Pubdate: Fri, 10 Dec 2004 Source: Orlando Sentinel (FL) Section: My Word Copyright: 2004 Orlando Sentinel Contact: http://www.orlandosentinel.com/ Details: http://www.mapinc.org/media/325 Author: James R. McDonough Note: James R. McDonough is the director of the Florida Office of Drug Control. Bookmark: http://www.mapinc.org/mmj.htm (Cannabis - Medicinal) FLORIDA DRUG CZAR: MARIJUANA NOT A MEDICINE Smoked marijuana is not medicine. So concludes the definitive study by the Institute of Medicine (March 1999) on the medical potential of marijuana. While the report supported evidence-based research into the effects of cannabinoids, it emphasized that smoked marijuana is a crude drug-delivery system that exposes patients to a significant number of harmful substances. This from a panel of experts that included those inclined to accept the anecdotal testimony of marijuana users. In the end, they could not recommend marijuana's use as medicine. While scientific research suggests that THC, one of the hundreds of chemical compounds found in the marijuana plant, may be beneficial for some symptoms, medical science as a whole has rejected the idea of self-medication by way of a burning plant. The American Medical Association (as well as the Florida Medical Association), the American Cancer Society and many other professional medical organizations reject marijuana as medicine. Prescription drugs (such as Marinol and Cesamet) containing synthetic forms of THC are available to alleviate identified symptoms without exposing the patient to the risks posed by smoking marijuana. Science continues to research the effects of smoked marijuana, and the results continue to show the damage done by it -- weakened immune systems, the lessened ability of the lungs to fight off fungi, bacteria and tumor cells, pulmonary infections and pneumonia. Other studies (e.g., Professor John Henry, Imperial College in London) have indicated that regular marijuana use increases the likelihood of schizophrenia (fourfold) and the chances of suffering major depressive illnesses. At the same time, other studies have disproved many of the claims for marijuana's "curative" potential (e.g., for glaucoma, anorexia nervosa, spastisity, etc.). While we must be compassionate to those suffering from illness and pain, we must be careful not to advance unsafe and unproven claimed "medical" remedies. The Food and Drug Administration's primary mission is to promote and protect the public health. For prescription drugs, it employs a clinical trial process that must document both efficacy and safety for any new drug. Its systemic, scientific procedures guard against unwanted public health consequences. Considering the many claims of supposed miracle drugs that prove in the end to be disastrous, we would abandon such a process only at great risk Nor should we forget the social and political implications of prematurely declaring marijuana a medicine. Clearly, there are well-financed factions that seek the legalization of marijuana not just as medicine but also as a legal substance for recreational use. They do not hesitate to exploit the extremely ill in order to garner support for their otherwise untenable position. They would move the issue to popular referendum instead by appealing to the humanity in all of us for those who are clearly suffering and who believe their relief lies in smoking pot. But the acceptance of marijuana as a benign drug (despite the overwhelming evidence to the contrary) would invariably lead to more widespread use (and not just by those who are ill) of marijuana and other illegal drugs. Our citizens, neighborhoods and communities would suffer the consequences of that outcome in short order. America has a high-quality medical system in place, one that has established safeguards and procedures through the years to ensure that it reflects the best medical and scientific values. We would do well to allow that system to function as it has and not define medicine by anecdote, political agitation or momentary popularity. - --- MAP posted-by: Richard Lake