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Analysis: Consumers Engage in Greater Levels of Physical Activity on Days They Consume Cannabis

Oklahoma City, OK: Middle-aged adults are more likely to engage in physical activities on days when they also consume cannabis, according to data published in the journal Addictive Behaviors.

Researchers affiliated with the University of Oklahoma assessed the relationship between cannabis use and moderate-to-vigorous physical activity (MVPA) in a cohort of 98 healthy middle-aged adults.

They found that participants typically engaged in 31 more minutes of physical activity on days they consumed cannabis. Participants also tended to consume more alcohol on days they were most physically active.

“The observed positive … associations between cannabis use and MVPA aligned with our hypothesis and prior cross-sectional observations,” the study’s authors concluded. “As the current study’s sample was composed of healthy middle-aged adults, it may be that cannabis use increased PA [physical activity] enjoyment and/or subsequent feelings of psychological reward. … Future studies may also consider including an assessment of whether cannabis was used pre- or post-PA and for what reasons.”

The findings are consistent with those of other studies concluding that adults with a history of marijuana use typically exercise as much or more than their non-using peers. Among those age 60 and older, marijuana use has been associated with increased exercise frequency.

Full text of the study, “Associations between cannabis use and same-day health and substance use behaviors,” appears in Addictive Behaviors.

Study: Patients Report Significant Reductions in Pain Following Cannabis Use

Hamilton, Canada: Cannabis products provide short-term relief for patients suffering from chronic muscle, joint, or nerve pain, according to data published in the journal Cannabis.

Canadian investigators assessed the short-term effects of cannabis on chronic pain in a cohort of 741 individuals over a 3+ year period. Study participants self-administered cannabis products at home and reported symptom changes in real time on a mobile software application (Strainprint). Most participants inhaled botanical cannabis. Twenty-one percent ingested cannabis oil extracts. Changes in participants’ pain scores were assessed using a 10-point scale.

On average, subjects reported a three-point reduction in their pain scores following cannabis use. Male participants were more likely than females to experience greater pain relief. Greater efficacy was associated with products either dominant or balanced in THC content as compared to CBD-dominant products.

“Our analysis of observational data from chronic pain patients who use medical cannabis found large reductions in pain, and that men were more likely to experience greater pain relief than women,” the study’s authors concluded. “Our findings require confirmation in rigorously conducted randomized trials that include a placebo control to account for non-specific effects.”

Separate data published in 2023 in the Journal of the American Medical Association reported that nearly one in three patients with chronic pain use cannabis as an analgesic agent and many of those who do substitute it in place of opioids.

Full text of the study, “Predictors of response to medical cannabis for chronic pain: A retrospective review of real-time observational data,” appears in Cannabis.

Survey: CBD Dosing Associated With Symptom Improvements in Patients With Inflammatory Bowel Disease

Boston, MA: Women diagnosed with either Crohn’s disease or ulcerative colitis report symptom improvements following the ingestion of CBD products, according to survey data published in the journal Medicina.

Investigators affiliated with Simmons University in Boston surveyed 25 women who consumed CBD to mitigate IBD symptoms. Most participants obtained CBD products from state-licensed dispensaries. Participants typically consumed oral doses of 25 mg or less of CBD daily.

Researchers reported, “CBD users reported decreases in IBD-related pain and nausea (76 percent and 64 percent, respectively), and improvement in appetite (60 percent).”

The study’s authors concluded: “This study … suggest[s] that CBD could lead to improvements in IBD-related pain and nausea, increased appetite, and overall increased quality of life in this understudied and vulnerable cohort. … Additional investigations that include larger sample sizes, more variation among disease severity, and an interventional study design could further elucidate the results currently indicated.”

IBD patients enrolled in the United Kingdom’s Medical Cannabis Registry report sustained improvements in their health-related quality of life following their use of medicinal cannabis products, according to data published earlier this year in the journal Expert Review of Gastroenterology & Hepatology.

Prior survey data reports that an estimated one-half of IBD patients have tried cannabis, and that nearly one-third of current consumers use it to mitigate disease symptoms.

Full text of the study, “The perceived effectiveness of cannabidiol on adult women with inflammatory bowel disease,” appears in Medicina.

Florida: Marijuana Legalization Proponents Eye Subsequent Ballot Initiative Campaign in 2026

Tallahassee, FL: Backers of a 2024 statewide initiative that sought to legalize adult-use retail marijuana sales are considering running another legalization campaign in 2026.

The campaign behind the Amendment 3 effort, Smart & Safe Florida, filed paperwork with state officials last week to place another ballot question before voters. Although the 2024 campaign received 56 percent of the vote, that total was below the 60 percent threshold required to pass a constitutional amendment in Florida. (Florida is the only state that requires citizen-initiated measures to gain more than a simple majority.)

The newly proposed measure is similar to last year’s amendment. However, the updated language explicitly prohibits any public use of cannabis and stipulates that nothing in the initiative prevents lawmakers “from providing for the home growing of marijuana by adults for their personal use and the reasonable regulation thereof,” among other changes.

Amendment 3 was vigorously opposed by Republican Gov. Ron DeSantis, who allocated millions of dollars in state funds to air anti-marijuana ads on television. Most recently, Gov. DeSantis called on lawmakers to convene a special legislative session to discuss options to impose new restrictions on ballot initiative access.

Historically, Florida has been among the states with the highest number of annual marijuana-related arrests. Under state law, possession of 20 grams or less of marijuana is a criminal misdemeanor, punishable by up to one year in jail and a $1,000 fine. Possessing greater amounts is a felony offense, punishable by up to five years in prison.

In 2016, 71 percent of Florida voters approved a constitutional amendment legalizing the production and distribution of medical cannabis to qualified patients. Over 850,000 Floridians are now registered with the state to access medical marijuana.

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Analysis: Steep Declines in Teen Marijuana Use in States With Regulated Cannabis Markets

Washington, DC: Marijuana use by teens has fallen sharply in the majority of states that have legalized the adult-use market, according to an analysis of state and federal survey data by the Marijuana Policy Project.

MPP’s analysis acknowledges steady declines in self-reported marijuana use by young people in 19 of 21 states for which data is available. Federally funded survey data shows similar nationwide declines in teen marijuana use over the past decade.

“Over a decade into state-level cannabis legalization, the data is unequivocal: Legalization does not increase youth cannabis use. In fact, evidence suggests the opposite,” said Karen O’Keefe, Director of State Policies at the Marijuana Policy Project. “By transitioning cannabis sales from the illicit market to a regulated system with age-restricted access, we’ve seen a decrease in youth cannabis use.”

Last month, national data provided by the University of Michigan’s Monitoring the Future study reported that marijuana use by teens fell to historic lows in 2024. Specifically, it determined that the percentage of 8th graders, 10th graders, and 12 graders who reported having ever consumed cannabis declined 32 percent, 37 percent, and 23 percent since 2014.

A syndicated op-ed authored by NORML’s Deputy Director Paul Armentano highlights the long-term decline in teen marijuana use, stating: “Those wedded to the status quo of cannabis criminalization have long warned that legalizing the marijuana market will result in increased adolescent use. But ten years following the first states’ decisions to legalize and regulate adult-use cannabis sales, data conclusively shows that this fear was unfounded.”

Full text of the report, “Adult legalization corresponds with drop in teen marijuana use,” is available from MPP.

Federal Court: Farm Bill Doesn’t Preempt States From Restricting Retail Sales of Intoxicating Hemp-Derived Products

Richmond, VA: State lawmakers can adopt regulations limiting the public’s access to certain hemp-derived products in more stringent ways than those enacted by the federal Farm Bill, according to a decision by the United States Court of Appeals for the Fourth Circuit.

