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UK: Survey indicates marijuana eases MS symptoms

Peggy Peck

The Nando Times

Sunday 18 Aug 2002

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SAN DIEGO, Aug. 18 (August 18, 2002 9:09 p.m. EDT) - A survey of multiple
sclerosis patients living in England found that 45 percent use marijuana
either for relief of disabling leg spasms or to ease MS pain - and use
increases as symptoms worsen.

Neurologist Dr. M. Sam Chong of King's College Hospital, London, said the
"use rate is actually higher than we expected, especially since 18 percent
of the patients said they used cannabis in the last month." In an interview
with United Press International, Chong, who presented the findings Sunday
at the 10th World Congress on Pain, said that about half of the patients
"started using marijuana only after MS was diagnosed."

Multiple sclerosis is a neurodegenerative disorder that destroys myelin,
the casing that protects the spinal cord.

He said that 74 percent said that marijuana either eliminated or controlled
leg spasms that make walking difficult or impossible while 54 percent said
they used marijuana mainly for pain relief.

The medical use of marijuana is controversial and far from proven. Earlier
this year a study published in the journal Science reported that marijuana
did not improve MS symptoms or relieve MS-associated pain.

Nonetheless, Chong said, his survey results indicate that marijuana is
beneficial for some MS patients.

The 15-page surveys were mailed to 300 MS patients who are included in an
MS patient database used by the neurology department and outpatient
clinics. Two hundred fifty-eight surveys were returned. He said that
patients who reported more severe symptoms were more likely to use
marijuana, than patients who had mild or moderate symptoms. "And as symptom
severity increased, use also increased," he said.

"If patients were smokers, then they smoked the marijuana," he said. But
most patients were non-smokers and the preferred delivery was "to bake it
in a cake and keep it in the refrigerator so they could cut off pieces as
they needed it."

Generally, "patients reported using marijuana just before bed" rather than
using it throughout the day.

Dr. Sandra Chaplan, a clinical professor of anesthesiology at the
University of California, San Diego, and a member of the organizing
committee for the pain meeting, noted that recently researchers have
identified marijuana receptors in the brain, a finding that suggested it
may have a role in pain relief. Moreover, she said that only recently have
"we come to recognize that intractable pain is a symptom of MS, so it makes
sense that cannabis should be investigated for MS symptoms."

But Chaplan said that smoking is not a medically acceptable mode of
delivery. "We need to find a delivery system - preferably a pill - that
will deliver the analgesic effects with little or no cognitive effects."
Meanwhile, she said, physicians are unlikely to recommend marijuana to MS
patients.

Chong agreed: "Neurologists are not likely to start prescribing marijuana,
but among MS patients marijuana use is increasing because it is commonly
recommended by members of patient support groups."

 

 

 

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