Forums > Social Discussion > Medical Marijuana?

Posted: 17th Jan 2018
Medical use of marijuana (“medical marijuana”) is somewhat controversial. In the United States, current FDA-approved medications containing synthetic THC are dronabinol (Marinol capsules, Syndros liquid) and nabilone (Cesamet). These drugs are prescribed as appetite stimulants in AIDS patients and for chemotherapy-related nausea and vomiting. They are sometimes used off-label for similar symptoms in other conditions. An oral spray nabiximols (Sativex) is approved in other countries for treatment of multiple sclerosis muscle spasticity and cancer-related pain not managed by other pain medication, and is undergoing further evaluation in the U.S.

Although marijuana can help relieve the symptoms of certain medical conditions, its use is still illegal on a federal level, and because we don’t have data from large, long-term, well-designed studies, the FDA continues to have concerns about potential risks versus benefits. Fortunately, studies continue on marijuana, THC, and cannabidiol (a component of marijuana which does not have the mind-altering effects of THC). Early research shows cannabidiol and its derivatives hold potential promise in additional conditions like drug-resistant epilepsy and some psychiatric disorders (e.g., anxiety, substance use disorders, schizophrenia, and psychosis).

Some states have passed laws, contrary to federal laws, to allow the use of marijuana for medical conditions. Some states have also made the move to decriminalize marijuana use by adults or have similar measures on upcoming ballots. It is unclear what health impact decriminalization of marijuana would have. The experiences of other states and countries that have made these legal changes were varied and unpredictable. The greatest threat would be an increase in adolescent use.