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Health Canada set to release users' manual for medical marijuana
Canada East ^ | Sunday, July 20, 2003 | DEAN BEEBY

Posted on 07/20/2003 12:57:34 PM PDT by yonif

(CP) - Health Canada is set to release a user's manual this week for a drug it has long opposed: marijuana.

The unprecedented move has been triggered by the courts, which compelled Health Canada this month to begin distributing government-certified marijuana to a group of patients who take the substance to alleviate symptoms.

The department must also release a manual on how to use its dope - but a daft version of the document shows patients will get little practical advice about ingesting marijuana and lots of warnings against using it at all.

"Administration by smoking is not recommended," says the 59-page document, which is modelled on drug product monographs, standard for approved medicines.

"Marijuana can produce physical and psychological dependence and has the potential for abuse."

The March 30 draft document, obtained under the Access to Information Act, warns that smoking marijuana can be more dangerous to the lungs than tobacco, but provides patients no practical alternatives.

"We're not recommending, in fact, that marijuana be used," Suzanne Desjardins, a Health Canada scientist who helped produce the manual, said in an interview from Ottawa.

"It's a drug we don't recommend. If people want to use it, then we're saying, well, don't use it by smoking it. . . . There's no study that demonstrates (in) what form it should be used."

The manual specifically advises against administering marijuana to children up to 16 years of age or to those 65 years or older because "the potential for harm is likely to outweigh benefits." Nursing and pregnant women are similarly urged to steer clear.

Users who do choose to smoke are warned that "smoking should be gentle and should cease if the patient begins to feel disoriented or agitated ... naive smokers should take great care and be supervised."

The document, headlined Information for Health Care Professionals, warns of potential panic attacks, psychosis and convulsions in some cases.

"If disturbing psychiatric symptoms occur at the prescribed dosage, the patient should be closely observed in a quiet environment and supportive measures, including reassurance, should be used."

Users are also advised that traces of marijuana remain in the urine for weeks and may turn up in drug tests carried out by employers or police.

Apart from brief sections citing scientific studies on taking marijuana orally - baked in a chocolate cookie, for example - or rectally as a suppository, the manual offers no techniques to avoid smoking.

Experienced, health-conscious users have long turned to tinctures and vaporizers as alternatives to smoking dope, which delivers the main active ingredient, THC, quickly but can harm the lungs.

A doctor based in Berkeley, Calif., who uses marijuana or cannabis to treat patients, posted his own user's manual on the Internet last Friday, providing detailed advice on non-smoked forms of ingestion.

"For both efficiency and health reasons, I recommend to all my patients that they set a goal of taking all (or almost all) of their cannabis medicines in non-smoked forms, mostly using edibles and drinkables, 'topping off' as necessary with vaporization," Dr. David Hadorn wrote on his Web site (www.davidhadorn.com/cannabis/CM-guideline.htm).

Eric Nash, a Health Canada-approved grower of medical marijuana, provided his only customer with a vaporizer, which heats the substance to release THC for inhaling without any burning.

"Vaporizers are very popular with medical users," he said from his Duncan, B.C., home. Nash is one of 32 growers in Canada each licensed to provide one approved medical user with marijuana.

Tinctures can be produced by soaking marijuana leaves and buds in alcohol, which extracts the active ingredient. Drops of the tincture can then be used in cooking or under the tongue.

Health Canada does not approve the use of marijuana, saying clinical studies are needed first to demonstrate whether it is effective as a medicine. However, court decisions have forced it to allow select patients to use marijuana on a compassionate basis.

Desjardins said the dried marijuana that Health Canada will distribute through doctors to some of the 582 approved medical users will have a standard dose of 10 per cent THC.

The cost will be $5 a gram, much less than on the street. The material, grown under contract by Prairie Plant Systems in Flin Flon, Man., and available in 30-gram bags, was originally intended only for clinical trials.

Direct distribution to patients, however, could be cut off within weeks as the federal government mounts a court challenge of the order requiring it to be a supplier.

The Health Canada user's manual, which will be sent to doctors and posted on the Internet this week, will be accompanied by a two-page information sheet for patients written in layman's language, Desjardins said.

None of the Prairie Plant Systems marijuana can be distributed until the document is made available, she said.


TOPICS: Canada; Foreign Affairs; Front Page News; Government; News/Current Events
KEYWORDS: canada; drugs; health; marijuana; medical; usersguide; wodlist

1 posted on 07/20/2003 12:57:34 PM PDT by yonif
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To: yonif
O Cannnnaduhhhhhh,,,, cough cough.. hack hack...
2 posted on 07/20/2003 1:00:40 PM PDT by NormsRevenge (Semper Fi ...&&&&&&&&&... SuPPort FRee Republic)
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To: jmc813
Ping.
3 posted on 07/20/2003 1:08:00 PM PDT by yonif
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To: yonif
Meanwhile in the USA, the government publishes books on how to arrest cancer patients, quadriplegics, and their doctors.
4 posted on 07/20/2003 1:11:17 PM PDT by Lexington Green
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To: Wolfie; vin-one; WindMinstrel; philman_36; Beach_Babe; jenny65; AUgrad; Xenalyte; Bill D. Berger; ..
WOD Ping
5 posted on 07/20/2003 1:18:47 PM PDT by jmc813 (Check out the FR Big Brother 4 thread! http://www.freerepublic.com/focus/chat/943368/posts)
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To: yonif
Does it address what to do if you develop schitzophrenia five years from now?
6 posted on 07/20/2003 1:20:31 PM PDT by DannyTN (Note left on my door by a pack of neighborhood dogs.)
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To: DannyTN
Does it address what to do if you develop schitzophrenia five years from now?

