The National Institute on Drug Abuse says marijuana can be addictive and is considered a “gateway drug” to using other drugs. “The higher the level of THC and the more often you use, the more likely you are to become dependent,” Bonn-Miller says. “You have difficulty stopping if you need to stop. You have cravings during periods when you’re not using. And you need more and more of it to have the same effect.” Learn more about the long-term effects of marijuana use.
Medical marijuana is legal in 33 states and the District of Columbia:
“The greatest amount of evidence for the therapeutic effects of cannabis relate to its ability to reduce chronic pain, nausea and vomiting due to chemotherapy, and spasticity [tight or stiff muscles] from MS,” Bonn-Miller says.
How do you take it?
But it’s not yet proven to help many of these conditions, with a few exceptions, Bonn-Miller says.
States allowing legal recreational use include: Alaska, California, Colorado, Illinois, Maine, Massachusetts, Michigan, Nevada, Oregon, Vermont, and Washington
Marcel Bonn-Miller, PhD, adjunct assistant professor, University of Pennsylvania Perelman School of Medicine.
The cannabidiol Epidiolex was approved in 2018 for treating seizures associated with two rare and severe forms of epilepsy, Lennox-Gastaut syndrome and Dravet syndrome. In addition, the FDA has approved two man-made cannabinoid medicines — dronabinol (Marinol, Syndros) and nabilone (Cesamet) — to treat nausea and vomiting from chemotherapy. The cannabidiol Epidiolex was approved in 2018 for treating seizures associated with two rare and severe forms of epilepsy, Lennox-Gastaut syndrome and Dravet syndrome.
A. THC (dronabinol) is the active ingredient in the approved drug products, Marinol capsules (and generics) and Syndros oral solution. CBD is the active ingredient in the approved drug product, Epidiolex.
A. The FDA has sent warning letters in the past to companies illegally selling CBD products that claimed to prevent, diagnose, treat, or cure serious diseases, such as cancer. Some of these products were in further violation of the FD&C Act because they were marketed as dietary supplements or because they involved the addition of CBD to food.
As discussed above (see Question #2), the 2018 Farm Bill removed hemp from the CSA. This change may streamline the process for researchers to study cannabis and its derivatives, including CBD, that fall under the definition of hemp, which could speed the development of new drugs.
18. How can patients gain access to cannabis or cannabis-derived products for medical use through expanded access?
17. Does the FDA object to the clinical investigation of cannabis for medical use?
As part of the Farm Bill in December 2018, Congress legalized hemp. But there are still rules about where and how you can sell products that contain CBD. You can’t sell some across state lines, for example. All CBD products are illegal if they’re sold with the promise of medical benefits.
CBD and THC have the same chemical formula — 21 carbon atoms, 30 hydrogen atoms, and two oxygen atoms. The difference lies in the way the atoms are arranged. That gives CBD and THC different chemical properties, and they affect your body differently.
Both CBD and THC work with receptors that release neurotransmitters in your brain. They can affect things like pain, mood, sleep, and memory.
CBD can also change the way some medicines work. Talk with your doctor about it.
UW Health: “Do You Vomit When You Smoke Pot? Here’s Why.”
Laws are changing all the time on cannabis. Many states allow medical marijuana, containing THC, for several uses, but it is still illegal under federal law. Some states have made recreational marijuana with THC legal for personal use. But it’s also illegal under U.S. law.
Harvard Health Publishing: “Answers to the top questions about cannabis extract,” “Medical marijuana.”