Pubdate: Fri, 24 Mar 2000 Source: Times, The (UK) Copyright: 2000 Times Newspapers Ltd Contact: PO Box 496, London E1 9XN, United Kingdom Fax: +44-(0)171-782 5046 Website: http://www.the-times.co.uk/ A DOSE OF POT CAN RELIEVE THE PAIN Medical Briefing By Dr Thomas Stuttaford Only the most reactionary doctors are likely to object to the use of cannabis preparations in medicine when there is a clinical indication for it and other drugs have proved ineffective. Their use may well include the relief of pain which occurs as the result of muscular spasm. That is typically experienced by patients with multiple sclerosis, but also occurs in other neurological conditions. The prescription of cannabis preparations would be no revolutionary move. A 1934 pharmacopoeia, which I inherited from my father, lists three different preparations, including cannabis or its derivatives. As well as being recommended for the treatment of pain, they were suggested as a means of inducing euphoria in terminal cases. What is less certain is that smoking cannabis is the best way to utilise the plant's undisputed pharmacological properties. Various extracts of cannabis are likely to have a role in pharmacy, and research workers are now endeavouring to find one which is clinically useful without leaving the patient "stoned". THC, also known as Dronabinol, is already licensed in some countries for medicinal use. A preparation which tends to be of variable strength when taken by mouth, it has has proved useful in treating the nausea and vomiting brought on by the chemotherapy prescribed in the treatment of cancer. As with other cannabis prepartions, however, it does have side effects. These include a lowering of blood pressure and drowsiness, as well as the mood changes and loss of visual and time sense that would be recognised by pot smokers. - --- MAP posted-by: Allan Wilkinson