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Active Duty and Military Veterans: Medical Marijuana/Cannabis and CBD

Active Duty and Military Veterans: Medical Marijuana/Cannabis and CBD

 

With Veterans Day just around the corner, it’s a great time to discuss cannabis options as it pertains to our active duty and retired service members. At our office, we see many veterans suffering from various medical conditions. Oftentimes, they complain of unsatisfactory treatments that are either sub-optimal (i.e. ibuprofen for pain) or have made them feel worse (i.e. opioids, mood stabilizers). Many vets have inquired about and lamented the limited treatment options available while both on active duty and after separation from service. As such, many veterans have come to us seeking advice about  treatment with cannabis. 

The use of medical marijuana and CBD (cannabidiol) among active duty military personnel and veterans is a topic of growing interest and debate. With evolving policies and a greater understanding of the potential benefits and risks, it's important for us to have a good understanding of the current landscape and relevant policies in order to provide guidance for those navigating this complex issue. Recent policy changes, such as the rescheduling of marijuana, have significant implications for military and veteran communities.

Policies on Medical Marijuana & CBD for Active Duty Military

Federal Law and Military Regulations

Under federal law, marijuana remains classified as a Schedule I controlled substance, meaning it is considered to have a high potential for abuse and no accepted medical use. Consequently, its use is prohibited for active duty military personnel. The Department of Defense (DoD) maintains strict regulations against the use of marijuana and any products containing THC (tetrahydrocannabinol), the psychoactive component of cannabis.

Department of Veterans Affairs (VA) Policies

The VA follows federal guidelines and does not prescribe medical marijuana. However, veterans are not denied VA benefits due to marijuana use, and VA providers are encouraged to discuss marijuana use with their patients as part of a comprehensive care plan. Veterans are also allowed to participate in state medical marijuana programs.

Recent Policy Changes: Rescheduling of Marijuana

In recent years, there have been discussions about rescheduling marijuana to reflect its potential medical benefits. Rescheduling would potentially allow for more research and could impact military and VA policies. However, as of now, marijuana remains a Schedule I substance at the federal level.

Statistics and Research

According to a 2019 survey by the Iraq and Afghanistan Veterans of America (IAVA), 83% of veterans support the legalization of medical marijuana, and 90% support further research into its medical uses. Additionally, an article published by the VA and National Center for PTSD found that veterans have increased their use of cannabis to manage their conditions.

Pearls

The Use of CBD Among Military Personnel and Veterans

Understanding CBD

CBD is a non-psychoactive compound found in cannabis that has gained popularity for its potential therapeutic benefits, such as pain relief, anti-inflammatory properties, and anxiety reduction. Unlike THC, CBD does not produce a "high."

DoD Policy on CBD

The DoD has a zero-tolerance policy for marijuana, which extends to CBD products. Despite the legalization of hemp-derived CBD under the 2018 Farm Bill, the DoD prohibits the use of CBD products due to the potential for THC contamination and the lack of FDA regulation.

VA Policy on CBD

The VA does not prescribe CBD, but veterans can purchase and use CBD products legally available in the market. VA providers can discuss CBD use with veterans as part of their overall healthcare plan, similar to how they approach medical marijuana.

Statistics and Research

A 2020 survey by the American Legion found that 1 in 5 veterans use CBD to manage various health conditions, including chronic pain and anxiety. Another study indicated that 57% of veterans reported an improvement in their overall health after using CBD products.

Pearls

Benefits of Medical Marijuana and CBD for Veterans

Pain Management

Chronic pain is a common issue among veterans. Medical marijuana and CBD have shown promise in managing pain, providing an alternative to opioids, which have a high potential for addiction and adverse effects. According to the National Institute on Drug Abuse, medical marijuana has been effective in reducing chronic pain in adults (IAVA).

Headaches

Some studies have shown that cannabinoids are effective in relieving symptoms. One such study conducted by the University of Colorado found that out of 121 patients, 103 reported a decrease in monthly migraine attacks. Check out the National Headache Foundation for more resources to help deal with your headaches. 

Mental Health

Many veterans suffer from mental health conditions such as PTSD, anxiety, and depression. Some studies suggest that medical marijuana and CBD can help alleviate symptoms of these conditions, offering a potential adjunct or alternative to traditional treatments. A study published in the Journal of Affective Disorders found that cannabis use reduced PTSD symptoms by more than 50% in some users.

Sleep Disorders

Sleep disturbances are prevalent among veterans. Medical marijuana and CBD may improve sleep quality by reducing anxiety and pain, thereby promoting better overall health and well-being. Research published in Current Psychiatry Reports supports the use of cannabinoids for improving sleep disorders.

Sexual Dysfunction

This is a common condition amongst veterans- it affects both men and women. It can be caused or worsened by other conditions like pain and PTSD.  One study found that cannabis helped people relax, heightened their sensitivity to touch, and increased intensity of feelings, thus enhancing their sexual experience.

Pearls

Military Contractors and Medical Marijuana/CBD

Role of Military Contractors

Military contractors play a critical role in supporting the operational capabilities of the armed forces, providing services that range from logistical support and equipment maintenance to intelligence and security operations. These private companies operate alongside military personnel, often in high-stress and hazardous environments.

Policies and Access

Like active duty military personnel, military contractors are subject to federal laws and DoD regulations regarding the use of marijuana and CBD. This means that contractors, despite facing similar stresses and health challenges as military personnel, are also prohibited from using these substances even if they are legally available in their home states or countries.

Health Implications

Military contractors, who often work in high-risk environments, might benefit from the therapeutic effects of medical marijuana and CBD for conditions such as chronic pain, PTSD, and anxiety. However, due to existing regulations, they must seek alternative treatments that are compliant with federal laws.

 

Pearls

Routes of Administration

Cannabis and CBD can be consumed in various forms. I always like to discuss the different ways you can use your plant medicine. There is no right way- each has its own advantages and disadvantages. Here’s a refresher:

 

 

 

 

 

Things to Remember:

 

 

 

Guidance for Moving Forward

Staying Informed

It's crucial for military personnel, veterans, and contractors to stay informed about the latest policies and research regarding medical marijuana and CBD. As laws and regulations evolve, staying updated can help ensure compliance and make informed decisions about their use.

Consulting Healthcare Providers

Veterans and contractors should openly discuss their interest in or use of medical marijuana and CBD with their healthcare providers. This can help integrate their use into a comprehensive care plan and monitor for any potential interactions or side effects.

Advocacy and Policy Change

Advocating for policy changes that support the medical use of marijuana and CBD can help address the needs of veterans and contractors. Organizations and individuals can work together to push for research, rescheduling, and changes in federal and military policies.

Some Resources:

 

 

Pearls

 

Wrapping It All Up!

It’s a pleasure and honor to be able to help our servicemembers find the answers and treatment they're looking for. The use of medical marijuana and CBD among active duty military personnel, veterans, and military contractors is a complex and evolving issue. We always try to ensure that we have the most current and accurate information. 

Current policies restrict cannabis and CBD use for active duty personnel and contractors, while veterans have more flexibility within state programs. Understanding the potential benefits, staying informed about policy changes, and consulting healthcare providers are key steps for those considering medical marijuana and CBD. Continued advocacy and research are essential to support the health and well-being of military and veteran communities. Happy Memorial Day!

Dr. Herve Damas

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