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US: New Studies: Medical Marijuana Laws Don't Increase Use

Michael Hess

BBSNews

Friday 10 Feb 2006

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Weak Marijuana Works as Well as High-Dose THC Pills

BBSNews 2007-07-03 -- (MPP) WASHINGTON, D.C. -- Two just-published
scientific studies provide further evidence that medical marijuana laws
do not increase marijuana use, and that even weak marijuana works as
well as (and in some ways better than) high-dose Marinol, the THC pill
sometimes touted as a substitute for marijuana.

In a study published online by the International Journal of Drug Policy,
researchers from the Texas A&M Health/Science Center analyzed two sets
of data designed to monitor emerging drug-use trends, the Arrestee Drug
Abuse Monitoring System (ADAM) and the Drug Abuse Warning Network
(DAWN), from locations where medical marijuana laws have been put into
effect. ADAM is based on urine tests of adult and juvenile arrestees,
while DAWN tracks mentions of drug use in records of hospital emergency
departments. Both sets of data, from before and after implementation of
the medical marijuana laws, were looked at in a "time-series analysis"
based on the premise that "if the law in question has an impact (either
positive or negative) then the series of observations that follow its
implementation will have a different slope or trend than those that
occurred before."

In both sets of data -- from California, Colorado, Oregon, and
Washington -- the researchers found no change in the trend after medical
marijuana laws went into effect. "Consistent with other studies of the
liberalization of cannabis laws," they wrote, "[the results] indicate
that medical cannabis laws do not increase use of the drug."

A second study, in the Journal of Acquired Immune Deficiency Syndromes
and also published online ahead of its appearance in print, compared the
THC pill marketed as Marinol to smoked marijuana supplied by the
National Institute on Drug Abuse. While both medications proved
effective at stimulating appetite, reducing the need for other
medications to combat gastrointestinal problems, and helping patients
sleep, it took eight times the recommended dose of Marinol to roughly
equal the efficacy of weak marijuana, with 3.9 percent THC, supplied by
NIDA. According to the White House Office of National Drug Control
Policy, the average THC content of marijuana seized by law enforcement
during the first quarter of 2007 was 8.5 percent.

The study's "double-dummy" design successfully prevented patients from
identifying which active treatment they were receiving at any given
time, overcoming a common problem with marijuana and THC studies.
Although researchers characterized the efficacy of Marinol and whole
marijuana in the study as "similar," only whole marijuana produced
statistically significant improvements in patients' levels of hunger,
desire to eat, and quality of sleep. Marijuana also produced a higher
daily caloric intake than even the highest Marinol dose, although in
this small and relatively brief study, that difference did not reach
statistical significance.

Neither treatment produced significant negative side effects.
Strikingly, when patients were given a series of tests measuring
learning, memory and other cognitive functions, neither marijuana nor
oral THC produced any significant changes in performance.



Gorman DM and Huber J Charles Jr. Do Medical Cannabis Laws Encourage
Cannabis Use? International Journal of Drug Policy, 2007 Vol. 18 no. 3,
pp. 160-7.

Haney M, Gunderson EW, Rabkin J, Hart CL, Vosburg SK, Comer SD, and
Foltin RW. Dronabinol and Marijuana in HIV-Positive Marijuana Smokers:
Caloric Intake, Mood, and Sleep. J Acquir Immune Defic Syndr. 2007 Jun
21; [Epub ahead of print]



 

 

 

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