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The inability to make reliable assertions about marijuana
based on research on its constituent parts is a recurring
theme in DEA's rejection of an Administrative Law Judge recommendation
that marijuana has accepted medical use in the United States.
Here are eight examples.
"Although delta-9-THC is an active ingredient in the
marijuana plant material, marijuana contains over 400 other
chemicals. At least 61 of these chemicals are cannabinoids.
All these chemicals could have some effect on the human body.
Since THC is only one of many active ingredients in marijuana,
THC studies are of very limited value in evaluating the therapeutic
utility of marijuana."(2)
"THC is only one constituent among hundreds found in
marijuana. Therefore, the consequences of an individual ingesting
pure THC as compared to smoking marijuana are vastly different."(3)
"Twenty-one cannabinoids have been clinically evaluated.
Most of this testing centered on the psychotropic effects
of the compounds, and only eight or nine of the cannabinoids
have been tested for therapeutic utility. These studies have
only been cursory except for the testing of synthetic THC.
Cannabigerol (CBG) cannabinoids show antibacterial activity
against gram positive bacteria, and have been shown to effect
basic cell metabolism. Cannabinol (CBN) type compounds have
exhibited anticonvulsant, anti-inflammatory, immunological,
and behavioral effects. CBN has also exhibited possible potentiation
of THC effects in man. Cannabidiol (CBD) has exhibited anticonvulsant
activity."(4)
"As well as significant variations in naturally occurring
substances in natural cannabis, there are variations in the
active substances based on conditions under which the plant
material has been maintained or stored. THC is labile (sic)
to air oxidation forming cannabinol (CBN). Cannabidiol (CBD),
in the presence of oxygen and light and upon heating, is converted
to cannabielsoic acids."(5)
"Although THC is usually a constituent present in marijuana,
since marijuana also contains at least 60 other active cannabinoids
in varying quantities, the results of antiemetic trials using
THC cannot be extrapolated in evaluating marijuana's antiemetic
properties. For example, cannabidiol, a constituent present
in marijuana, can potentiate some effects of THC, while suppressing
other effects, including the antiemetic effect."(6)
"Most pharmacological research with cannabis or its constituents
has actually been conducted with orally ingested THC, rather
than smoked marijuana. Although the pharmacologic effects
are presumed to be similar, the studies with oral THC do not
provide a complete picture of marijuana's effects. Few of
the other cannabinoids have been pharmacologically evaluated.
The health consequences from smoking marijuana are likely
to be quite different than those of orally ingested THC. Yet
most of the chronic animal studies have been conducted with
oral or intravenous THC."(7)
"The effect of taking a drug in combination with other
chemicals is seldom the same as taking just the pure drug."(8)
"[M]arijuana's chemistry is neither fully known, nor
reproducible. Thus far, over 400 different chemicals have
been identified in the plant. The proportions and concentrations
differ from plant to plant, depending on growing conditions,
age of the plant, harvesting and storage factors. THC levels
can vary from less than 0.2% to over 10%. It is not known
how smoking or burning the plant material affects the composition
of all these chemicals. It is not possible to reproduce the
drug in dosages which can be considered standardized by any
currently accepted scientific criteria."(9)
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