112 lines
5.8 KiB
Plaintext
112 lines
5.8 KiB
Plaintext
From: jkp@cs.HUT.FI (Jyrki Kuoppala)
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Newsgroups: alt.drugs
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Subject: Re: dronabinol (Bush on THC)
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Message-ID: <1991Nov4.003229.18928@nntp.hut.fi>
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Date: 4 Nov 91 00:32:29 GMT
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In article <9971@spdcc.SPDCC.COM>, dyer@spdcc (Steve Dyer) writes:
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>No doctor in hir right mind is going to prescribe a C-II drug for any
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>purpose other that one which is generally accepted by the medical profession,
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>and glaucoma isn't such an indication. That's a simple fact.
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A quote from the July 6-12, 1991 issue of the Economist, reproduced
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without permission (thanks to Gary Condon for posting this earlier):
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Drugs can be medicinal or recreational: marijuana is both. For nearly
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20 years advocates of its medicinal use- to relieve the nausea of
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chemotherapy, to treat glaucoma and to help AIDS patients gain weight-
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have fought in the American courts to have the drug reclassified so
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that doctors can prescribe it. Currently marijuana is grouped with the
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most disapproved of drugs, such as LSD and heroin. The government
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argues it must remain so because it has no "currently accepted medical
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use in treatment". A new study by researchers at Harvard refutes this.
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Mainly because of its effectiveness in treating the vomiting
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common among cancer patients during chemotherapy, tetrahydrocannibinol
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(THC), the main psychoactive ingredient in marijuana, was approved for
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medical use in America in 1985. A synthetic form of THC is sold in
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pill form under the trade name Marinol; last year almost 100,000 doses
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were prescribed. Smokable marijuana, however, is available to just 34
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people through a "compassionate use" programme. To the confusion of
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many a police officer, these patients are given a supply of marijuana
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cigarettes rolled by government hands at a research farm in
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Mississippi.
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Proponents claim that smoking marijuana works better than
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taking oral THC. In 1988 Francis Young, a judge who examines
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administrative issues for the Drug Enforcement Agency, recommended
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that marijuana be reclassified on the ground that "current acceptance"
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of a drug is present if a "respectable minority" of doctors endorse
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it. The administration disagreed, claiming that the vast majority of
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doctors believe oral THC is as reliable and effective as smokable
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marijuana and produces fewer side-effects.
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Enter Rick Doblin and Mark Kleiman, two drug-policy
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researchers at Harvard's Kennedy School of Government. To test the
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administrations thesis, they conducted a random survey of members of
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the American Society of Clinical Oncology. Some 1,035 responded, about
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10% of America's oncologists. The results, published in the July 1st
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issue of the Journal of Clinical Oncology, surprised even Mr. Doblin
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and Mr. Kleiman; nearly half of the respondents said they would
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prescribe smokable marijuana if it were legal. Indeed 44% of them said
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they had, in effect, done so already by recommending it to one or more
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of their patients, despite the possibility of prosecution.
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Nearly two-thirds of the oncologists agreed that marijuana was
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an effective anti-emetic, while 77% of the 157 who expressed a
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preference said that smokable marijuana is more effective than oral
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THC. A majority said that marijuana was no worse than Marinol in terms
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of producing bad side-effects.
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=============================================================================
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From: Jim Rosenfield <jnr@igc.apc.org>
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Newsgroups: talk.politics.drugs
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Date: 23 Oct 93 11:32 PDT
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Subject: Docs report MJ Recommendatns
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Message-ID: <1484000379@cdp>
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From: Jim Rosenfield <jnr>
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Subject: Docs report MJ Recommendatns
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From vicka@wrq.com Thu Oct 7 16:32:32 1993
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From: the Littlest Orc <vicka@wrq.com>
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Organization: Walker Richer & Quinn, Inc., Seattle, WA
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AU Doblin-R-E. Kleiman-M-A.
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IN Kennedy School of Government, Cambridge, MA 02138.
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TI Marijuana as antiemetic medicine: a survey of oncologists'
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experiences and attitudes [see comments]
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CM Comment in: J-Clin-Oncol. 1991 Nov. 9(11). P 2079-80.
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SO J-Clin-Oncol. 1991 Jul. 9(7). P 1314-9.
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LG eng.
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PT journal-article.
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AB A random-sample, anonymous survey of the members of the American
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Society of Clinical Oncology (ASCO) was conducted in spring 1990
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measuring the attitudes and experiences of American oncologists
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concerning the antiemetic use of marijuana in cancer chemotherapy
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patients. The survey was mailed to about one third (N = 2,430) of all
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United States-based ASCO members and yielded a response rate of 43%
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(1,035). More than 44% of the respondents report recommending the
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(illegal) use of marijuana for the control of emesis to at least one
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cancer chemotherapy patient. Almost one half (48%) would prescribe
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marijuana to some of their patients if it were legal. As a group,
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respondents considered smoked marijuana to be somewhat more effective
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than the legally available oral synthetic dronabinol ([THC] Marinol;
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Unimed, Somerville, NJ) and roughly as safe. Of the respondents who
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expressed an opinion, a majority (54%) thought marijuana should be
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available by prescription. These results bear on the question of
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whether marijuana has a "currently accepted medical use," at issue in
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an ongoing administrative and legal dispute concerning whether
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marijuana in smoked form should be available by prescription along
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with synthetic THC in oral form. This survey demonstrates that
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oncologists' experience with the medical use of marijuana is more
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extensive, and their opinions of it are more favorable, than the
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regulatory authorities appear to have believed.
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MJ ANTIEMETICS: tu. ANTINEOPLASTIC-AGENTS: ae.
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ATTITUDE-OF-HEALTH-PERSONNEL. CANNABIS. MEDICAL-ONCOLOGY.
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NAUSEA: pc. NEOPLASMS: dt. VOMITING: pc.
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MN HUMAN. NAUSEA: ci. QUESTIONNAIRES. RANDOM-ALLOCATION.
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UNITED-STATES. VOMITING: ci.
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RN 0 Antiemetics. 0 Antineoplastic-Agents.
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