Plaintiffs challenged a Virginia state law (SB 903) limiting the amount of THC that can be included in hemp products or industrial hemp extracts to no more than two milligrams per package. They argued that provisions in the Farm Bill do not permit state governments “to define what constitutes hemp or restrict any THC product that is not also outlawed by federal law.”

Judges rejected their argument, opining that the federal law provides states with the “primary regulatory authority over the production of hemp” and that it “expressly permit[s] states to regulate the production of hemp more stringently than federal law.”

They wrote: “Congress was clear. Despite the 2018 Farm Bill, the states retain a significant role in the regulation of hemp. … If anything, the 2018 Farm Bill expressly sanctions state regulation.”

Judges cautioned that state governments may “not … prohibit the interstate transportation or shipment of hemp that complies with federal law.” But they opined that Virginia’s hemp law imposes no such prohibition. “Federally licensed producers and growers are protected from criminal liability in transporting federally compliant hemp through Virginia,” they determined.

“When the actual language of the statutes is considered, SB 903 is not in direct conflict with the purpose of the Farm Bill. Nor does it pose an obstacle to its purposes,” judges concluded.

“This decision is a huge win for common sense and Virginia’s families,” said Attorney General Jason Miyares. “Harmful counterfeit THC products marketed to children will not be tolerated in the Commonwealth. The safety and wellbeing of our kids must always come first.”

In recent years, unregulated manufacturers have engaged in synthesizing hemp-derived CBD into a variety of novel intoxicating products, including delta-8-THC, HHC, and THC-O. This synthetic conversion process often involves the use of potentially dangerous household products. Lab analyses of unregulated products containing delta-8 and similar compounds have consistently found them to contain lower levels of cannabinoids than what is advertised on the products’ labels. Some products also possess heavy metal contaminants and unlabeled cutting agents. Other novel compounds, like THC-O, have not been tested for safety in human trials.

The case is Northern Virginia Hemp and Agriculture, LLC v. Virginia.

Study: Orally Administered CBD Significantly Reduces Pain, Other Symptoms in Patients with Nail-Patella Syndrome

Paris, France: Patients suffering from nail-patella syndrome-induced pain report significant improvements in their health-related quality of life following CBD therapy, according to data published in the journal Nature: Scientific Reports. Nail-patella syndrome (NPS) is a rare genetic disease characterized by skeletal malformation and chronic pain.

French researchers assessed the safety and efficacy of CBD treatment in a cohort of 28 patients diagnosed with NPS. Study participants ingested pharmaceutical-grade synthetic CBD for three months.

Investigators reported: “Treatment (median dose of 900 mg/day) was associated with a significant reduction in pain intensity (mean score of 7.04 at initiation versus 4.04 at three months. … Health-related quality of life and other NPS-associated symptoms also improved in most patients. CBD treatment was well-tolerated and no elevations in liver enzyme levels were reported.”

The study’s authors concluded: “Oral treatment with synthetic CBD was associated with a significant reduction in pain in most of the patients with NPS included in our study and led to improvements in most of the NPS-associated symptoms analyzed. Hence, synthetic oral CBD appears to be a safe and effective treatment option for NPS-associated pain and may be an alternative to conventional analgesics for managing chronic pain in this pathology.”

Full text of the study, “Evidence for therapeutic use of cannabidiol for nail-patella syndrome-induced pain in a real-world pilot study,” appears in Nature: Scientific Reports.

Virginia: GOP Governor Reiterates Opposition To Regulating Retail Marijuana Sales in State of the Commonwealth Address

Richmond, VA: Republican Gov. Glenn Youngkin remains unwilling to consider legislative efforts to regulate adult-use marijuana sales.

Speaking to lawmakers on Monday during his State of the Commonwealth address, the Governor said, “Everyone knows where I stand on establishing a retail marijuana market.” He then encouraged legislators to work together on “other issues where we can find common ground.” Last year, he vetoed legislation that sought to establish regulations licensing marijuana retailers.

In his remarks, Gov. Youngkin alleged that jurisdictions with regulated adult-use markets have experienced “significant negative impacts” on mental health and adolescents’ safety. In fact, federally funded survey data reports that teens’ use of marijuana is at historic lows. Further, studies from both the United States and Canada have failed to identify a relationship between marijuana legalization and increased incidences of psychiatric illnesses among either high-risk individuals or the general population.

JM Pedini, NORML’s Development Director and Executive Director of Virginia NORML, pushed back on Gov. Youngkin’s claims. “What’s actually ‘bad for youth’ is leaving the control of Virginia’s marijuana market to illicit operators,” Pedini said. “Data gleaned from decades of real-world regulatory experience with cannabis in the US clearly shows that states which take marijuana off the street corner and place it behind an age-verified counter see a drop in youth use.”

In 2021, Virginia lawmakers enacted legislation legalizing the use, possession, and personal cultivation of marijuana by adults. That legislation called upon lawmakers to authorize licensed cannabis sales by January 1, 2024. However, when Republicans gained control of the House and Governorship in 2022, they failed to advance legislation to do so.

Since being elected Governor in 2021, Youngkin has steadfastly refused to consider the issue.

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Analysis: Employees No More Likely To Consume Cannabis During Work Hours Following Legalization

Toronto, Canada: Marijuana legalization is not associated with an uptick in the percentage of employees consuming cannabis either during or prior to work, according to data provided in a briefing paper by the non-profit research organization Institute for Work & Health.

Researchers with the group assessed workers’ attitudes and behaviors toward cannabis following Canada’s adoption of adult-use marijuana legalization. (The Canadian government legalized retail cannabis sales for those 18 or older in 2018.) Investigators reported “no change in workers’ consumption of cannabis before or at work” during the years surveyed.

Consistent with prior studies, researchers acknowledged that those who reported consuming cannabis products while away from their jobs possessed no greater risk of occupational injury than those who abstained. By contrast, employees who reported using cannabis during work hours possessed a nearly two-fold increased risk of accident compared to those who did not.

“These findings underscore the importance of distinguishing cannabis use at work from cannabis off work,” the paper’s authors concluded. “Rather than considering any cannabis use as an occupational safety risk, workplaces need to reframe their focus to use that is likely to lead to impairment at work and craft policies that center on preventing and managing impairment, as well as fitness for duty.”

Most workplace drug testing policies rely on urinalysis screening, which detects the presence of the inert metabolite carboxy-THC. This metabolite remains present in urine for days, weeks, or even months after past use – long after any psychoactive effects of the drug have worn off.

By contrast, blood tests detect the presence of THC, cannabis’ primary psychoactive agent. However, THC is also fat-soluble. As a result, it may also remain detectable for several days following past exposure.

NORML has repeatedly argued that employers should not presume that the detection of either THC or its primary metabolite is evidence of impairment. Rather, NORML has called for the expanded use of performance-based tests, like DRUID or Predictive Safety’s AlertMeter.

Lawmakers in several states – including California and New York – have recently amended their employment laws so that most public employers may no longer terminate workers solely based on a positive drug test for the presence of THC metabolites.

The full text of the briefing paper, “Cannabis use by workers before and after legalization in Canada,” is available online.

Clinical Trial: Cannabis Smoking Doesn’t Interfere With Emotional Regulation

Corvallis, OR: Subjects do not exhibit short-term changes in their ability to regulate emotions following the inhalation of cannabis cigarettes containing greater than 20 percent THC, according to clinical data published in the journal Human Psychopharmacology: Clinical & Experimental.

Investigators affiliated with Oregon State University and Washington State University assessed the impact of cannabis smoking on emotional regulation in a cohort of 12 young adults. Participants in the study were experienced cannabis consumers who provided their own cannabis. Researchers assessed participants’ mood and their ability to regulate their emotions during periods of sobriety and while under the influence of cannabis.

