The US and its bizarre drug regulations

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Superman
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The US and its bizarre drug regulations

Post by Superman »

Today, I get this in my current Medscape newsletter:
Medical Marijuana Use Relieves Pain in Most Patients

NEW YORK (Reuters Health) Dec 19 - The findings of a new study support the medical use of marijuana for the management of chronic pain.

"The Canadian Marijuana Medical Access Regulations program allows Health Canada to grant access to marijuana for medical use to those who are suffering from grave and debilitating illnesses," Dr. Mary E. Lynch, of Dalhousie University, Halifax, Nova Scotia, and colleagues explain.

Dr. Lynch's group reports on a case series of 30 patients (mean age 45 years) followed at a tertiary care pain management center who used medicinal marijuana for 1 to 5 years under the MMAR program.

The patients were asked to complete a follow-up questionnaire, which contained demographic and dosing information, a series of 11-point numerical symptom relief rating scales, a side effects checklist, and a subjective measure of improvement in function.

The subjects were followed up for a mean of 23.6 months. The average dose of marijuana was 2.5 g per day. Marijuana was smoked or taken orally. The results are published in the November issue of the Journal of Pain and Symptom Management.

Twenty-eight patients reported moderate or greater pain relief. Moderate or complete relief in other symptoms was also reported. Twenty-three patients reported side effects, the most common being increased appetite, a sense of well-being, weight gain and slowed thoughts. No serious treatment-related adverse events were reported.

Most patients reported improvements in function, while the rest reported no changes, Dr. Lynch and colleagues report.

While the findings from these 30 patients are positive, the researchers recommend further study with randomized, placebo-controlled trials on the therapeutic use of marijuana.

J Pain Symptom Manage 2006;32:497-501.
Nothing new here really... The efficacy of marijuana as an analgesic has already been firmly established (even though the government denies this).

Most of us know that, here in the U.S., drugs are regulated by the Controlled Substances Act. This includes the five 'drug schedules,' which erroneously categorize drugs by what they label "potential for abuse," "currently accepted medical use in treatment in the United States," "abuse of the drug or other substances may lead to severe psychological or physical dependence," and a few others.

Schedule one drugs are considered to be the most dangerous. To reach this level, the drug must meet the following:

(A) The drug or other substance has a high potential for abuse.
(B) The drug or other substance has no currently accepted medical use in treatment in the United States.
(C) There is a lack of accepted safety for use of the drug or other substance under medical supervision.

On this same schedule we find Heroin, GHB, LSD, Peyote, and, yes, Marijuana. That's right, the government ranks marijuana with Heroin.

Now, I'm no fan of the weed. It never did anything for me, but this is pretty damn silly and, like usual, it ignores all of the evidence. By the way, cocaine, meth, and PCP are Schedule two drugs...

Anyway, is it just a matter of time before the U.S. sees federal legalization?
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Post by Darth Wong »

The US is very slow to move on certain things. Exhibit A: failure to adopt the metric system even at the governmental level.
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Post by Lord Zentei »

Darth Wong wrote:The US is very slow to move on certain things. Exhibit A: failure to adopt the metric system even at the governmental level.
Didn't Carter attempt to make that transition, only for the clock to be set back by Regan?
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Post by Superman »

Lord Zentei wrote:
Darth Wong wrote:The US is very slow to move on certain things. Exhibit A: failure to adopt the metric system even at the governmental level.
Didn't Carter attempt to make that transition, only for the clock to be set back by Regan?
Yes.
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Post by Einhander Sn0m4n »

Not to mention keeping cannabis on Sch I violates the SAME Controlled Substance Act that made it illegal in the first place. It has established medical use and LOW or MEDIUM abuse potential. By the CSA, the government is obligated to reschedule cannabis!
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Post by Superman »

Einhander Sn0m4n wrote:Not to mention keeping cannabis on Sch I violates the SAME Controlled Substance Act that made it illegal in the first place. It has established medical use and LOW or MEDIUM abuse potential. By the CSA, the government is obligated to reschedule cannabis!
Not to mention the biggest joke of all; alcohol and tobacco, both of which have zero medicinal value, not being listed AT ALL.
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Post by CaptainChewbacca »

Tobacco has SOME medicinal value, its just got a lot of medical detriments.
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Post by Superman »

CaptainChewbacca wrote:Tobacco has SOME medicinal value, its just got a lot of medical detriments.
What value would that be?
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Post by CaptainChewbacca »

Superman wrote:
CaptainChewbacca wrote:Tobacco has SOME medicinal value, its just got a lot of medical detriments.
What value would that be?
Niccotine is good for memory and mental acuity in the long term. Also good for the bowel.
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Post by Superman »

CaptainChewbacca wrote:
Superman wrote:
CaptainChewbacca wrote:Tobacco has SOME medicinal value, its just got a lot of medical detriments.
What value would that be?
Niccotine is good for memory and mental acuity in the long term. Also good for the bowel.
Where are these studies? Also, I've never heard of it being used in any clinic or hospital for any medical purpose. Are you sure?
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Post by Illuminatus Primus »

Its a CNS stimulant; it probably helps the same way Adderall and to a lesser extent caffeine can help you concentrate and focus. It also stimulates the smooth muscle tissue, lowering bowel transit times.
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Post by Einhander Sn0m4n »

