Medical marijuana is now legal in at least 40 states, including Washington, D.C. and Puerto Rico. This change raises a complex question for families: Can cannabis edibles help alleviate dementia-related symptoms such as agitation, memory loss, and sleep issues? Edibles, particularly gummies, pose unique challenges due to unpredictable dosing and timing, especially in older adults.
Growing Trend and Concerns
Sam Cradduck, a gerontologist, notes that the use of cannabis edibles in dementia care is gaining traction. While she does not oppose cannabis use in controlled environments for appropriate reasons, she cautions against using it solely to simplify management. “What we don’t want to do is just over-sedate somebody because they’re easier to control,” Cradduck emphasizes.
Her primary concerns include:
- Over-sedation, increasing the risk of falls.
- Increased confusion, particularly in those with existing cognitive impairment.
- Potential for lowered blood pressure.
- The risk of administering excessive doses due to the delayed effects of edibles.
The Unpredictability of Edibles
Dr. Rhea Rogers, a board-certified physician, explains that older adults typically metabolize substances more slowly, making the delayed onset of a gummy even less predictable. This variation can lead caregivers to mistakenly administer a second dose before the first takes effect. Amy O’Rourke, an aging expert, stresses that cannabis should not be viewed as a first-line treatment option. “Non-pharmacological is always the best solution,” she states.
Examining the Root Causes of Agitation
The Aging Untold hosts advise families to investigate the underlying causes of agitation and work closely with healthcare professionals to confirm that symptoms are not attributable to treatable conditions, such as infections.
The Importance of Expert Guidance
O’Rourke underscores the significance of consulting a doctor or healthcare provider before trying cannabis edibles. Rogers points out that in areas where medical marijuana is legal, educational resources and professionals can assist families in understanding product composition and concentrations. Katherine Ambrose, an aging-well coach, emphasizes that families do not need to navigate this process alone.
Key Takeaways
- Edibles can be delayed and unpredictable, particularly for older adults.
- Risks may include over-sedation, falls, confusion, and low blood pressure.
- Rule out treatable causes of agitation before considering cannabis.
- Consult a healthcare provider for guidance if considering cannabis edibles.