our mission has always been to help you achieve wellness. While medical cannabis will always remain at the heart of what we do, we’re excited to announce an important expansion in our services. To better support your overall health and wellness, Starseed patients can now access four new categories of non-cannabis prescription medications through our platform: • Men's Sexual Health - ED and/or PE medications sourced from trusted Canadian pharmaceutical manufacturers • Topical Pain Relief - Treatments for conditions such as arthritis, back pain, joint pain, etc. • Hair Loss - Personalized pharmaceutical formulations to help you grow thicker, fuller hair. • Skin Care - Customized treatments to help with melasma, dark spots, age spots, etc. Active Starseed Patients: Apply Here New Patients: Register for Starseed Here This expansion reflects our belief that your health journey should be simple, connected, and tailored to your needs. Here’s how it works: How to Apply for Prescriptions: We believe access to medication should be simple, streamlined and private. That's why our new prescription medications are accessible through an "asynchronous appointment" - meaning your application is completed through a quick online intake form (example below) - on your own time, at your own pace, without having to schedule an appointment. Your completed intake form will then be instantly accessed by a doctor, and depending on your diagnosis and treatment options, you'll be prompted to check-out in no time. For patients already registered with Starseed, these prescriptions can now be accessed through the Prescriptions Tab within your account profile. Active Starseed Patients: Apply Here Patients that have yet to register with Starseed can access these new prescriptions, along with medical cannabis, through the Registration Process. New Patients: Register for Starseed Here Business As Usual for Medical Cannabis Don't worry! As we mentioned, medical cannabis will always remain at the heart of what we do. These new medications are an entirely separate offering and prescription - so if you're only interested in shopping with Starseed for cannabis, nothing changes! However, you're now able to have multiple active prescriptions simultaneously, should you qualify for them. You'll be able to keep track of all your active prescriptions, including your cannabis medical document, within the new prescriptions tab of your account profile (coming soon). Meet The New Prescription Categories These new prescriptions are more than just an expansion to our services - it’s a step toward becoming your complete partner in wellness. Because at Starseed, we believe care should be comprehensive, convenient, and always centered around you. Learn more about the 4 new prescription medications through the buttons below: Starseed is not a pharmacy or a drug manufacturer. All prescription products require an assessment by a licensed healthcare practitioner. Availability of products is subject to the practitioner’s assessment

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