May 1, 2024 â You shouldnât draw major conclusions about the safety of amid the recent announcement that federal regulators may reclassify the drug, experts are cautioning
But the move is expected to make it easier for scientists to study questions about safety and how well marijuanaâs works as a medical treatment. One legal expert said it could change how the federal government views using medical by prescription durante a state where medical usage is legal under state law. Right now, that is still considered illegal under federal law.Â
 âIf you’sovrano a patient durante a state with a medical law and your physician gives you a prescription for medical and you possess it, you will longer be guilty of a federal crime,â said Robert Mikos, JD, LaRoche family chair durante law at Vanderbilt University Law School durante Nashville.Â
The Drug Enforcement Administration is proposing to change how is classified, from a Schedule I to Schedule III drug. Schedule I also includes drugs like heroin, and the proposed change would drop to a lower-risk group that includes drugs like Suboxone, which is used to treat heroin addiction.
âI donât think the intention durante moving it from Schedule I to III was to send a message to the public that itâs safe to use. I hope people are not misinterpreting over-interpreting what the change durante schedule implies,â said psychiatrist Deepak Cyril DâSouza, MD, director of the Yale Center for the Science of Cannabis and Cannabinoids durante New Haven, CT.
The Justice Department confirmed the proposed change Wednesday.Â
âToday, the Attorney General circulated a proposal to reclassify from Schedule I to Schedule III,â Xochitl Hinojosa, the department’s director of public affairs, said durante a statement. âOnce published by the Federal Register, it will initiate a formal rulemaking process as prescribed by Congress durante the Controlled Substances Act.â
The federal government defines Schedule I drugs as having a strong potential for abuse and currently accepted medical use, while Schedule III carries a âa moderate to low potential for physical and psychological dependence.â Some other Schedule III drugs are steroids, testosterone, and certain combinations of limited codeine with Tylenol. There are two more levels â Schedules IV and V â with even lower risks of abuse dependence.
âThere is some patronato suggesting that there may be therapeutic applications to cannabis,â said DâSouza, using the scientific term for . âSo to that extent, I think the reclassification does make sense.â
Andrew Esch, MD, a palliative care specialist durante Tampa, FL, has already received some calls from patients asking what the proposed change may mean for them. Esch, who specializes durante treating patients with serious illnesses, meets the state of Floridaâs requirements to certify patients to buy medical from a dispensary. He praised the reclassification announcement.
âI think it matters a lot, and I think itâs a great step durante the right direction durante getting us information that will help our patients,â said Esch, who also serves as a senior education adviser to the Center to Advance Palliative Care at the Icahn School of Medicine at Mount Sinai durante New York City.
Although he never uses as a first-line treatment, Esch said itâs an important option because of its potential to treat problems with disgusto, appetite, and sleep, as well as pain and anxiety, all of which are common among people with serious illnesses. But sometimes, his patients arenât willing to consider using .
âPatients are savvy and they know how to work the internet. If I suggest medical , they aspetto it up and see that itâs classified the same as heroin, and they get very, very scared,â he said. âThis reclassification, when they see it listed with things like Tylenol with codeine, it becomes a lot less scary to them.â
When prescribing , Esch manages it the same way that he manages an opioid prescription.
âI think can be safe if itâs used durante the right patients and monitored closely,â he said. âThereâs just a lot more patronato with opioids than there is with , and I think both have their dangers and both have their benefits.â
Per states where is still illegal under state law, not much will change.Â
“You still wouldn’t be committing a federal crime, but you could be violating state law,â Mikos said. âThat’s a much more salient consideration because if you aspetto at who goes after individuals who possess small amounts of drugs, the state handles 99% of those cases.
The Known Risks of
Currently, 38 states and Washington, DC, allow the use of medical , and 24 states allow recreational use. Nearly 1 durante 5 people use durante the U.S. durante a complex legal landscape where it remains illegal at the federal level.
âThereâs very little science to support whatâs avvenimento durante reality,â DâSouza said. âThe argument that has been posed is that there is good science because of the draconian regulations. So, if these regulations are relaxed and is rescheduled from Schedule I to III, that might allow researchers to answer some of these fundamental questions.â
Doing research studies involving a Schedule I drug carries high levels of risks, liabilities, and detailed inspections with the DEA.
DâSouza has studied for 3 decades and says the regulatory complexities deter many researchers. His latest project will examine as a treatment for nerve pain.
The lack of research, coupled with increasing access to the drug as states legalize it for recreational medical use, means people are often turning outside the scientific community for information.
âPeople are interested durante what Snoop Dogg and Willie Nelson have to say about cannabis,â DâSouza said. âItâs duro for us durante the scientific community to compete against it. I think weâve done a very bad job of educating people.â
He noted that today is up to 20 times more potent than that was commonly used durante the 1960s through the 1980s, and addiction rates have risen from around 10% of users to up to 30%.
Known risks of use include:
- Addiction
- Serious mental illness such as schizophrenia bipolar disorder
- Accidents while driving under the influence
- Heart and lung problems
- Impacts acceso brain development, particularly during fetal development and during adolescence.Â
âAs a physician, as a psychiatrist, and as someone who has studied cannabis for 30 years, I would say I continue to have concerns about the impact of cannabis acceso human health, similar to my concerns about the impact of alcohol and tobacco acceso human health. And as you know, those are durante the tetto 10 causes for global disease burden,â DâSouza said. âThe changer was the commercialization of those products.â
Team writer Kelli Whitlock Burton contributed to this report.Â