November 1, 2011 – A decade after Canada legalized the medical use of marijuana, most doctors are still refusing to sign the declarations patients need to get legal access to pot — meaning patients in pain risk being jailed if they use a drug that helps them function.

It’s a predicament that threatens to become worse because of proposed changes to how Health Canada regulates access to the drug.

At first glance, it appears the government is easing up on strict rules for obtaining medicinal marijuana. Health Canada has proposed removing itself as the ultimate arbiter in approving or rejecting applications to possess.

Instead, doctors alone would sign off on requests.

But the nation’s largest doctors’ group said the proposals would have the perverse effect of putting even greater pressure on MDs to control access to a largely untested and unregulated substance they know little to nothing about; a drug that hasn’t gone through the normal regulatory review process. Their licensing bodies have told doctors that they are under no obligation to complete a medical declaration under the current regulations and that any one who chooses to do so should “proceed with caution.”

Dr. John Haggie, president of the 75,000-member Canadian Medical Association, said the changes being proposed would essentially off load all responsibility for using and monitoring marijuana to the doctors who sign an authorization — “and they’d be kind out of out there, without any infrastructure around them to assess it, to monitor it and to know if they were doing the right thing.

“I don’t think that’s appropriate or fair,” he said.

Observers said doctors fear doing harm, exposing themselves to legal action and becoming the “go-to” source for people seeking pot not to alter their pain but to alter their consciousness.

Haggie said physicians want fundamental research into some basic questions — is it safe? Who does it work for? Who should not use it? Yet the Conservative government abruptly terminated a medicinal marijuana research program in 2006. According to Health Canada, the government believes clinical research is “best undertaken by the private sector, such as pharmaceutical companies.”

A world leader in cannabis research said the logic defies him.

“I cannot imagine how a government agency can supervise (a marijuana access) program knowing that there is very little data out there — on safety issues in particular — and not try to stimulate research,” said Dr. Mark Ware, head of the Canadian Consortium for the Investigation of Cannabinoids, a non-profit network of more than 150 clinicians and researchers investigating the potential role of cannabinoids in diseases from arthritis to glaucoma.

No drug company wants to evaluate smoked marijuana as a medicine, Ware said, because there’s no money in it for them. Funding agencies have been less than approachable, he added, because there’s little appetite to support studies involving a product that’s often smoked. In clinical parlance, “They don’t see it as a safe, viable drug delivery system,” said Ware, director of clinical research at the Alan Edwards Pain Management Unit at the McGill University Health Centre.

Ware said he wonders how much the government’s disinterest in research might be tied to its tough-on-crime political agenda — “that somehow facilitating research on medicinal cannabis is a way of accepting that it may have some value as a medicine.”

The Montreal doctor, who is helping reform medical school curricula to better educate physicians around pain, received about $2 million under the now-dead medicinal marijuana research program. In a study published in the Canadian Medical Association Journal last year that involved 21 patients with neuropathic pain — a common and dreaded condition that causes electric, stabbing pain — Ware’s group found that smoked cannabis at low doses reduces pain, improves mood and helps sleep, without making people high. All had “refractory” pain, meaning pain that had defied all traditional treatments. No serious or unexpected side effects were reported.

Ware avoids prescribing cannabis to patients with a history of psychosis or schizophrenia, because it’s psychoactive at high doses — and sometimes even therapeutic doses. It can also be dangerous to people with unstable heart disease.

Still, there has never been a proven overdose death caused by marijuana in humans, according to Ontario’s highest court. Ware said that for patients for whom it works, cannabis can achieve about 30 per cent reduction in pain intensity.

But doctors remain wary — their chief concern being: How do I know when a patient is seeking a licence for a legitimate medical purpose and not simply to get legal access to an otherwise illicit drug?

Ware’s consortium has been working hard to educate and support doctors around the use of cannabis. He said data from Health Canada suggest that the average medical user is consuming two grams per day — about four joints when smoked. “It’s just taking that information and getting it into the hands of practising physicians. Then at least they know what the ballpark is.”

