Business · June 21, 2021 0

Marijuana Make use of as well as Healthcare.

Marijuana continues to be the most highly abused drug in America. The arguments for and from the legalization of marijuana continue to escalate. This piece isn’t intended to set the stage for a legalization debate about marijuana. Instead, I need caution practitioners whose patients under their care test positive for marijuana. Marijuana use remains forbidden by Federal law and patients who self-medicate or abuse marijuana should not be prescribed controlled substances.

Unfortunately, many physicians tend to be up against the dilemma of whether to prescribe controlled substances to patients who drug test positive for marijuana. This is very the case in states that have modified state laws to legalize marijuana. These changes in state law don’t change the Federal guidelines that physicians must follow. As a former career DEA agent, I remind physicians that marijuana remains an illegal Schedule I controlled substance with no accepted medical use in the U.S. The actual fact remains that state laws have Federal oversight, as previously mentioned in the Supremacy Clause of the Constitution. “The Supremacy Clause is just a clause within Article VI of the U.S. Constitution which dictates that federal law could be the supreme law of the land. Beneath the doctrine of preemption, that will be based on the Supremacy Clause, federal law preempts state law, even when the laws conflict.”(1)

Each time a physician becomes aware a patient is using marijuana, alternate methods of therapy should really be implemented other than prescribing controlled substances. Do CBD Gummies help with anxiety? Physicians should also take steps to refer the patient for treatment and cessation if any illegal drug use is revealed, including marijuana. Physicians should also remember that the marijuana produced today is a lot more potent than the past and using high potency marijuana along with controlled substances isn’t safe for patients.

Is there such a thing as FDA approved medical marijuana? You can find two FDA approved drugs in the U.S. containing a manufactured analogue of THC (tetrahydrocannabinol), that will be the principal chemical (cannabinoid) accountable for marijuana’s psychoactive effects. A manufactured version of THC is within the FDA approved drugs Marinol (Schedule III) and Cesamet (Schedule II) which are prescribed to take care of nausea for cancer patients undergoing chemotherapy. Marinol can be prescribed to stimulate the appetite of cancer and anorexia patients (2). The FDA is currently overseeing trials being conducted on Epidiolex (3), a drug manufactured by GW Pharmaceuticals and developed to reduce convulsive seizures in children. The drug contains cannabinoids from marijuana, referred to as cannabidiol or CBD, which does not contain the psychoactive properties of traditional marijuana and does not produce a high. If this drug receives FDA approval, it would make history being the first approved drug containing CBD in the U.S.

Additionally, DEA has issued a special registration to an investigation laboratory at the University of Mississippi to cultivate various strains of marijuana for clinical trials (4). This research will continue, but as of this writing, ingesting or smoking botanical marijuana or the cannabis plant itself isn’t federally approved being an accepted medical treatment in the U.S. Patients who smoke or ingest marijuana need to be aware that they’re breaking Federal law and might be prosecuted under Federal statutes. Furthermore, physicians should really be testing for marijuana use and if detected, they need to not prescribe controlled substances, regardless of their diagnosis and the patient’s symptoms, as per current Federal statutes.