Bryan Hecht’s article on the gray wave of older cannabis consumers highlights an important reality: Seniors are finding real relief, but often without the medical oversight their complex health needs demand (“As more seniors use pot, more doctors worry,” Page A1, March 17). For an older adult with pain, weight loss, insomnia, or anxiety, cannabis can be a reasonable option — if it is integrated thoughtfully into existing treatment, not simply added on top of multiple prescriptions.

Many seniors take anticoagulants, antidepressants, sleep agents, and heart medications that share metabolic pathways with cannabinoids and can be affected by THC and CBD. At the same time, older adults face higher risks of dizziness, falls, confusion, and cardiovascular events when taking high doses or when product potency and timing are not matched to their history.