Posts Tagged ‘medicinal’
Mr Cameron, It’s You Who Needs Education About Cannabis!
See the interview here. The relevant part starts at 10:45.
Al Jazeera: This was incidentally, the second most popular question because viewers would submit questions and then members of the public would vote.
Why is marijuana illegal when alcohol and tobacco are more addictive and dangerous to our health, but we manage to control them? Wouldn’t education about drugs from a younger age be better?
Cameron: Well there’s one bit of that question I agree with which I think education about drugs is vital and we should make sure that education programmes are there in our schools and we should make sure that they work. But I don’t really accept the rest of the question. I think if you actually look at the sort of marijuana that is on sale today, it is actually incredibly damaging, very, very toxic and leads to, in many cases, huge mental health problems. But I think the more fundamental reason for not making these drugs legal is that to make them legal would make them even more prevalent and would increase use levels even more than they are now. So I don’t think it is the right answer. I think a combination of education, also treatment programmes for drug addicts, I think those are the two most important planks of a proper anti-drug policy.
Al Jazeera: What about the argument that it could be used as medicinal properties? That was another question we actually had, a person saying it’s got proven medicinal properties. If used properly and regulated properly it could actually be quite helpful.
Cameron: That is a matter for the science and medical authorities to determine and they are free to make independent determinations about that. But the question here about whether illegal drugs should be made legal, my answer is no.
Dear Mr Cameron,
I am writing about your answer to the question about marijuana during the recent Al Jazeera World View YouTube interview.
I am the recently elected leader of the LCA. I represent the interests of at least two million regular users of cannabis and perhaps as many as 10 million occasional users in Britain. This is a huge proportion of the population and on their behalf I am requesting a meeting with you.
We were dismayed, shocked even, at your answer to the question. With respect, clearly it is you who are in great need of education about cannabis. The information you gave was inaccurate and false. While we must all respect different opinions, your answer was factually wrong and you must correct it.
Cannabis is not “incredibly damaging”, nor “very, very toxic”. It is a myth that there is anything significantly different about the cannabis on sale today and the idea that it causes “in many cases, huge mental health problems” has been comprehensively disproved many times over by scientists all over the world.
I can provide you with scientific information which proves that these ideas are false. Recently we have been pursuing various newspapers through the Press Complaints Commission for publishing the same inaccuracies. I am seriously alarmed when I see the prime minster of my country distributing such untruths.
Two key facts:
The Therapeutic Ratio of cannabis (ED50:LD50) is 1:40000 (Alcohol = 1:10, Paracetamol = 1:30). Even potatoes are more toxic than cannabis.
Professor Glyn Lewis of the University of Bristol reviewed all published research on cannabis and psychosis in 2009 and concluded that 96% of people have no risk whatsoever and in the remaining 4% the risk is “statistically tiny”.
Your suggestion that legalising drugs increases use is also not supported by the evidence. In both Holland and Portugal where cannabis use is not prosecuted, consumption is much lower than in Britain.
Finally, on medicinal use it is simply not true that the scientific and medical authorities are free to make independent determinations. The Home Office stamps on any medicinal cannabis use even when prescribed by a doctor. People from other European countries can bring medicinal cannabis to Britain and use it legally under the Schengen agreement but you can’t if you’re British. Here, sick and disabled people are being prosecuted every day for use of a medicine which is scientifically and medically proven. Surely you cannot be unaware of this? It is a cruel and evil policy which shames our nation.
So please, Mr Cameron, will you meet with me in order that I may show you the evidence and the facts about cannabis? Remember, this was the second most popular question you were asked on Friday and I represent the interests of millions of British citizens. Please make time for me in your diary.
I look forward to hearing from you.
Yours sincerely,
Peter Reynolds
New LCA
I take on the leadership of the LCA as a serious responsibility. I shall do my best to represent the interests of the six million regular users of cannabis in Britain. The government should now move urgently to permit the medicinal use of cannabis. It is not only unjust to deny such relief to those in suffering, it is deeply cruel. Ministers should be ashamed at their treatment of the sick and disabled. I shall also be campaigning to bring the multi-billion pound cannabis market into a system of proper regulation where children and the vulnerable can be protected and quality and safety are assured. Prohibition is a failed policy which causes far more harm than cannabis ever has. It also deprives the nation of billions in tax revenue and in wasted law enforcement costs.
