Thursday, May 31, 2012

Marijuana Use Associated With Lower Mortality In Schizophrenics

We Love The Herb The use of marijuana is associated with lower mortality risk in patients with schizophrenia and related psychotic disorders, according to a new study to be published in the Journal of Psychiatric Research. Investigators from the University of Maryland School of Medicine and South Korea's Inje University studied the effects of lifetime substance use on mortality in 762 patients with schizophrenia or related conditions, reports Paul Armentano at the NORML Blog. "[W]e observed a lower mortality risk-adjusted variable in cannabis users compared to cannabis non-users despite subjects having similar symptoms and anti-psychotic treatments," researchers reported. The association between marijuana use and lessened mortality risk could be because "cannabis users may (be) higher functioning" and because "cannabis itself may have some health benefits," the reports authors said.

Majority of California voters do not support legalizing pot!

LOS ANGELES - In California, cradle of the marijuana movement, a new poll has found a majority of voters do not support legalization, even as they overwhelmingly back medicinal use for "patients with terminal and debilitating conditions." Eighty percent of voters support doctor-recommended use for severe illness, a University of Southern California Dornsife/Los Angeles Times poll found. But only 46 percent of respondents said they support legalization of "general or recreational use by adults," while 50 percent oppose it. Those against using pot were more adamant in their position, with 42 percent saying they felt "strongly" about it, compared with 33 percent for proponents. The survey found opinions have not measurably changed since voters defeated the legalization initiative Proposition 19 in 2010 by similar margins. And oddly, given the state's long role as the leader of marijuana decriminalization and cultivation, support for sanctioning its general use here appears to lag behind the sentiment in the rest of the country. A Gallup poll in October showed support nationwide for legalizing pot at 50 percent for the first time since the pollster began asking the question in 1969, when only 12 percent of Americans supported it. A Rasmussen Reports survey this month found 56 percent of voters favored authorizing and regulating cannabis sales like alcohol and tobacco sales. With this uptick in popularity, marijuana advocates succeeded in getting initiatives qualified for the upcoming November ballot in Colorado and Washington, while they failed in California. Dan Schnur, director of the Jesse M. Unruh Institute of Politics at USC, said the California numbers suggest voters are concerned about the way the Compassionate Use Act, passed in 1996 to permit medical marijuana, has been carried out. "They like the idea of providing marijuana for medical use, but they're worried that the law is being abused," he said. Cities and counties have been struggling with how to rein in the proliferation of pot shops. Some law enforcement agencies have targeted them, while some have been more lenient. Some cities have tried to ban them, and courts have issued conflicting opinions up and down the state as to whether, where and how they can operate. The federal government, which does not recognize medical marijuana as legal, has been shutting down dispensaries and growers, while threatening landlords who rent to them and cities that give them official sanction by granting permits. Dale Gieringer, coordinator of the state chapter of the National Organization for the Reform of Marijuana Laws, said that the state needs to regulate its medical marijuana distribution better before the public will go for wider use. His organization and Americans for Safe Access, among other marijuana groups, are backing a state Assembly bill that would create a new state board to enact and enforce statewide regulations on growing, transporting and selling marijuana. It would require all dispensaries to register with the state, and allow cities and counties to tax sales. "Voters are hesitant to liberalize the marijuana laws any further until the chaos of the current system is worked out," he said. The new poll of about 1,000 registered voters taken May 17-21 statewide showed many more voters used marijuana "recreationally" than the 3 percent who said they used it as medicine. Just less than 38 perccent said they had indulged in pot for pleasure at least once in their lives - and 9 percent had in the last year. The questioners did not ask whether those who used the drug recreationally acquired it on the street or with a doctor's recommendation from a dispensary. The poll margin of error is plus or minus 3.5 percentage points. The San Francisco Bay Area was the only region of the state where a majority - 55 percent - favors legalization, compared with 41 percent in Southern California and 49 percent of voters in Los Angeles County. There was a pronounced drop-off with age, with 58 percent support among those in their late teens and twenties, slowly slipping to 51 percent for those between 50 and 64, and plummeting to 28 percent of voters older than 64. As for political affiliation, only 28 percent of Republicans and 50 percent of Democrats liked the idea of legalization. Independents were the ones to give it a boost, with 60 percent favoring it. "It's the decline-to-state voters, those kind of independent ones that don't align with either party, who are the ones really pushing this," said Dave Kanevsky, research director for American Viewpoint, a Republican polling firm, which conducted the poll jointly with the Democratic firm Greenberg Quinlan Rosner. (EDITORS: STORY CAN END HERE) One of those independents surveyed was Daniel, a 41-year-old who works in business development in the Inland Empire and did not want to give his last name. "It's no worse than alcohol or tobacco that are currently legalized," he said. "People should absolutely not be persecuted for it." He said he "partied" with marijuana in his youth and grew out of it as an adult. While he feels that it has legitimate medical benefits for some, he suspects that other users are gaming the medical marijuana laws but is not particularly bothered by that. "I don't feel it's a gateway drug," he said. "I feel the biggest gateway drug we have is alcohol because it lowers your inhibitions more than anything else." Jim Feller, a 55-year-old Republican in Shasta County, said the exploitation of medical marijuana laws in his area, where his neighbor is growing 25 plants, has strengthened his antipathy toward pot and legalization. "I just feel it's not working," he said. "There is so much crime related to drugs up here." Pat Wray, 65, a registered Republican in Temecula, said she believes that the terminally ill should have access to marijuana. "My goodness gracious, who wouldn't want them to have something to ease the pain?" she said. She noted that she grew up in the 1960s and doesn't demonize pot smokers. "Look, I drink my glass of wine and occasionally have a margarita." But she said she feared marijuana did lead to harder drugs, and was wary about legalizing it.

