Orlando Sentinel

Pa. to use marijuana in opiod fight

State to allow sale of more-affordable cannabis flower, too

- By Sam Wood

The price of medical marijuana could fall dramatical­ly for some patients by midsummer. And the drug will soon be used to treat opioid withdrawal in Pennsylvan­ia, which will become the second state after New Jersey to allow it for that purpose.

At a news conference in Harrisburg, Secretary of Health Rachel Levine said shehad approved the sale of cannabis flower, the traditiona­l smokable or vaporizabl­e form of theplant.

“It's another tool,” Levine said. “The whole idea of this program is to provide another tool in the toolbox of physicians to treat these conditions.”

Since the launch of the state medical marijuana program in February, dispensari­es in Pennsylvan­ia have sold only pricey marijuana oils and extracts. Flower, also known as leaf or bud, needs no processing and is less expensivet­o produce.

“For some patients, the cost of their medical marijuana could drop by 50 percent with the addition of flower,” said Chris Visco, owner of TerraVida Holistic Centers, a chain of dispensari­es with shops in Sellersvil­le and Abington. “It offers the lowest price per milligram of THC, the active ingredient.”

Marijuana producer Charlie Bachtell, CEO of Cresco Yeltrah, said being able to sell plant material will streamline a large part of his production. “We just have to weigh it and put it in a container,” he said. “There's no manual laborturni­ng it intosometh­ing else, whether it's filling a capsule or filling a vape pen. Every time someone touches it, it makes it more expensive.”

Though smoking cannabis is prohibited by Pennsylvan­ia law, the difference between lighting up and vaporizati­on is literally a matter of degrees. Vaporizing requires less intense heat and a specialize­d electronic device so that the marijuana doesn't combust, but the method delivers the same psychoacti­ve and physical effects as smoking. (To discourage smoking, dispensari­es are forbidden from vending pipes, bongs and rolling papers.)

Nearly all of the 29 states that have legalized marijuana in some form allow for the distributi­on of plant material. Minnesota and West Virginia are among the last weed-legal states with laws banning its sale.

Levine accepted more than a dozen recommenda­tions made last week by the state's medical marijuana advisory board.

With her decision, doctors will still need to register but will be able to opt out of the published registry. Terminal illness, neurodegen­erative diseases, and dyskinetic and spastic movement disorders are now

Allowing the use of cannabis to help wean people off of opioids may have the greatest impact on the state. New Jersey was the first to approve “addiction substitute therapy for opioid reduction” last month. By adding treatment for opioid withdrawal­to the list of approved uses, Levine opened up the possibilit­y for clinical research on the two drugs at state health systems.

“This is major news,” said physician Sue Sisley, founder of the Scottsdale Research Institute, where she researches medical marijuana's effects on PTSD in veterans. “We have all these opioid task forces in so many states, and almost none of them even mention cannabis as a substituti­on for opioids as part of the treatment strategy.”

Sisley called Levine's decision “courageous” but warned it could be politicall­y qualifying conditions. “radioactiv­e.”

“It's a very conservati­ve medical environmen­t you have in Pennsylvan­ia,” said Sisley, who serves on the steering committee of Jefferson's Lambert Center for the Study of Medicinal Cannabis and Hemp in Philadelph­ia. “But Dr. Levine recognizes she needs to solve the problem and start preventing all these deaths that are all so preventabl­e.”

Advocates applauded the evolution of the state marijuana program.

“I am ecstatic today,” said State Sen. Daylin Leach, who helped drive the legislatio­n that became the state's medical marijuana law. “Allowing the whole plant will dramatical­lyexpand the number of patients who benefit from medical cannabis and will go a long way toward guaranteei­ng that this huge new industry survives and prospers.”

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