Dr. Benjamin Han, a renowned geriatrician and addiction medicine specialist at the University of California, San Diego, shares a cautionary tale that highlights the potential dangers of cannabis use among older adults. He recounts the story of a 76-year-old patient who faced significant challenges with insomnia, a common issue in the elderly population.
The patient had difficulty falling asleep and often woke up in the middle of the night, which is a prevalent concern among seniors. In an attempt to alleviate her insomnia, her daughter provided her with sleep gummies—edible candies infused with cannabis. Dr. Han explains, “She tried a gummy after dinner and waited half an hour,” but when she felt no effects, she consumed an additional gummy, followed by another, totaling four gummies over several hours.
Dr. Han advocates for a cautious approach when using cannabis, advising patients to “start low; go slow.” He recommends beginning with products that contain only 1 to 2.5 milligrams of tetrahydrocannabinol (THC), the psychoactive component found in many cannabis products. Unfortunately, each of the gummies this patient consumed contained a potent 10 milligrams of THC.
As a result of her overconsumption, the woman began experiencing intense anxiety and heart palpitations. While younger individuals might dismiss such symptoms, this patient had pre-existing health conditions, including hypertension and atrial fibrillation, a type of heart arrhythmia. Concerned for her well-being, she sought treatment at an emergency room.
Fortunately, lab tests and a thorough cardiac evaluation confirmed that the woman was not experiencing a heart attack, and she was eventually sent home. However, the only lingering symptom she faced was one of embarrassment, as noted by Dr. Han. He raises important questions about the potential for more serious outcomes: “What if she’d grown dizzy or lightheaded and was hurt in a fall?”
Dr. Han emphasizes that he has encountered patients who have sustained injuries from falls or while driving after using cannabis. Additionally, there is a risk that cannabis could interact adversely with other prescription medications that older adults commonly take. This underscores the importance of consulting healthcare professionals before using cannabis, especially for those with existing health issues.
The story shared by Dr. Han serves as a critical reminder of the complexities surrounding cannabis use among the elderly. As more seniors explore cannabis for various health concerns, it is essential to prioritize safety and follow recommended guidelines to minimize risks and ensure well-being.
