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Study: Men Who Consume Cannabis Less Likely To Suffer From Kidney Stones

Sichuan, China: Men who consume cannabis are far less likely than non-users to experience kidney stones, according to data published in the journal Frontiers in Pharmacology.

A team of Chinese investigators assessed the relationship between cannabis use and kidney stones in a representative sample of over 14,000 US subjects between the ages of 20 and 59.

After adjusting for potential confounders, researchers reported that marijuana use among men was inversely correlated with kidney stones (OR = 0.72). Men who consumed cannabis most frequently experienced the lowest risk (OR = 0.62). Similar trends were not identified among females.

Authors concluded: “To our knowledge, this study is the first cross-sectional study to explore the association between marijuana use and the risk of kidney stones from the population-based NHANES [National Health and Nutrition Examination Survey] dataset. Taken together, our findings suggested that regular marijuana male users were related to a lower risk of kidney stones. Further studies are warranted to investigate the dose and type associations of marijuana with kidney stones.”

Full text of the study, “Association between marijuana use and kidney stones: A cross-sectional study of NHANES 2009 to 2018,” appears in Frontiers in Pharmacology.

Analysis: Polydrug Users Frequently
Report Consuming Cannabis To Reduce Their Use of Stimulants

Vancouver, Canada: Polydrug users frequently engage in the use of cannabis in order to decrease their consumption of stimulants like crystal methamphetamine, according to data published in the journal Addictive Behaviors.

Canadian researchers surveyed a cohort of 297 polydrug users who engaged in the use of cannabis and unregulated stimulants. Nearly half (45 percent) of those surveyed reported having consumed cannabis to manage their stimulant cravings. Of those, 78 percent “reported decreasing their stimulant use during periods of cannabis use.”

Investigators reported that cannabis was frequently associated with reductions among those who used methamphetamine. They reported no decrease in use among those who engaged in the daily use of cocaine.

Prior studies have reported inconsistent findings with respect to the use of cannabinoids as a substitute for cocaine. For example, a pair of longitudinal trials from Brazil and Canada reported that the use of cannabis is associated with the decreased use of crack cocaine in dependent subjects. By contrast, a 2021 study reported that the daily administration of CBD failed to reduce cocaine cravings any better than placebo in subjects with a history of moderate to severe cocaine abuse.

The study’s authors concluded: “These findings indicate that cannabis use to manage stimulant cravings is a common harm reduction strategy and suggest that this may be an effective strategy to reduce stimulant use among some PWUD [people who use unregulated drugs]. … In the absence of established pharmacotherapies for the treatment of stimulant use disorders, further investigation of the harm reduction and therapeutic applications of cannabis use is warranted to address the harms of stimulant use.”

Numerous other studies have previously reported that cannabis consumers often substitute it in place of other substances, including alcohol, tobacco, and prescription opioids.

Full text of the study, “Cannabis use to manage stimulant cravings among people who use unregulated drugs,” appears in Addictive Behaviors.

Missouri: Columbia Officials To Cease Engaging in Marijuana Testing for New Hires

Columbia, MO: Those seeking employment for most citywide jobs will no longer have to undergo pre-employment testing for marijuana, following the adoption of new rules enacted by members of the Columbia City Council.

The new policy takes effect on October 1st. The new rules will apply to those seeking non-safety sensitive positions. Those who apply for jobs that require a commercial driver’s license (CDL), or who are seeking employment as uniformed police or fire personnel, will continue to be tested.

Under the city’s previous rules, job applicants who tested positive for past cannabis use faced a mandatory five-year ban from citywide employment.

Missouri voters passed an adult-use legalization initiative in 2022. However, unlike similar laws recently enacted in several other states, the initiative did not include provisions protecting workers who consume cannabis non-medically while away from their workplace. That said, at least two other Missouri cities – Kansas City and St. Louis – have enacted similar local ordinances limiting pre-employment testing for marijuana.

Several states – including Michigan, Nevada, and Washington – similarly prohibit pre-employment marijuana screening for non-safety sensitive positions. Other jurisdictions, including California, Connecticut, the District of Columbia, Montana, Minnesota, New Jersey, New York, and Rhode Island have expanded these policies to limit cannabis testing for both new hires and existing employees.

NORML’s Deputy Director Paul Armentano praised the pending policy change, stating: “Neither prospective nor current employees should be discriminated against for their off-the-job consumption of cannabis. Employees who use cannabis in their off-hours are no less productive than their peers and they do not possess any elevated occupational safety risk. Workers should have the same right to use cannabis as they have to use other legal substances while they are off the job.”

Missouri NORML’s State Coordinator Dan Viets, a criminal defense attorney and NORML Board Member who resides in Columbia, said, “This policy change makes sense since these tests cannot identify those impaired by cannabis.”

He added: “There is actually no valid reason to continue testing those applying for safety sensitive jobs either. These applicants and employees are allowed to use alcohol off the job. That should be of greater concern than cannabis use.”