Wednesday, May 23, 2012

Nausea

Nausea is not a medical condition in and of itself, but rather a common symptom of everything from cancer to epilepsy to multiple sclerosis. Sometimes the disease itself causes extreme nausea, and sometimes vomiting is a reaction to the medicines or chemo therapy used to treat a chronic condition. Cancer patients going through chemo are among the largest group of people routinely given cannabis to treat nausea. It has an added effect of increasing the appetite, to help keep them eating. However, cannabis has been used to soothe another kind of nausea as well: the nausea associated with morning sickness. While there are more conventional drugs that are often given to pregnant women with extreme cases of morning sickness, the fact that marijuana can be taken via nebulizer (vaporizer) means that it can bypass the GI tract and stay down. Is marijuana safe for pregnant women and their babies, however? A study in Jamaica showed that there was no discernable difference between newborns or one-month old babies whose mothers had used marijuana during pregnancy and those whose mothers did not. Even so, most of the time when cannabis is prescribed as an anti-emetic, it is done so to treat symptoms of chronic diseases.

Chronic Pain

There are many causes for chronic pain, including AIDS, arthritis, cancer, sickle cell anemia, multiple sclerosis, and back, neck and spinal cord injuries, as well as degenerative hip and joint disorders and even severe burns. In almost every case, pain is not the primary condition, but a symptom that varies in duration, frequency and severity, and is different for every patient. While the underlying condition will determine how the pain is treated, it doesn't always dictate the proper pain management. Instead, this is determined by the kind and severity of pain. The goal in all cases, however, is for the patient experiencing pain to function as normally as possible, by reducing their pain as much as possible while also minimizing the side effects so often associated with pain therapies. Failure to adequately manage chronic pain doesn't merely result in an annoyed patient, but can lead to depression, despair, and even a death-wish, when patients refuse potentially life-saving procedures such as surgery or chemotherapy, which cause suffering in and of themselves. While cannabis is not a cure-all, it can serve at least two important functions in the safe and effective management of pain: 1.It can provide actual pain relief, either when used alone, or when used in conjunction with other analgesics; 2.It can control the nausea and vomiting that are common side effects of using opioid drugs, as well as the nausea, vomiting, and dizziness that often come hand-in-hand with ongoing severe pain. While opiates are an effective treatment for severe pain, they also tend to induce intense nausea that can cause not just discomfort, but may also lead to malnourishment, anorexia, cachexia (the wasting disease) and an overall decline in patient's health. Some patients find this nausea so bad that they're willing to stop their pain treatment just to end it. Conversely, an almost immediate relief from pain is provided by inhaled cannabis, and there are fewer adverse effects with this than there are with a common cannabinoid drug Marinol, which contains THC. There are two reasons for this: 1.Inhaling cannabis allows the active components of it to be absorbed into the blood stream faster and with greater effectiveness. 2.There are more cannabinoids present in inhaled cannabis than there are in Marinol, which contains only THC. These additional components may have additional anti-emetic (anti-nausea) properties, and have also been shown to provide better pain control than straight THC Research has also shown that spraying a cannabis extract under the tongue can provide an almost immediate relief from pain, as well.