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UK: Q&A: the cannabis painkiller trial

Nigel Hawkes

The Times

Wednesday 20 Aug 2003

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Nigel Hawkes, Health Editor, explains why hospital patients will be taking
cannabis in a year-long trial being conducted by the Medical Research Council.

Why is this trial being done?

To try to establish whether cannabis-based medicines are effective
painkillers. There is some evidence from trials in multiple sclerosis
sufferers that they can control pain, but the MRC wants to do its own study
involving 400 patients who have just had operations.

They will be randomly assigned to one of four treatments, all given by
mouth: a cannabis extract; tetrahydrocannabinol (THC), the active
ingredient in cannabis; a standard painkiller; or a placebo. Effects will
be assessed over a six-hour period and patients observed and asked
questions about how they feel. They can ask for additional pain relief at
any time.

How is cannabis used medically at the moment?

It is used by some MS sufferers, who are technically breaking the law. No
medicines containing cannabis are licensed at the moment, but GW
Pharmaceuticals, who have carried out the trials in MS, submitted an
application for a licence in March this year. The company has signed an
agreement for Bayer to market the drugs, if and when they are approved.

Is there a controversy over this?

There is no real controversy over the trials. The only controversy is over
the fact that MS patients who choose to smoke cannabis are technically
risking a criminal charge, though in practice they are unlikely to face
one. The most powerful painkillers for a century, after all, have been
based on a far more addictive drug, heroin, so there is nothing in
principle against finding similar uses in cannabis.

Do you think they'll find the volunteers?

They should have no trouble. The MRC has lined up 35 hospitals for the
study, and there are always plenty of people recovering from operations who
will suffer a short and fairly predictable period of post-operative pain.
Volunteers should be warned, however, that they won't get high - the
cannabis pills should create a sense of well-being and relieve pain without
the mind-altering effects of smoking cannabis.

 

 

 

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