Maryland Legislators Propose Treating Heroin Addiction with Medical Marijuana

Maryland legislators have proposed a new plan to treat the state’s growing number of opioid addicts with medical marijuana. The proposal is being added to a current bill that would completely rewrite the laws concerning the state’s medical marijuana program. The House Health and Government Operations Committee just approved an amendment to the bill, adding “opioid use disorder” to the list of eligible conditions that medical marijuana can be prescribed for.

The issue of using MMJ to treat opioid addiction is a controversial one, as there is little current research that either proves or disproves its effectiveness as a treatment. “There is evidence that cannabis may be effective in alleviating certain forms of pain, and may be useful therefore in reducing opioid use. But there is no evidence that cannabis may help reduce opioid addiction,” said Dr. Daniele Piomelli.

“We have looked at the medical evidence, and we thought it made sense,” Delegate Sandy Rosenberg, who led the team of legislators currently rewriting the bill, said. “We thought we should leave it up the doctors. We don’t legislate medical judgment.”

However, Republican legislators are not convinced. “Replacing one habit with another may not be a good idea,” said House Minority Whip Kathy Szeliga, “Treating opioid addiction with pot is a not a clean-and-sober approach.”

Merry Jane

Lactuca Virosa: Another Plant Used as Alternative Painkillers

Known as the “poor man’s opium”, wild lettuce is an excellent and natural painkiller. Lactuca Virosa can be used as an alternative to traditional and often addictive prescription painkillers. The power of this vegetable – a cousin to the lettuce we buy at the grocery store – is found in the white substance produced in its leaves and stem. The Latin prefix “lac” means milk and is meant to describe the plant’s bitter white sap.

The pain-relieving properties of wild lettuce were already being utilized as early as the 19th century, however, it was only during the 1970s that it gained popularity.

There are two popular ways of enjoying wild lettuce. The first is to cook the plant in a sugar-water mix until it reaches a syrup-like consistency; the solution is then drunk as medicine. This has been found to be quite effective, although the bitter taste remains.

Looks can be deceiving

Wild lettuce is often overlooked because of its weed-like appearance. Still, several studies point to the numerous health benefits of the plant. Studies have also found that people with asthma respond better to the wild lettuce treatment than to opiates. This is because patients tend to undergo an opiate withdrawal which can be more challenging than their actual condition.

The need for pain relief

Pain is a major public health problem. In America, between $560 billion and $635 billion is spent on pain treatment annually; this translates to each American spending around $2,000 just for pain relief. The National Academy’s Institute of Medicine notes that 100 million Americans currently suffer from chronic pain.

There are two caveats to note: Since wild lettuce manipulates the function of the central nervous system, it should not be taken for at least two weeks prior to any major surgery.

Asia Cruise News

Poppy Seed Tea: Beware This Beverage

The opium poppy plant (Papaver somniferum) has been cultivated for centuries as a source of opium. The poppy plant produces seed pods. The pods produce a latex (milky sap that coagulates on exposure to air) that contains opiates; opiates also are found on the surface of the seeds inside the pods. Opium is harvested by slitting the unripe pod and allowing the latex to ooze through the slits onto the surface of the pod where the dried latex is collected.

The latex, seeds, stems and leaves contain opiate alkaloids, including morphine and codeine, and lower amounts of thebaine, noscapine, and papaverine. The highest concentrations of opiates are found in the latex. The opiate content is highly variable, depending on, among other factors, the growing location, harvesting, and processing. The amount of morphine in the seeds is substantially reduced after grinding (34%), baking (90%), or washing with hot water (70%). The seeds usually contain more morphine than codeine, but some seed varieties may contain significant amounts of codeine.

While poppy seeds are used in food, the amount of opiates found in food is highly variable, depending on the relative number of poppy seeds in or on the food and the exposure of the seeds to heat. Morphine loss during processing can be up to 90%.

Eating poppy seeds can lead to positive opiate tests in urine drug screening; opiates can be detected in blood, saliva, and hair as well. Opiates may be detected in the urine for 48 hours after poppy seed ingestion. Detection of unique metabolites is used to distinguish poppy seeds from heroin. The “poppy seed defense” has been used in cases of failed urine screening tests for employment and for sports drug testing, including the Olympics.

