Does Marijuana have Medical Value?

Does Marijuana have Medical Value?

You’re sick. Someone offers you marijuana, saying that it will alleviate your suffering. Do you take it? Many patients and doctors have insisted that marijuana is uniquely beneficial, while others say the dangers of cannabis far outweigh the benefits. We know that marijuana is a drug, but is it a medicine?

Next question in Drug Law

  • “No”
  • “Objection”
Drug Free America

No Relief from M.S., Chronic Pain or Glaucoma

Drug Free America Foundation

Does it help those with multiple sclerosis?

  • Studies show that spasticity is made worse, not better.
  • Patients may perceive their spasticity to be partially relieved, but medicine has a higher standard – to actually get better not just to feel as though you are getting better.

Does it help people with chronic pain?


  • Not in its raw form with its undesirable side effects
  • There are hopeful studies (link to NIDA study) in animals that suggest a molecule similar to the cannabinoids in marijuana could be isolated and used to help alleviate pain. The lead researcher cautions: “It is a big step to go from a successful animal model to treating humans in pain.”

What about glaucoma patients?

  • Raw marijuana has never been shown to be better or even just as good as existing drugs for relieving eye pressure, and it brings with it many more side effects than the approved medicines.

Evidence

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Neurology
Killestein, J, Hoogervorst, E, Reif, M, Kalkers, N, Van Leonen, C, Staats, P, Gorter, R, Yitdehaag, B, Polman, C. Safety, tolerability and efficacy of orally administered cannabinoids in MS. Neurology 2002;58: 1404-1407.
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British Journal of Medicine
Campbell FA, Tramer MR, Carroll D, Reynolds DJ, Moore RA, McQuay HJ. Are Cannabinoids an effective and safe treatment option in the management of pain? A qualitative systematic review. British Journal of Medicine 2001;323: 13-16 [systematic review of the available literature on cannabinoids and pain. Concluded that cannabinoids are no more effective than codeine in controlling pain and have depressant effects that limit usefulness. Should not be used in acute pain. Widespread introduction into clinical pain practice is undesirable.]
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Cannabinoid Appears Promising for Treatment of Chronic Pain
Mathias, R. Novel cannabinoid appears promising for treatment of chronic pain. NIDA Notes 2004; 19: 2.
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THC in the Treatment of End-Stage Open-Angle Glaucoma
Flash AJ. Delta-9-tetrahydrocannabinol (THC) in the treatment of end-stage open-angle glaucoma. Trans Am Ophthalmo Soc 2002;215-222. [a study of ophthalmologists were treated with either oral THC or inhaled marijuana in addition to their regimen. Only nine patients were ultimately enrolled.
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Federal Register
Bonner, R. Marijuana rescheduling petitions.57 Federal Register. (1992):10499-10508.
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