The LCA Leadership Election
The ballot papers have been mailed to members today. The candidates are Stuart Warwick and myself. Voting closes a week today. The result will be announced shortly afterwards.
Peter Reynolds
I am seeking election as leader of the Legalise Cannabis Alliance.
I have been campaigning for an end to the prohibition of cannabis for more than 30 years.
If elected, I can promise you radical change in the way that LCA goes about its business. We will launch a new campaign based around the theme: REFORM, REGULATE and REALISE.
That is REFORM the law to end prohibition, REGULATE production and supply based on facts and evidence and REALISE the huge benefits of the plant both as medicine and as a £10 billion net contribution to the economy.
This will be a tightly focused campaign aiming for the urgent availability of cannabis for those who need it as medicine and a properly regulated supply chain for the millions of British citizens who use it recreationally. That means we will take the business out of the hands of criminals, allow commercial growers to produce the plant under properly regulated conditions and permit small scale personal cultivation of up to six plants.
We will advocate sales of cannabis through licensed outlets such as tobacconists and/or coffee shops to adults only. It would remain a criminal offence to supply cannabis to under 18s. We accept that cannabis should be taxed, partly to cover the costs of the regulatory system and a health advisory service but also so that the entire country will benefit from bringing this huge market out of the black economy. Based on research by the Independent Drug Monitoring Unit and the Transform Drug Policy Foundation we estimate that with reductions in law enforcement costs and new tax revenue, there will be a net contribution of approx £10 billion to the UK exchequer.
We will not be diverted by peripheral issues such as the many uses for industrial hemp, although we will be glad to see progress in that area. We will run a campaign focused on achieving practical change, not promoting a philosophy. That means that our main concern will be to educate and influence MPs and get our message across in the media. MPs are the only people who can change the law and it is through the media that we can influence voter opinion so we will deal with them on their terms, in Westminster, in newspapers and television studios. We will bring a new professionalism to this issue and demand the attention and respect that our proposals deserve.
The prohibition of cannabis is unjust, undemocratic and immoral. Most cannabis users are reasonable, responsible and respectable people and I will demand our right to be heard and treated fairly.
I shall stand for parliament in every by-election and in the next general election on this single issue. Being realistic, we do not expect to win a seat but we will put cannabis back on the political agenda and we will be taken seriously. No longer will we allow the Daily Mail or other media to publish lies and propaganda uinchallenged. No longer will we allow prohibitionists like Debra Bell and Peter Hitchens to misinform and promote scare stories without any balance.
I want to transform the LCA into a professional, effective campaign that will achieve results. I believe that I am the right man for this job. Please vote for me. Vote to REFORM, REGULATE and REALISE.
My website at http://www.peter-reynolds.co.uk contains a wealth of information about cannabis and many articles that I have written on the subject. If you want more detailed information about me and what I stand for, that is the place to look.
Thank you for taking the time to read this.
Peter Reynolds
Stuart Warwick
As one of the candidates seeking election for leadership of the LCA, I’ve been asked to write a short letter outlining my plans for the direction and actions I’d like to see the LCA take.
As Leader I would not seek to limit our campaign to the medical and recreational issues only (although I believe this should be our focus) but use the plethora of other applications that cannabis has in industry to gain support from as wide a demographic as possible.
I intend to campaign for legalisation, regulation & taxation.
Legalisation, done properly would remove the cannabis market from the hands of criminals and terrorists and open it up to legitimate businesses & entrepreneurs, giving the substantial profit back to society.
Regulation will help prevent dangerous contamination, ensure good quality and be more effective at keeping it out of the hands of children.
Taxation to put some of the profit back into the country – everyone benefits.
I think licensed outlets and growers is what we should be aiming to achieve. Licensing should cover not only the supply of cannabis but should also cover growing set-ups to ensure electrical and fire safety as this is a known hazard with some badly fitted installations. This would allow local growers to provide more variety in outlets, allowing users to clearly identify the strain that suits their needs the best.
Licenses should be available to cover a wide range of grow sizes to encourage both local and national business opportunities.
I think fact-based policy is a must, with genuinely unbiased research. To base policy purely on knee jerk emotional and moral arguments while ignoring scientific research is unjust and unproductive.
We know there are people in power who understand this but are forced to repeat the same prohibition mantra.