Poppy tea or poppy seed tea (also called opium tea) is made from the seed pods or the seeds of the opium poppy plant. Poppy teas are herbal beverages and are not true teas in that they do not contain the leaves of the tea plant (Camellia sinensis).

The high variability of the morphine and codeine content of teas prepared from the poppy plant may lead to accidental overdose. The more restrictive use of prescription opioids for chronic pain may increase the use of these homemade remedies. Education of at-risk patients that poppy teas are not harmless herbal beverages could prevent morbidity or mortality.

Medscape

Absolution in a Judicial Case of Coca Leaf in Spain

BARCELONA – The unprecedented resolution of a court case for coca leaf imports took place yesterday at the Provincial Court of Girona. F.T., a Colombian citizen living in Spain was acquitted of charges of drug trafficking after a large display of evidence and arguments about the historical, cultural, social and medicinal value of the coca leaf.

The case began in 2014 when F.T. was arrested for mailing a package containing 2kg of ground coca leaf, used in millenarian practices in the Andean and Amazonian regions with different ceremonial, medicinal and nutritional purposes.

Accused of receiving “cocaine” and “moved for the purpose of distributing cocaine among third persons,” the Prosecutor’s Office requested 4 years of imprisonment, establishing at the same time that the amount of cocaine that was intended to be obtained was 6.3 grams (note that, according to the doctrine of the Spanish Supreme Court, the threshold for possession of cocaine for personal consumption is set at 7.5 grams).

After several years of extensive process, on March 15, 2017, the trial of F.T. finally took place, ending with the removal of the charges by the Public Prosecutor and the acquittal of the accused (the official sentence is still due). The F.T. defense team, led by Barcelona lawyer Roberto Castro, and integrated by ICEERS and TNI, has reached an unprecedented goal in a coca leaf case in Spain, with potential impact in other European countries.

The defense expert’s work focused on the legal status of the coca leaf, international debates on its classification in international drug treaties, its alleged health benefits and its role of social cohesion both in the original contexts and in the Andean diaspora around the world. Also, the revival of coca leaf use outside the limits of what would be considered traditional or indigenous in purist terms was emphasized. Finally, the experts argued the absurdity of importing two kilos of the ground leaf with the purpose to extract cocaine for later distribution, something that was evidenced during the trial after declaring the experts of both the defense and the National Institute of Toxicology.

During this process, not only the innocence and honor of F.T. has been demonstrated, but also the historical error of the prohibition of the coca leaf and of cultural practices that surround it.

TNI

Marijuana Could Be Legal In All 50 States by 2021

Marijuana could be legal across the entire United States by 2021, according to the latest research by GreenWave Advisors.

It is for this reason that GreenWave believes legal weed is on the cusp of expanding into a number of additional states within the next few years. There is momentum to put marijuana legalization initiatives on the ballots in 2018 and 2020, a series of events that could lead to all 50 states having some sort of legal weed within the next four years, reports the Motley Fool.

A similar report from Arcview Market Research and New Frontier Data shows the nationwide cannabis industry could be worth around $22 billion by 2020. It also suggests that the legal marijuana industry could resurrect the middle class — the lifeblood of the American economy – by creating more jobs than the culmination of the manufacturing and government sectors.

It makes sense why communities in states like Pennsylvania and Ohio are hoping that legal marijuana can fill the void left where more traditional industries failed them. Over the past couple of weeks, a number of reports have surfaced showing that blue-collar workers are looking toward the newfound marijuana industry to create thousands of jobs for those people previously employed by steel manufacturers and other vital producers.

Perhaps this is the reason more Americans now support the legalization of marijuana. The latest polls show around 60 percent of the population want weed handled no differently than alcohol or tobacco.

Merry Jane

DRI Seizes 115kg of Khat Leaves

AHMEDABAD: The Ahmedabad zonal unit of the Directorate of Revenue Intelligence (DRI) on Monday seized 115kg of khat, or Catha edulis leaves, valued at Rs 3 crore in the international market, which had been imported from Ethiopia as “Moringa leaves”. Some 96kg of khat leaves was seized in Ahmedabad and 19kg in Bharuch.

