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» LymeNet Flash » Questions and Discussion » Medical Questions » Medicinal marijuana

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Author Topic: Medicinal marijuana
Areneli
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Medicinal marijuana spray may help more than MS: doctors
12 Jan 2006
CBC News

Since the first cannabis-based drug was approved for use in Canada last year, doctors say the medication is catching on among people with multiple sclerosis and could be used for other types of pain.

Sativex is a mouth spray that delivers medicinal marijuana. The metered spray is administered under the tongue or inside the cheek. It's concentrated to offer maximum pain relief with minimal marijuana buzz.

Sativex mouth spray sits on a book about medicinal uses of cannabis and cannabinoids.

Health Canada was the first drug regulator to approve the medication for people with multiple sclerosis who can't get relief from traditional drugs.

The spray treats neuropathic pain in MS – nerve pain that can be triggered by touch, temperature or movement and is often difficult to treat.

"It feels like its sort of boring through your bones," said Janet Liston of Ottawa. "It's like it's inside your bone."

Liston has been taking Sativex for six months, which is how long it has been available in Canada.

So far, a few hundred people worldwide have used Sativex in clinical trials. They report side-effects that include some respiratory infections. A feeling of mild intoxication or dizziness was the most common.

"The side-effects are a lot less than smoking marijuana," said Dr. Jock Murray, an MS specialist in Ottawa. "A lot of people surprisingly don't want to get high, they want to get relief from their pain."

Sativex will be tested in the U.S. for people with cancer. In Britain, it's being tried in the treatment of diabetic neuropathy.

Dr. Mark Ware is prescribing medicinal marijuana for a variety of conditions at his pain clinic in Montreal. The results so far are mixed but encouraging, he said.

"I think the potential for drugs like Sativex and the family of cannabinoid products which are inevitably to follow is incredibly wide."

One of the drawbacks of Sativex is that it costs about $500 a month. Provincial drugs plans don't cover it but some private insurance plans do.

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treepatrol
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SATIVEX�, indicated as adjunctive treatment for the symptomatic
relief of neuropathic pain in multiple sclerosis in adults, has been
issued a marketing authorization with conditions, to reflect the
promising nature of the clinical evidence and the need for
confirmatory studies to verify the clinical benefit. Patients should be
advised of the conditional nature of the authorization.


PHARMACEUTICAL INFORMATION
Drug Substance
Common name:
delta-9-tetrahydrocannabinol 27mg/ml (from Tetranabinex� - Cannabis sativa L. extract) and
cannabidiol 25mg/ml (from Nabidiolex� - Cannabis sativa L. extract)
Tetranabinex� is an extract of a chemically and genetically characterised cannabis plant,
containing delta-9-tetrahydrocannabinol as the principal cannabinoid (delta-9-
tetrahydrocannabinol Botanical Drug Substance (THC BDS)).
Nabidiolex� is an extract of a chemically and genetically characterised cannabis plant,
containing cannabidiol as the principal cannabinoid (cannabidiol Botanical Drug Substance
(CBD BDS)).
Chemical name:
THC:
3-pentyl-6,6,9-trimethyl-6A,7,8,10A-tetrahydro-6H-dibenzo(B,D)pyran-1-ol
or
6,6,9-trimethyl-3-pentyl-7,8,9,10-tetrahydro-6H-dibenzo(B,D)pyran-1-ol
CBD:
Based on numbering system related to monoterpenes:
2-[1-methyl-4-isopropenyl-cyclohexen-3-yl]-5-pentyl-1,3-benzenediol
Based on standard IUPAC numbering:
2-[3-methyl-6-isopropenyl-2-cyclohexen-1-yl]-5-pentyl-1,3-benzenediol


Molecular formula and molecular mass:
THC: C21H30O2
molecular mass: 314.47
CBD: C21H30O2
molecular mass: 314.47
Structural formula:
THC:

Physicochemical properties:
The THC BDS (Tetranabinex�) is a brown viscous semi-solid with an absence of immiscible
liquid. It has a characteristic smell of decarboxylated cannabis. Typically it contains not
than 64% THC with the remainder being co-extracted plant extract.
Soluble in:
Methanol
Ethanol
Acetone
Dichloromethane
Insoluble in:
Water
The CBD BDS (Nabidiolex�) is a brown viscous semi-solid with an absence of immiscible
liquid. It has a characteristic smell of decarboxylated cannabis. Typically it contains not less
than 60% CBD with the remainder being co-extracted plant extract.
Soluble in:
Methanol
Ethanol
Acetone
Dichloromethane
Insoluble in:
Water

From:

Bayers pdf

--------------------
Do unto others as you would have them do unto you.
Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

Newbie Links

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lymeloco
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I don't know a lot about medicinal marijuana, but I did see a woman with brain cancer on t.v. fighting for this law to pass. Poor thing looked horrible.

http://talkleft.com/new_archives/013585.html

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hopeful123
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oh, that i could, however, i used the kind to excess in the past. none for me, thanks.

yes to people who can handle it

--------------------
some days you're the bug, some days you're the windshield  -

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Areneli
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As you know I have this kind of pain evoked by touch or movement or 'burning or hypersensitive skin'

Still it may be a while before I try such a thing.


Anyway, it is good to have options.

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brentb
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Only on my really bad days do i need the stuff. For these wasting diseases the stuff is truly a gift from god. The illegality of it is truly a crime against humanity
[shake]

[ 13. January 2006, 02:29 PM: Message edited by: brentb ]

Posts: 731 | From Humble,TX | Registered: Feb 2005  |  IP: Logged | Report this post to a Moderator
groovy2
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If you gotum smokeum--Jay--
Posts: 2999 | From Austin tx USA | Registered: Oct 2004  |  IP: Logged | Report this post to a Moderator
proud pup
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Could anyone that has tried this and found it to work please email me, or send a privite message.
Posts: 191 | From Eastern Shore. Maryland USA | Registered: Jun 2003  |  IP: Logged | Report this post to a Moderator
5dana8
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I used marinol for a very short period of time.Same type of drug.Very expensive too.It was prescibed for nausua & weight loss.
Did't get a buzz or anything like that.
It worsened my CNS symptoms big time.
Just my personal experience.

--------------------
5dana8

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santa_pax
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I think Marinol is a synthetic version of only certain chemicals found in the cannabis plant, whereas Sativex is the whole plant, and it is not synthetic.

Perhaps better for pain than Marinol.

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Cap
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For my understanding on Marijuana, the reason why it helps in the short term with chronic infections, is because it's calms the immune system.

But I could be wrong on this, is that the _last_ thing you want to do with cancer or Lyme, is to shut down the immune system?

Sure, it will help calm symptoms, but in the long term, won't it make things worse?

And the same goes with Steroids and NSAIDs as well.

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5dana8
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I think yes & no
The immune system in lyme is over-acivated in some respcets,spinning out of control ,like tires spin in the mud.

On the other hand parts of the immune system are underregualed and not functioning properly.

I try to be careful of some "products " that over stimulate my immune system because of the auto immune response.

--------------------
5dana8

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