The Columbus Dispatch

Pot not approved to treat opioid use

- By Patrick Cooley The Columbus Dispatch

Citing a lack of scientific proof, the state’s medical board on Wednesday voted against allowing doctors to recommend marijuana to treat opioid use disorder.

Board members said they reviewed hundreds of pages of research and heard from expert witnesses but did not find conclusive evidence that cannabis can help opioid addicts manage their cravings.

“I think we’re all desperate to find a way to resolve the opiate crisis, and we’ve had a lot of communicat­ion with folks who support (using cannabis to treat opioid addiction), and we’re sympatheti­c to that position,” said board member Betty Montgomery.

“But this is a science-based board. And the last thing we want to do is grasp at something to solve this crisis that may exacerbate it in a way that we’re not aware of because we don’t have the science behind it.”

The board also voted against allowing doctors to recommend marijuana to treat depression and insomnia and tabled a recommenda­tion to allow medical marijuana to treat anxiety and autism in order to allow two new board members to review the recommenda­tion.

“It’s disappoint­ing,” Alex Thomas, executive director of the Ohio Medical Marijuana License Holders Coalition, said of the board’s decision not to expand the list of 21 conditions for which marijuana is approved as a treatment. That list includes Alzheimer’s disease, cancer, epilepsy, glaucoma, chronic pain and post-traumatic stress disorder.

The board was shown research to support the use of marijuana to treat the three conditions they voted on Wednesday, and Thomas said he was saddened that they didn’t give that evidence more considerat­ion.

Patients suffering from those conditions have benefited from using marijuana, he added.

Board President Michael Schottenst­ein left the door open for approving marijuana to treat those conditions if further research shows the drug is effective.

“It does beg this question — shouldn’t we just make it available and hope that it turns out to be helpful because we need all the help that we can get?” Schottenst­ein said.

But if board members approved marijuana to treat opioid addiction and found that the drug makes the problem worse, they wouldn’t be able to remove it from the list of approved conditions, he said.

“Our hands would be tied,” Schottenst­ein said.

The medical community is divided on the the use of marijuana to treat opioid addiction. Studies have come to differing conclusion­s on whether or not cannabis can curb addiction to opioid painkiller­s.

While a Rand Corporatio­n study found that overdose deaths dropped in states that legalized marijuana for medical use, a Stanford University study found that marijuana users are more likely to abuse opioid painkiller­s.

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