Wednesday, January 15, 2014

Medical marijuana popular question for Loyola MS specialist

MAYWOOD, Ill. – Ever since medical marijuana became legal in Illinois on Jan. 1,  Loyola University Medical Center neurologist and multiple sclerosis specialist Dr. Matthew McCoyd has been inundated with questions from his patients.

The topic typically comes up at the end of the visit, when the patient brings up one last thing: What does Dr. McCoyd think about medical marijuana?
“It’s an extremely common question,” McCoyd said.

There are anecdotal reports that marijuana can relieve pain and spasticity in MS patients, but there is little evidence from clinical trials that marijuana is effective, McCoyd said. However, he noted that a marijuana-based drug called Sativex has been approved in Britain, Canada and other countries for the treatment of MS spasticity. A small pump delivers a precise amount of the peppermint-flavored medicine with each spray. The drug, extracted from cannabis plants, has been shown in clinical trials to be effective.

McCoyd said medical marijuana may be an option for carefully selected MS patients who are Illinois residents. Like any prescription medication, there is a concern for medication abuse, which will have to be considered on a case-by-case basis.

McCoyd said medical marijuana could also be prescribed to help relieve muscle spasms in patients with amyotrophic lateral sclerosis (ALS), often referred to as Lou Gehrig’s disease, another qualifying medical condition under the new law.

On Jan. 1, Illinois began a four-year trial program that will allow patients with MS and certain other conditions to obtain prescriptions for medical marijuana. MS is among the main indications for medical marijuana.

McCoyd said there are differences between medical marijuana and marijuana sold on the street. Street marijuana has higher concentrations of THC, the compound that provides the drug’s high. Medical marijuana has less THC and higher concentrations of cannabinoid compounds.

McCoyd is an assistant professor in the Department of Neurology of Loyola University Chicago Stritch School of Medicine.

About Loyola University Health System

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system that includes Loyola University Medical Center (LUMC), located on a 61-acre campus in Maywood, Gottlieb Memorial Hospital (GMH), on a 36-acre campus in Melrose Park, and convenient locations offering primary and specialty care services throughout Cook, Will and DuPage counties. At the heart of LUMC is a 547-licensed-bed hospital that houses the Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, a Level 1 trauma center, a burn center, a children's hospital, Loyola Outpatient Center, and Loyola Oral Health Center. The campus also is home to Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. The GMH campus includes a 254-licensed-bed community hospital, a Professional Office Building with 150 private practice clinics, an adult day care program, the Gottlieb Center for Fitness, the Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. It serves people and communities in 22 states from coast to coast with 93 hospitals, and 120 continuing care locations — including home care, hospice, PACE and senior living facilities — that provide nearly 2.5 million visits annually.