Khat is a psychotropic substance prohibited under the Narcotic Drugs and Psychotropic Substances (NDPS) Act, 1985. It is a flowering plant native to the Horn of Africa and Arabian peninsula. It contains a monoamine alkaloid called cathinone or cathine, which is an amphetamine-like stimulant.

DRI officials said the agency gathered intelligence that two courier companies, Skyking Express Parcel Service from Bharuch and Fast Track Express from Ahmedabad, were importing and exporting Khat leaves from the foreign post office in Ahmedabad and the courier cell at the air cargo complex in the city.

It was also found that the duo was exporting khat leaves to the USA, UK, and other countries, by declaring it as dried green tea, from the courier cell at the air cargo complex in Ahmedabad. In the last two or three months, they exported approximately 1,500kg of khat leaves.

Chirag and Ravi were arrested under the NDPS Act and produced before a special NDPS court which sent them to judicial custody. Further investigation is on in the case.

Times of India

Gardening Tips For Divine Blue Lotus

The sacred lily of the Nile is said to be very symbolic in the Egyptian art. The extracts are said to relieve stress and that is why they are used in abhyanga massage, basti treatments, the arts, and yoga. It is believed that these Blue lilies are drought tolerant and are most common landscaping plants. Here are some tips to grow divine blue lotus.

Tips to grow divine blue lotus are:

1. You will need: Blue Lotus seeds, rich clay soil mixed with black cow manure, pots, newspaper, sand, and water.

2. Climate: Best season to grow blue lotus (Nymphaea caerulea flowers) is spring so plant them in sunny place in medium clay loam. (Note: the blue lilies grow well along the lakes and rivers in wet soil conditions so you can as well plant them at the sides of your garden pond.

3. Planting: Firstly, line all the clay pots with newspapers so that the soil doesn’t drain out while watering. Fill all the pots with clay black cow mixture. Plant the seeds in the soil. Spread an inch of sand on the soil layer so that the mud doesn’t get dirty. Submerge the soil layer completely in water (water temperature needs to be above 65-75 F).

4. Maintenance: The Bluewater lilies love high-quality fertilizers so they need to be fed once in every month. If there is the growth of green algae due to fertilizers, it is fine as the water lilies would have already absorbed the required nutrients. The growth of water lilies is very rapid and they soon develop rhizomes so it best to move them to larger pots once they start getting bigger. For Aphids, spraying water on the plants and flowers will keep them away. You can also use some organic pesticides.

Asianet India

Medical Marijuana Can Help Reduce Opioid Abuse

A 2016 study conducted by the Johns Hopkins Bloomberg School of Public Health found that states with legal medical marijuana had 25 percent fewer opioid-related deaths than states that still prohibit medical marijuana. Another study, published in Health Affairs, found that prescriptions for often-abused opioids dropped significantly in states with medical marijuana.

Last December, the New York Health Department approved medical marijuana treatment for some patients suffering from chronic pain. Doctors are also hopeful that the new treatment will allow some of these patients to wean themselves off of addictive and dangerous opioid medications.

This January, the National Academies of Sciences, Engineering, and Medicine released a review of over 10,000 medical marijuana studies published since 1999. The review found substantial evidence that supports the use of medical marijuana to treat chronic pain, but the study also recommended further research into both positive and negative effects of long-term marijuana use.

Merry Jane

China Approves Indian Arecanut for Imports

Arecanut grown in India has received certification from China, and this has opened up new markets for farmers.

But the challenge remains the price, which is not viable for Karnataka growers because the production cost there is high, while it will help farmers in Assam.

M Suresh Bhandary, managing director, The Campco Ltd, a co-operative of areca nut and cocoa farmers, said that areca nut from the Shivamogga, Puttur, and Coimbatore regions had been processed at a plant in Puttur and after certifying its quality, it had been exported to China.

The Chinese counterparts have now shown interest in the green tender areca nut, which has retained its color. The Chinese market favored the Mohitnagar variety for its quality, he added.

Bhandary said besides the domestic market, the export market had opened up. This will help them to make up for price drops in the domestic market. Till now they did not have an option.
Campco will supply areca nut to Kou Wei Wang (King of Taste), one of the largest mouth-freshener manufacturers in China. The buyer had visited India and was happy with the raw material, said Bhandary.

