Showing posts with label Marijuana. Show all posts
Showing posts with label Marijuana. Show all posts

Saturday, October 10, 2009

IOWA BOARD OF PHARMACY LIKELY TO RECOMMEND LEGALIZING MEDICAL MARIJUANA

I didn't write this. It is from Iowapolitics.com. However, I post it as follow-up on my previous posts on this. This is the only rational move.

I was at the first of the Boards public hearing and testified. The patients (none of whom I would label as Pot heads were so compelling there were times I saw tears in the eyes of the Bo9ard members.

Below is the news story.


Iowa is moving a step closer to legalizing the medicinal use of marijuana.

The chairman of the Iowa Board of Pharmacy told IowaPolitics.com that if public hearings on the issue this week in Iowa City and Nov. 4 in Council Bluffs are similar to ones held Sept. 2 in Mason City and Aug. 19 in Des Moines, the board will likely recommend that the Iowa Legislature allow medicinal use of the drug.

“I would say that if all the other three had a similar kind of content that we had, the board would probably be looking at having to digest that information and make a decision that there is probably a legitimate medical use for some people,” said Vernon Benjamin, a pharmacist from Argyle.

But even if the board does eventually make that recommendation – they are expected to vote on the matter before the end of the year - there is no guarantee legislators will heed the advice of the board.

“This one is a pretty political issue, so I can’t say if they’re going to follow it or not,” said Lloyd Jessen, director of the board.

Jessen said in the past, recommendations haven’t been political and have generally been changes to bring Iowa law into line with federal law. “It's anybody’s guess if they put any weight in the recommendation or not,” Jessen said. “You have to remember Iowa is a pretty conservative state.”

Senate Majority Leader Mike Gronstal was noncommittal on the topic, saying he will wait and see what the board’s recommendation is, whether a bill comes out of committee and what other stakeholders have to say.

“I think it’s very much up in the air,” the Council Bluffs Democrat said. “I’m certain there’s a law enforcement side to be heard on this issue.”

Thirteen states currently allow the medicinal use of marijuana, Jessen said, while another dozen are considering the issue. Michigan is the only Midwestern state that currently allows its use, while much of the western part of the country has moved toward that policy.

“It seems to be a pretty common topic right now,” Jessen said.

Ann Diehl, a public member of the board from Osceola, said she’s glad the board decided to hold the hearings. Diehl used to be a detoxification nurse at Broadlawns Medical Center in Des Moines.

“It’s been a really interesting experience for me because I just had a totally one-sided view of it, and that was not good,” Diehl said. “I have learned a lot, and I have learned a lot about the medical benefits just from one hearing I've gone to.”

Diehl said she has heard scientific evidence and a lot of compelling stories from people who do have serious medical problems that they feel it helps. “I can say I have a much more open mind on it as far as medical use goes, but I haven’t come to any conclusion yet,” Diehl said.

Peggy Whitworth, a public board member from Cedar Rapids, attended the Iowa City meeting and said she’s been contacted by individuals eager to speak and get their thoughts on the record.

“I think those that have participated have found them interesting and helpful, and I think there are many rank-and-file citizens who are appreciative of an opportunity to express their views,” Whitworth said.

Whitworth said she encouraged the board to gather some solid information through public hearings and base any decision on science. “The reason for the hearings is to gather information from the citizens of Iowa, basically so any action by the Board of Pharmacy is grounded in reality, not simply in vague stories,” Whitworth said.

Benjamin agreed, saying board members are learning about switching the schedule of marijuana just like everybody else is. "You can’t do things like that lightly when federal law says it’s schedule one,” Benjamin said. “We wanted to make sure we had a case to argue if we do support the legalization of it.”

Tuesday, August 11, 2009

Medical Marijuana, I'm Skeptical About a Ban.

One week from today the State Board of Pharmacy of Iowa will hold a public hearing on medicinal use of marijuana. This is an issue that has vexed me for many years. As a physician who treats patients with severe pain syndromes I have seen many a patient get addicted to legal prescription pain medication while still suffering. This is because the legal pain medication is not the best medication to treat a pain syndrome called neuropathic pain. How I explain it to my patients is that narcotic pain medications will knock you out and as you're drifting off you are still experiencing pain. There are multiple studies which have documented good pain relief with smoking marijuana for neuropathic pain syndromes. There are many other proven uses for medical marijuana. However, our prejudices prevent us from using a proven remedy.

Marijuana has a history that is a mixture of myths and falsehoods that make it problematic for opponents to change their attitude. If you haven't seen the film 'Reefer Madness' you should. It is available free on the web if you look for it. This is the beginning of many of the myths. Regardless of how you feel about those myths, and I'm not going to debunk them in this piece, it is important to put marijuana in perspective to both legal over the counter products (alcohol and tobacco) and prescription products (Morphine, Vicodin, Methadone, and many others).

Marijuana has shown no adverse health effects when compared to either alcohol or tobacco. I think you all know the terrible health effects of both alcohol and tobacco. Alcohol and alcoholism causes 85,000 deaths each year from a combination of direct medical problems or traffic related deaths. Tobacco causes 430,000 deaths each year. In Britain, official government statistics listed five deaths from cannabis in the period 1993-1995. "Tetrahydrocannabinol is a very safe drug. Laboratory animals (rats, mice, dogs, monkeys) can tolerate doses about 5,000 times more than is required to produce a high." (from a British government report). When compared to tobacco there are equal or less effect on the lungs.

Alcohol and tobacco are two of the most addictive products in our society. Millions of people are addicted to both. There are questions about the true physical addiction potential of marijuana but most experts agree it is less then either of the two legal products. So if it is purely the addictive potential alcohol and tobacco should be banned and medical marijuana should be approved. Now the real question is, since we are only talking about medical marijuana, how addictive is it compared to prescription pain and anti-nausea medication. All the evidence points to marijuana is far less addictive then almost all prescription pain medication.

So let us get over our paranoia and allow our patients to have the best treatment available for certain conditions.