Pubdate: Wed, 11 Jul 2007
Source: Mount Shasta Herald (CA)
Copyright: 2007 Mt. Shasta News
Contact:  http://www.mtshastanews.com/
Details: http://www.mapinc.org/media/3515
Author: Paul Boerger
Bookmark: http://www.mapinc.org/mmj.htm (Marijuana - Medicinal)

OPINIONS ON MEDICAL MARIJUANA ARE DIVERSE

The question of whether marijuana, also known as cannabis, has 
medical benefits engenders a wide range of often opposing opinions.

The federal government denies there is any medical benefit, while 
some doctors' associations support its use.

Other organizations say the issue needs more study.

The US Food and Drug Administration, the agency responsible for 
testing and approving drug products for the country, says marijuana 
is not FDA approved for any medical treatment and supports its 
classification by the Drug Enforcement Administration as a Schedule I 
drug, along with heroin and opium.

"FDA has not approved smoked marijuana for any condition or disease 
indication. Furthermore, there is currently sound evidence that 
smoked marijuana is harmful," the FDA says. "A growing number of 
states have passed voter referenda, or legislative actions, making 
smoked marijuana available for a variety of medical conditions upon a 
doctor's recommendation. These measures are inconsistent with efforts 
to ensure that medications undergo the rigorous scientific scrutiny 
of the FDA approval process and are proven safe and effective under 
the standards of the FD&C Act."

Of marijuana's classification as a Schedule 1 drug, the FDA states, 
"Marijuana has a high potential for abuse, has no currently accepted 
medical use in treatment in the United States, and has a lack of 
accepted safety for use under medical supervision."

The California Medical Association, however, supports the medical use 
of cannabis in "case of medical necessity" and has supported that 
position by filing court briefs in support of its use.

In its official position paper on the issue, CMA says physicians need 
the freedom to treat patients as they see fit and that marijuana has 
been shown to be effective treating certain medical conditions.

"CMA believes that physicians and their patients must be free to 
explore all possible avenues of medical treatment when standard 
therapies have failed, and no governmental body should impede or 
punish that effort," said former CMA president Dr. Frank E. Staggers, 
Sr., an Oakland urologist.

Former CMA CEO Dr. Jack Lewin says, "In cases of extreme discomfort 
or wasting, when patients are undergoing chemotherapy or are 
suffering from AIDS or other diseases, evidence shows that marijuana 
can be an effective treatment."

The American Medical Association does not endorse the use of 
marijuana as a medicine but says certain conditions, "continue to 
merit further study on the potential medical utility of marijuana."

These conditions include HIV infected pain relief, nausea and 
vomiting side effects of medications and chemotherapy, spinal cord 
injury pain, chronic pain and insomnia.

"The AMA calls for further adequate and well-controlled studies of 
marijuana and related cannabinoids in patients who have serious 
conditions for which preclinical, anecdotal, or controlled evidence 
suggests possible efficacy and the application of such results to the 
understanding and treatment of disease," the AMAstates.

In an article in the New England Journal of Medicine, Dr. Jerome P. 
Kassirer argues that in cases of patients who suffer pain associated 
with life threatening illnesses marijuana should be allowed as a 
treatment and is preferable to the alternatives.

"I believe that a federal policy that prohibits physicians from 
alleviating suffering by prescribing marijuana for seriously ill 
patients is misguided, heavyhanded, and inhumane. Marijuana may have 
long-term adverse effects and its use may presage serious addictions, 
but neither long-term side effects nor addiction is a relevant issue 
in such patients," Kassirer wrote. "It is also hypocritical to forbid 
physicians to prescribe marijuana while permitting them to use 
morphine and meperidine to relieve extreme dyspnea and pain. With 
both these drugs the difference between the dose that relieves 
symptoms and the dose that hastens death is very narrow; by contrast, 
there is no risk of death from smoking marijuana." 
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MAP posted-by: Richard Lake