Using Marijuana For Pain Relief - Facts And Information

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Using Marijuana For Pain Relief - Facts And Information

I read about the different medical properties of marijuana, one of which is pain relief. I wonder if this is really a pain reliever or if this is just something that is made up by those who want to use marijuana?

Marijuana is well studied in the scientific and medical literature and clearly has effective pain relieving properties. It also can have other effects that may help decrease nausea or stimulate appetite. For many, it may also stimulate a sense of well being, (also called “euphoria.”) However, for many other individuals, it may have surprising counter-intuitive effects, because marijuana may actually induce just the opposite state of euphoria – that is, it may sometimes be unpleasant, producing anxiety, panic attacks, confusion, disorientation or agitation.

In all patients or individuals using marijuana, this drug stimulates the sympathetic nervous system and therefore increases the heart rate. Stimulating this system for certain kinds of pain symptoms may end up being be counter-productive for producing pain relief. Although marijuana clearly has some properties that can be exploited medicinally, it also has medical problems associated with its use, particularly when it is inhaled as smoke. These problems may include a risk of causing cancer, otherwise known as “carcinogenesis”. Marijuana users have tried to excuse and dismiss this carcinogenic risk, indicating that if they don’t inhale as deeply, or smoke it as often as they would regular cigarettes, it should not be as high of a cancer risk as smoking tobacco. Yet, studies indicate that in fact marijuana users may inhale more deeply, and hold the smoke in their mouths and lungs for longer than regular cigarettes. Modest use of marijuana may be equivalent to smoke exposure through use of cigarettes for some. This may increase the risk of oral, esophageal and lung cancers.

One of the other problems with marijuana lies within its delivery system whereby smoking marijuana produces smoke that is hot and irritating for the lungs. Some patients and individuals find this heat and irritation objectionable, and others do not. It is particularly problematic for those who have not smoked before.

At present, there is a medication called Marinol that has the active ingredient found in the marijuana plant called tetrahydrocannabinol (also called “THC.”) When Marinol® is prescribed, it is usually for patients who have problems with cancer related anorexia and/or nausea. Another novel product was recently released in England that is a spray that is made from marijuana that can be applied to the oral mucosa (outer gums of the mouth) and has a quick onset like smoked marijuana without the smoke exposure.

To date, the field of medicine is conflicted about the use of medicinal marijuana because it clearly has properties that are advantageous to some, but other properties that are not of benefit and may be of harm. There are many other medications that can combat untoward symptoms of anorexia, nausea and pain – and these medications are usually just as effective as marijuana. Therefore, these medications continue to be more mainstream choices that physicians offer to their patients.

Moreover, the federal government seems determined to deter the legalized use of marijuana within our current legal health care system. At present, several states have legalized medical use of marijuana for patients, but the federal government has not allowed physicians to prescribe it. Thus, the debate about medical marijuana persists and the Supreme Court will likely have something to say about this controversy during its 2004-2005 session. There are many patients who feel that it is not only their right to utilize marijuana for medical purposes, but they also believe it is their only hope for effective pain relief or symptom management.

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