There are more than 20 manufacturers of areca nut mouth-fresheners in China. As more Chinese are using mouth fresheners to quit smoking, the supply is not enough. The Campco has estimated that 90 per cent of India’s areca nut production can meet China’s demand.

Business Standard

Kava Legal in Relaxation of WA’s Drug Laws

Changes to the State’s medicines and poisons laws last month mean a ban has been lifted on the plant product, bringing WA into line with other States.

Kava, also known as Piper methysticin, is made from the root of a shrub and in small doses in herbal preparations can relax muscles and help with sleep. The WA Health Department said yesterday kava would be a closely regulated substance in WA.

Low-dose products labeled as a complementary medicine are available over the counter.

The department said patients should still seek expert advice before starting a treatment, and any mental health condition required the advice of a qualified medical professional.

Professor Jerome Sarris, who is deputy director of the NICM integrative medicine institute at Western Sydney University and has done clinical trials into the effectiveness of kava, said it was a sensible step forward.

“Anxiety disorders are complex and can significantly impact people’s day-to-day lives, and research has shown kava compares favorably to the efficacy of existing medications for the treatment of chronic anxiety,” he said.

“However, unlike some other options, it has less risk of dependency and less potential for side-effects such as lethargy and memory impairment.”

The West Australian

Opium for Ayurveda Medicine

Opium to be grown under State protection to cater to the requirements in the country’s Ayurvedic or native medicine needs was the consensus of stakeholders as stated by the Presidential Task Force on Drug Prevention.

Director of the Task Force Dr. Samantha Kumara Kithalawaarachchi said that opium is essential for Ayurvedic medicinal preparations from stocks confiscated through narcotic raids and elsewhere.

Experts are of the view that provisions should be made in the law to allow the Ayurveda industry, other medicines, and hospitals to meet their requirements according to Dr. Kithalawaarachchi

“There are groups which are trying to derail the campaign of the Task Force by alleging that there is a Governmental move to grow opium and sell it. This is not the case,” Dr. Kithalawaarachchi further elaborated.

Nation Weekend

California Seeks Advisers on Marijuana Rules

Medical cannabis laws passed by the Legislature in 2015 and the recreational legalization measure voters approved in November established similar overarching regulatory frameworks related to cultivation, manufacturing, transportation, sales and other aspects of the marijuana market. State agencies are tasked with developing specific rules to best implement the new laws.

The state intends to create a singular regulatory system for both medical and recreational marijuana by the end of the year. Some question the feasibility of establishing a model for a multi-billion dollar industry in such a short time frame.

The advisory committee will work with the marijuana bureau, food and agriculture and public health departments to help develop “regulations that protect public health and safety while ensuring a regulated market that helps reduce the illicit market for cannabis,” according to the bureau.

The bureau expects the committee to consist of individuals from the cannabis industry, labor unions, public health and state and local agencies, among others.

The bureau said it will accept applications for at least one month. The positions are unpaid and offer reimbursements for travel-related expenses.

The Sacramento Bee

Key differences of Psychedelic drugs like magic mushrooms and LSD: Here’s What you Should Know

What we do know, however, is that psychedelics have a fundamentally different effect on the brain than addictive drugs like alcohol and cocaine do. Cocaine, for example, elicits a deep, euphoric sensation by temporarily flooding the brain’s reward and motivation centers. In some people, this can trigger a cycle of reinforcement that traps them in addition, even when the same amount of the drug no longer results in a characteristic “high.” The psychedelic drug psilocybin, on the other hand (the psychoactive ingredient in magic mushrooms), appears to fundamentally alter the infrastructure of the brain’s prefrontal cortex and change how information in this area of the brain is exchanged.

Psilocybin isn’t the only psychedelic drug that researchers are studying for its potentially therapeutic effects, however. They’re also looking at LSD (“acid”), DMT (ayahuasca), and more. Each drug has a different trip length and varies in terms of its legality across the globe.

Methods for producing, brewing, and taking the drugs differ as well.

While magic mushrooms are typically either grown and eaten, brewed into tea, or ground up and taken in pill form, LSD is made synthetically and usually processed into strips that can be absorbed by placing them on the tongue.

