Marijuana Use and Health Care

Cannabis continues to be the most highly abused medication in America. The arguments for and against the legalization of marijuana continue to keep escalate. This piece is not designed to set the stage for a legalization debate about marijuana. Instead, I want caution practitioners whose patients below their care test positive with regard to marijuana. Marijuana use is still unacceptable by Federal law and sufferers who self-medicate or abuse weed should not be prescribed controlled substances.

However, many physicians are often faced with the dilemma of whether or not to prescribe controlled substances to patients who drug test positive for cannabis. This is particularly the case in states that have modified state laws to legalize marijuana. These changes within state law do not change the Federal guidelines that physicians must follow. Being a former career DEA agent, We remind physicians that marijuana continues to be an illegal Schedule I controlled substance with no accepted medical use within the U. S. The fact continues to be that all state laws have Federal government oversight, as stated in the Supremacy Terms of the Constitution. “The Supremacy Offer is a clause within Article VI of the U. S. Constitution which dictates that federal law will be the supreme law of the land. Beneath the doctrine of preemption, which is in line with the Supremacy Clause, federal law preempts state law, even when the laws conflict. “(1)

When a physician gets aware that a patient is using marijuana, alternate methods of therapy should be applied other than prescribing controlled substances. Doctors should also take steps to refer the individual for treatment and cessation in the event that any illegal drug use is revealed, including marijuana. Physicians should also keep in mind that the marijuana produced nowadays is much more potent than the past and taking advantage of high potency marijuana in conjunction with controlled substances is not safe for individuals.

Is there such a thing as FDA approved medical marijuana? There are 2 FDA approved drugs in the U. S. containing a synthetic analogue of THC (tetrahydrocannabinol), which is the principal chemical (cannabinoid) responsible for marijuana’s psychoactive effects. A synthetic version of THC is definitely contained in the FDA approved drugs Marinol (Schedule III) and Cesamet (Schedule II) which are prescribed to treat feeling sick for cancer patients undergoing chemotherapy. Marinol is also prescribed to activate the appetite of cancer plus anorexia patients (2). The FDA is currently overseeing trials being conducted on Epidiolex (3), a medication manufactured by GW Pharmaceuticals and created to reduce convulsive seizures in children. The drug contains cannabinoids through marijuana, referred to as cannabidiol or CENTRAL BUSINESS DISTRICT, which does not contain the psychoactive qualities of traditional marijuana and does not produce a high. If this drug receives FDA approval, it would make history getting the first approved drug containing CENTRAL BUSINESS DISTRICT in the U.
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Additionally , DEA has issued a special registration to some research laboratory at the University associated with Mississippi to cultivate various stresses of marijuana for clinical tests (4). This research will carry on, but as of this writing, ingesting or smoking cigarettes botanical marijuana or the cannabis grow itself is not federally approved as an accepted medical treatment in the U. S i9000. Patients who smoke or consume marijuana need to be aware that they are splitting Federal law and could be prosecuted under Federal statutes. Furthermore, doctors should be testing for marijuana make use of and if detected, they should not prescribe controlled substances, regardless of their medical diagnosis and the patient’s symptoms, as per present Federal statutes

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