Some patients were getting authorizations for far higher amounts, because doctors didn’t know that 30 or 40 grams a day could be outside the “normal” range, he said.

Health Canada said the proposed changes to the program — which would include removing the rights of patients to grow their own supply of marijuana or to appoint designated growers, forcing users to get their pot from a licensed commercial producer instead — would make the program less complicated for seriously ill Canadians.

Paul Lewin begs to differ.

Doctors already are boycotting the program en masse, the Toronto lawyer said. Lewin said medical regulators and insurers sent letters to the government, “saying, ‘Don’t put us in charge, don’t make us a gatekeeper, we don’t know anything about pot, this is a plant product, it’s an unapproved drug.’ ”

Lewin said the court heard stories of how some doctors encouraged their patients to use pot for their pain. The patients would return, reporting that the marijuana was helping, that they were feeling less pain. But when they asked the doctors to sign their forms, “that’s when the mood changes,” Lewin said.

“That’s when they say, ‘Get out. I’m not risking my practice over you.’ ”

Lewin’s client, Matt Mernagh, started growing marijuana when he found it provided some relief from chronic pain and other symptoms of scoliosis, fibromyalgia and epilepsy. But he couldn’t get a licence to grow, because he couldn’t find a doctor to sign his declaration.

Police found Mernagh’s plants in 2008 when they were in his apartment building on an unrelated call. He was charged with production.

Lewin took the case to the Superior Court in Ontario. The court declared the federal medical marijuana program unconstitutional. The case is scheduled to go to the Court of Appeal for Ontario in March.

Lewin said the proposed changes to the marijuana access program are likely to scare off some of the few doctors willing to sign declarations, meaning “more seriously ill, law-abiding Canadians will be wrongfully treated as criminals” and subjected to humiliating arrests, medicine seizures and possibly even jailed, he said.

Ware said doctors need education and guidance. They would need to know whether patients who come seeking a licence for medical pot have been arrested for trafficking or diversion in the past. Abuses of the designated production licenses have occurred and Ware believes they should be phased out. But the consortium of cannabinoid researchers said that it’s not only easier and cheaper for patients to grow their own supply but the act of growing their own “medicine” may be therapeutic in itself. “It gives them a sense of control and ownership of their health and treatments.”

The following information was provided by Health Canada to Postmedia News:

In 2001, 727 doctors supported an application for an authorization to possess marijuana. In 2010, 3,187 doctors signed a declaration. Between Jan. 1 and Oct. 25, 3,803 doctors supported an application for an authorization to possess.

As of Sept. 30, 12,216 people in Canada held authorization to possess marijuana for medical purposes.

Who has authority to approve or reject submissions in the new system?

Under the proposed changes, patients would continue to consult with their physician in order to obtain access to marijuana for medical purposes. Once it has been determined that the use of marijuana for medical purposes is appropriate, the physician would provide the individual with a document. Health Canada is consulting the medical community on the form that this document would take.

Individuals would then send the physician’s document directly to a licensed commercial producer of their choice. The licensed producer would validate the document from the physician by confirming that the physician is licensed to practice medicine in Canada. The licensed producer would register the individual as a customer and would process the order for a specific amount of dried marijuana. Health Canada would maintain an up-to-date list of licensed producers on its website, and work with the medical community to disseminate this information as widely as possible. By By Sharon Kirkey. Source.

July 25, 2011 – A number of recent studies have confirmed the cancer-fighting, tumor-shrinking value of medical marijuana.

Although the first study to demonstrate that cannabis has anti-carcinogenic properties was done back in 1974 by the U.S. National Institute of Health, more recent studies, which began abroad in 1999, have shown that cannabis can effectively and safely treat many forms of cancer.

Since 1999, there have now been a number of studies that clearly demonstrate that cannabis has the ability to effectively shrink tumors, kill cancer cells, and safely treat many aggressive forms of cancer, including brain, breast, skin, prostate, and lung cancer.

However, due to the political controversy that surrounds medical marijuana, some physicians still remain unaware of these valuable studies, and mistakenly believe the misguided government reports that cannabis actually causes cancer. In some cases, it may be important to educate your doctor about the important research discussed in this column.

