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URL: https://www.virginislandsdailynews.com/ap/why-some-seniors-are-choosing-pot-over-pills/article_ac368e9d-ca44-59f6-a326-8e382889d90e.html
Submission: On December 05 via manual from US — Scanned from US

Form analysis 11 forms found in the DOM

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Carminetta Verner, 88, who started a cannabis club in her Maryland retirement
community in Silver Spring, Md., on Nov. 3, 2023. As more seniors experiment
with cannabis, they are evangelizing to one another about its benefits, and
sharing the problems they’ve encountered along the way. (Greg Kahn/The New York
Times)

 * Greg Kahn

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WHY SOME SENIORS ARE CHOOSING POT OVER PILLS

 * By Christina Caron New York Times
 * Dec 4, 2023
 * 1 hr ago
 * 

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Carminetta Verner, 88, who started a cannabis club in her Maryland retirement
community in Silver Spring, Md., on Nov. 3, 2023. As more seniors experiment
with cannabis, they are evangelizing to one another about its benefits, and
sharing the problems they’ve encountered along the way. (Greg Kahn/The New York
Times)

Greg Kahn

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Seniors are one of the fastest-growing populations of cannabis users in the
United States. While some older adults have used pot for decades, studies
suggest that others are turning to the drug for the first time to help them
sleep better, dampen pain or treat anxiety — especially when prescription drugs,
which often come with unwanted side effects, don’t work as intended.

In 2007, only about 0.4% of people age 65 and older in the United States had
reported using cannabis in the past year, according to the National Survey on
Drug Use and Health. That number rose to almost 3% by 2016. As of 2022, it was
at more than 8%.

Nancy Herring, 76, has been using cannabis recreationally for her entire adult
life; she describes herself as “one of the hippies from the ’60s.” But it wasn’t
until her husband was diagnosed with Parkinson’s disease and dementia two years
ago that she began to wonder about pot’s medicinal use.





During the course of his illness, her husband, now 79, had developed insomnia.
Soon, neither of them was sleeping.

Doctors prescribed pills to help him rest, but “nothing really worked,” she
said. At one point, he reacted so negatively to a medicine, he ended up in the
hospital.

Then they tried an indica strain from a dispensary near where they live in
Clearwater, Florida. Now, after one gummy and a hit on a pipe, her husband “can
sleep at night, which is a huge thing,” she said.

Marijuana’s medicinal properties have not been well-studied, particularly among
older users, making it difficult for doctors to counsel their patients on the
benefits and risks. Cannabis companies have rushed to fill the void, offering
tips to older adults about doses or formulations and even creating products
meant to appeal to them. Meanwhile, as more seniors experiment with cannabis,
they are evangelizing to one another about its benefits and sharing the problems
they’ve encountered along the way.

“People are just desperate,” said Dr. Aaron Greenstein, a geriatric psychiatrist
in Denver. “They’re willing to try anything.”

When his own grandmother became convinced that she was reliving the Holocaust
during the later stages of her dementia, taking a dissolvable strip with a small
amount of THC — the psychoactive component in marijuana — put an end to her
flashbacks and helped her feel at peace.

“I have had dozens of patients who tell me that it has cured their various
ailments,” said Dr. Haley Solomon, a geriatric psychiatrist in San Diego who,
along with Greenstein, has written about the promise and risks of seniors using
cannabis. “I think that it’s really important to listen to them, to acknowledge
that and then to study it further.”

Older adults need to be aware of potential drug interactions, she added, and
also consider how cannabis can affect cognition, coordination and balance.

‘Medicine isn’t working.’

Without a North Star guiding older adults on how to use cannabis, there is a
grassroots effort among some seniors to teach one another.

Carminetta Verner, 88, has become the go-to source for cannabis information at
her retirement community, the sprawling Leisure World complex in Montgomery
County, Maryland, which houses about 8,000 older adults.

In 2018, she founded a club devoted to educating residents about medical
cannabis. The club’s membership, which has now grown to about 100 people, might
be higher if it weren’t for the stigma still associated with the drug, Verner
said.

(BEGIN OPTIONAL TRIM.)

“There are a lot of people up here that are suffering and in pain, and medicine
isn’t working for them,” she said.

Damien Cornwell, owner of a dispensary in Binghamton, New York, that opened in
February, said his business has attracted customers who are “seeking relief they
can’t find at the doctor’s office.” They have ailments such as rheumatoid
arthritis, anxiety and insomnia, he said.

(END OPTIONAL TRIM.)

As more states legalize cannabis — it is now permitted for recreational use in
more than 20 states and Washington, D.C., and for medical use in 38 states and
D.C. — the number of seniors who turn to marijuana will only continue to grow,
experts said. An October Gallup Poll found that about two-thirds of adults age
55 and older think the use of marijuana should be legal.

