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Like everyone else who has been working over decades to ensure that marijuana, with all that it has to offer, is allowed to take its proper place in our lives, I have been heartened by the rapidly growing pace at which it is gaining understanding as a safe and versatile medicine. In addition to the relief it offers to so many patients with a large array of symptoms and syndromes almost invariably at less cost, both in toxicity and money than the conventional drugs it replaces , it is providing those patients, their caregivers, and the people who are close to them an opportunity to see for themselves how useful and unthreatening its use is. It has been a long and difficult sell, but I think it is now generally believed except by the United States government that herbal marijuana as a medicine is here to stay. The evidence which underpins this status as a medicine is, unlike that of almost all other modern medicines, anecdotal. Ever since the mids new medicines have been officially approved through large, carefully controlled double-blind studies, the same path that marijuana might have followed had it not been placed in Schedule 1 of the Controlled Substances Act of which has made it impossible to do the kind of studies demanded for approval by the Food and Drug Administration. Anecdotal evidence commands much less attention than it once did, yet it is the source of much of our knowledge of synthetic medicines as well as plant derivatives. Controlled experiments were not needed to recognize the therapeutic potential of chloral hydrate, barbiturates, aspirin, curare, insulin, or penicillin. And there are many more recent examples of the value of anecdotal evidence. It was in this way that the use of propranolol for angina and hypertension, of diazepam for status epilepticus a state of continuous seizure activity , and of imipramine for childhood enuresis bed-wetting was discovered, although these drugs were originally approved by regulators for other purposes. Today, advice on the use marijuana to treat a particular sign or symptom, whether provided or not by a physician, is based almost entirely on anecdotal evidence. His cannabis-savvy physician, one who is aware of compelling anecdotal literature suggesting that it is quite useful in this syndrome, would not hesitate to recommend to this patient that he try using marijuana. Particularly in states which have accommodated the use of marijuana as a medicine, this kind of exchange is not uncommon. Because the use of cannabis as a medicine is so benign, relative to most of the conventional medicines it competes with, knowledgeable physicians are less hesitant to recommend a trial. One of the problems of accepting a medicine, particularly one whose toxicity profile is lower than most over-the-counter medicines, on the basis of anecdotal evidence alone is that it runs the risk of being over- sold. For example, it is presently being recommended for many types of pain, some of which are not responsive to its analgesic properties. Unfortunately, this kind of trial is not always benign. Unfortunately, the anecdotal evidence on which the cancer-curing capacity is based is unconvincing; and because it is unconvincing, it raises a serious moral issue. Simpson, who does not have a medical or scientific education he dropped out of school in ninth grade , apparently does not require that a candidate for his treatment have an established diagnosis of a specific type of cancer, usually achieved through biopsy, gross and histopathological examinations, radiologic and clinical laboratory evidence. There are patients who have a medically sound diagnosis of pre-symptomatic cancer such as early prostate cancer but who, for one reason or another, eschew allopathic treatment and desperately seek out other approaches. Such patients are all too eager to believe that a new treatment, such as hemp-oil medicine, has cured their cancer. Unfortunately, this cancer which was asymptomatic at the time of its discovery, will eventually become symptomatic and at that time the possibility of a cure is significantly diminished, if not no longer a conceivable goal. This lesson was brought home to me when I was asked by the American Cancer Society during a period early in my medical career when I was doing cancer research to participate in an investigation of a man in Texas who claimed that a particular herb that his grandfather discovered would cure cancer. With much effort, I was able to persuade them to have our surgical unit perform new biopsies, both of which revealed advancement in the pathological process over their initial biopsies. Both were then persuaded to have the surgery they had previously feared, and there is no doubt that this resulted in saving their lives. There is little doubt that cannabis now may play some non-curative roles in the treatment of this disease or diseases because it is often useful to cancer patients who suffer from nausea, anorexia depression, anxiety, pain, and insomnia. However, while there is growing evidence from animal studies that it may shrink tumor cells and cause other promising salutary effects in some cancers, there is no present evidence that it cures any of the many different types of cancer. I think the day will come when it or some cannabinoid derivatives will be demonstrated to have cancer curative powers, but in the meantime, we must be very cautious about what we promise these patients. Il consumo controllato Lotta alla droga. Droghe e politiche urbane La salute di chi consuma droghe e la salute mentale Le droghe ai tempi del Covid19 I migranti e le sostanze psicoattive Documentazione WWW - Edizione Presentazione e iscrizione Programma Documentazione e presentazioni NPS: gli stili e i setting di consumo, le politiche Che cosa sono le nuove sostanze psicoattive — NPS? Don't Punish. Organi sociali Sala Stampa Adesioni 5 per mille. Home Home english. Articolo di Redazione. Iscriviti a fuoriluogoit su Telegram. Related Posts. La cannabis terapeutica fa risparmiare 18 Ottobre Cannabis terapeutica: la mobilitazione dei pazienti 18 Luglio Cannabis terapeutica. Multa di 8mila euro a sei farmacie 17 Maggio Canapa e Cassazione. Ora la grazia? 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