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Inter-Agency Advisory Regarding Claims That Smoked Marijuana Is a Medicine
http://www.fda.gov/ ^ | 4 20 06 | fda

Posted on 04/21/2006 8:43:49 AM PDT by freepatriot32

FDA Statement

FOR IMMEDIATE RELEASE Statement April 20, 2006

Media Inquiries: FDA Press Office, 301-827-6242

Consumer Inquiries: 888-INFO-FDA

Inter-Agency Advisory Regarding Claims That Smoked Marijuana Is a Medicine

Claims have been advanced asserting smoked marijuana has a value in treating various medical conditions. Some have argued that herbal marijuana is a safe and effective medication and that it should be made available to people who suffer from a number of ailments upon a doctor's recommendation, even though it is not an approved drug.

Marijuana is listed in schedule I of the Controlled Substances Act (CSA), the most restrictive schedule. The Drug Enforcement Administration (DEA), which administers the CSA, continues to support that placement and FDA concurred because marijuana met the three criteria for placement in Schedule I under 21 U.S.C. 812(b)(1) (e.g., 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). Furthermore, there is currently sound evidence that smoked marijuana is harmful. A past evaluation by several Department of Health and Human Services (HHS) agencies, including the Food and Drug Administration (FDA), Substance Abuse and Mental Health Services Administration (SAMHSA) and National Institute for Drug Abuse (NIDA), concluded that no sound scientific studies supported medical use of marijuana for treatment in the United States, and no animal or human data supported the safety or efficacy of marijuana for general medical use. There are alternative FDA-approved medications in existence for treatment of many of the proposed uses of smoked marijuana.

FDA is the sole Federal agency that approves drug products as safe and effective for intended indications. The Federal Food, Drug, and Cosmetic (FD&C) Act requires that new drugs be shown to be safe and effective for their intended use before being marketed in this country. FDA's drug approval process requires well-controlled clinical trials that provide the necessary scientific data upon which FDA makes its approval and labeling decisions. If a drug product is to be marketed, disciplined, systematic, scientifically conducted trials are the best means to obtain data to ensure that drug is safe and effective when used as indicated. Efforts that seek to bypass the FDA drug approval process would not serve the interests of public health because they might expose patients to unsafe and ineffective drug products. FDA has not approved smoked marijuana for any condition or disease indication.

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. Accordingly, FDA, as the federal agency responsible for reviewing the safety and efficacy of drugs, DEA as the federal agency charged with enforcing the CSA, and the Office of National Drug Control Policy, as the federal coordinator of drug control policy, do not support the use of smoked marijuana for medical purposes.

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TOPICS: Constitution/Conservatism; Crime/Corruption; Government; News/Current Events; US: District of Columbia
KEYWORDS: conspiracy; dea; fda; govwatch; has; libertarians; marijuana; marjiuana; medical; merits; no; says; wodlist
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The History of the Marihuana Tax Act of 1937
1 posted on 04/21/2006 8:43:56 AM PDT by freepatriot32
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To: traviskicks; Wolfie

ping


2 posted on 04/21/2006 8:44:24 AM PDT by freepatriot32 (Holding you head high & voting Libertarian is better then holding your nose and voting republican)
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To: freepatriot32
If a drug product is to be marketed, disciplined, systematic, scientifically conducted trials are the best means to obtain data to ensure that drug is safe and effective when used as indicated.

So....are cigarettes safe?
3 posted on 04/21/2006 8:45:46 AM PDT by P-40 (http://www.590klbj.com/forum/index.php?referrerid=1854)
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To: robertpaulsen; Mojave

Do you guys write press releases for the FDA now? :-)


4 posted on 04/21/2006 8:46:12 AM PDT by freepatriot32 (Holding you head high & voting Libertarian is better then holding your nose and voting republican)
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To: P-40

Safe for taxation because it's not common to grow your own tobacco for personal use.