We need to let people know that if they decide to make a stand against prohibition we will be there to back them up. They will not want to make a move unless they know that when they do, they are not left hanging, We just have to give them the nod and be ready when they do.
By standing for elections, I hope to challenge not only my local MP’s and the other candidates but also policy on a national level. As leader of the LCA I hope to unite all of the voices in our community to achieve just that.
I have 2 sites that I have used to promote my ideas so far. Feel free to visit them, although there are some very early attempts on there, so quality isn’t always great, sorry.
http://www.youtube.com/user/NovictimNocrime08
http://www.facebook.com/pages/Hunar-for-Prime-Minister/238421977309
Thanks for your time – , this wasn’t as easy to write as I thought it would be!
Regards
Stuart Warwick.
Cannabis And Cannabinoids: Pharmacology, Medicalization And Recreational Use

By Professor Roger Pertwee
Discovery of Δ9-tetrahydrocannabinol
Cannabis has been used as a medicine, for religious ceremonies and recreationally for over 5000 years. Indeed, an alcohol-containing tincture of cannabis (Figure 1) was a licensed medicine in the UK until its withdrawal in the early 1970’s.
In contrast, the discovery that cannabis contains (–)-trans-Δ9-tetrahydrocannabinol (Δ9-THC) and that many of the effects experienced when cannabis is taken recreationally are caused by this ‘phytocannabinoid’ was made less than 100 years ago (Pertwee, 2006). These effects include altered mood (usually euphoria); altered perception such that colours seem brighter, music more pleasant and ‘felt time’ appears to pass more slowly than ‘clock time’; an increased desire for sweet food (the ‘munchies’); changes in thought processes; impaired memory…and eventual drowsiness. They can also include increased heart rate, a lowering of blood pressure resulting in dizziness and, at high doses, hallucinations and feelings of paranoia. There is good evidence too that Δ9-THC targets the reward centres of the brain in a manner that can lead to psychological dependence, and that abrupt termination of repeated use of cannabis or Δ9-THC can trigger a transient physical withdrawal syndrome that in abstaining recreational cannabis users most commonly includes disturbed sleep, reduced appetite, restlessness, irritability, sweating, chills, a feverish feeling and nausea.
Some Cannabinoid Pharmacology
The discovery of Δ9-THC was followed by the development of synthetic compounds capable of inducing Δ9-THC-like effects. Results obtained from pharmacological research with some of these compounds culminated in the discovery that they produce many of their central effects by activating specific sites on nerve terminals called cannabinoid CB1 receptors in a manner that influences the normal functioning of the brain (Pertwee, 2006). This finding prompted a search for molecules within our own bodies that can activate these receptors and, in 1992, led to a second major discovery – that we do indeed produce and release such molecules. The first of these ‘endocannabinoids’ to be identified was an ethanolamide of the omega-6 unsaturated fatty acid, arachidonic acid. It was named
‘anandamide’, ananda being the Sanskrit word for internal bliss. It has subsequently emerged that there is at least one other cannabinoid receptor (CB2), that there are other endocannabinoids, and that this ‘endocannabinoid system’ of receptors and endogenous receptor activators plays major roles in the control of our health and in ameliorating unwanted symptoms such as pain.
The search is now on for additional cannabinoid receptors and endocannabinoids. Indeed, we have obtained evidence that ethanolamides, which are converted in our bodies from omega-3 polyunsaturated fatty acids that are found, for example, in fish oil, can both activate cannabinoid receptors and attack cancer cells (Brown et al., 2010).
The Medicalization Of Cannabinoids
Individual cannabinoids first entered the clinic in the 1980’s (Crowther et al., 2010). The first of these was Nabilone (Cesamet), a synthetic Δ9-THC-like compound that is used to suppress nausea and vomiting produced by cancer chemotherapy. Synthetic Δ9-THC (Marinol) was licensed soon after Nabilone for the same purpose, and subsequently as an appetite stimulant, particularly for AIDS patients. Nabilone
and Marinol were recently joined in the clinic by Sativex: in Canada (2005) for the relief of multiple sclerosis and cancer pain and in the UK (2010) to treat spasticity due to multiple sclerosis. Sativex has also received regulatory authorisation in Spain. Its main constituents are two phytocannabinoids, Δ9-THC and cannabidiol, both extracted from cannabis.