Contrary to researchers’ hypothesis, subjects performed no differently on a battery of emotion regulation tasks following the inhalation of high-potency cannabis than they did while sober. “There was no evidence that acute high-potency cannabis use affected participants’ implicit or explicit emotion regulation,” the investigators reported.

Study subjects did report improvements in their mood and a decrease in anxiety following the use of cannabis.

The study’s authors concluded: “The current pilot study assessed whether being under the influence of high- potency cannabis flower affects emotion regulation among a sample of young adults who use cannabis regularly. While participants reported a more positive mood and decreases in anxiety while intoxicated, there was no evidence to suggest that intoxication from high-potency cannabis flower affected emotion regulation. Future research with larger samples might consider adopting … alternative measures of emotion regulation to assess the acute effects of high-potency cannabis use on emotion regulation and other health outcomes.”

Full text of the study, “A naturalistic examination of the acute effects of high potency cannabis on emotion regulation among young adults: A pilot study,” appears in Human Psychopharmacology: Clinical & Experimental.

Study: No Changes in Driving Performance Following Use of CBD

Granada, Spain: Subjects exhibit no significant changes in their driving performance following the use of CBD, according to clinical trial data published in the journal Addiction.

A team of Spanish investigators assessed participants’ simulated driving performance after inhaling CBD or a placebo.

Subjects displayed “no statistically significant changes in overall driving performance score” after vaporizing products containing either 15 percent or 30 percent CBD. Further, researchers identified “no statistically significant differences in secondary outcomes, such as the standard deviation of lateral lane position, distance travelled outside the lane, reaction time, or collisions.” Subjects’ visual functions were also largely unaffected following CBD administration.

The study’s authors concluded: “The results of this study suggest that vaporized CBD seems to be a safe substance for visual function and vision-dependent tasks such as driving. Further studies are needed to ascertain if higher doses of CBD could pose a risk.”

A 2022 Swiss study similarly reported that the oral administration of up to 1500 mg of CBD does not induce changes in simulated driving performance. Another study also reported that subjects who inhale high-CBD/low-THC botanical cannabis do not experience any decrease in their driving abilities.

Full text of the study, “Visual function and vehicle driving performance under the effects of cannabidiol: A randomized cross-over experiment,” appears in Addiction.

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Study: Cannabis Provides Sustained Quality of Life Improvements in Patients With Inflammatory Bowel Disease

London, United Kingdom: Patients diagnosed with inflammatory bowel disease (IBD) report sustained improvements in their health-related quality of life following their use of cannabis, according to observational data published in the journal Expert Review of Gastroenterology & Hepatology.

British researchers assessed the use of cannabis-based medicinal products (CBMPs) consisting of either botanicals or oil extracts in 116 IBD patients enrolled in the UK Medical Cannabis Registry. (British specialists are permitted to prescribe cannabis-based medicinal products to patients unresponsive to conventional medications.) Researchers assessed changes in patient-reported outcomes at 18 months.

Consistent with prior research, investigators reported, “CBMP treatment was associated with improvement in IBD-specific outcomes in patients and general HRQoL [health-related quality of life] over 18-months.”

According to a literature review published in October in the scientific journal Cureus, “Many IBD patients use cannabis to control disease symptoms, and there is emerging evidence that it may play a role in disease management.”

Other observational studies assessing the use of cannabis products in patients enrolled in the UK Cannabis Registry have reported them to be effective for those suffering from anxiety, fibromyalgia, post-traumatic stress, depression, migraine, multiple sclerosis, osteoarthritis, and inflammatory arthritis, among other conditions.

Full text of the study, “UK medical cannabis registry: An updated analysis of clinical outcomes of cannabis-based medicinal products for inflammatory bowel disease,” appears in Expert Review of Gastroenterology & Hepatology.

Analysis: Prenatal Marijuana Exposure Not Associated With Adverse Birth Outcomes, Neurodevelopmental Delays

Alberta, Canada: Prenatal cannabis exposure is not associated with either adverse birth outcomes or neurodevelopmental delays in children during the first 12 months of life, according to data published in the journal JAACAP Open.

Canadian investigators compared birth outcomes and neurodevelopment in children exposed to cannabis in-utero and those who were not.

Researchers reported, “No significant associations were identified between prenatal cannabis exposure and gestational age, increased rate of preterm birth, birth weight, or odds of being classified as LBW [low birth weight].”

Investigators also acknowledged an absence of neurodevelopmental differences after adjusting for socioeconomic confounders. “Prenatal exposure to cannabis did not significantly predict the likelihood of failing to meet the cutoff score across any of the developmental domains measured by the ASQ-3 [Ages and Stages Questionnaire, Third Edition] except for the communication domain. After adjusting for multiple comparisons, no significant differences were identified on any domains,” they reported.

Despite the null findings, they nonetheless cautioned, “The lack of significant associations identified in the current study should not be misinterpreted to suggest that consuming cannabis products during pregnancy is safe.”

Separate data published in 2022 in the journal Population Research and Policy Review reported that changes in marijuana’s legal status have not been associated with increases in adverse clinical birth outcomes.

Studies assessing the potential impacts of in-utero cannabis exposure on perinatal health have yielded inconsistent results. While some observational studies have identified a link between exposure and low birth weight or an increased risk of preterm birth, other studies have not. A literature review published in the journal Preventive Medicine concluded, “Although there is a theoretical potential for cannabis to interfere with neurodevelopment, human data drawn from four prospective cohorts have not identified any long-term or long-lasting meaningful differences between children exposed in utero to cannabis and those not.”

Full text of the study, “Evaluation of the association between prenatal cannabis use and risk of developmental delay,” appears in JAACAP Open.

Clinical Trial: CBD Reduces Cravings in Subjects With Alcohol Use Disorder

Mannheim, Germany: The oral administration of 800 mg of synthetic CBD significantly reduces subjects’ cravings for alcohol, according to placebo-controlled clinical data published in the journal Nature: Molecular Psychiatry.

German researchers assessed the use of CBD versus placebo in 28 subjects who consumed alcohol daily.

“Individuals receiving CBD … reported significantly lower alcohol cravings,” investigators wrote. “No adverse events or serious adverse events were reported by the participants of the study during the test session.”

The study’s authors concluded: “The current RCT [randomized clinical trial] provides evidence for the significant effects of CBD on neurobiological disease mechanisms and symptoms in AUD. … In summary, the observed potential of CBD to reduce cue-induced … alcohol craving, together with its good safety profile, supports the potential of CBD to treat individuals with AUD [alcohol use disorder]. New pharmacological treatment options that target central neurobiological disease mechanisms and core symptoms of AUD, such as craving, could complement existing treatment options and reduce relapse risk and the enormous disease burden inflicted by AUD.”

A 2021 observational study determined that the consumption of CBD-dominant cannabis is associated with reductions in subjects’ alcohol intake. The authors of the study reported that participants who ingested CBD-dominant cannabis during the trial period “drank fewer drinks per drinking day, had fewer alcohol use days, and fewer alcohol and cannabis co-use days” compared with those who did not.

Separate studies have also suggested that CBD dosing can reduce cravings for tobacco, methamphetamine, and heroin, among other substances.

Full text of the study, “Cannabidiol administration reduces alcohol cravings and cue-induced nucleus accumbens activation in individuals with alcohol use disorder: The double-blind randomized controlled ICONIC trial,” appears in Nature: Molecular Psychiatry.

New Jersey: Certain Public Employees Eligible for Medical Cannabis Healthcare Benefits

Trenton, NJ: Public employees in three New Jersey municipalities are eligible for medical cannabis subsidies as part of a newly announced partnership between the cities and various healthcare and insurance providers.

