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Healthcare Today Legal and Political Issues

Are the Legal Alternatives to Medical Marijuana Effective?


Author:

Eric Sabo

Medically Reviewed On: June 07, 2005

June 7, 2005—The push to make marijuana available for medical use was dealt a serious set back yesterday by the Supreme Court. In a 6-3 decision, the Court ruled that federal authorities could prosecute sick patients who took the controlled substance under a doctor's supervision, essentially overturning voter referendums that had made marijuana legal for "compassionate" use in 11 states.

Proponents claim that marijuana is often the only drug that helps for a variety of ailments, whether it's relieving pain or increasing appetites in those treated for cancer or AIDS. But yesterday's ruling adds further ammunition to those who have long contended that the drug is unsafe.

"Our national medical system relies on proven scientific research, not popular opinion," said John Walters, director of National Drug Control Policy, to reporters after the ruling was announced on Monday. "To date, science and research have not determined that smoking marijuana is safe or effective."

Illegal and Unknown
The effort to make marijuana available for medical purposes gained momentum after an Institute of Medicine (IOM) report suggested that the illegal drug held therapeutic potential. In the 1999 study, which was sponsored by the government's anti-drug office, the IOM stated that marijuana's active ingredients might prove effective for a range of conditions. These included countering nausea and lack of appetite from cancer treatment, to helping with painful conditions such as multiple sclerosis. The researchers called for rigorous testing in clinical trials.

Stanley Watson, the co-director of the Mental Health Research Institute at the University of Michigan and one of the authors of the IOM report, said there has been a lack of political interest in pursuing further studies. "There's not enough evidence to let us say that marijuana is a great treatment, nor is there enough evidence to let us say that marijuana is a bad treatment," he said. "The fact is we're stuck."

The Options
At the moment, the only legal marijuana option is Marinol, a prescription pill that contains THC, the active ingredient found in its illegal counterpart. The Food and Drug Administration approved Marinol to help relieve the nausea and vomiting associated with cancer chemotherapy. This past April, Canadian health authorities allowed for the use of a marijuana spray called Sativex. The new spray, which dissolves in the mouth and treats neurological pain associated with multiple sclerosis, contains THC and another marijuana ingredient, cannabidiol

For those who have tried marijuana to help with their medical conditions, are either of these an effective alternative? Margaret Haney of Columbia University said that a marijuana pill has not exactly caught on, but she contends that such drugs can help.

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