Physicians who prescribe opioid drugs to patients with neuropathy (nerve pain) ought to consider recommending cannabis as an alternative therapy, according to a peer-reviewed paper published online this week in the Harm Reduction Journal.
“There is sufficient evidence of safety and efficacy for the use of (cannabis/cannabinoids) in the treatment of nerve pain relative to opioids,” the commentary states. “In states where medicinal cannabis is legal, physicians who treat neuropathic pain with opioids should evaluate their patients for a trial of cannabis and prescribe it when appropriate prior to using opioids. … Prescribing cannabis in place of opioids for neuropathic pain may reduce the morbidity and mortality rates associated with prescription pain medications and may be an effective harm reduction strategy.”
The author notes that between the years 1999 and 2006, “approximately 65,000 people died from opioid analgesic overdose.” By contrast, he writes “[N]o one has ever died from an overdose of cannabis.”
In clinical trials, inhaled cannabis has been consistently shown to reduce neuropathic pain of diverse causes in subjects unresponsive to standard pain therapies.
States Say It’s Time to Rethink Medical Marijuana
Medical marijuana advocates are hoping state governments can succeed where their efforts have failed by asking federal authorities to reclassify pot as a drug with medical use.
Shortly before Christmas, Colorado became the fourth state to ask the U.S. Drug Enforcement Administration to reclassify marijuana as a narcotic in the same league as heavyweight painkillers including oxycodone. The governors of Washington and Rhode Island filed a formal petition with the agency in November, and Vermont signed onto that request shortly afterward.
All four are among the sixteen states and the District of Columbia that have laws on the books that allow the medical use of marijuana, even though the drug remains illegal under federal law. Meanwhile, federal authorities have asserted their power by raiding dispensaries in states including California and Washington.
Supporters say the public is on their side, and the state requests show the feds are increasingly isolated on the issue. But they acknowledge it’s still an uphill battle.
“I don’t think that we’re going to see to much change in Washington’s position on this until public opinion and state-level support reaches a little bit higher a tipping point,” said read Morgan Fox, a spokesman for the D.C.-based Marijuana Policy Project.
(via ikenbot)
The Marin Alliance, the longest operating dispensary in California, will close after being targeted by U.S. Attorney Melinda Haag for being in the vicinity of a park. Having the Town of Fairfax pass a resolution in support of the dispensary just wasn’t enough.
The Marin Alliance is one of hundreds of California dispensaries that have closed since October, when the state’s U.S. attorneys announced that cracking down on the medical cannabis industry ”is a higher priority now.”
Yep, totally top priority considering everything else that’s going on right now. This is where most of what little money there supposedly is, goes to.
“Given the limited resources that we have…if in fact people are not using the policy decision that we had made to use marijuana in a way that’s not consistent with the state statute, we will not use our limited resources in that way.”
— AG Eric Holder YESTERDAY
WASHINGTON — Attorney General Eric Holder on Thursday reiterated the Justice Department’s support for the Ogden memo, which in 2009 declared that the sale and use of medical marijuana in states where it’s legal are a low priority for federal prosecutors.
“What we said in the memo we still intend, which is that given the limited resources that we have, and if there are states that have medical marijuana provisions … if in fact people are not using the policy decision that we have made to use marijuana in a way that’s not consistent with the state statute, we will not use our limited resources in that way,” Holder said. +
Reefer Madness | NYT
by Ethan Nadelmann, executive director of the Drug Policy AlliancePresident Obama has not publicly announced a shift in his views on medical marijuana, but his administration seems to be declaring one by fiat. The head of the Drug Enforcement Administration, Michele M. Leonhart, a Bush appointee re-nominated by Mr. Obama, has exercised her discretionary authority to retain marijuana’s classification as a Schedule I drug with “no currently accepted medical use in treatment in the United States.” And the pronouncements on marijuana, medical and otherwise, from Mr. Obama’s top drug policy adviser, R. Gil Kerlikowske, have been indistinguishable from those of Mr. Bush’s.
None of this makes any sense in terms of public safety, health or fiscal policy. Apart from its value to patients, medical marijuana plays an increasingly important role in local economies, transforming previously illegal jobs into legal ones and creating many new jobs as well, contributing to local tax bases and stimulating new economic activity. Federal crackdowns will not stop the trade in marijuana; they will only push it back underground and hurt those patients least able to navigate illicit markets. +