5 posted on 04/21/2006 8:47:26 AM PDT by Sir Gawain
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To: freepatriot32; albertp; Allosaurs_r_us; Abram; Americanwolfsbrother; AlexandriaDuke; ...
Libertarian ping! To be added or removed from my ping list freepmail me or post a message here.
6 posted on 04/21/2006 8:53:28 AM PDT by traviskicks (http://www.neoperspectives.com/israel_palestine_conflict.htm)
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To: traviskicks; All
There is a survey going on at aol asking if you think medical marijuana should be legal and so far out of 54,000 votes its running 90 percent yes 10 percent no and another question is was the fda report motivated by politics or sciences or both that is at politics 76 percent both 18 percent and science 6 percent

I'm not sure if non aol users can take the survey or not but the link is here

Should marijuana be legal for medical uses?

7 posted on 04/21/2006 9:05:38 AM PDT by freepatriot32 (Holding you head high & voting Libertarian is better then holding your nose and voting republican)
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To: P-40
The U.S. Supreme Court ruled in FDA v. Brown & Williamson that the FDA does not have the legal authority to regulate tobacco (though they do have the authority to regulate nicotine). The majority opinion concluded that if Congress intended for the FDA to regulate tobacco, it should say so.
8 posted on 04/21/2006 9:13:57 AM PDT by robertpaulsen
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To: freepatriot32

The War on Cancer Patients

Hell no, we won't go...


9 posted on 04/21/2006 9:17:11 AM PDT by Lexington Green (Illegals are not Immigrants; they are Invaders.)
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To: freepatriot32

4/20 was yesterday, dood...


10 posted on 04/21/2006 9:18:18 AM PDT by Trampled by Lambs (I think, therefor I Zot!)
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To: robertpaulsen
the FDA does not have the legal authority to regulate tobacco

I have always found that hilarious. A product meant for public consumption that, if used property, will kill you or impair your health...but it is legal.
11 posted on 04/21/2006 9:19:07 AM PDT by P-40 (http://www.590klbj.com/forum/index.php?referrerid=1854)
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To: freepatriot32

A great follow up question would be, "Should medicine only be available to those over 21? If you answer no, then should medical marijuana be available to 11-year-olds?"


12 posted on 04/21/2006 9:19:11 AM PDT by robertpaulsen
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To: robertpaulsen

''...should MORPHINE be available to 11-year-olds?"

Hell no. They must be good little Drug Nazis and accept their suffering. It's the American way.


13 posted on 04/21/2006 9:24:08 AM PDT by Lexington Green (Illegals are not Immigrants; they are Invaders.)
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To: P-40
"A product meant for public consumption that, if used property, will kill you or impair your health...but it is legal."

If you feel that strongly about it, write your Congressman. Seriously. The court didn't say that the FDA couldn't regulate tobacco -- they said they couldn't without Congressional approval.

I assume from your post that you approve of the Congressional laws against recreational drugs.

14 posted on 04/21/2006 9:24:22 AM PDT by robertpaulsen
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To: Lexington Green
"''...should MORPHINE be available to 11-year-olds?"

As prescribed medicine? Of course it should. And it is.

15 posted on 04/21/2006 9:31:22 AM PDT by robertpaulsen
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To: freepatriot32

yea, you can vote if you're not an aol member. Good to see at least 55,000 or so people are freedom loving.

I bet most of them are younger (as internet users are), and probably non voters. So their opinion doesn't count.

Us under 30 people really need to start voting on stuff like this and pesonal retirment accounts etc...


16 posted on 04/21/2006 9:33:43 AM PDT by traviskicks (http://www.neoperspectives.com/israel_palestine_conflict.htm)
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To: robertpaulsen
I assume from your post that you approve of the Congressional laws against recreational drugs.

It would be a lost cause to ask Congree to do anything with regards to tobacco. There is simply too much money involved with that drug.