Importantly, whereas exogenously administered cannabis and individual cannabinoids such as Δ9-THC and Nabilone target all cannabinoid receptors in the body and so ‘flood’ the whole endocannabinoid system, endocannabinoids released endogenously are somewhat more selective since they seem to be released in a manner that only targets subpopulations of their receptors. Although such release is often ‘autoprotective’ it can sometimes be ‘autoimpairing’, leading for example to CB1 receptor-mediated obesity. There is, however, currently little interest in developing medicines from compounds that block CB1 receptors, as such a blockade could well also suppress CB1 receptor-mediated autoprotection. Indeed, the CB1 receptor blocking drug, Rimonabant, was recently withdrawn from the clinic because of an increased incidence of depression and suicidality in patients taking it as an anti-obesity agent.
The fact that Cesamet, Marinol and Sativex are all in the clinic is of course an indication that, as prescribed, these medicines do significantly more good than harm. Even so, there is considerable interest in developing a second generation of cannabinoid medicines that display even greater ‘benefit-torisk ratios’ (Pertwee, 2009). Possibilities include compounds that avoid the production of unwanted cannabinoid CB1 receptor-mediated effects by:
(1) Only activating cannabinoid receptors that are located outside the brain and spinal cord.
(2) Only activating cannabinoid receptors in particular tissues such as skin or spinal cord by being administered directly into these tissues.
(3) Activating cannabinoid CB2 but not cannabinoid CB1 receptors.
(4) Being administered at low doses that produce a cannabinoid receptor-mediated enhancement of the sought after effects of non-cannabinoid medicines but are insufficient to produce significant cannabinoid receptor-mediated unwanted side effects.
(5) Boosting the levels of endocannabinoids when these are being released in an ‘autoprotective’ manner, for example to relieve pain.
(6) Targeting ‘allosteric’ sites that we have discovered to be present on cannabinoid CB1 receptors in a manner that will boost the ability of autoprotectively released endocannabinoids to activate these receptors.
Cannabis: A Complex Scenario
Δ9-THC is synthesized in the cannabis plant from a nonpsychoactive precursor, Δ9-THC acid. This process can be greatly accelerated by heat which is why cannabis is usually smoked, often with tobacco, consumed in preheated food or inhaled from ‘volcano’ vaporizers that create fumes by heating cannabis without burning it or producing smoke. Other pharmacologically active phytocannabinoids can also be
formed from their acids by heating cannabis. These include the non-psychoactive yet pharmacologically active compounds, cannabidiol (CBD), Δ9-tetrahydrocannabivarin (Δ9-THCV) and cannabigerol (CBG), each of which has actual (CBD) or potential medical applications. Some of these phytocannabinoids are really ‘fighto’ cannabinoids, their presence in cannabis making it a pharmacological ‘battlefield’. Thus
we have discovered that although CB1 receptors are activated by Δ9-THC, they can be blocked by Δ9-THCV. It has also been found that CBD can oppose certain effects produced by cannabis or Δ9-THC. Indeed, whilst there is evidence that the presence of Δ9-THC in cannabis increases the risk of developing schizophrenia for certain individuals, there is also strong evidence that cannabidiol is a potential medicine for the treatment of schizophrenia. A further complication is that the relative concentrations of different phytocannabinoids are not the same in all strains of cannabis, in all parts of the same cannabis plant or in male and femalecannabis plants, the female flowering heads of sinsemilla (‘without seeds’) being particularly rich in Δ9-THC. This may have important consequences for those who take cannabis either recreationally or for the quite different purpose of self-medication, as high CBD:THC or THCV:THC ratios may lessen the risk from cannabis of developing schizophrenia or cannabis dependence…although probably also alter the perceived nature of a cannabis-induced ‘high’.
Spice
One notable recent event has been the arrival in the recreational cannabis world of herbal mixtures laced with synthetic cannabinoids (‘designer drugs’) such as JWH-018 (e.g. Spice or K2, named after the second highest mountain on earth). These little-investigated synthetic cannabinoids share the ability of Δ9-THC to activate cannabinoid CB1 receptors and hence to produce a ‘high’. Moreover, any of them that
activate these receptors more strongly than Δ9-THC will most likely produce a more intense ‘high’ and perhaps also more serious unwanted effects than usually experienced by recreational cannabis users. They probably also differ from THC in other ways. Thus, although Δ9-THC shares its ability to target cannabinoid receptors with many synthetic compounds, the additional pharmacological actions it possesses provide it with a unique ‘pharmacological fingerprint’ that distinguishes it from many of these other compounds.
