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An Open Letter to Physicians on
Understanding Medical Marijuana
American Alliance for Medical Cannabis
AAMC
http://letfreedomsgrow.com
An Open Letter to Physicians
Understanding Medical Marijuana
October 2001
Dear Doctor,
Medical marijuana (proper name Cannabis) has been utilized throughout the world
for some 12,000 years. Medical Cannabis is NOT folk medicine but a real
therapeutic tool you can use in your everyday practice.
No less than the National Academy of Science has gone on record that although
much research remains to be accomplished, the science to date demonstrates the
utility and safety of cannabis.
Clinical experience has shown the efficacy of cannabis for amelioration of
symptoms ranging from the nausea of chemotherapy to the spasticity of MS, the
management of chronic pain, the treatment of arthritis, to the relief of wasting
syndromes.
Some will insist that our present formulary is adequate so why recommend a
“new” drug that may have unforeseen adverse effects? Well, compared to most
narcotics, neuroleptics, anti-spasmotics, etc., cannabis has an extraordinarily
safe profile in most patients. Medical Cannabis is not a primary therapy but an
adjunctive one that significantly assists overall patient care. Cancer and AIDS
patients gain weight. Chronic pain patients can be managed with markedly reduced
amounts of narcotics. Arthritis suffers find anti-inflammatory relief without
the nasty side effects of NSAIDS.
It is legal in California to recommend cannabis to patients. The DEA has been
permanently enjoined from acting against any physician who wishes to provide
recommendation of Cannabis. Patients want the relief that cannabis can provide.
It is better for patients to use Cannabis under your supervision than in some
clandestine fashion.
An Open Letter to Physicians Continued
Page 2
Cannabis does NOT have to be smoked. Both inhalation and oral routes of
delivery are available. Transdermal and sublingual delivery systems are
currently being perfected. Increasingly, a safe and consistent supply of medical
Cannabis strains is available providing more certainty in dosing and effect.
Cloned medical Cannabis has been demonstrated to have far greater therapeutic
effect with fewer side effects than the prescription drug Marinol.
Cannabis is not just for the dying in hospice but also for the chronically or
seriously ill. Cannabis is even being utilized to reduce the devastating
inflammatory process caused by acute injury to the brain or spinal cord.
I am writing you an open letter for an open mind. Most of us “snicker” when
we hear the word “pot”. Most of us think that we don’t need another
liability in the practice of medicine forgetting that the safety of Cannabis
considering its absence of toxicity demands its consideration under fundamental
medical principles. Like you, I have been trained in the reductionist model of
medicine that generally spurns herbs or other preparations that have mixed
actions. Yet, Cannabis provides relief from a range of medical conditions
precisely because it contains a number of Cannabinoids that impact on both pain
pathways, inflammatory pathways, and brain centers involved in appetite and the
sense of well-being. The primary “adverse” reaction to Cannabis is euphoria
which is not so negative considering the depression often associated with the
medical conditions for which adjunctive therapy with Cannabis is appropriate.
Clinical “caregiving” models providing adjunctive therapy with medical
Cannabis are now established. These clinical models provide a range of services
to address the broad spectrum of patient needs in terms of employment,
disability, education, and counseling. These caregiver clinics prefer to work
with local physicians who are closely following the patients primary medical
needs. They provide a comprehensive network of needed referral services. They
also provide safe and affordable cannabis.
An Open Letter to Physicians continued
Page 3
Will patients abuse medical Cannabis? Most certainly some patients will. These
are the same patients who abuse Vicodin or Clonopin or so many other medicines
that can be so useful when used responsibly. Clinical models of care giving can
markedly reduce such abuse, as harm reduction is one of the clinic models
primary goals.
Medical Cannabis was a mainstream preparation in American medicine and pharmacy
for over 80 years until its prohibition for cultural reasons in the 1930’s.
Cannabis has been rediscovered and thousands of sound research papers have been
published in the past decade. Call or write us for more information, comments,
or questions about the utilization of cannabis recommendations in your practice.
Respectfully,
Jay R. Cavanaugh, Ph.D.
National Director
American Alliance for Medical Cannabis
Past Senior Member, California State Board of Pharmacy
Ph.D. Biochemistry
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