I don't approve of laws against some recreational drugs as the crime does not fit the punishment in too many cases and the risk of using the drug is just not serious enough to bother when compared to a drug like alcohol. We have some serious problems with alcohol in this country but too much of the money goes to dealing with the other drugs.
17 posted on 04/21/2006 9:34:47 AM PDT by P-40 (http://www.590klbj.com/forum/index.php?referrerid=1854)
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To: freepatriot32

The FDA statement directly contradicts a 1999 review by the Institute of Medicine, a part of the National Academy of Sciences, the nation's most prestigious scientific evaluative agency. That review found marijuana to be "moderately well suited for particular conditions, such as chemotherapy-induced nausea and vomiting and AIDS wasting."

Dr. John Benson, co-chairman of the Institute of Medicine committee that examined the research into marijuana's effects, said in an interview that the FDA statement and the combined review by other agencies were wrong.

The federal government "loves to ignore our report," said Benson, a professor of internal medicine at the University of Nebraska Medical Center. "They would rather it never happened."


18 posted on 04/21/2006 9:40:47 AM PDT by Wolfie
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To: P-40
OK. On this medical marijuana thread, you no longer want to talk about tobacco. Fine.

Now you bring up alcohol as the new gold standard (ie., if a drug is less risky than alcohol, why isn't it legal and if it's riskier then it's OK by you if we make it illegal -- do I have that right?).

What this has to do with medical marijuana, I don't know. When you want to get back to the topic at hand, feel free.

19 posted on 04/21/2006 9:58:18 AM PDT by robertpaulsen
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To: Wolfie
"That review found marijuana to be "moderately well suited for particular conditions, such as chemotherapy-induced nausea and vomiting and AIDS wasting."

Out of respect, I'll keep my response civil.

I believe the report stated that "cannabinoids would be moderately well suited for particular conditions, such as chemotherapy-induced nausea and vomiting and AIDS wasting", not marijuana.

And three paragraphs down, in the "Conclusion" section, it states that "smoked marijuana, however, is a crude THC delivery system that also delivers harmful substances and that (later in the same report) smoked marijuana should generally not be recommended for medical use."

20 posted on 04/21/2006 10:07:47 AM PDT by robertpaulsen
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To: robertpaulsen
What this has to do with medical marijuana

In one wants to go wild on laws against marijuana as a recreational drug or a medicine because of purported health risks, then one would have to look at how tobacco is treated as it is known to have serious health risks yet is still legal. Alcohol has serious known health risks, yet is still legal. We spend the most money dealing with the least dangerous drugs but the most money on those that are not as serious. These inconsistencies kind of destroy the credibility of the government on the marijuana issue. That is my point.
21 posted on 04/21/2006 10:09:11 AM PDT by P-40 (http://www.590klbj.com/forum/index.php?referrerid=1854)
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To: robertpaulsen
If you answer no, then should medical marijuana be available to 11-year-olds?"

Of course, if they have a problem it's a specific for. Though, brownies may be the best delivery method.

22 posted on 04/21/2006 10:17:59 AM PDT by William Terrell (Individuals can exist without government but government can't exist without individuals.)
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To: William Terrell
Of the 11 states that have approved medical marijuana, do any of them approve medical marijuana for 11-year-olds? Via brownies or any other method?

Gee, I guess they couldn't care less about children. Only the adults get the good medicine, huh?

23 posted on 04/21/2006 10:27:07 AM PDT by robertpaulsen
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To: P-40
"These inconsistencies kind of destroy the credibility of the government on the marijuana issue."

Alcohol and tobacco have been part of the American culture for centuries. For hundreds of years, alcohol and tobacco have been used in ceremonies (both civil and religious), as part of meals, as gifts, in social settings, as barter, and as a rite-of-passage.

Marijuana was introduced to the U.S. in the 20th century and is more a part of the sub-culture.

Why do you think marijuana is even close to comparable to alcohol and tobacco?

24 posted on 04/21/2006 10:38:12 AM PDT by robertpaulsen
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To: robertpaulsen
Why do you think marijuana is even close to comparable to alcohol and tobacco?.