Ayahuasca, on the other hand, is usually consumed as a beverage. It’s brewed from the macerated and boiled vines of the Banisteriopsis caapi (yage) plant and the Psychotria viridis (chacruna) leaf, and it has been used for centuries as a traditional spiritual medicine in ceremonies among the indigenous peoples of Bolivia, Colombia, Ecuador, and Peru. Ayahuasca’s effects come from mixing the drug dimethyltryptamine, or DMT, from the chacruna plant, and the MAO inhibitor from the yage plant, which allows the DMT to be absorbed into the bloodstream.

Business Insider

DEA Asked Public’s Comment On Its Proposed Kratom Ban: 99 Percent Opposed It

When the Drug Enforcement Administration formally backed off plans last year to ban the ability to buy kratom, the agency announced it would accept input from the public to help determine how to proceed.

Kratom is a herb made from the leaves of Mitragyna species, a Southeast Asian tree related to coffee. Often taken in powder form, kratom contains the alkaloids mitragynine and 7-hydroxymitragynine, which appear to activate opioid receptors in the brain and reduce pain. And although most opioids have sedative qualities, low to moderate doses of kratom actually serve as a mild stimulant.

A diverse coalition of supporters appears prepared to stand firm against that move. Of the 2,416 comments submitted to the DEA with profession-related information, nearly half self-identified as either veteran, law enforcement officials, health care professionals or scientists. The overwhelming majority of these were in favor of keeping kratom legal, with veterans supporting by a margin of 448 to 1 and medical professionals supporting by a margin of 569 to 7.

Despite having received overwhelming support in favor of keeping kratom legal, it’s not yet clear how the DEA will proceed. The agency is still awaiting the results of a U.S. Food and Drug Administration analysis of the potential harms and health benefits of the herb, which will determine if kratom truly poses an “imminent hazard to the public safety,” as the DEA initially claimed last year.

“What we found is a kratom community of responsible consumers who look just like your family and the people who live next door,” they said. “The face of kratom consumers is the face of America today.”

Huffingpost

New England hospitals will help women, babies affected by opioid abuse

Dartmouth-Hitchcock’s Perinatal Addiction Treatment Program is using a grant from the March of Dimes to create an online toolkit for hospitals and health centers that want consistent guidelines and a systematic approach to care. For example, the toolkit includes consent forms that enable a patient’s addiction treatment provider and medical care team to share information and work together.

“Providers were saying, ‘I feel like my patients have two different health care teams — they have their addiction treatment provider and they have their perinatal health care team, and the two don’t talk to each other. This is not a safe situation,'” said project coordinator Daisy Goodman.

Officials estimate about 10 percent of newborns in New Hampshire’s Upper Connecticut Valley region are exposed to opioids before birth. While that number has increased, knowledge about how to treat them also has significantly improved, Goodman said.

Participating sites include Dartmouth-Hitchcock clinics in Lebanon, Claremont and New London; Cheshire Medical Center in Keene, Catholic Medical Center in Manchester, Memorial Hospital in Conway, Manchester Health Center and Maine’s Waldo County General Hospital.

NBC

Belladonna Found in Homeopathic Teething Products

Certain homeopathic teething products marketed by Hyland contain belladonna, also known as deadly nightshade, “sometimes far exceeding the amount claimed on the label,” according to the U.S. Food and Drug Administration.

The products in question are made by the Standard Homeopathic Company in Los Angeles. The FDA says it has contacted the company, but “at this time, the company has not agreed to conduct a recall.”

The body’s response to belladonna in children under 2 years of age is unpredictable and puts them at unnecessary risk,” Dr. Janet Woodcock, director of the FDA’s Center for Drug Evaluation and Research, said in the statement. “We recommend that parents and caregivers not give these homeopathic teething tablets to children, and seek advice from their health care professional for safe alternatives.

These products often contain nothing but water, but several brands contain tiny amounts of belladonna, which is supposed to help ease redness and inflammation caused by teething.

WebMD

Bolivian Government Proposes Increasing Land for Legal Coca Cultivation

Since 2004, the Bolivian government has allowed coca cultivation to take place on up to 12,000 hectares of land. The government has now proposed that a further 8,000 hectares of land be designated for coca leaf production.

Bolivia, the third largest producer of cocaine in the world, originally introduced legal coca cultivation for domestic consumption due to the violence and corruption being caused by the illegal cocaine trade.

