Medical cannabis (also referred to as
medical marijuana) is the use of
cannabis and its constituent
cannabinoids such as
THC as a physician-recommended form of medicine or
herbal therapy. The
Cannabis plant from which the
cannabis drug is derived has a long history of medicinal use, with evidence dating back to 2,737 BCE.
[1]
Although the extent of the medicinal value of cannabis has been disputed, and despite the opposition to research and use put forward by most national governments, it does have several well-documented beneficial effects.
[2][3][4][5] Among these are: the amelioration of
nausea and
vomiting, stimulation of hunger in
chemotherapy and
AIDS patients, lowered intraocular eye pressure (shown to be effective for treating
glaucoma), as well as general
analgesic effects (
pain relief).
Synthetic cannabinoids are available as
prescription drugs in some countries. Examples include
Marinol, available in the United States and Canada, and
Cesamet, available in Canada, Mexico, the
United Kingdom, and also in the United States.
There are several methods for
administration of dosage, including
vaporizing or smoking dried buds, drinking or eating extracts, and taking capsules. The comparable efficacy of these methods was the subject of an investigative study
[5] conducted by the
National Institutes of Health.
While cannabis for recreational use is illegal in most parts of the world, its use as a medicine is legal in a number of territories, including Canada, Austria, Germany, the Netherlands, Spain,
Israel, Italy, Finland, and Portugal. In the United States, federal law outlaws all cannabis use, while permission for medical cannabis varies among states. Distribution is usually done within a framework defined by local laws. Medical cannabis remains a controversial issue worldwide.
Breast cancer
According to a 2007 study at the
California Pacific Medical Center Research Institute,
cannabidiol (CBD) may stop
breast cancer from spreading throughout the body.
[75] These researchers believe their discovery may provide a non-toxic alternative to
chemotherapy while achieving the same results minus the painful and unpleasant
side effects. The research team says that CBD works by blocking the activity of a gene called Id-1, which is believed to be responsible for a process called
metastasis, which is the aggressive spread of
cancer cells away from the original tumor site.
[75]
HIV/AIDS
Investigators at
Columbia University published
clinical trial data in 2007 showing that
HIV/AIDS patients who inhaled cannabis four times daily experienced substantial increases in food intake with little evidence of discomfort and no impairment of cognitive performance. They concluded that smoked marijuana has a clear medical benefit in HIV-positive patients.
[76][77] In another study in 2008, researchers at the
University of California, San Diego School of Medicine found that marijuana significantly reduces HIV-related
neuropathic pain when added to a patient's already-prescribed
pain management regimen and may be an "effective option for
pain relief" in those whose pain is not controlled with current medications. Mood disturbance, physical disability, and quality of life all improved significantly during study treatment.
[78] Despite management with opioids and other pain modifying therapies, neuropathic pain continues to reduce the quality of life and daily functioning in HIV-infected individuals. Cannabinoid receptors in the central and
peripheral nervous systems have been shown to modulate pain perception. No serious adverse effects were reported, according to the study published by the
American Academy of Neurology.
[79]
Brain cancer
A study by
Complutense University of Madrid found the chemicals in marijuana promotes the death of
brain cancer cells by essentially helping them feed upon themselves in a process called
autophagy. The research team discovered that cannabinoids such as THC had anticancer effects in mice with
human brain cancer cells and in people with
brain tumors. When mice with the human brain cancer cells received the THC, the tumor shrank. Using
electron microscopes to analyze brain tissue taken both before and after a 26- to 30-day THC treatment regimen, the researchers found that THC eliminated
cancer cells while leaving healthy cells intact.
[80] The patients did not have any toxic effects from the treatment; previous studies of THC for the treatment of cancer have also found the therapy to be well tolerated. However, the mechanisms which promote THC's tumor cell–killing action are unknown.
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