I am not saying it is. But if you are going to talk about making sure products are safe before they hit the market, you lose all credibility if you look the other way on alcohol and tobacco. And marijuana certainly needed no introduction down this way. It has always been here.
25 posted on 04/21/2006 10:47:59 AM PDT by P-40 (http://www.590klbj.com/forum/index.php?referrerid=1854)
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To: P-40
"But if you are going to talk about making sure products are safe before they hit the market"

Geez, you're trying to turn the FDA into Consumer Reports. Not all products are regulated by the FDA. Not all need to be regulated. Alcohol and tobacco are not.

An act of Congress would change that, as it did with the other drugs. Write your Congressman.

26 posted on 04/21/2006 11:02:42 AM PDT by robertpaulsen
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To: robertpaulsen
Not all products are regulated by the FDA.

Did I say they were? Did I say they all need to be? The FDA, like many government agencies, want to come across as Keeping You Safe(tm)(sm) and getting all excited over one drug when others, in their bailiwick or no, are relatively unregulated makes their message ring hollow. It can stay that way for all I care but I am not too keen on the amount of my tax dollars that go towards this so-called Drug War. That I do talk to my congressman about.
27 posted on 04/21/2006 11:08:27 AM PDT by P-40 (http://www.590klbj.com/forum/index.php?referrerid=1854)
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To: robertpaulsen; freepatriot32
...smoked marijuana, however, is a crude THC delivery system that also delivers harmful substances and that (later in the same report) smoked marijuana should generally not be recommended for medical use."

And in the very next sentence:

"Nonetheless, for certain patients, such as the terminally ill or those with debilitating symptoms, the long-term risks are not of great concern. Further, despite the legal, social, and health problems associated with smoking marijuana, it is widely used by certain patient groups."

28 posted on 04/21/2006 11:13:46 AM PDT by Wolfie
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To: Wolfie
"Nonetheless, for certain patients, such as the terminally ill or those with debilitating symptoms, the long-term risks are not of great concern."

Kinda like, hey, they're gonna die anyways. Right?

Is this the group currently being addressed by state medical marijuana laws? The terminally ill or those with debilitating symptoms? Would you support restricting medical marijuana to those who are dying?

29 posted on 04/21/2006 11:23:08 AM PDT by robertpaulsen
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To: robertpaulsen

I support whatever laws the People of a State vote in.


30 posted on 04/21/2006 11:34:07 AM PDT by Wolfie
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To: freepatriot32
Do you guys write press releases for the FDA now? :-)

BTW, have you addicts heard what the pro-illegal immigration people are saying about the border fence, and other attempts to protect our sovereignty? "It'll never work 'cause people who want to come into this country will always find a way". Does that argument sound familiar to you?

31 posted on 04/21/2006 11:51:09 AM PDT by pawdoggie
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To: Wolfie
"I support whatever laws the People of a State vote in.

All well and good -- but let's not pretend that the IOM does also.

32 posted on 04/21/2006 11:59:44 AM PDT by robertpaulsen
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To: pawdoggie

It is odd to hear Bush embracing legalization on one issue, while rejecting it on another.


33 posted on 04/21/2006 12:08:51 PM PDT by Wolfie
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To: freepatriot32

I always knew sucking down carbon monoxide was good for me.


34 posted on 04/21/2006 12:16:55 PM PDT by TenthLegion
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To: robertpaulsen
You asked a question and I answered it.

Gee, I guess they couldn't care less about children. Only the adults get the good medicine, huh?

Ever heard of paregoric?

(Extinct, robert, look it up)

35 posted on 04/21/2006 12:34:38 PM PDT by William Terrell (Individuals can exist without government but government can't exist without individuals.)
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To: robertpaulsen
The court didn't say that the FDA couldn't regulate tobacco -- they said they couldn't without Congressional approval.

The courts should make law, the administrative agencies should make law. It's only unconstitutional for Congress to make law, doncha know?