A study done at UCLA in 2006 showed that not only does smoking marijuana not cause lung cancer, as had been previously thought, but that smoking cannabis actually protects the lungs from cancer. The study followed four groups of subjects: nonsmokers, cannabis-only smokers, tobacco-only smokers, and cannabis and tobacco smokers.

The results showed that nonsmokers and cannabis-only smokers had the same amount of lung cancer, and that tobacco-only smokers had the highest rate of lung cancer. Those subjects that smoked both cannabis and tobacco had significantly less lung cancer than those who just smoked tobacco. In other words, smoking cannabis actually had a protective effect on the tobacco smokers’ lungs.

Recent talks by medical marijuana expert Valerie Corral at the Santa Cruz Wo/Men’s Alliance for Medical Marijuana (WAMM) meetings have focused on the valuable medical properties of highly-refined, therapeutic cannabis oil, which may be the most powerful cancer-fighting agent that has been developed from the cannabis plant to date.

Cannabis oil, also commonly known as “golden oil” or “honey oil,” is a concentrated extract from the cannabis plant that is highly refined and chemically standardized, so that the amount of bioactive components (known as “cannabinoids”) in the oil are of a consistent strength. The clear-golden oil is a resinous matrix of cannabinoids, which is similar to dark-colored hash oil, only more distilled and much more potent.

Rick Simpson, founder of Phoenix Tears, an organization which studies and promotes the medical use of cannabis oil, has become a leading spokesperson for the medicinal value of cannabis oil, after effectively treating himself with the oil to help heal from a serious head injury in 1997. For years, Simpson has been supplying the valuable oil to medical marijuana patients free of charge. According to Simpson, many of the cancer patients who have used his oil were cured or vastly improved, and that many other illnesses have been effectively treated with the oil as well.

Although the medical establishment and the mainstream media have largely ignored the evidence that cannabis oil has powerful cancer-fighting properties, it appears that this silence is beginning to end as more and more people are discovering the truth about this forbidden medicine.

For example, according to ABC News, a father in Montana, Mike Hyde, claims that cannabis oil helped to cure his two-year-old son of a stage 4, malignant brain tumor on his optic nerve. Hyde said that he secretly slipped cannabis oil into his son Cash’s feeding tube out of desperation, after the boy’s chemotherapy treatments were making him too sick to eat. According to ABC News, Cash, who is now 3 years old, has made “a miraculous recovery.”

Spanish researcher Manuel Guzman has done a whole series of studies since 1999 demonstrating the efficacy of cannabinoids to fight cancer. Studies have demonstrated that (isolated chemical components of cannabis), such as THC (tetrahydrocannibinal) and CBD (cannabidiol), can shrink tumors, and some reports suggest that the whole plant extracts are more effective than the isolated cannabinoids.

There is evidence that not only do some cannabinoids kill cancer cells, they cause healthy new cell growth in the brain–a process known as “neurogenesis”–and that the cannabinoids may have a protective effect on the nervous system as well.

WAMM is currently working with physicians and biochemists to develop the use of this enchanted oil further. Cannabis oil is extremely nontoxic, and unlike every pharmaceutical drug that is approved to treat cancer, there are no serious health risks associated with using it. In all of human history, no one has ever died from a cannabis overdose. It is arguably the safest, therapeutically-active drug known.

Cannabis oil can be vaporized, orally ingested with other oils, or used topically. Oral ingestion will produce the strongest effects, and would likely be the most effective for serious medical conditions.

And yes, the oil is also quite psychoactive. It can make you very high, and it can even bring on a full-blown psychedelic experience. I think that this (often-sought and sometimes-criticized) aspect of the healing herb’s effects should not be disregarded, trivialized, ridiculed, or (Heaven forbid) removed. I suspect that that the well-known mental effects–an improved mood and transcendent perspective–are vital aspects of the healing mind/body magic that cannabis can provide. Source.

To find out more about cannabis oil see: http://phoenixtears.ca/

To find out more about WAMM see: www.wamm.org