Other benefits offered through the program include telehealth visits and consultations with physicians specializing in the use of medical cannabis. Among the groups announced as participating in the program are Aetna, Blue Cross Blue Shield of New Jersey, Leafwell, and Bennabis Health.

Traditionally, healthcare providers have not recognized the use of medical cannabis products because it remains a Schedule I federally prohibited substance.

NORML has called upon state lawmakers to advance legislative efforts encouraging insurers to cover costs associated with the use of medical cannabis products. Writing in a nationally syndicated op-ed, NORML’s Deputy Director Paul Armentano said: “Most patients, most physicians, and most state laws view cannabis as a legitimate therapeutic option. Therefore, the millions of Americans who rely upon medical cannabis products ought to be afforded the same entitlements as those who use other conventional medications and therapies. Those privileges should include insurance-provided reimbursement for medical cannabis treatment.”

New Jersey lawmakers legalized medical cannabis access in 2010. An estimated 68,000 residents currently participate in the statewide program.

Lawmakers in 2021 enacted separate legislation regulating the adult-use marijuana market.

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Review: Clinical Trials Demonstrate Effectiveness of Cannabinoids for Managing Peripheral Neuropathy

Charlottesville, VA: Patients suffering from peripheral neuropathy respond favorably to the use of botanical cannabis and other cannabis-based products, according to the findings of a systematic review published in The Journal of Hand Surgery.

Researchers affiliated with the University of Virginia reviewed data from 14 randomized clinical trials involving over 600 patients. Ten of the trials assessed the use of either botanical cannabis or Sativex, an oromucosal spray consisting of plant-derived cannabinoids.

“Of the included studies, 79 percent showed improvement in neuropathic pain following treatment with a cannabinoid,” investigators reported. “Improvements in secondary outcomes such as sleep quality, anxiety, sensory testing, and quality of life were also noted in several studies, consistent with prior literature. Most reported side effects were mild and well-tolerated.”

The study’s authors concluded, “Overall, the data demonstrate that cannabis-based medicines are a potentially effective emerging drug class in the treatment of peripheral neuropathy via reducing neuropathic pain and related symptoms.”

Data published in 2023 in the Journal of the American Medical Association reported that nearly one in three patients with chronic pain use cannabis as an analgesic agent and many of those who do substitute it in place of opioids.

Full text of the study, “The use of cannabinoids in the treatment of peripheral neuropathy and neuropathic pain: A systematic review,” appears in The Journal of Hand Surgery.

Analysis: Black and Multiracial Newborns Disproportionately Selected for Drug Testing, but Are No More Likely To Suffer From Neglect

Ann Arbor, MI: Newborns who test positive for prenatal marijuana exposure are at no increased risk of suffering from either child abuse or neglect, according to an analysis of hospital birth records and subsequent Child Protective Services (CPS) investigations published in the journal Child Abuse & Neglect.

Investigators at the University of Michigan assessed records from over 35,000 births. They found that Black babies are disproportionately tested for drugs – a finding that is consistent with prior data – but that they are no more likely than other newborns to suffer from neglect.

Researchers wrote: “Newborns with a test positive for THC only were not more likely to experience maltreatment. … To our knowledge, this is the first study to link individual hospital birth records including newborn drug tests and results with subsequent CPS investigations and records of substantiated maltreatment.”

They concluded: “No individual person, family, or institution benefits from racially biased testing or unnecessary CPS investigations. These practices have no impact on child safety, but they represent a clear racial disparity and unnecessarily contribute to racial disproportionality in child welfare. … The evidence strongly supports a policy to end routine CPS investigations for cannabis exposure and eliminate racially biased drug testing practices.”

Separate data published last year by researchers at Harvard Medical School similarly determined that those selected to undergo marijuana-specific drug screening during the labor and delivery process are disproportionately Hispanic or African American. The authors of that study concluded, “Toxicology testing of patients for a sole indication of cannabis use, without other risk factors, may be of limited utility in elucidating other substance use and may exacerbate existing disparities in perinatal outcomes.”

Another study, published last year in The Journal of the American Medical Association, also affirmed that “racial disparities [exist] in newborn drug testing [that are] unrelated to obstetrical risk.” Full text of the study, “Prenatal cannabis exposure and the risk of subsequent maltreatment,” appears in Child Abuse & Neglect.

West Virginia: Supreme Court Rules Against Medical Cannabis Use While on Probation

Charleston, WV: Judges may prohibit people on probation from using medical marijuana despite the state’s decision to legalize and regulate the substance, according to a recent ruling by the state Supreme Court.

The Court determined that the West Virginia Cannabis Act, which lawmakers passed in 2016, “does not supersede or prevent a circuit court from requiring a probationer to refrain from using marijuana as a condition of his or her release on probation, even when the probationer has qualified as a ‘patient’ and obtained an identification card pursuant to the Cannabis Act.”

That’s because state law mandates that a “probationer may not, during the term of his or her probation, violate any criminal law of this or any other state or of the United States.” Marijuana remains classified under federal law as a Schedule I prohibited substance.

The Court further opined that judges possess the authority to impose conditions restricting probationers’ conduct if those “conditions generally focus on goals such as rehabilitation, deterring criminal behavior, and protecting the public.”

“Just as reasonable conditions restricting a probationer’s association with certain persons does not conflict with the Constitution’s guarantee of free association, prohibiting [the defendant’] use of medical cannabis through a probation condition imposed pursuant to West Virginia Code § 62-12-9 does not conflict with [state’s medical marijuana law] and the ‘notwithstanding’ clause in the latter provision does not apply,” it concluded.

The Court’s ruling contrasts decisions rendered in some other states, including Pennsylvania and Michigan, which have rejected arguments that those on probation can be restricted from accessing medical cannabis. Last year, Maine lawmakers enacted legislation limiting the ability of courts to order those on probation, parole, or pre-trial release to refrain from the use of cannabis.

New Mexico: Officials in State’s Largest County Vote to End Cannabis Testing for Most Public Employees

Albuquerque, NM: Bernalillo County (population: 672,000) commissioners voted unanimously to revise the county’s Drug and Alcohol-Free Workplace Policy to remove cannabis “when used legally off-duty for medical or recreational purposes” from its definition of illegal drugs. As a result, most public employees will no longer be subject to either pre-employment or random workplace testing for cannabis.

Bernalillo County, which includes Albuquerque, is the most populous in the state.

The commissioners’ actions are similar to those of lawmakers in numerous other municipalities and counties nationwide, including Atlanta, Cleveland, the District of Columbia, Philadelphia, and St. Louis, which also limit marijuana screening for most public employees.

California, Connecticut, Minnesota, Montana, New Jersey, New York, and Rhode Island have adopted similar protections statewide.

Lawmakers legalized the adult-use marijuana market in New Mexico in 2021. However, the law does not provide workplace protections for those who consume cannabis while away from the job.

Additional information is available from the NORML Fact Sheet, ‘Marijuana Legalization and Impact on the Workplace.’

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Clinical Trial: Cannabis Oil Mitigates Knee Pain From Osteoarthritis

Sukhothai, Thailand: The sublingual administration of oil extracts containing plant-derived cannabinoids significantly reduces knee pain in subjects suffering from treatment-resistant osteoarthritis, according to clinical data published in the Journal of Southeast Asian Orthopaedics.

A team of Thai investigators conducted a randomized, double-blind, placebo-controlled clinical trial involving 32 patients diagnosed with severe osteoarthritic knee pain. All the participants in the study were awaiting total knee arthroplasty. Participants consumed either oral extracts containing THC (4.59 mg/drop) and CBD (24.25 mg/drop) or a placebo (coconut oil) for 30 days in addition to traditional prescription medications.