36 posted on 04/22/2006 12:51:14 AM PDT by Mojave
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To: freepatriot32
The drug companies wouldn't be the sole producers of pot, so don't legalize it. Anyone could just grow their own.

It's all about the money.

37 posted on 04/22/2006 12:56:24 AM PDT by Cementjungle
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To: pawdoggie
BTW, have you addicts heard what the pro-illegal immigration people are saying about the border fence, and other attempts to protect our sovereignty? "It'll never work 'cause people who want to come into this country will always find a way". Does that argument sound familiar to you?

I'm not an addict, but I'll address your post anyway ... to note that the argument applies much more strongly to illegal actions don't violate anyone's rights (such as selling or using drugs), because in those cases there are no victims to avoid, resist, or cooperate in the prosecution of the act. (Illegal entry, by contrast, is a form of trespass, an act that does have victims.)

38 posted on 04/22/2006 12:55:53 PM PDT by Know your rights (The modern enlightened liberal doesn't care what you believe as long as you don't really believe it.)
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To: robertpaulsen
"Nonetheless, for certain patients, such as the terminally ill or those with debilitating symptoms, the long-term risks are not of great concern."

Kinda like, hey, they're gonna die anyways. Right?

Why should someone who has a year to live care about the possible 20-year effects of a medication? I wouldn't ... would you?

39 posted on 04/22/2006 12:58:34 PM PDT by Know your rights (The modern enlightened liberal doesn't care what you believe as long as you don't really believe it.)
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To: Know your rights
"Why should someone who has a year to live care about the possible 20-year effects of a medication? I wouldn't ... would you?"

Gee, you think they'd mind if we took a kidney? Half their liver? A cornea? I mean, why should someone who has a year to live care about their __________?

Can we run some medical experiments on them? Test some drugs? I mean, why should someone who has a year to live care about some medical testing and experimental drugs?

It's called human dignity, MrLeRoy. Something you wouldn't understand in your utilitarian, libertarian utopia.

40 posted on 04/22/2006 1:14:41 PM PDT by robertpaulsen
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To: robertpaulsen
Why should someone who has a year to live care about the possible 20-year effects of a medication? I wouldn't ... would you?

Gee, you think they'd mind if we took a kidney? Half their liver? A cornea? I mean, why should someone who has a year to live care about their __________?

Can we run some medical experiments on them? Test some drugs? I mean, why should someone who has a year to live care about some medical testing and experimental drugs?

With their informed consent, certainly.

It's called human dignity

Forcing other adults to act as YOU think best is the antithesis of "human dignity."

41 posted on 04/22/2006 1:48:27 PM PDT by Know your rights (The modern enlightened liberal doesn't care what you believe as long as you don't really believe it.)
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To: Know your rights

No, passing legislation to prevent you and your ilk from treating people as mere commodities to be sliced and diced and sold off to the highest bidder is my definition of maintaining human dignity.


42 posted on 04/22/2006 4:43:47 PM PDT by robertpaulsen
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To: robertpaulsen
treating people as mere commodities to be sliced and diced and sold off to the highest bidder

Like I said, you want to force other adults to act as YOU think best regardless of their informed consent. Your definition of "maintaining human dignity" is beneath contempt.

43 posted on 04/22/2006 6:06:30 PM PDT by Know your rights (The modern enlightened liberal doesn't care what you believe as long as you don't really believe it.)
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To: Lexington Green
Hell no. They must be good little Drug Nazis and accept their suffering. It's the American way.

No reasonable person agrees with such nonsense. I don't who you're criticizing here.

44 posted on 04/22/2006 6:08:19 PM PDT by Jorge
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To: freepatriot32
FDA concurred because marijuana met the three criteria for placement in Schedule I under 21 U.S.C. 812(b)(1) (e.g., 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).

Having smoked pot regularly for over 20 years, I tend to agree with this.

However, if it can help anybody fight the side-effects of chemo or has other uses that aleviate suffering, I am all for allowing medical use.