Or when you start having sex with negro jazz musicians?

7 posted on 07/20/2003 1:30:57 PM PDT by jmc813 (Check out the FR Big Brother 4 thread! http://www.freerepublic.com/focus/chat/943368/posts)
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To: yonif
"Marijuana can produce physical and psychological dependence and has the potential for abuse."

Ohhhh, so that's why those meanie government people don't want it legalized. Not to mention the "more harmful to the lungs than tobacco" part.

8 posted on 07/20/2003 1:38:41 PM PDT by trebb
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To: yonif
Imagine that. A manual on how to use pot.
9 posted on 07/20/2003 1:41:12 PM PDT by telebob
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To: NormsRevenge
I'm currently a 49 year old medically authorized medical cannabis patient. I've discussed and received approval from my primary care physician, neurologist, rheumatologist,and gastroenterologist. I forgot about my optometric physician, she's informed and agrees to the value also. I want all of my doctors to know what each other is doing, otherwise you are asking for trouble.

I think what the Cannuckleheads have done is appropriate. I use the medical pot in the ways this article describes and it works remarkably. I've been able to be weaned off many other more severly debilitating pharmaceuticals that had been ruining my quality of life during this illness. I've been taking meds for this and meds for the side effects of that until my body couldn't take it anymore.

I think the "smoking" argument is a sceptics straw man argument to try and deny medical pot as the valuable medication it is. I've never smoked tobacco nor did I use pot before my illness. It was rather difficult at first to try and overcome my biases and try the weed. What I found however was the immediate relief a puff or two delivered. Small smoked amounts used by patients isn't a significant health hazard to someone already sick as a dog. The vaporizor technology reduces the risk even more except it is spendy. Mine cost almost $500.00.

It boggles my mind there's any opposition to this type of medical therapy. I've never been raided for my Oxycontin, Dilaudid, and morphine prescriptions, but could be by the Fed's for my medical pot, in a State that allows it. INSANE.
10 posted on 07/20/2003 2:13:05 PM PDT by bigfootbob
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To: bigfootbob
Thank you for sharing your experience.

It's too bad bureaucrats and politicians don't like the simple cures, more than likely because there is no associated campaign donation tied to it.

Chalk it up to the same methodology the major drug companies use to get their drugs prescribed whether they help patients or not or other more cost and treatment effective may be available.

It's all about money. Compassion has nothing to do with it.

11 posted on 07/20/2003 2:44:40 PM PDT by NormsRevenge (Semper Fi ...&&&&&&&&&... SuPPort FRee Republic)
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To: jmc813
Or when you start having sex with negro jazz musicians?

BAW HAW HAW HAW HAW! Oh man, that was the best comeback I've heard all week!


12 posted on 07/20/2003 3:13:16 PM PDT by FierceDraka ("I am not a number - I am a FREE MAN!")
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To: DannyTN
Does it address what to do if you develop schitzophrenia five years from now?

Did you mean Shlitzophrenia - the mental disorder characterized by the ingestion of crappy beer?

13 posted on 07/20/2003 4:16:31 PM PDT by StatesEnemy
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To: telebob
"Imagine that. A manual on how to use pot."

"The department must also release a manual on how to use its dope - but a daft version of the document shows patients will get little practical advice about ingesting marijuana and lots of warnings against using it at all."

All they have available now is an appropriately named "daft version".

14 posted on 07/20/2003 4:51:20 PM PDT by robertpaulsen
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To: StatesEnemy
Did you mean Shlitzophrenia - the mental disorder characterized by the ingestion of crappy beer?

LOL No I meant "schitzophrenia" the mental disorder where eating brownies has sent you to the toilet so often that you get cabin fever and start to hear voices.

15 posted on 07/20/2003 4:53:39 PM PDT by DannyTN (Note left on my door by a pack of neighborhood dogs.)
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To: yonif
"Apart from brief sections citing scientific studies on taking marijuana orally ... or rectally as a suppository"

Question. If taken rectally, does one remove the rolling paper? Double-up on the rolling paper?

Can you then light it yourself, or should you have a (close) friend do that for you?

Inquiring minds, you know.

16 posted on 07/20/2003 4:58:37 PM PDT by robertpaulsen
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To: robertpaulsen
Utilizing a suppository is not really the preferred method of ingesting cannabis.

However, as a compassionate gesture to former WODders who require treatment, this alternative form is made available.
17 posted on 07/20/2003 6:19:15 PM PDT by headsonpikes
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To: robertpaulsen
And I have no answers to your questions.
18 posted on 07/20/2003 6:20:16 PM PDT by headsonpikes
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To: robertpaulsen; *Wod_list
"a daft version of the document"

Ah, Freudian slips.

19 posted on 07/21/2003 6:18:36 AM PDT by MrLeRoy (The legitimate powers of government extend to such acts only as are injurious to others. - Jefferson)
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