Harm Minimization For Recreational Cannabis
One important challenge for the International Narcotics Control Board that monitors and implements United Nations drug control conventions is to select an optimal but workable strategy for minimizing the harm that is now being caused both to themselves and to Society by some of the many millions of people world-wide who currently take cannabis (or Spice) recreationally and also, indeed, by some of those who self-medicate with ‘street’ cannabis. For the UK, options include leaving the present law unchanged and increasing or
decreasing current penalties for the supply and/or possession of ‘street’ cannabis. It would also be advisable to develop strategies directed (i) at discouraging cannabis from being taken by adolescents or other individuals who are thought to be at particular risk from cannabis-induced harm and (ii) at providing advice (a) about combinations and levels of cannabinoids in cannabis that are thought to be the least
harmful and (b) about how to take cannabis as an inhaled unburnt vapour or in other ways that avoid the lung damage caused by smoked cannabis. It will be important that policy makers have discussions with cannabinoid pharmacologists whilst considering these and any other potential strategies for minimizing the harm caused by recreational cannabis.
Brown I, Cascio MG, Wahle KWJ, Smoum R, Mechoulam R, Ross RA, Pertwee RG and Heys SD. Cannabinoid receptor dependent and independent anti-proliferative effects of omega-3 ethanolamides in androgen receptor positive and negative prostate cancer cell lines.
Carcinogenesis 2010; 31: 1584-1591.
Crowther, SM, Reynolds, LA and Tansey, EM (eds). The Medicalization of Cannabis. Witness Seminar Transcript. Volume 40. The Wellcome Trust Centre for the History of Medicine, at UCL. 2010; http://www.ucl.ac.uk/histmed/downloads/c20th_group Pertwee RG. Cannabinoid pharmacology: the first 66 years. Br J Pharmacol 2006; 147: S163-S171. Pertwee RG. Emerging strategies for exploiting cannabinoid receptor agonists as medicines. Br J Pharmacol 2009; 156: 397-411. Professor Roger Pertwee has three degrees from the University of Oxford: MA (in biochemistry), D.Phil. (in pharmacology) and D.Sc. (in physiological sciences). He is Professor of Neuropharmacology at the University of Aberdeen, Director of Pharmacology for GW Pharmaceuticals, co-chairman of the International Union of Pharmacology (IUPHAR) Subcommittee on Cannabinoid Receptors, a co-ordinator of the British Pharmacological Society’s Special Interest Group on Cannabinoids and visiting Professor at the University of Hertfordshire. He has also served as chairman of the International Association for Cannabis as Medicine (IACM; 2005-2007) and as President of the International Cannabinoid Research Society (ICRS; 2007-2008; 1997-1998) and is currently ICRS International Secretary and a member of the IACM board of directors. He was the recipient of the 2002 Mechoulam Award “for his outstanding contributions to cannabinoid research” and in 2005 was recognized to be an “ISI Highly Cited Researcher” and hence among “the world’s most cited and influential researchers” (see Pertwee at http://isihighlycited.com/). His research has focused mainly on the pharmacology of cannabinoids. This he began in 1968 at Oxford University and continued when he moved to Aberdeen in 1974. His research has played major roles in:
• the discovery of endocannabinoids and the endocannabinoid system;
• the recent discovery that ethanolamides formed from omega-3 polyunsaturated fatty acids seem to be endocannabinoids;
• the gathering of evidence supporting cannabinoids for the management of multiple sclerosis;
• the discovery that tetrahydrocannabivarin (THCV) is a phytocannabinoid;
• the pharmacological characterization of certain phytocannabinoids and of novel synthetic cannabinoids, e.g. the phytocannabinoids THCV, cannabidiol and cannabigerol, the first water-soluble cannabinoid (O-1057), the first CB1 receptorselective agonists (e.g. methanandamide), and a widely-used CB2 receptor antagonist (AM630);
• the discovery of a cannabinoid CB1 receptor allosteric site;
• the development of cannabinoid bioassays, some widely used (e.g. the “ring test”).
See also www.abdn.ac.uk/ims/staff/details.php?id=rgp