Domestic demand is due to the cultural and religious importance of coca leaf chewing, which causes mildly stimulating effects, among many of Bolivia’s indigenous communities. The effects of chewing coca leaves are markedly different to those of cocaine – the production of which the Bolivian government continues to oppose.

Tom Wainwright, author of Narconomics: How to Run a Drug Cartel, describes Bolivia’s approach to coca production as relying on a fine balance: it involves “[licensing] enough cultivation to feed the market for tea, toothpaste, and all the rest of it, without growing enough to leak into the cocaine trade”.

Indeed, there is currently insufficient legally-produced coca to meet domestic demand, so the proposed expansion appears necessary to undermine illegal traders who seek to fill the market gap.

The proposed expansion has, however, been met with controversy by farmers in certain regions where coca cultivation will continue to be prohibited.

Despite the controversy, this proposed expansion marks a renewed government commitment to regulating coca cultivation and thereby reducing the power of drug cartels.

Talking Drugs

Spinal Cord Stimulation May Cut Opioid Use in Chronic Pain

A spinal cord stimulation system consists of an implanted device that transmits low levels of electrical energy to nerve fibers, interrupting pain signals as they travel to the brain to reduce pain sensation.

Researchers evaluated opioid usage data in 5,476 chronic pain patients prior to and after receiving spinal cord stimulation implant by assessing private and Medicare insurance claims data. They found that spinal cord stimulation therapy was effective for patients at any level of opioid usage before implantation. The average daily opioid use was lowered or stabilized for 70% of patients receiving a successful spinal cord stimulation system vs. patient use of opioids before an implant.

Patients who had a successful spinal cord stimulation implant had significantly reduced opioid use 1-year post-implant whereas patients who removed their implant saw an increase in their opioid use again over time. Specifically, 93% of patients who continued on spinal cord stimulation therapy had lower average daily morphine equivalent doses vs. patients who had their implants removed.

MPR

Oregon Marijuana Tax Revenues Are Down 28% Since October

The good news is that the State of Oregon brought in over 60 million dollars in taxes from adult-use marijuana sales. That is significantly higher than what was estimated to be brought in before 2016 started. However, the bad news is that the tax revenues are declining at a significant pace.

Per The Statesman Journal:

“Taxes collected on sales totaled $5.6 million in December, a 13 percent decline from November and a 28 percent drop from the peak of $7.8 million in October. ”

“For the year, tax collections totaled $60 million, a sizable boost above the $45 million expected by state officials at the beginning of the year. ”

Anyone who is involved in the marijuana industry has already known that the adult-use industry has been suffering. Testing issues and foot-dragging on issuing industry licenses has often been the reasons cited for the industry slowdown.

This upcoming legislative session in Oregon is going to be extremely vital to the future success of the marijuana industry in Oregon. Unfortunately, there are a lot of people in Oregon right now that value profit over compassion and fairness, and the mindset of ‘I’m going to get mine, to hell with yours’ is way too common. Oregon’s legislative session starts in February. I suggest you get in touch with your elected officials early and often.

Weed News

Guest column: Lessons of the Opioid Addiction Epidemic

Opioids, which include Oxycontin, Percocet, Vicodin, and morphine, are powerful painkillers. In the past, opioids were mainly used for patients with cancer pain, at the end of life, or after major surgery. But starting about 20 years ago, there was a big push for doctors to prescribe opioids for acute and chronic pain of all types, such as headaches, fibromyalgia, arthritis and back pain.

At the same time, doctors were told, incorrectly, that these medications were not addictive. As a matter of fact, doctors were told that less than 1 percent of patients on long-term opioid therapy became addicted or dependent on the medications. Furthermore, starting patients on these medications, doctors were told, would return them to normal function. They would get their lives back.

If you are a young person (younger than 25) and take an opioid for any reason — after a surgery, tooth extraction, etc. — you are 50 percent more likely to become addicted in your lifetime. The young brain should not be exposed to opiates unless absolutely necessary.

Now, pain is very personal and emotional for many people. There are many people whose lives have been changed for the better because of opioid therapy, but the above statistics are sobering.

Because of the evolving understanding of opioid pain medications and the drastic increase in people living with addiction, and overdose deaths, providers are becoming more cautious about prescribing these medications. We will explore this and the community response to the opioid crisis in an article in this space next month.

Citizen-Times