Superman wrote:
Einhander Sn0m4n wrote:Not to mention keeping cannabis on Sch I violates the SAME Controlled Substance Act that made it illegal in the first place. It has established medical use and LOW or MEDIUM abuse potential. By the CSA, the government is obligated to reschedule cannabis!
Not to mention the biggest joke of all; alcohol and tobacco, both of which have zero medicinal value, not being listed AT ALL.
Slight correction: Alcohol does have apparent health benefits when consumed in moderation, to say nothing of what it does when poured on a nasty cut packed full of dirt. If ever you go playing around in the Punji Stick traps, bring a fifth of vodka or Everclear with you. :lol:
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Post by Superman »

Ah, okay, by "no medicinal value," I meant that you're not going to find them used in a clinical setting for treatment.
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Post by PainRack »

Just to sidetrack the issue a bit...

Why is it that people still prefer smoking marijuana over taking it orally? While you get a higher dose from smoking it, the fact that you're smoking dried leaves essentially means you have no control over the drug amount, not to mention the potential health problems from smoking.
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Post by Darth Wong »

PainRack wrote:Just to sidetrack the issue a bit...

Why is it that people still prefer smoking marijuana over taking it orally? While you get a higher dose from smoking it, the fact that you're smoking dried leaves essentially means you have no control over the drug amount, not to mention the potential health problems from smoking.
Well let's be realistic, both sides are a little full of shit on this one. The anti-marijuana side is ignoring the established medicinal benefits, while the pro-marijuana side is acting as though they're only taking it for medicinal purposes when in fact the vast majority of users are using it as a narcotic and don't give a flying fuck about medicinal purposes. If they were serious about using it as a medicinal drug, they'd be looking to extract the active ingredient for a pill rather than burning it: an act which produces all kinds of undesirable chemical compounds.
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Post by Aaron »

There is a THC pill available in Canada for pain management, a friend of mine takes it. I believe it is synthetic though.
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Post by Einhander Sn0m4n »

Darth Wong wrote:
PainRack wrote:Just to sidetrack the issue a bit...

Why is it that people still prefer smoking marijuana over taking it orally? While you get a higher dose from smoking it, the fact that you're smoking dried leaves essentially means you have no control over the drug amount, not to mention the potential health problems from smoking.
Well let's be realistic, both sides are a little full of shit on this one. The anti-marijuana side is ignoring the established medicinal benefits, while the pro-marijuana side is acting as though they're only taking it for medicinal purposes when in fact the vast majority of users are using it as a narcotic and don't give a flying fuck about medicinal purposes. If they were serious about using it as a medicinal drug, they'd be looking to extract the active ingredient for a pill rather than burning it: an act which produces all kinds of undesirable chemical compounds.
Precisely, Mike. Both sides are full of shit. Unfortunately the political climate about weed in America is that it's considered bad if a drug makes you high, but less bad if it incidentally kills you. Except if you got high first.

Another angle is that there's only one real way to get legalization and that's recognition of its medicinal qualities. Cynical, but it appears the anti-drug pro-prison lobby have trumped all other cards INCLUDING the Constitution.

And yes, Cpl. Kendall, there is. I hear it called Marinol. I also hear users preferring to smoke or eat brownies over it.
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Post by Tsyroc »

Cpl Kendall wrote:There is a THC pill available in Canada for pain management, a friend of mine takes it. I believe it is synthetic though.
It's available in the US as Marinol (dronabinol) and as far as I know it is a synthetic from of THC. I thought it was mostly used as an appetite stimulant in chemo patients though.

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Post by Tsyroc »

Synthetic form not from. :roll:
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Post by salm »

PainRack wrote:Just to sidetrack the issue a bit...

Why is it that people still prefer smoking marijuana over taking it orally? While you get a higher dose from smoking it, the fact that you're smoking dried leaves essentially means you have no control over the drug amount, not to mention the potential health problems from smoking.
You have a lot more control if you smoke it. Smoking it gives you the effect allmost instantly while eating it will take half an hour or so. And if it´s in your stomache there´s no way of getting it out which can lead to very unpleasant experiences.
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Post by Aaron »

Tsyroc wrote:
It's available in the US as Marinol (dronabinol) and as far as I know it is a synthetic from of THC. I thought it was mostly used as an appetite stimulant in chemo patients though.

Marinol
Well my buddy doesn't have cancer, he was previously smoking pot for pain and for court related reasons he had to stop as his ex-wife was threating to use it against him in a custody battle so his doc gave him the synthetic THC. He says it works well enough but he preferred smoking it.
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Post by salm »

I guess that naturally grown grass is a lot cheaper than synthetic THC?
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Post by phongn »

salm wrote:I guess that naturally grown grass is a lot cheaper than synthetic THC?
Not necessarily. To get a pure extraction of THC might well be more expensive than simply synthesizing it.
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Post by salm »

phongn wrote:
salm wrote:I guess that naturally grown grass is a lot cheaper than synthetic THC?
Not necessarily. To get a pure extraction of THC might well be more expensive than simply synthesizing it.
Yeah, but why would you need a pure extraction?
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Post by phongn »

For medicinal purposes, surely you'd want a pure extraction if all you're going for is medicine.
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