Patients’ pain scores “demonstrated a statistically significant improvement” following cannabis treatment, researchers reported.

The study’s authors concluded: “Cannabis oil significantly reduced pain intensity and improved the QOL [quality of life] in patients with knee OA, as reflected by improvements in the NRS [Numeric Rating Scale]and KOOS [Knee Injury and Osteoarthritis Outcome] scores. ... Future research with optimized dosages, larger sample sizes, and longer follow-up periods is needed to evaluate its true clinical relevance.”

Full text of the study, “Effectiveness of cannabis oil as an adjuvant therapy in patients with severe knee osteoarthritis: A randomized, double-blind study,” appears in the Journal of Southeast Asian Orthopaedics. Additional information on cannabis and arthritis is available from NORML’s publication, Clinical Applications for Cannabis & Cannabinoids.

Study: Changes in Marijuana’s Legal Status Do Not Soften Public’s Stance Toward Driving Under the Influence

Columbus, OH: Adults express similar degrees of intolerance toward driving under the influence of marijuana, regardless of whether they live in a jurisdiction where cannabis is legal or illegal, according to survey data published in the Biometrical Journal.

Researchers affiliated with Ohio State University assessed the public’s attitudes and their willingness to drive after consuming marijuana in states where medical cannabis is legal and where it remains prohibited.

They concluded: “The hypothesis that more liberal marijuana policies will lead to dangerous driving conditions was not corroborated by our analysis. In all three analyses, there was practically no evidence to reject the null hypothesis and to conclude that medical marijuana legalization leads to more tolerant behaviors and attitudes toward DAMU [driving after marijuana use]. In fact, … we found practically no evidence for this hypothesis.”

The researchers’ findings are consistent with those of several prior studies. For instance, a 2022 study conducted by investigators at the Research Triangle Institute reported: “Current cannabis users in recreational and medical-only cannabis states were significantly less likely to report driving within three hours of getting high in the past 30 days, compared to current users living in states without legal cannabis.”

A 2021 study similarly determined that self-reported drugged driving behavior does not rise post-legalization. Rather, authors reported, “[M]arijuana users in states that legalized RM [recreational marijuana] self-reported driving after marijuana use less than their counterparts (who resided in states where adult-use cannabis remains illegal). They were also less likely to find such behavior [driving after ingesting cannabis] acceptable.”

A 2020 study by researchers affiliated with the Johns Hopkins Bloomberg School of Public Health also concluded that adults “from states with legal recreational cannabis sales had significantly lower prevalence of driving after cannabis use and higher prevalence of protective attitudes compared to those from states without legal recreational sales.”

Full text of the study, “A matched design for causal inference with survey data: Evaluation of medical marijuana legalization in Kentucky and Tennessee,” appears in Biometrical Journal.

Analysis: Pain Patients Enrolled in Utah’s Medical Cannabis Program Significantly Reduce Their Use of Opioids

Salt Lake City, UT: Chronic pain patients enrolled in Utah’s medical cannabis access program significantly reduce their opioid intake, according to an analysis provided to the state’s Medical Cannabis Advisory Board.

Researchers assessed prescription opioid use trends in 157 patients enrolled in the program. They reported: “In this population, 157 patients (84.4 percent) showed a decrease in Morphine Milligram Equivalents (MME) per month after starting cannabis use. Specifically, there was a 53.1 percent reduction. The mean MME/month in the period before cannabis use was 3832 MMD/Month, and after starting cannabis we observed a mean of 1798 MME/Month.”

Analysts also acknowledged that opioid-related overdose deaths fell significantly following the adoption of the cannabis access program. “This shift suggests that the introduction of cannabis as a therapeutic alternative may have contributed to a reduction in opioid use among patients seeking pain relief,” they wrote.

Numerous other studies have similarly documented reduced opioid use in pain patients following their use of medical cannabis.

The study’s authors concluded, “The results from this study align with previous literature indicating that medical cannabis can serve as an effective adjunctive therapy for chronic pain, leading to a significant reduction in opioid use.”

Full text of the analysis, “Impact of Cannabis on Opioid Prescriptions in Chronic Pain: Insights from Recent Research in Utah,” is available online.

Illinois: Supreme Court Rules “Odor of Raw Cannabis” Is Probable Cause for a Motor Vehicle Search

Chicago, IL: Justices on the state Supreme Court have determined that police can search a motor vehicle without a warrant based solely on the “odor of raw cannabis” emanating from the car.

The majority’s decision hinged on statutory language in the state’s Vehicle Code prohibiting the possession of cannabis in a motor vehicle unless it is in a “sealed, odor-proof, child-resistant cannabis container.” Lawmakers amended the Code when it established regulations legalizing the adult-use marijuana market in 2019. Violators of the law may face civil or criminal penalties.

“Although cannabis may no longer be contraband in all circumstances, ‘users must possess and use cannabis in accordance with’ our laws,” the majority opined. “When the odor of raw cannabis comes from a vehicle driven on an Illinois highway, it is almost certain that the cannabis is being possessed in violation of the Vehicle Code’s odor-proof container requirement.”

They concluded: “In sum, we hold that the odor of raw cannabis coming from a vehicle being operated on an Illinois highway, alone, is sufficient to provide police officers, who are trained and experienced in distinguishing between burnt and raw cannabis, with probable cause to perform a warrantless search of a vehicle.”

The decision contrasts with a ruling issued by the court months earlier finding that police may not conduct a warrantless search of a vehicle based solely on the odor of burnt marijuana. The conflicting opinions “defy logic,” justices wrote in their dissent.

Though police officers frequently testify that they can identify the presence of raw marijuana in a car solely based on its odor, empirical studies have challenged these claims.

The case is Illinois v. Molina.

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Clinical Trial: Transdermal Application of Plant-Derived Cannabinoids Significantly Mitigates Diabetic Neuropathy

Khon Kaen, Thailand: The transdermal application of oil extracts containing plant-derived cannabinoids significantly reduces diabetic neuropathy, according to clinical data published in the journal Medical Cannabis and Cannabinoids.

A team of Thai investigators conducted a Phase III, randomized, double-blind, placebo-controlled clinical trial involving 100 patients diagnosed with diabetic neuropathy of the lower extremities. Participants received either transdermal formulations containing THC (3.20 mg/drop), CBD (0.32 mg/drop), and CBN (0.65 mg/drop) or a placebo (coconut oil) for 12 weeks. Subjects’ pain levels were assessed at baseline and at four, eight, and 12 weeks.

“Mean total NPSI-T (Neuropathic Pain Symptom Inventory) scores decreased markedly from 25.60 to 5.57 in the treatment cohort, contrasting with minimal reduction from 25.24 to 22.85 in the placebo group,” researchers reported. “GEE (Generalized Estimating Equation) analysis revealed significant pain amelioration at weeks 4, 8, and 12. The cannabis formulation exhibited an excellent safety profile, with only 10 percent of participants reporting mild adverse events, comparable to placebo group outcomes.”

The study’s authors concluded: “This novel transdermal medical cannabis formulation (consisting of THC, CBD, and CBN) demonstrated significant therapeutic efficacy in ameliorating painful DPN [diabetic peripheral neuropathy] symptoms while maintaining a favorable safety profile. These findings provide robust clinical evidence supporting its potential as an innovative therapeutic option for managing painful diabetic peripheral neuropathy.”

Prior studies have similarly shown that a wide range of cannabis formulations, including vaporized cannabis flower, oral CBD extracts, and aerosolized THC can mitigate neuropathic pain.

