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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Side Effects Of Drug Smoking After Concussion

hello, i got a concussion last night playing backyard football. i landed on my shoulder and neck and do not remember anything for about 5 minutes after receiving the concussion. i remember everything before and everything after 5 minutes had passed, but now the next day my shoulder really hurts. it is not broken, but i have a bone bruise. i do not have any symptoms of a concussion any longer, with the exception of a headache every now and again form physical activity. My question to you is what would be the effects of smoking marijuana 24 hours after the incident occurred? i have found mixed reviews about this online, and I am asking more than just if you believe it is safe or not, but what it could actually affect in my head, if anything at all.
Mon, 16 Nov 2015
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Addiction Medicine Specialist 's  Response
Yeah, it's a bad idea. It is UNLIKELY to affect the head although there's nothing out there one way or the other on safety. There is some small evidence of effects on learning being hurt by marijuana. Major brain deterioration... no, very little evidence of that. Here's the problems:
1) the big problem with concussion is that it predisposes someone to Really BAD effect if there are multiple ones in a short time. While it is NOT known if marijuana counts as further injury, waiting the time til it wouldn't be huge risk of another concussion (2 weeks after totally normal and NO headaches, confusion, etc.) would mean the risk is not increased from the usual use of marijuana.
2) people on marijuana do stupid stuff that sets up for antoher (worse, much much worse) concussion
3) it confuses the heck out of the issue. Let us assume you have a totally normal, indeed wonderful, experience with the next joint. Someone who knows about the previous concussion sees you a bit .. well... dopey. Reasonably they call the ambulance, you have to have a CT of the head to rule out subdural, thinking you don't want a thousand dollar hospital bill you start to run away, they figure it's a certain sign of a serious head injury, you get tasered and forced to have an evaluation, are stuck in the hospital for a required evaluation..........

Waiting a bit gets rid of all the issues.
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Suggest Side Effects Of Drug Smoking After Concussion

Yeah, it s a bad idea. It is UNLIKELY to affect the head although there s nothing out there one way or the other on safety. There is some small evidence of effects on learning being hurt by marijuana. Major brain deterioration... no, very little evidence of that. Here s the problems: 1) the big problem with concussion is that it predisposes someone to Really BAD effect if there are multiple ones in a short time. While it is NOT known if marijuana counts as further injury, waiting the time til it wouldn t be huge risk of another concussion (2 weeks after totally normal and NO headaches, confusion, etc.) would mean the risk is not increased from the usual use of marijuana. 2) people on marijuana do stupid stuff that sets up for antoher (worse, much much worse) concussion 3) it confuses the heck out of the issue. Let us assume you have a totally normal, indeed wonderful, experience with the next joint. Someone who knows about the previous concussion sees you a bit .. well... dopey. Reasonably they call the ambulance, you have to have a CT of the head to rule out subdural, thinking you don t want a thousand dollar hospital bill you start to run away, they figure it s a certain sign of a serious head injury, you get tasered and forced to have an evaluation, are stuck in the hospital for a required evaluation.......... Waiting a bit gets rid of all the issues.