This research will continue, but as of the writing, smoking or ingesting botanical marijuana or the cannabis plant itself isn’t approved as an accepted medical therapy from the U.S. Physicians who smoke or ingest marijuana have to be aware that they’re breaking Federal law and may be prosecuted under Federal statutes.
Furthermore, physicians ought to be testing for marijuana usage and when detected, they shouldn’t prescribe controlled substances, irrespective of their diagnosis and the patient’s symptoms, according to current Federal statutes. Is there such a thing as FDA approved medical marijuana? There are two FDA approved medications in the U.S. containing a synthetic analogue of THC (tetrahydrocannabinol), which is the main chemical (cannabinoid) in charge of marijuana’s psychoactive effects. A synthetic version of THC is contained in the FDA approved medication Marinol (Schedule III) and Cesamet (Schedule II) which can be prescribed to treat nausea for cancer sufferers undergoing chemotherapy. Marinol is also prescribed to stimulate the appetite of cancer and anorexia patients (2).
The FDA is presently managing trials being conducted on Epidiolex (3), a drug made by GW Pharmaceuticals and designed to lessen convulsive seizures in kids. The medication contains cannabinoids from marijuana, known as cannabidiol or CBD, which will not contain the psychoactive properties of classic marijuana and doesn’t create a high.
Whether this drug receives FDA approval, then it could make history being the first approved drug containing CBD from the U.S. Unfortunately, many physicians are often faced with the issue of whether to prescribe controlled substances to patients that drug test positive for marijuana.
This is especially the case in countries that have modified state legislation to legalize marijuana. These changes in state legislation do not change the Federal rules that physicians must follow. As a former career DEA agent, I remind doctors that marijuana is still an illegal Schedule I controlled substance with no approved medical use in the U.S.. The simple fact remains that all state laws have Federal supervision, as stated in the Supremacy Clause of the Constitution. “The Supremacy Clause is a clause in Article VI of the U.S. Constitution that dictates that national law is the supreme law of this land. Under the doctrine of preemption, which will be based on the Supremacy Clause, federal law preempts state regulation if the laws battle.”
(1) When a physician becomes aware that a patient is using marijuana, alternate methods of treatment should be implemented other than simply prescribing controlled substances. Physicians should also take action to refer the individual for therapy and cessation if any illegal drug use is revealed, including marijuana. Physicians must also keep in mind the marijuana made today is a lot more potent than the past and utilizing high potency marijuana in conjunction with controlled substances is not safe for individuals. Marijuana is still the drug in America.
This bit is not meant to set the stage for a legalization debate about marijuana. Rather, I want warning professionals whose patients under their care test positive for marijuana. online dispensary california usage is still forbidden by Federal law and patients that self-medicate or misuse marijuana should not be prescribed controlled substances.