Full text of the study, “Efficacy and safety of transdermal medical cannabis (THC: CBD: CBN formula) to treat painful diabetic peripheral neuropathy of the lower extremities,” appears in Medical Cannabis and Cannabinoids.

Study: Arthritis Patients Report “Substantial” Improvements Following Cannabis Use

Orlando, FL: Arthritis patients report “substantial reductions” in pain and other symptomatic improvements following their use of medical cannabis products, according to data published in the journal Cureus.

Investigators affiliated with the University of Central Florida, College of Medicine assessed the perceived efficacy of cannabis in a cohort of 290 patients diagnosed with either rheumatoid arthritis (RA) or psoriatic arthritis (PsA). Patients reported their pain levels prior to cannabis treatment and following the sustained use of the substance. Patients with RA typically inhaled cannabis flower, while participants with PSA typically administered topical formulations of cannabis.

Patients reported “a substantial reduction in pain severity post-taking cannabis products compared to baseline levels.” Specifically, patients’ mean pain levels fell from 6.16 prior to cannabis treatment to 3.89 following treatment. Many patients also reported improvements in stiffness, fatigue, and joint swelling.

“Our study also found that inhaled cannabinoids were the most common form used by RA patients, likely due to their rapid systemic absorption and quicker pain relief. In contrast, PsA patients predominantly used topical formulations, which may provide localized effects beneficial for cutaneous symptoms,” the study’s authors concluded. “Our data indicate that the reduction in pain was statistically significant, suggesting cannabinoids may help alleviate the pain associated with these conditions…. Overall, our findings contribute to the growing literature on cannabinoid therapy for arthritis symptoms, emphasizing the need for continued research to optimize treatment strategies for affected individuals.”

Survey data reports that an estimated one in five arthritis patients use cannabis to mitigate their symptoms and that many reduce their use of prescription opioids following their initiation of medical marijuana.

Full text of the study, “Patient-reported outcomes of pain, stiffness, and fatigue reduction in rheumatoid arthritis and psoriatic arthritis with cannabis use,” appears in Cureus.

Survey: Older Adults Are Frequently Consuming CBD Products

Austin, TX: Nearly one in five adults between the ages of 50 and 64 acknowledge having consumed a CBD product within the past year and one in seven adults over the age of 65 have done so, according to survey data published in the journal Clinical Gerontologist.

Researchers at the University of Texas assessed CBD use in a nationally representative cohort of older adults.

They found that just over 18 percent of those between the ages of 50 and 64 reported past-year CBD consumption. Among those ages 65 and older, slightly more than 14 percent reported consuming CBD products.

“CBD use is common ... in the 65+ age group and positively correlated with both medical and nonmedical cannabis use,” investigators concluded.

Separate survey data finds that a growing percentage of older adults similarly report using cannabis, primarily to assist with anxiety, to improve sleep, or to relieve pain.

Commercially available CBD products lack federal regulatory oversight, are often mislabeled, and may contain impurities. Consumers of CBD products typically report using them for symptom management in place of prescription medications. Survey data compiled by the National Consumers League reports that more than eight in ten voters desire greater oversight over the production and marketing of commercially available CBD products.

Full text of the study, “Cannabidiol use among older adults: Associations with cannabis use, psychical and mental health, and other substance use,” appears in Clinical Gerontologist.

Texas: Attorney General Sues to Halt Implementation of Citywide Marijuana Depenalization Ordinance

Dallas, TX: Republican state Attorney General Ken Paxton has filed litigation that seeks to halt the city of Dallas from adopting a voter-approved measure prohibiting police from making low-level marijuana possession arrests.

On election day, voters in Dallas (population 1.3 million) and two other cities (Bastrop and Lockhart) decided in favor of municipal ballot initiatives limiting the ability of local law enforcement to make misdemeanor marijuana possession arrests. Those cities join Austin, Killeen, and several other Texas municipalities that have previously passed similar measures. The Attorney General has also filed suit against several of those cities, but his office has thus far been unsuccessful in halting their implementation.

“Cities cannot pick and choose which State laws they follow,” AG Paxton said. “The City of Dallas has no authority to override Texas drug laws or prohibit the police from enforcing them. This is a backdoor attempt to violate the Texas Constitution, and any city that tries to constrain police in this fashion will be met swiftly with a lawsuit by my office.”

State law defines marijuana possession of 2 ounces or less as a criminal misdemeanor, punishable by up to 180 days in jail, a $2,000 fine, and a criminal record. According to data compiled by Texas NORML, police made an estimated 219,000 marijuana-related arrests between 2017 and 2021. Ninety-seven percent of those arrested were charged with possession only. Fifty-six percent of those arrested were under 25 years of age.

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Study: Cannabis Extracts Reduce Disease Burden In Chronic Pain Patients

Haifa, Israel: Patients’ use of cannabis oil extracts is associated with long-term improvements in their pain intensity and related symptoms, according to data published in the journal Pain Reports.

Israeli researchers assessed the safety and efficacy of cannabis extracts in a cohort of 218 middle-aged chronic pain patients (mean age: 54) over six months. Patients consumed sublingual extracts containing standardized THC and CBD concentrations.

Cannabis treatment was associated with sustained reductions in pain intensity, opioid use, anxiety, depression, and sleep deprivation. Though some subjects did report “mild to moderate” side effects from cannabis, these events did not interrupt their “continuous use” of marijuana extracts throughout the study period.

“Cannabis seems to have an impact on the ‘disease burden’ of chronic pain,” the study’s authors concluded. “It also has a positive effect on functioning and health-related quality of life.”

The researchers’ findings are consistent with those of other larger observational studies involving thousands of pain patients enrolled in medical cannabis access programs.

Full text of the study, “Cannabis oil extracts for chronic pain: What else can be learned from another structured prospective cohort,” appears in Pain Reports.

Senate Leadership Reintroduces Legislation Repealing Federal Cannabis Prohibition

Washington, DC: Senators Cory Booker (D-NJ), Senate Majority Leader Chuck Schumer (D-NY), Finance Committee Chair Ron Wyden (D-OR), and 15 other Democrats have reintroduced legislation, S. 4226: The Cannabis Administration and Opportunity Act (aka CAOA), to remove cannabis from the Controlled Substances Act – thereby empowering states to regulate marijuana primarily as they see fit.

NORML’s Political Director Morgan Fox said: “NORML is pleased to once again support this comprehensive bill that deschedules cannabis federally and emphasizes repairing the harm and injustices caused by decades of prohibitionist policies. We strongly encourage senators on both sides of the aisle to support and cosponsor this legislation so that Congress can finally bring about an end to the conflict between state and federal marijuana laws and to the ongoing damage being done to communities across the nation because of cannabis criminalization.”

Said Leader Schumer in a prepared statement: “It’s past time for the federal government to catch up to the attitudes of the American people when it comes to cannabis. That’s why we’re reintroducing the Cannabis Administration and Opportunity Act, legislation that would finally end the federal prohibition on cannabis while prioritizing safety, research, workers’ rights and restorative justice.”

Added Sen. Wyden: “Our comprehensive Cannabis Administration and Opportunity Act doesn’t tell states what to do – but it provides them with the tools to effectively implement the laws their voters and legislators choose. Public health, public safety, opportunity, and social justice must be at the core of any cannabis reform proposal, and it is crucial stakeholders continue to have a seat at the table. I look forward to working with my colleagues and advocates across the country to make these priorities a reality.”

A previous version of CAOA was introduced in the 117th Congress. That version of the bill only gained four co-sponsors and it failed to receive a hearing.

Additional information on The Cannabis Administration and Opportunity Act is available from Senator Booker.

