Marijuana goes on to become a very highly abused drug in America. The arguments for and resistant to the legalization of marijuana continue to escalate. This particular article is not created to set the stage for a legalization debate about marijuana. Rather, I want caution practitioners whose individuals under their care test positive for marijuana. Marijuana use is still forbidden by Federal law and patients who self medicate or perhaps abuse marijuana should not be prescribed controlled substances.
However, many physicians are generally faced with the dilemma of if to suggest controlled substances to individuals who drug test positive for marijuana. This's especially the case in states which may have modified state laws to legalize marijuana. These changes in state law do not replace the Federal recommendations which doctors must follow. As a former career DEA agent, I remind physicians that marijuana remains an illegal Schedule I controlled substance without established medical use of the U.S. The fact remains that all the state laws have Federal oversight, as I have said in the Supremacy Clause of the Constitution. "The Supremacy Clause is a clause inside Article VI of the U.S. Constitution which demands that federal law is the supreme law of the land. Under the doctrine of preemption, which is based on the Supremacy Clause, federal law preempts state law, flat when the laws conflict."(1)
When a doctor becomes aware that a patient is using marijuana, alternate techniques of therapy should be implemented apart from prescribing controlled substances. Doctors should also do something to refer the individual for treatment plus cessation if any illegal drug use is revealed, such as marijuana. Physicians should in addition take into account that the marijuana farmed today might be more powerful than the past and using higher potency marijuana together with controlled substances is not safe for patients.
Is there something like FDA authorized medical marijuana? There are 2 FDA approved drugs in the U.S. containing a synthetic analogue of THC (tetrahydrocannabinol), which is the primary chemical (cannabinoid) in charge for marijuana's psychoactive effects. A synthetic version of THC is contained in the FDA approved medications Marinol (Schedule III) and Cesamet (Schedule II) which are prescribed to treat nausea for cancer patients undergoing chemotherapy. Marinol is also prescribed to trigger the appetite of cancer as well as anorexia individuals (2). The FDA is currently overseeing trials being conducted on Epidiolex (three), a drug manufactured by GW Pharmaceuticals and also developed to minimize convulsive seizures in kids. The drug contains cannabinoids from marijuana, called CBD or cannabidiol, which does not contain the psychoactive properties of regular marijuana and does not produce a high. If this medication obtains FDA approval, it will generate history turning out to be the first approved drug containing eagle hemp cbd gummies for tinnitus reviews (click through the following web site) in the U.S.
Additionally, DEA has issued an unique registration to a research laboratory in the University of Mississippi to cultivate different strains of marijuana for medical trials (four). This particular investigation will continue, but as of this article writing, ingesting or smoking botanical marijuana or the cannabis plant is not federally approved as an accepted medical treatment of the U.S. Patients who smoke or ingest marijuana need to be aware that they are breaking Federal law and also might be prosecuted under Federal statutes. Moreover, doctors must be testing for marijuana use and when identified, they should not prescribe controlled substances, no matter their diagnosis and the patient's symptoms, as per present Federal statutes.