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UK: Cannabis on NHS 'by 2004'

The BBC

Monday 18 Feb 2002

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Cannabis-based pain relief drugs could be available on prescription from
the National Heath Service (NHS) within two years, the Department of Health
(DoH) has announced.

Hundreds of multiple sclerosis sufferers in the UK are already being
treated with cannabis-based medicines in clinical trials funded by the
Medical Research Council (MRC).

Ministers are also looking at the possibility of using them for
post-operative pain relief and have promised to recommend that the
Medicines Control Agency licenses the treatments if the success of earlier
experiments is repeated.

Now the DoH is considering asking the National Institute for Clinical
Excellence (NICE) to investigate whether the NHS could make the drugs
available on prescription.

Guidance

The results of the MRC's trials are expected by the end of the year and
will be used by NICE in carrying out its appraisal of the drugs.

A decision on whether any of the cannabis derivatives being tested will be
licensed for official medical use is thought "likely" some time in 2004 or
2005.

The department says the NHS would need "timely and clear guidance" from
NICE on the cost-effectiveness of the treatments and which patients would
benefit most.

Health Minister Lord Hunt told BBC Radio 4's Today programme the drugs
would not be made available unless they met strict criteria.

And he denied there would be any conflict between making the drugs
available on the NHS if cannabis remained illegal for recreational use.

"I think it's important to make a distinction between the drugs for MS pain
relief and the use of cannabis for smoking, for pleasure," Lord Hunt said.

He added: "Of course, the Home Secretary will have to come to a view on
these issues in the future, but what we're talking about here is a proper
process, first for the licensing of medical products and then decisions
about whether the NHS should make those products available for NHS patients."

Nauseous

Drug companies have isolated the active ingredients in cannabis and made
them available in the form of a pill or a spray.

Neither gives a "high" - but some patients say the pills make them nauseous.

Cannabis has long been favoured by many MS and cancer sufferers for its
pain-relieving properties.

They say it also stimulates their appetite without the unpleasant side
effects of many alternatives currently available on prescription.

The British company GW Pharmaceuticals, which is developing cannabis-based
medicines, recently said it would expand its clinical trials to look at how
it could help cancer patients.

Mark Rogerson, a spokesman for GW Pharmaceuticals, said the company was
working on pain-relief drug that can be sprayed under the tongue.

He said: "We are getting very positive results. In some cases it is enough
to transform people's lives."

Announcement welcomed

The Medicinal Cannabis Research Foundation (MCRF) welcomed plans for a
rigorous assessment of the benefits and problems of using cannabis for
medicinal purposes.

However, it said that more research was needed into the use of the drug for
conditions such as arthritis and epilepsy.

Nina Booth-Clibborn, executive director, said: "A large number of people
have reported to us that cannabis helps them to manage severe medical
conditions, even when prescription medicines have failed."

Brendan Cox, of drugs charity DrugScope, said: "The move to make cannabis
available to people on the NHS should not be confused with the separate
debate about the general use of it.

"But certainly the medicinal use of cannabis, after it has been properly
tested, is something we would support."

 

 

 

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