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The disease, which affects the central nervous system, wracked her with pain and fatigue. Then came shortness of breath, urinary tract infections, neuropathy and loss of mobility in one leg. So she turned to a less conventional therapy: cannabis. For years she used it illegally to treat her condition. Patients like Rivera rejoiced, but their celebration was short-lived. They still face an array of obstacles, as a law meant to offer relief has collided with traditional mores of Puerto Rican society. Employers can fire medical cannabis users. Doctors often refuse to discuss marijuana as a treatment option. And patients must pay a tax when they buy the drug. As of July , about 92, patients had registered with the Department of Health as medical cannabis users in Puerto Rico, mostly for anxiety disorders and chronic pain. They can buy the drug at dispensaries, in the form of flowers, creams, oral drops, vapor, patches, pills and more. The law has made it easier in some respects. Capella and others, however, suggest that the law has had limited impact, as Puerto Rico has not fully reckoned with its implications. Patients can buy medical cannabis only after a doctor recommends it. Ideally, physicians should do an in-person exam, but many engage patients online or by phone instead. The law does not let doctors write prescriptions for medical marijuana, which means it is considered taxable personal property. Patients who buy the drug pay an A number of rules dictate how physicians handle issues around medical marijuana, and government officials say rogue doctors risk going before the Medical Disciplinary Licensing Board. Companies must do rigorous lab testing, which may increase the cost, she says, but this protects patients. She notes the government lets the market set prices for medical cannabis. The United States Food and Drug Administration does not regulate medical marijuana, Maldonado says, which is why physicians can only recommend — not prescribe — the drug. Medical cannabis laws are evolving. Municipalities in Puerto Rico generally do not protect employees who use the drug, but a law pending in the legislature would keep employers from firing workers who are certified to take cannabis. This is not the same as recreational use. Rivera says that since a general practitioner certified her use of medical cannabis, she has seen five neurologists over the years. None have been certified to recommend cannabis, and some treat the topic as taboo. Rivera says her health has improved. She takes a magnetic resonance imaging exam annually, and although telltale brain lesions from the disease are still present, they are inactive. This means her symptoms surface less frequently. She hopes to lower the cost by making edibles and oils from the cannabis flower. This article, originally published on July 26, , was updated to reflect new dispensaries. Skip to main content. Donate newsletter. Regions Africa Americas Asia. Support Global Press. Editorial Team Stephen Buckley Editor. Mira Galanova Fact-Checker. Allison Braden Copy Editor. Shannon Kirby Translator. Share on. Using marijuana for any other purpose remains illegal. Funny and animated, Rivera symbolizes the struggles and triumphs of many patients. She would like to grow her own marijuana, but home cultivation remains illegal in Puerto Rico. Related Stories. But Do They Work? Publication Date October 4, GPJ Accurate.

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Buying hash Maldonado

Association of patterns of cannabis abuse and dependence with risk of problematic, dysregulated and addictive non-substance-related. Co-occurrence of drug abuse with other dysregulated behaviors is common. Participants were recruited by stratified probability sampling at the University of Granada. Associations between gender and MultiCAGE scores were estimated using the ordinal gamma correlation index and tested with chi. Cannabis dependence and abuse were significantly associated with an increased risk of problematic video gaming. These associations were mostly driven by men. The risk of problematic drinking, in turn, was strongly associated with all other non-substance-related problems problem gambling, excessive internet use, dysregulated eating, compulsive shopping and hypersexuality. These differential associations may shed light on the aetiological similarities and differences between problematic substance use and suspected addictive behaviors that do not involve drugs. Perales, J. Association patterns of cannabis abuse and dependence with risk of problematic non-substance-related dysregulated and addictive behaviors. Breadcrumb Home Information News Cannabis problematic behaviors. Cannabis dependence associated with risk of problematic behaviors. Association of patterns of cannabis abuse and dependence with risk of problematic, dysregulated and addictive non-substance-related Co-occurrence of drug abuse with other dysregulated behaviors is common.

Buying hash Maldonado