Pubdate: Thu, 03 Nov 2011 Source: Winnipeg Free Press (CN MB) Copyright: 2011 Winnipeg Free Press Contact: http://www.winnipegfreepress.com/opinion/send_a_letter Website: http://www.winnipegfreepress.com/ Details: http://www.mapinc.org/media/502 Author: Matthew M. Elrod SURPASSING STANDARDS Re: Tories put MDs on the hook for pot (Oct. 30). As a therapeutic herb, or natural health product, cannabis cannot be subjected to the sort of clinical trials applied to pharmaceuticals. More important, herbs cannot be patented, so there is no incentive for private pharmaceutical companies to shepherd them through the expensive drug-approval process. Cannabis, however, already surpasses the accepted standards for natural health products. According to the U.S. Institute of Medicine, the benefit-risk profile of cannabis is well within that of many commonly used pharmaceutical drugs. A far greater number of studies have already demonstrated the health benefits and safety of cannabis than exist for such medical standbys as Aspirin, penicillin and codeine. Indeed, these latter drugs (and many more) were approved for sale without any controlled clinical trials whatsoever. Instead, they were "grandfathered" into the approved formulary back in the 1930s by virtue of longtime experience showing them to be safe (the so-called generally recognized as safe, or GRAS, process). As a similarly long-used medicine (much longer if we count more than 10,000 years of experience in Asia and India), cannabis should also have received grandfathered status but, for purely political reasons, it did not. Given the widespread use of cannabis, surely doctors should already be familiar with the effects, contraindications and drug interactions. At a minimum, doctors surely could attest to the fact that their patients would benefit from not fearing arrest or being criminalized. MATTHEW M. ELROD Victoria - --- MAP posted-by: Jay Bergstrom