Marijuana continues to be a very highly abused drug in America. The reasons for & against the legalization of marijuana continue to escalate. This piece is not created to set the stage for a legalization debate about marijuana. Rather, I are interested in caution practitioners whose individuals under their care test positive for marijuana. Marijuana use continues to be forbidden by Federal law as well as individuals who self-medicate or perhaps abuse marijuana should not be prescribed controlled substances.
Sadly, a lot of doctors are often faced with the dilemma of whether to suggest controlled substances to individuals who drug test positive for marijuana. This is particularly the situation in states which may have altered state laws to legalize marijuana. These changes in state law do not change the Federal guidelines which doctors should follow. As a former career DEA agent, I remind physicians that marijuana continues to be an illegal Schedule I controlled substance without any established medical use in the U.S. The actual fact remains that all state laws have Federal oversight, as mentioned in the Supremacy Clause of the Constitution. "The Supremacy Clause is a clause within Article VI of the U.S. Constitution which dictates that federal law is the supreme law of the land. Under the doctrine of preemption, which in turn is based on the Supremacy Clause, federal law preempts state law, even when the laws conflict."(1)
When a doctor becomes conscious that a patient is using marijuana, alternate methods of therapy ought to be implemented other than prescribing controlled substances. Physicians must also take measures to send the patient for cessation plus treatment if any against the law drug use is revealed, such as marijuana. Physicians must in addition take into account that the marijuana produced today is much more powerful than the past and using high potency marijuana along with controlled substances is not safe for individuals.
Is there something like FDA sanctioned medical marijuana? There are two FDA sanctioned drugs in the U.S. that contains a synthetic analogue of THC (tetrahydrocannabinol), which is the primary substance (cannabinoid) in charge for marijuana's psychoactive effects. A man-made version of THC is contained within the FDA approved medications Marinol (Schedule III) and Cesamet (Schedule II) which are recommended for treatment of nausea for cancer patients undergoing chemotherapy. Marinol can also be prescribed to stimulate the appetite of cancer as well as anorexia individuals (2). The FDA is now overseeing trials being conducted on Epidiolex (three), a drug manufactured by GW Pharmaceuticals and created to minimize convulsive seizures in kids. The drug has cannabinoids from marijuana, called eagle hemp cbd gummies for pain - Find Out More, or perhaps cannabidiol, which doesn't contain the psychoactive qualities of traditional marijuana and does not create a top. If this particular medication gets FDA approval, it will make history turning out to be the original approved drug with CBD in the U.S.
Furthermore, DEA has issued an unique registration to a research laboratory at the Faculty of Mississippi to cultivate a variety of strains of marijuana for clinical trials (4). This exploration is going to continue, but as of this writing, smoking or ingesting botanical marijuana or the cannabis plant is not federally approved as being an established medical therapy in the U.S. Patients that smoke or ingest marijuana importance being aware they are breaking Federal law and also may be prosecuted under Federal statutes. Moreover, doctors should be testing for marijuana use and if recognized, they should not prescribe controlled substances, regardless of their diagnosis and the patient's symptoms, as per current Federal statutes.