Analysis: THC Dosing Associated With Increased Survival Time In Palliative Cancer Patients

Berlin, Germany: The daily use of 5mg of oral THC is associated with increased survival times in palliative cancer patients, according to data published in the journal Medical Cannabis and Cannabinoids.

German researchers evaluated the impact of THC dosing in a cohort of 9,419 advanced cancer patients enrolled in Specialized Palliative Outpatient Care (SAPC). SAPC offers team-based home care for patients with advanced and progressive diseases whose life expectancies are limited to days, weeks, or months.

Researchers reported that patients’ daily use of 4.7mg of THC was associated with significantly increased survival time, whereas lower doses were not.

The study’s authors concluded: “The data … show a significant impact of THC on survival in ambulatory palliative care patients [who] … use more than 4.7 mg/day. Median survival time was prolonged by 15 days – from survival time of 25 days without THC therapy to 40 days with a daily THC dose higher than 4.7 mg per day. This prolongation by more than two weeks can be considered substantial. In addition to mere survival, patients [treated] with THC become more mentally and physically active. … The increased activity and improved quality of life might enable the patients to renew social contact with relatives and friends and to settle essential affairs before dying.”

The study’s findings are consistent with data published in 2021 that similarly reported that THC was associated with increased survival times in German hospice patients, particularly among women ages 75 and older.

Full text of the study, “The use of tetrahydrocannabinol is associated with an increase in survival time in palliative cancer patients: A retrospective multicenter cohort study,” appears in Medical Cannabis and Cannabinoids.

Florida: Republican Party To Formally Oppose Marijuana Legalization Initiative

Orlando, FL: The Republican Party of Florida is calling upon voters to reject Amendment 3, a proposed constitutional initiative legalizing adult-use marijuana sales. Voters will decide on the amendment this November.

Members of the Party’s Executive Board voted to formally oppose the amendment at its quarterly meeting, resolving that it “[puts] children at risk and endanger[s] Florida’s family-friendly business and tourism climates.”

Republican Gov. Ron DeSantis has also committed to raising money to assist ‘counter-messaging’ efforts to defeat the amendment.

Speaking at a recent press conference, the Governor claimed that passing Amendment 3 would “reduce [Floridians’] quality of life.”

Amendment 3 amends the state Constitution to allow existing medical cannabis facilities to engage in adult-use marijuana sales. Under the proposal, those 21 and older may legally possess up to three ounces of cannabis, of which not more than five grams may be in the form of concentrate. Home cultivation of marijuana for one’s own personal use is not permitted. The majority of funding for the measure was provided by the multi-state cannabis company Trulieve.

Because the ballot proposal is in the form of a constitutional amendment, it requires approval from a supermajority of voters (60 percent) to become law.

Florida law defines the possession of more than 20 grams of marijuana as a felony offense, punishable by up to five years in prison. Those who possess lesser amounts are guilty of a criminal misdemeanor, punishable by a year in jail.

For the past several years, state agencies have failed to provide comprehensive marijuana-related arrest data to the FBI. Historically, Florida was among the leading states in the nation in marijuana-related arrests. Additional information on Amendment 3 is available from Smart & Safe Florida.

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Study: Cannabis Provides Sustained Health-Related Quality of Life Improvements in Chronic Pain Patients

London, United Kingdom: Patients diagnosed with chronic pain conditions report sustained improvements in their symptoms following their use of medical cannabis, according to observational data published in the journal Pain Practice.

British researchers assessed the use of cannabis-based medicinal products (CBMPs) consisting of either flower or oil extracts in 1,139 pain patients enrolled in the UK Medical Cannabis Registry. (Since 2018, British specialists have been permitted to prescribe cannabis-based medicinal products to patients unresponsive to conventional medications.) Researchers assessed changes in patient-reported outcomes at one, three, six, and 12 months.

Consistent with prior observational studies, cannabis treatment was associated with improvements in patients’ perceived pain severity. The most frequently reported adverse events associated with cannabis preparations were fatigue, dry mouth, lethargy, somnolence, and insomnia.

“Following CBMP treatment initiation, the present study found improvements in mean pain-specific PROM [patient reported outcome measures] scores that are consistent with other comparable prospective open-label observational studies,” the study’s authors concluded. “Despite being limited by its observational design, the present study can be used to inform future RCTs [randomized clinical trials], in addition to current clinical practice.”

Data published last year in the Journal of the American Medical Association reported that nearly one in four pain patients residing in states where medical cannabis access is legal self-identify as marijuana consumers.

Other observational studies assessing the use of cannabis products in patients enrolled in the UK Cannabis Registry have reported them to be effective for those suffering from fibromyalgia, anxiety, post-traumatic stress, depression, migraine, multiple sclerosis, osteoarthritis, inflammatory arthritis, and inflammatory bowel disease.

Full text of the study, “UK Medical Cannabis Registry: A clinical outcome analysis of medical cannabis therapy in chronic pain patients with and without co-morbid sleep impairment,” appears in Pain Practice.

Canada: One in Four Older Adults Have Used Cannabis in the Past Year

Ottawa, Canada: An estimated 25 percent of Canadians between the ages of 55 and 65 acknowledge having consumed cannabis in the past year, according to data in the Journal of Drug Issues.

Researchers affiliated with the Canadian Centre on Substance Use and Addiction analyzed cannabis use data in older adults for the four-year period immediately following legalization.

Investigators reported an uptick in self-reported marijuana use in the first year post-legalization. Use rates remained stable thereafter.

Two-thirds of older consumers reported using cannabis “to improve or manage a physical health condition,” including chronic pain, depression, anxiety, and sleep disturbances.

The study’s authors concluded: “Our findings highlight that a significant proportion of cannabis consumers in this age group, particularly women, consume cannabis to manage a physical or mental health condition. Targeted public health and clinical messaging might be beneficial for older adults, particularly around the efficacy of cannabis products for managing mental and physical health conditions as well as possible interactions with other medications.”

Survey data from the United States finds that one in five adults ages 50 and older have consumed cannabis during the past year, with over 60 percent of them acknowledging having done so to manage stress, improve sleep, or relieve pain.

Full text of the study, “Cannabis consumption among adults aged 55-65 in Canada, 2018-2021,” appears in the Journal of Drug Issues.

Illinois: State Launches University-Affiliated Cannabis Research Institute

Chicago, IL: The University of Illinois has opened the state’s first-ever Cannabis Research Institute. The purpose of the Institute is to provide an “unbiased, rigorous, equity-centric research center advancing public knowledge about all aspects of cannabis and hemp.” Key research priorities for the Institute include “agricultural crop management, health and medicinal effects, and social equity impacts.”

The Institute is funded by a three-year, $7 million grant from the Illinois Department of Human Services.

Several states – including California, Colorado, Florida, Kentucky, Minnesota, Mississippi, Pennsylvania, and Utah – have similarly established (or are in the process of establishing) state-sponsored institutions to study the safety and efficacy of cannabis. Some of these programs have conducted FDA-approved clinical trials documenting cannabis’ efficacy in various patient populations.

Illinois lawmakers legalized the adult-use marijuana market in 2019.

Additional information is available from the Cannabis Research Institute.

Colorado: Voters in Colorado Springs Decide on Marijuana Sales Measures

Colorado Springs, CO: Voters in Colorado Springs (population: 489,000) decided on a pair of municipal ballot measures that pave the way for the licensed retail sale of adult-use cannabis products within the city’s limits.

Voters on election day decided 55 percent to 45 percent in favor of Question 300, which authorizes existing medical dispensaries to sell cannabis products to adults. Approximately 90 dispensaries are currently operating in Colorado Springs.

