The Obama administration calls prescription drug abuse the nation’s most pressing drug problem. According to the Centers for Disease Control and Prevention, prescription drug deaths are at an all time high and account for more deaths and hospitalizations in the U.S. than any other drug. Advocates of affordable health care are decrying the exorbitant price of prescriptions and the toll such costs take on them and their families.

Well, guess what non-toxic and inexpensive medicine patients use as a substitute for those expensive, dangerous pharmaceutical drugs? If you said marijuana, you are correct!

A recent survey conducted by the Berkeley Patients Group and reported in the American Psychiatric Association’s Institute on Psychiatric Services found that 66% of their medical marijuana patient clients reported using marijuana as a prescription drug substitute. Most patients said they used marijuana because it was more effective than their prescribed drugs and was accompanied with fewer, and less severe, side effects.

Unfortunately, the federal government insists that marijuana is a dangerous drug with no accepted medical use. Perhaps if it came in a pill, cost a fortune, and had debilitating side effects, it would sail right through the FDA approval process.

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In an interview Wednesday, Utah Attorney General Mark Shurtleff said that he had been tempted to use medical marijuana while undergoing treatment for cancer. He cited many of the reasons other medical marijuana patients do for wanting to use this treatment, including intense pain and being unable to keep anti-nausea medication down long enough for it to work. Unfortunately, medical marijuana is not legal in Utah, so Shurtleff was unwilling to use it, even when offered it by a friend.

This experience apparently taught Shurtleff why people would want to use this medicine. He even said that with the proper controls he would support a medical marijuana program in Utah, so that others in his situation wouldn’t have to choose between obeying the law and relieving their suffering. Hopefully, this will be a small step toward enacting such a bill.

Under current state law, Utah residents can be jailed for six months and fined $1,000 for possession of less than an ounce of marijuana. Sale of any amount nets a sentence of up to five years and a $5,000 fine.

While Shurtleff is to be commended for his change of heart, it is unfortunate that he had to go through such a horrible experience to finally see the necessity for medical marijuana access and patient protections. Our leaders shouldn’t have to feel the pain that patients feel to treat them with compassion.

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Check out this point/counterpoint on medical marijuana on the new medical Web site, Pain.com. They tell us that as of this morning it was the most popular item on the site.

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The International Association for Cannabis as Medicine just concluded its 5^th Conference on Cannabinoids in Medicine in Cologne, Germany. The conference included significant new evidence that marijuana is a safe, effective medicine for certain conditions, some of which can be found in the conference abstracts, now available online.

Canadian researcher Mark Ware presented results of a yearlong safety study known as the COMPASS study, which compared 215 patients who used marijuana to manage chronic pain with comparable control patients who did not use marijuana. Ware and colleagues report “no difference in serious adverse events” between the two groups, concluding, “Cannabis use for chronic pain over one year is not associated with major changes in lung, endocrine, cognitive function or serious adverse events.” [Read more →]

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In Tuesday’s San Francisco Chronicle, columnist Jon Carroll went off on an ad that’s run lately in his paper and others promoting a drug to treat rheumatoid arthritis. The drug is called Humira, and Carroll is aghast at warnings in the ad, which advise that people taking this drug might be at risk for fatal infections, heart failure, and “certain types of cancers.”

“I look at the risk-benefit ratio, and I worry,” Carroll concludes, and understandably so.

Rheumatoid arthritis is an autoimmune disease, characterized by inflammation of the lining of the joints. It can be painful and even disabling.

Of course, there’s a drug that’s a well-documented pain reliever and anti-inflammatory, and there is already some evidence that it may work for rheumatoid arthritis. It doesn’t cause fatal infections, cancer, or heart failure. But you won’t see major drug companies advertising it. Can you name this drug?

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