The arguments for and against the legalization of marijuana continue to escalate. This piece isn’t meant to set the stage to get a legalization debate about marijuana. As an alternative, I need caution practitioners whose patients under their maintenance test positive for marijuana. Pot usage remains banned by Federal law and also patients that self-medicate or abuse marijuana should not be prescribed regulated substances.
Alas, many physicians are usually faced with the dilemma of whether to prescribe controlled substances to patients that Cbd oil for sale drug test positive for marijuana. This is especially true in nations which have modified state laws to legalize marijuana. All these modifications in state law usually do not alter the Federal guidelines that physicians must follow along. As a former career DEA representative, I remind physicians that bud is still an illegal Schedule I controlled substance with no accepted medical use from the U.S.. The fact remains that all state legislation have Federal supervision, as previously mentioned in the Supremacy Clause of the Constitution. “The Supremacy Clause can be actually a questionnaire within Article VI of this U.S. Constitution which dictates that national law would be the supreme law of the land. Under the doctrine of preemption, that is situated upon the Supremacy Clause, federal law preempts state law , even when regulations battle.” (1)
When doctor becomes aware that an individual is using bud, alternate techniques of therapy needs to be implemented other than prescribing controlled substances. Physicians should also take steps to consult the patient to get treatment and cessation if any illegal medication use is revealed, for example marijuana. Physicians should also keep in mind that the bud produced today is much stronger compared to the past and with high potency marijuana in conjunction with controlled chemicals is not safe for patients.
There are two FDA approved drugs in the U.S. comprising a synthetic analogue of THC (tetrahydrocannabinol), that’s the primary compound (cannabinoid) accountable for marijuana’s psychoactive effects. A synthetic form of THC is found in the FDA approved medication Marinol (Program III) and also Cesamet (Program II) which can be prescribed to deal with nausea for cancer patients undergoing chemotherapy. Marinol can also be prescribed to arouse the appetite of cancer along with cancer patients (2). The FDA is presently managing trials being ran around Epidiolex (3), a medication manufactured by GW Pharmaceuticals and developed to reduce convulsive seizures in children. The drug includes cannabinoids in marijuana, also referred to as cannabidiol or CBD, which will not include the carcinogenic properties of traditional marijuana and will not generate a top. If this drug receives FDA approval, it would make history function as very first approved medication comprising CBD in the U.S.
This research can continue, but as of the writing, smoking or ingesting botanical bud or the cannabis plant it self is not approved being an accepted medical treatment in the U.S. Physicians who smoke or ingest marijuana have to bear in mind that they are breaking Federal law and could possibly be prosecuted under Federal statutes. Additional physicians should be testing for marijuana use and when noticed, they should not prescribe controlled substances, regardless of their diagnosis and the individual’s symptoms, according to current Federal statutes.