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Italy: Medical Use of Marijuana Divides Italy

Francesca Colombo

Inter Press News Agency

Friday 08 Dec 2006

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MILAN, Dec 8 (Tierramérica) - In Italy just 10 ill people have
authorisation to use marijuana as therapy against pain. But that number
could grow in the coming months if parliament approves a law for using
this usually illegal plant for medical purposes.

Federico Fantoni, 58, is a doctor -- and a quadriplegic. For the past
eight years he has used a wheelchair and suffers pain in his arms due to
muscle contraction caused by his illness. To fight the pain he tried all
possible medications, including opium patches, but he couldn't stand the
side effects.

After learning more about the therapeutic use of marijuana (Cannabis
sativa), he decided to try it. "In five hours I didn't feel any
discomfort," he said in testimony for the Italian Association for
Therapeutic Cannabis.

That group is part of the International Association for Cannabis as
Medicine, whose objective is to improve the legal framework around the
world for utilising marijuana and its pharmacological components in
therapeutic applications.

The bill in Italy to legalise medical use of marijuana, presented in
October by the Council of Ministers, prompted reactions in favour and
against among politicians, experts and citizens.

Those opposed to medical marijuana doubt its therapeutic effects, warn
about a potential increase in general use of the drug, and are calling
for lawmakers to vote against the bill.

According to official figures, there are three million marijuana users
in Italy, who are allowed to possess one gram for personal use. Because
of the drug's psychotropic properties, and because some see its use as a
gateway to more dangerous drugs, consumption of marijuana is banned in
most countries.

But alternative medical clinics and patients with incurable diseases
defend its use, pointing to its properties for alleviating pain.

"Doctors don't know much about the use of marijuana for medicinal
purposes. It has never been included in pharmacology. Italy is one of
the countries lagging farthest behind in Europe when it comes to
alternative cures, but we already have cases of ill people who
discovered it and assure that they live better," Pietro Moretti, a
consultant for the Association for the Rights of Users and Consumers,
told Tierramérica.

Marijuana's defenders argue that it is less destructive than alcohol or
tobacco. In Italy, cigarette smoking leads to 90,000 deaths per year,
and alcohol abuse to 20,000 deaths.

"Marijuana can be used for therapeutic purposes. If science provides
clear answers, we're behind it. But politics in Italy functions with
ideological and propagandistic stimuli, not based on scientific data.
For example, morphine is a stronger drug than marijuana and is used by
terminal patients," Alessandro Litta, representative in the region of
Lombardia for the socialist party Rosa nel Pugno, told Tierramérica.

Numerous studies indicate that marijuana is effective for treating some
pathologies. In 1985, the U.S. Food and Drug Administration approved the
sale of synthetic cannabinoids -- laboratory produced substances with
the chemical components of marijuana -- to fight nausea in cancer
patients caused by chemotherapy.

A report in the British Medical Journal, the journal of the British
Medical Association, demonstrated the effectiveness of the controversial
plant in alleviating neuropathic pain caused by muscle spasms in people
with multiple sclerosis.

Marijuana can also be used to alleviate pain related to treatments for
AIDS, to lower blood pressure and to dilate the lungs.

Giampiero Tiano, 27, is a mathematician. When he was 19 he was run over
by a car, spent two months in coma, and one year later suffered an
epileptic seizure. He took medication for a year, until he read that
marijuana could be used to prevent epileptic crises. He decided to try
it, and smoked up to eight marijuana cigarettes a day. He hasn't had an
episode in four years.

But in 1996, the police seized the 11 cannabis plants Tiano had in his
house, and arrested him. Two years later he was sentenced to 18 months
in prison. The sentence was annulled in 1999 by the appeals court. The
defence demonstrated that marijuana has therapeutic effects in cases of
epilepsy.

According to doctors who have experimented with the plant, like Antonio
Mussa, director of surgical oncology at Le Molinette Hospital in Turin,
and former member of the European Parliament, marijuana reduces pain,
boosts the appetite and produces a sense of euphoria in patients. "If I
can't extend their lives, at least I can improve the quality of life.
How can a patient with six months to live become an addict?" he told Il
Manifesto newspaper in a Jun. 13 interview.

But consumption of marijuana for medical purposes also has other effects
and, according to detractors, the dosage cannot be controlled and it is
no better than morphine as an analgaesic.

"If the active ingredients of marijuana serve to reduce the suffering of
terminal patients, its use is a good thing, but should be controlled,"
Maurizio Crestani, pharmacologist at the University of Milan, said in a
Tierramérica interview.

"I don't agree with indiscriminate liberalisation, because that could
lead to drug trafficking or a black market. It should only be used under
a doctor's prescription and in specific cases," he said.

(*Francesca Colombo is a Tierramérica contributor. Originally published
Dec. 2 by Latin American newspapers that are part of the Tierramérica
network. Tierramérica is a specialised news service produced by IPS with
the backing of the United Nations Development Programme and the United
Nations Environment Programme.)
http://www.ipsnews.net/news.asp?idnews=35769

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