Marijuana Use and Healthcare
  • dolgovaskolddolgovaskold August 2018
    Marijuana continues to be probably the most highly abused drug in the us. The arguments for and against the legalization of marijuana continue to escalate. This piece is not meant to set activity is for the legalization debate about cbd home business. Instead, I would like caution practitioners whose patients under their care test positive for marijuana. Marijuana usage is still forbidden by Federal law and patients who self-medicate or abuse marijuana should not be prescribed controlled substances.

    Unfortunately, many physicians in many cases are up against the dilemma of if you should prescribe controlled substances to patients who drug test positive for marijuana. This is particularly true in claims that have modified state laws to legalize marijuana. These adjustments to state law usually do not customize the Federal guidelines that physicians must follow. Like a former career DEA agent, I remind physicians that marijuana remains to be a prohibited Schedule I controlled substance with no accepted medical utilization in the U.S. The fact is that every state laws have Federal oversight, as mentioned from the Supremacy Clause from the Constitution. "The Supremacy Clause is really a clause within Article VI of the U.S. Constitution which dictates that federal law could be the supreme law of the land. Under the doctrine of preemption, that's based on the Supremacy Clause, federal law preempts state regulations, even when the laws conflict."(1)


    Every time a physician becomes conscious someone is applying marijuana, alternate types of therapy should be implemented besides prescribing controlled substances. Physicians should also make a plan to refer the individual for treatment and cessation if any illegal substance abuse is revealed, including marijuana. Physicians also need to keep in mind that the marijuana produced today is much more potent compared to the past and taking advantage of high potency marijuana along with controlled substances just isn't safe for patients.

    Will there be this as FDA approved medical marijuana? There are 2 Approved by the fda drugs inside the U.S. containing a synthetic analogue of THC (tetrahydrocannabinol), the actual principal chemical (cannabinoid) accountable for marijuana's psychoactive effects. A man-made form of THC is within the Approved by the fda drugs Marinol (Schedule III) and Cesamet (Schedule II) that happen to be prescribed to take care of nausea for cancer patients undergoing chemotherapy. Marinol can also be prescribed to stimulate the appetite of cancer and anorexia patients (2). The FDA happens to be overseeing trials being conducted on Epidiolex (3), a drug made by GW Pharmaceuticals and developed to reduce convulsive seizures in kids. The drug contains cannabinoids from marijuana, referred to as cannabidiol or CBD, which will not contain the psychoactive properties of traditional marijuana and produce a high. If the drug receives FDA approval, it might make history being the first approved drug containing CBD inside the U.S.

    Additionally, DEA has issued a special registration into a research laboratory in the University of Mississippi growing various strains of marijuana for clinical trials (4). These studies continues, but as of the writing, ingesting or smoking botanical marijuana or perhaps the cannabis plant itself is not federally approved being an accepted medical treatment from the U.S. Patients who smoke or ingest marijuana have to be conscious they are breaking Federal law and could be prosecuted under Federal statutes. Furthermore, physicians must be testing for marijuana use and when detected, they must not prescribe controlled substances, regardless of their diagnosis as well as the patient's symptoms, according to current Federal statutes.

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