Is Truth Always True
The medical use of cannabis seems new. We often hear that it has not been studied
and proven to be safe or effective. More data needs to be collected. Long term risks
have not been evaluated. The way cannabis works is not completely understood.
Well, pilgrim, all of the above is true. It is also quite wrong. This is a good example of
how sorting out the wheat from the chaff in all the information available for medical
cannabis can be difficult...
True, cannabis has not been found to be safe and effective according to the way new
medications are approved by the FDA. No surprise here, as most research in cannabis
has been illegal. Just because medical cannabis does not have FDA approval as safe
and effective doesn't mean it is dangerous and worthless.
Cannabis has been used by humans for about the last 4500 years, starting in China. Its
use for a variety of conditions was described in the ancient book, The Herbal , still in
use today by many practitioners there. Since then, throughout many cultures of the
world, cannabis has been used medically as well as religiously and socially. It has only
been deemed to have no medical use and to be a dangerous drug since 1970. The
federal government seems to be ignoring millennia of experience claiming more data
needs to be collected. Of course, there are few areas of medicine or science which don't
need further study. I think we have sufficient experience with cannabis to say it is
relatively safe and can be effective.
True, we really don't know exactly how cannabis works. We have extensive knowledge
of receptors for cannabinoids in the body and the effects these have. But, that
knowledge doesn't really explain how the interaction of the more than 400 chemicals in
cannabis have the effects they do. We do know it works for many people for a variety of
conditions and is relatively nontoxic. There are many drugs we use in western medicine
we really don't understand. How does Tylenol relieve pain? Ummm- lots of theories,
including one that involves the body’s own cannabinoid system, but we don't know. We
do know it works and that it is a much more toxic drug to the body than cannabis.
Tylenol is universally accepted and available everywhere.
So, you can see how there can be a lot of information out there on medical cannabis
that may be the true, but not necessarily the whole truth. As a patient, you need to have
an understanding of your disorders, the treatments prescribed by your physician,
yourself and the way medical cannabis may help you. Only then can you make the right
choices for the unique person you are.
Brian Nichol MD