45 posted on 04/22/2006 6:12:14 PM PDT by Jorge
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To: robertpaulsen
The question was about becoming addicted to a pain medication when you aren't going to live much longer.

You replied,

Gee, you think they'd mind if we took a kidney? Half their liver? A cornea? I mean, why should someone who has a year to live care about their __________?

and,

Can we run some medical experiments on them? Test some drugs? I mean, why should someone who has a year to live care about some medical testing and experimental drugs?

The medication is supposed to take away the pain they're already in. Harvesting organs and running medical experiments cause pain, and worse, the psychological pain of positive knowledge you're being damaged.

Robert, why would anyone work so hard at the keyboard to deny relief to people in pain? What's your fear? Maybe they'll recover and be addicted? Why not just allow that to be and no be so worried about it?

46 posted on 04/22/2006 10:12:44 PM PDT by William Terrell (Individuals can exist without government but government can't exist without individuals.)
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To: Wolfie
That review found marijuana to be "moderately well suited for particular conditions, such as chemotherapy-induced nausea and vomiting and AIDS wasting."

PMS. They need to do a study about marijuana and its effect on PMS.

47 posted on 04/22/2006 10:31:16 PM PDT by eyespysomething (American liberals like everything about the struggle for freedom except the struggle.)
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To: William Terrell
"The question was about becoming addicted to a pain medication when you aren't going to live much longer."

No, the question was about legalizing the use of smoked marijuana for medical use, a non-FDA approved medicine with unknown side effects and unknown drug interactions, to treat symptoms treatable by dozens of existing FDA approved medicines. And the reason given was that "they're going to die anyways". Well, with that kind of an attitude, why not the other things I mentioned?

Why would someone suggest such legalization? Why, as a red herring to open the door to full legalization for recreational use. Despicable that people would use the sick and dying as pawns in their selfish and hedonistic quest.

48 posted on 04/23/2006 4:48:37 AM PDT by robertpaulsen
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To: Jorge
"However, if it can help anybody fight the side-effects of chemo or has other uses that aleviate suffering, I am all for allowing medical use."

Chemotherapy suppresses the immune system, making the patient susceptible to fungal or bacterial infection. Marijuana may contain both.

"Hamadeh and associates. Chest, Vol. 94/2, pp.432-433, 1988. "Invasive aspergillosis has become a significant cause of death in immunosuppressed patients". Physicians should be aware of this potentially lethal complication of marijuana use in compromised hosts such as patients with AIDS or malignancies.)"

"Transplantation, Vol. 61, June 27, 1996. (Marijuana smoke transmits aspergillosis, a fungus having up to a 90% fatality rate if contracted by transplant patients. Researchers have strongly warned against the use of marijuana in immuno-compromised patients such as those with AIDS, chronic granulomatous disease, bone marrow transplants and those receiving chemotherapy for small cell lung cancer.)"

"Voth EA, Schwartz RH. Medicinal applications of delta 9 THC and marijuana: a perspective. Annals of Internal Medicine 1997: 126:791-8. (Marijuana is not a panacea. It is an impure weed that introduces immuno compromised patients to bacteria, fungi, and other toxic complications. We recommend sticking with predictable medical therapies and not deviating from FDA approved medicine in exchange for herbal remedies."

49 posted on 04/23/2006 4:57:36 AM PDT by robertpaulsen
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To: robertpaulsen
No, the question was about legalizing the use of smoked marijuana for medical use, a non-FDA approved medicine with unknown side effects and unknown drug interactions, to treat symptoms treatable by dozens of existing FDA approved medicines.

Cannabis sativa and indica has been in the English and American medical lexicons and pharmaceutics for centuries, until the recent craze.

And the reason given was that "they're going to die anyways". Well, with that kind of an attitude, why not the other things I mentioned?

Because, let me say again, taking the drug relieves pain, whereas the other things you mentioned cause pain.

(extinct, robert, look it up)

50 posted on 04/23/2006 7:41:46 AM PDT by William Terrell (Individuals can exist without government but government can't exist without individuals.)
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