Cannabis brands are courting seniors.

Steve Hickerson, who lives in Laguna Woods, California, wants to sleep better.

He used cannabis sublingual drops but said they didn’t help, so he’s trying
gummies, “which seem to work much better.” In the past, he felt using
mind-altering drugs was morally wrong — “I’m a Christian,” he explained — but
now, he said, “I’m 79. Things are different.” He is willing to explore products
that have a medical use.

Companies are capitalizing on the newfound interest. Earlier this year,
Hickerson was bused to an event organized by Glass House, one of the biggest
cannabis brands in the country, along with about 50 other people from his
retirement community who were offered cannabis products at a substantial
discount.

The company Trulieve, which has the largest retail footprint for cannabis
products in the United States and a 750,000-square-foot cannabis cultivation
facility in north Florida, is also connecting with older people through
educational sessions at senior living communities.





Kim Rivers, co-founder and CEO of Trulieve, said its “wisdom” customers — those
55 and older — are growing year over year. In Florida, she added, these adults
represent 20% of their customer base.

(BEGIN OPTIONAL TRIM.)

Bristol Extracts, which manufactures cannabis in New York, has created a brand
called Senior Moments — a collection of tinctures, gummies and mints that
debuted in March.

“IT’S TIME TO SPICE THINGS UP A LITTLE!” proclaims the company’s website.
“Growing older doesn’t have to be mundane.”

The brand’s edibles also have ingredients like ginkgo biloba that are advertised
as supporting “memory and mood.” Soon the line will include body balms and
gummies that function as both a sleep aid and an aphrodisiac, said Eric Blazak,
the company’s founder and CEO.

(END OPTIONAL TRIM.)

What should older people know about cannabis?

Because cannabis is not federally legal, doctors don’t have enough research to
guide them on what conditions it is helpful for, who might be at higher risk for
potential harms, how to dose it properly or which strains to recommend, said Dr.
Benjamin Han, an addiction medicine specialist at the University of California,
San Diego, and one of the few geriatricians in the United States who studies
older adults and substance use.

“What makes it even more complicated is, cannabis is a very complex plant,” he
added, and there are more than 100 cannabinoids — the biologically active
components in the cannabis plant — as well as products with different ratios of
THC to cannabidiol, or CBD.

— Start low and slow. If a patient wants to try cannabis products containing
THC, Han recommends starting at a low dose (generally 1 milligram to 2.5
milligrams) and then “give it one week” before making the decision to increase
it.

Taking too many edibles can cause dizziness, confusion, changes in heart rate
and blood pressure, panic attacks, anxiety, nausea, vomiting, and can even land
some people in the emergency room.

(BEGIN OPTIONAL TRIM.)

There’s also the potential for cannabinoid hyperemesis syndrome, a condition
that causes recurrent vomiting in heavy marijuana users.

One study, led by Han, found that emergency department visits associated with
cannabis use among older adults rose more than 1,800% in California — from 366
in 2005 to 12,167 in 2019.

Older users may lean on their prior experience with the drug, but “the cannabis
today is very different,” he said. “It is stronger. And then on top of that,
there are all these physiological changes with aging that make you more
sensitive than you would have been 40 years ago.”

(END OPTIONAL TRIM.)

— Discuss the risks and benefits with your doctor. “It’s important to talk with
a clinician or health provider, especially if you’re using it for medical
reasons to treat chronic disease or chronic symptoms,” Han said.

Cannabis can interact with certain medications, like warfarin, a drug used to
treat blood clots. And seniors who take sedative-hypnotics like Ambien or
benzodiazepines like Xanax — or who drink alcohol — should consider avoiding
cannabis, Solomon said, because when paired with those drugs, it can cause
dizziness and confusion and make seniors more susceptible to falls and injuries.

And smoking cannabis can trigger respiratory symptoms in those with chronic lung
disease, Han added.

— Educate yourself. Verner recommended going to licensed dispensaries that sell
products that have been tested by a third party. Familiarize yourself with state
regulations, too, she said.

“You just need to educate yourself, not be afraid of things — learn for
yourself,” Verner said. “You need to know what may work for you — and you go
from there.”

(STORY CAN END HERE. OPTIONAL MATERIAL FOLLOWS.)

Through trial and error, she discovered that cannabinol, or CBN, which is not
psychoactive, was most helpful for her insomnia.

Now she takes fewer pills: just one for her thyroid levels and another to reduce
her blood pressure.

Many older adults “end up with all these bottles of medicine,” she said. “And I
don’t think that’s necessary.”





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