Medical Use of Marijuana by Patients Undergoing Cancer Chemotherapy or afflicted with AIDS

“Cancer chemotherapy can often prolong the patient’s life by several years. In some instances, a complete “cure” can be obtained. Unfortunately, these drugs also have severe side-effects, most notably nausea and vomiting. Patients sometimes find these effects so distressing they abandon chemotherapy entirely.

People with AIDS (Acquired Immune Disease) also experience these problems. Powerful anti-viral drugs such as AZT and the new protease inhibitors can induce severe nausea, vomiting, and other gastrointestinal effects. Similarly, AIDS “wasting syndrome” can literally starve an individual to death.

Investigations with cannabis have revealed its ability to reduce (or eliminate) the nausea and vomiting associated with chemotherapy while also providing an appetite stimulus. The benefits are thus twofold: 1) the patient is able to retain food and maintain body strength, and 2) he or she can tolerate the life-prolonging chemotherapy treatments.

At least eight published studies have confirmed the ability of cannabis and its psychoactive ingredient delta-9-THC to reduce nausea and vomiting. The first appeared in 1975 in The New England Journal of Medicine. It concluded, “THC is an effective anti-emetic for patients receiving cancer chemotherapy.”

The Food and Drug Administration (FDA), in February, 1980 listed 33 studies of cannabis and nausea and vomiting. Most of these experiments involve efforts to determine the proper dosage of THC and several are comparative studies with other standard anti-emetics.

In New Mexico, a state sponsored study has shown the cannabis cigarette to be 30% more effective than THC in relieving nausea and vomiting. Another study, sponsored by the National Cancer Institute (NCI), discovered that inhaled cannabis resulted in a 71% efficacy rate, as opposed to 44% with oral delta-9-THC. These controlled studies have been fortified by “anecdotal” accounts from individuals who have abandoned legal access to THC because they prefer marijuana obtained illegally. These patients report that smoking marijuana seems to bring an almost instantaneous relief.

This is not a new finding. As early as May 1978, researches at a symposium sponsored by the National Cancer Institute (NCI) concluded, “All in all, the cigarette may be the best means of administering the drug.”

In September 1988 the chief administrative law judge of the Drug Enforcement Administration ruled that marijuana has medical value in the treatment of side-effects caused by cancer chemotherapy. His decision was over-ruled by the administrator of the DEA and marijuana remains illegal for medical purposes.”

Cancer Bibliography

Books

Cannabis in Medical Practice: A Legal, Historical and Pharmacological Overview of the Therapeutic Use of Marijuana, Mary Lynn Mathre, Ed., McFarland Press (1998).

Marijuana Medical Papers, Tod Mikuriya, M.D. (ed.) Medi-Comp Press, (1972).

Cannabinoids as Therapeutic Agents, Raphael Mechoulam (ed.) CRC Press, (1986).

Cancer Treatment & Marijuana Therapy, Robert C. Randall (ed.), Galen Press, (1990).

Marihuana, The Forbidden Medicine, Lester Grinspoon, M.D. and James B. Bakalar, Yale University Press, (1993).

Marijuana and AIDS: Pot, Politics & PWAs in America, Robert C. Randall, Galen Press, (1991).

Journal Articles

Cancer Treatment Reports, 566, 589-592 (1982).

“Cannabinoids for Nausea,” Lancet, January 31, 1981.

Carey, M.P., Burish, T.G., & Brenner, D.E., “Delta-9-THC in Cancer Chemotherapy: Research Problems and Issues,” Annals of Internal Medicine, 99, 106-114 (1983).

Chang, A.E. et al. “Delta-9-Tetrahydrocannabinol as an Antiemetic in Cancer Patients Receiving High-dose Methotrexate,” Annals of Internal Medicine, 91, 819-824 (1979).

Frytek, S. & Moertel, C.G. “Management of Nausea and Vomiting in Cancer Patients,” Journal of the American Medical Association, 245:4, 393-396 (1981).

Harris, L., “Analgesic and Antitumor Potential of the Cannabinoids,” The Therapeutic Potential of Marijuana, Cohen & Stillman (eds.), 299-305 (1976).

Harris, L., Munson, A. & Carchman, R “Anti-tumor Properties of Cannabinoids,” The Pharmacology of Marihuana, Braude & Szara (eds.), 749-762 (1976).

Neidhart, J., Gagen, M., Wilson, H. & Young, D. “Comparative Trial of the Antiemetic Effects of THC and Haloperidol,” Journal of Clinical Pharmacology, 21, 385-425 (1981).

 

Marijuana Fights Cancer and Helps Manage Side Effects, Researchers Find

Mounting evidence shows ‘cannabinoids’ in marijuana slow cancer growth, inhibit formation of new blood cells that feed a tumor, and help manage pain, fatigue, nausea, and other side effects.

Clinical Trials, Studies and Publications:

Delta9-tetrahydrocannabinol (THC) induces apoptosis in C6 glioma cells

Pathways mediating the effects of cannabidiol on the reduction of breast cancer cell proliferation, invasion, and metastasis

Cannabidiol as a novel inhibitor of Id-1 gene expression in aggressive breast cancer cells

Cannabidiol inhibits cancer cell invasion via upregulation of tissue inhibitor of matrix metalloproteinases-1.

 

Cannabis-based medicine protected against chemotherapy-induced nausea and vomiting

Abstract

“Compared with a placebo, cannabis-based medicine (CBM) added to standard antiemetic therapy was well tolerated and provided better protection against delayed chemotherapy-induced nausea and vomiting (CINV). ”

Clinical Trials, Studies and Publications: