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UK: Pain relief from cannabis

The Herald, Glasgow

Tuesday 11 Sep 2001

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Research timescale will not ease anxiety of patients

Many patients suffering chronic pain from conditions such as multiple
sclerosis or spinal-cord injuries know from personal experience the relief
which cannabis brings them. The House of Lords select committee on science
and technology said three years ago that it believed cannabis almost
certainly does have genuine medical applications. Preliminary results from
the trials of cannabis-based pain killers now appear to prove the point of
both the patients and their lordships. Of 53 patients taking the drugs as
part of the controlled study, 41 reported clinically significant benefit in
pain relief. That is an impressively high proportion for any scientific
trial, but the necessarily measured pace of scientific investigation means
that conclusive data on quality, safety, and efficacy of the medication
involved will be available to the regulatory authorities no earlier than
2003. In strictly scientific terms, this means that the first
cannabis-based pain relievers could be available for patients in 2004, but
that date depends entirely on political approval of the process. On that
point there are no guarantees.

Politicians, and Tony Blair in particular, are understandably nervous about
the legalisation of any banned drug. But pharmacology abounds with examples
of medications which are prescribed readily to patients and which, in terms
of potency, make cannabis look like a cough sweetie. There have even been
suggestions lately that the drug Ritalin, which is prescribed for some
hyperactive children, may be as potent, or perhaps more so, than some
banned substances. The widespread political support for the public
consumption of substances which probably far surpass cannabis in the damage
which they cause to the human organism, namely tobacco and alcohol, is
hypocritical. The new evidence confirms the sense of pushing ahead with
further research as soon as possible. But the timescale, and the
uncertainty of the position to be taken by politicians, will do nothing to
ease the anxiety of patients.

The Canadian government has already become the first in the world to
legalise the use of cannabis for medical purposes. Although some see the
Canadian decision as precipitate, it at least has the benefit of relieving
pain immediately. A further advantage is that Canadian patients taking
medicinal cannabis have the confidence of knowing that the active
ingredient in their medication is regulated strictly. In other words, they
will know what they are getting, unlike those in Britain, whose illegal
supplies are of variable quality and strength. At the very least we should
resolve in Britain to abandon the prosecution of multiple sclerosis
patients who take cannabis. That would relieve a source of anxiety from
those who already have enough to worry about.

 

 

 

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