OPPONENTS of patients being able to medicate with natural herbal cannabis, including our own Ministry of Health, can no longer ignore its medical effectiveness. Instead, they deny relief to seriously ill people by hiding behind smokescreens and circular arguments. CHRIS FOWLIE explains.
The Ministry of Health supports allowing the cannabis-extract Sativex. This in itself is not a bad thing. Sativex is, after all, a natural extract made from whole cannabis. Its genetics are based on quality Sensi Seed Bank stock. But it’s not yet available in New Zealand – and it’s not for everyone. Sativex has a fixed ratio of just two cannabinoids, whereas the variety of cannabis strains allow patients to pick and choose to match strains to symptoms. And Sativex is expensive – an estimated cost of $150-$300 per week, with no sign Pharmac will offer any funding.
Objectors to herbal cannabis say smoking anything must be bad. That assumes all smoke is smoke, but cannabis smoke is different: for a start, it contains THC, a powerful antioxidant with tumour-fighting abilities. THC kick-starts the lung’s immune response, and clears the lungs. Several large-scale studies have thus found cannabis-only smokers to be more healthy than even non-smokers!
Next they talk about cannabis smokers taking deep breaths and holding it in longer. But it is the vastly-inflated value caused by its illegal status that forces tokers to maximise the bang for their buck. If cannabis cost the same as tobacco ($20 per ounce including taxes), we’d see a more relaxed smoking style.
Even if we accept anti-smoking arguments, herbal cannabis does not have to be smoked. Patients can avoid smoke entirely by growing cannabis and turning it into foods, drinks or tinctures, or even skin creams or massage oils. They can use a vaporiser to get the instant effect and dose control of inhalation without any smoke at all.
The next objection that is usually raised is that there can be no standardisation or dosage control with herbal cannabis. But smoking actually provides patients with very precise dosage control, due to the instant onset of effects. Furthermore, baked foods, drinks, candies, chocolates, elixirs and tinctures can all be easily made to a standard recipe that delivers a product of known strength. Anyone who can follow a recipe can do it. For larger-scale production, places overseas have
met patient need by licensing community groups, pharmacies or local companies to produce natural extracts or tinctures of known strength. The Dutch licensed several companies to provide standardised natural cannabis to pharmacies there. The varieties all have fixed and known quantities of active ingredients and are sterilised to be free of mould or fungus. It is that not hard to do, and could easily be done here.
Finally, those who object to herbal medicinal cannabis eventually say that allowing patients to grow their own would expose them to risk of robbery or home invasion, acknowledging that the current drug law creates crime and violence. Regardless, many patients are already growing their own, but are denied any protection. If their medicine is stolen they can’t go to the police. Patients are forced to engage with the illicit market and the risks that go with that. Places overseas that allow patients to grow their own or nominate someone else to do it for them have not noted increased violence of thefts from patients. To the contrary, allowing patients to grow their own is the best way to safely meet their needs.
(NORML News Autumn 2008)