Pubdate: Fri, 18 Jan 2008 Source: National Post (Canada) Copyright: 2008 Southam Inc. Contact: http://www.nationalpost.com/ Details: http://www.mapinc.org/media/286 Referenced: http://www.mapinc.org/drugnews/v08/n055/a08.html Author: David Saul Hang Onto Your Roach Clip: THE POT DEBATE IS HEATING UP Re: Why Marijuana Shouldn't Be Legal, letter to the editor, Jan 16. Letter-writer Dr. Chris Sedergreen attempts to provide the latest pharmacological data on cannabinoid preparations. However, he places far too great an emphasis on the pain management qualities of Nabilone, approved for nausea in cancer chemotherapy treatments. To clarify, there are two other drugs available: Marinol - THC in an oral pill format - has been approved for nausea and weight loss in cancer and AIDS patients, but its pain reduction benefit is limited due to stomach absorption; and Sativex (THC and CDB), approved in Canada for severe pain caused by multiple sclerosis and cancer. The latter is sprayed into the mouth, so as to avoid lung inhalation or ingestion, and can achieve improved pain relief in some chronic pain conditions. However, all three drugs are very costly, cannot produce a "high" or "stoned" state in users and pale in comparison to inhaled marijuana for pain management. Just ask the medicinal marijuana users, especially my Fibromyalgia patients. Dr. David Saul, Toronto.