Voters more narrowly rejected a separate ballot measure (Question 2D), which sought to impose a permanent citywide ban on adult-use marijuana sales. The measure failed by a margin of approximately one percent, according to results provided this week by the El Paso County Clerk and Recorder’s Office. The results are not official until the Canvass Board certifies the vote count next Tuesday.

Prior to the election, city officials preemptively passed a zoning ordinance severely restricting where recreational marijuana dispensaries can operate. It remains unclear whether the voter-approved measures will supersede the city council’s ordinance.

Colorado voters legalized adult-use marijuana possession and sales in 2012.

California: Oakland City Council Advances Proposal Exempting Cannabis From Residential Smoking Ban

Oakland, CA: Members of the Oakland City Council have voted to exempt cannabis from a proposed ordinance barring smoking in multi-unit residential dwellings.

Council members decided 6-0 in support of the exemption, which was supported by California NORML, on the bill’s first reading. Two members abstained. The final vote will be taken on December 3rd.

“Unlike tobacco, cannabis is illegal to consume in any public place in California. As a result, a ban on residential smoking would effectively leave the many Oaklanders who don’t have their own houses with no place to legally inhale cannabis, even for medical purposes,” California NORML opined.

California NORML’s Director Dale Gieringer further argued that cannabis smoke exposure does not pose the same potential risks to respiratory health as tobacco smoke.

According to a press release issued by California NORML: “Oakland joins West Hollywood in exempting cannabis from its anti-smoking ordinance. In San Jose, a nonsmoking ordinance was scrapped after activists pushed for a cannabis exclusion. San Francisco likewise scrapped a comprehensive smoking ban. However, anti-smoking activists have successfully campaigned for comprehensive smoking bans on cannabis and tobacco in numerous other California cities.”

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Treasury Report: Over 800 Banking Institutions Report Relationships With State-Licensed Cannabis Businesses

Washington, DC: Over 830 financial institutions have filed paperwork with the US government acknowledging their relationships with licensed cannabis businesses, according to quarterly data from the US Treasury Department.

That figure is a slight uptick over last year’s totals and is nearly twice the number of banks and credit unions that reported partnering with the cannabis industry in 2018.

However, fewer than ten percent of all financial institutions nationwide are currently provide services to state-licensed cannabis businesses.

Federal law discourages banks and other institutions from maintaining relationships with cannabis businesses because marijuana remains classified as a Schedule I controlled substance. On seven occasions, members of the US House of Representatives have passed legislation to explicitly permit banks and other institutions to engage in relationships with marijuana businesses without running afoul of federal law. However, Senate leadership has never advanced this language to the floor for consideration.

According to survey data compiled by Whitney Economics, over 70 percent of participating cannabis businesses say that the “lack of access to banking or investment capital” is their top challenge.

NORML has repeatedly called upon Congress to amend federal banking legislation, opining: “No industry can operate safely, transparently or effectively without access to banks or other financial institutions, and it is self-evident that the players in this industry (smaller and minority-owned businesses in particular), and those consumers that are served by it, will remain severely hampered without better access to credit and financing.”

Analysis: Liberalized Cannabis Laws Not Associated With Subsequent Upticks in Tobacco Use

San Francisco, CA: States that legalize marijuana use for either medical or adult use do not experience any subsequent rise in the public’s use of either tobacco or nicotine, according to longitudinal data published in the International Journal of Drug Policy.

Researchers affiliated with the University of California, San Francisco assessed trends in the use of tobacco and nicotine in a nationally representative cohort of 9,000 participants (ages 18 to 94) for the years 2017 and 2021.

They reported that the adoption of state-level legalization laws did not increase participants’ likelihood of using either tobacco or nicotine.

“The odds of tobacco/nicotine use and co-use with cannabis were not associated with cannabis legalization,” the study’s authors concluded. “Tobacco/nicotine use significantly declined (−1.9 percent); co-use of cannabis and tobacco/nicotine did not change significantly (+0.2 percent)” during the study period.

Researchers did report a modest increase in participants’ marijuana use (3.3 percent) following adult-use legalization, a finding that has been reported in prior analyses.

Full text of the study, “Cannabis legalization and changes in cannabis and tobacco/nicotine use and co-use in a national cohort of US adults during 2017-2021,” appears in the International Journal of Drug Policy.

Survey: Over 90 Percent of State-Registered Patients Report Cannabis Relieves Their Anxiety, Depression, Chronic Pain

Gainesville, FL: Patients enrolled in Florida’s medical cannabis access program overwhelmingly report obtaining therapeutic benefits from marijuana products, according to survey data published in the journal Medical Cannabis and Cannabinoids.

Researchers affiliated with the University of Florida at Gainesville surveyed 632 patients authorized to access state-licensed medical cannabis products.

The top ten most frequently reported reasons for using cannabis were anxiety, chronic pain, depression, post-traumatic stress, migraine, fibromyalgia, ADHD, bipolar disorder, high blood pressure, and cancer. Those suffering from chronic pain, depression, and anxiety were most likely to report symptom improvements following their use of medical cannabis. Patients with high blood pressure and ADHD were least likely to perceive improvements following treatment.

The study’s authors concluded: “Among those who had the top ten most frequently reported medical conditions, most respondents reported improvement in chronic pain (98.4 percent), depression (97.2 percent), anxiety (95.3 percent), fibromyalgia (93.9 percent), PTSD (91.5 percent), bipolar disorder (88.8 percent), insomnia/sleeping problems (86.4 percent), headaches/migraine (78.9 percent), and ADHD (66.7 percent). For high blood pressure, our respondents most frequently reported improvement (42.6 percent); however, a high percentage of the respondents also reported experiencing no change (35.2 percent) or being unsure (22.2 percent) about MC’s [medical cannabis’] impact on their blood pressure. A small percentage reported a perceived worsening impact of MC on ADHD (1.6 percent), fibromyalgia (1.2 percent), anxiety (0.9 percent), depression (0.8 percent), insomnia/sleeping problems (0.7 percent), headaches/migraine (1.4 percent), bipolar disorder (1.1 percent), PTSD (0.4 percent), and chronic pain (0.3 percent).”

Approximately 860,000 people are registered in Florida to access medical cannabis products. Full text of the study, “Reasons for use and perceived effects of medical cannabis: A cross-sectional statewide survey,” appears in Medical Cannabis and Cannabinoids.

Literature Review: Cannabis Is Effective in Managing Chronic Pain

Wrocław, Poland: Cannabis and cannabinoid-based products effectively manage neuropathy and other pain-related conditions in patients with chronic pain syndromes, according to a scientific review paper published in the journal Dental and Medical Problems.

Polish researchers identified 36 studies concluding that the use of cannabis and cannabis-based formulations leads to significant reductions in patients’ pain. They reported, “In the present review, cannabis and CBD were found to be most effective in managing chronic secondary musculoskeletal pain, chronic secondary visceral pain and chronic neuropathic pain, which is consistent with recommendations from clinical research.”

The study’s authors concluded: “Medical cannabis can be considered an option in carefully selected patients with chronic pain syndrome for the management of chronic pain when other treatment options fail to achieve an adequate response, and when potential benefits outweigh the risks. Patients with chronic secondary headache and orofacial pain, chronic secondary visceral pain, chronic secondary musculoskeletal pain, and chronic neuropathic pain can benefit more than other groups of patients experiencing chronic pain. However, there is still a need for well-designed clinical research to establish the long-term efficacy and safety of cannabinoids.”

Data published last year in the Journal of the American Medical Association reported that nearly one in four pain patients residing in states where medical cannabis access is legal self-identify as marijuana consumers.

Full text of the study, “Efficiency of cannabis and cannabidiol in managing chronic pain syndromes: A comprehensive narrative review,” appears in Dental and Medical Problems.

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