CBDV Administration Alters Progression of Fragile X Syndrome in Preclinical Model

Bordeaux, France: The administration of the cannabinoid cannabidivarin (CBDV) moderates the progression of Fragile X syndrome (FXS), according to preclinical data published in the journal Cells.

An international team of researchers from France, Italy, the United Kingdom, and the United States assessed the efficacy of CBDV treatment in a mouse model of Fragile X syndrome. FXS is a genetic disorder resulting in developmental delays, learning disabilities, and behavioral problems, such as aggression and attention deficits.

Investigators reported that CBDV administration during adolescence prevented cognitive and behavioral changes in a manner similar to other pharmacological treatments. By contrast, CBDV’s effects were “marginal” when the compound was administered during adulthood.

They determined: “Overall, these data demonstrate that CBDV, when administered chronically and starting at juvenile age, holds a solid therapeutic potential for FXS as it prevented the most relevant behavioral alterations shown by … mice. Early timing and chronic duration of treatment appear as critical determinants to ensure the beneficial effects of CBDV.”

The study’s authors concluded, “These results thus encourage future clinical studies using phytocannabinoids for treating not only FXS but also other neurodevelopmental disorders.”

Parents and caregivers of children with FXS patients report using CBD for symptom management. The administration of a transdermal gel containing CBD has been shown to be safe and effective in FSX patients in randomized, placebo-controlled clinical trials.

Full text of the study, “Early administration of the phytocannabinoid cannabidivarin prevents the neurobehavioral abnormalities associated with the Fmr1-KO mouse model of Fragile X syndrome,” appears in Cells.

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Treasury Report: Growing Number of Banks File Paperwork To Provide Services To State-Licensed Cannabis Businesses

Washington, DC: Over 800 banks and credit unions have filed paperwork with the US government acknowledging their relationships with licensed cannabis businesses, according to quarterly data provided by the US Treasury Department.

The total is an uptick from last year’s figures. At that time, the agency identified 553 banks (about 11 percent of all US banks) and 202 credit unions (about 4 percent of all US credit unions) that were providing banking services to marijuana-related businesses.

Federal law discourages banks and other financial 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, members of the Senate have never advanced this language.

Members of the Senate Banking Committee are scheduled to hold a mark-up on a newly introduced version of this legislation, the SAFER Banking Act, on September 27th.

According to survey data compiled last year 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. By comparison, only 42 percent of respondents cited “state regulations” as the most significant burden facing the industry, and only 39 percent cited the “influence of the illicit market.”

Writing in a recent commentary for The Hill, NORML’s Deputy Director Paul Armentano opined, “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.”

Survey: Nearly One in Five Pediatric Patients With Cerebral Palsy Acknowledge Using CBD Products Therapeutically

Palo Alto, CA: A significant minority of pediatric patients with cerebral palsy (CP) are using CBD supplements to mitigate disease symptoms, according to survey data published in the journal Orthopedics.

Stanford University researchers surveyed the caregivers of children with CP regarding their use of CBD products.

Seventeen percent of respondents acknowledged that their children consumed CBD. CBD products were most frequently administered to pediatric patients for purposes of alleviating spasticity, anxiety, and pain. The majority of respondents reported that their children experienced no adverse effects from CBD treatment.

“Caregivers perceive CBD as offering some benefits, particularly in the domains of emotional health, spasticity, and pain,” authors concluded. “CBD may serve as a useful adjunct for some children with CP, especially those with worse disease severity.”

Full text of the study, “Cannabidiol use patterns and efficacy for children who have cerebral palsy,” appears in Orthopedics.

Minnesota: Supreme Court Affirms That Marijuana Odor Is Insufficient Cause for Police To Search a Motor Vehicle

St. Paul, MN: The odor of marijuana emanating from a vehicle is insufficient grounds to justify a warrantless police search, according to a ruling last week by the Minnesota Supreme Court.

The majority affirmed a pair of lower court verdicts. Justices opined that the smell of cannabis alone is not probable cause of a crime because state law permits its possession and use in certain circumstances. (Minnesota lawmakers legalized medical cannabis in 2014 and approved the possession of certain hemp-derived intoxicating products in 2022. Lawmakers legalized the possession of adult-use marijuana products this year.)

The majority’s opinion stated: “The State essentially asks us to create a bright-line rule by holding that the odor of marijuana emanating from a vehicle, on its own, will always create the requisite probable cause to search a vehicle. Our precedent, however, shows that we have shied away from bright-line rules regarding probable cause and we have never held that the odor of marijuana (or any other substance), alone, is sufficient to create the requisite probable cause to search a vehicle. ... In the absence of any other evidence, ... the evidence of the medium-strength odor of marijuana, on its own, is insufficient to establish a fair probability that the search would yield evidence of criminally illegal drug-related contraband or conduct.”

The court’s decision is similar to recent rulings in other states, including Delaware and Pennsylvania. Lawmakers in certain states, such as Connecticut and Virginia, have recently enacted legislation explicitly forbidding police from executive motor vehicle searches based solely upon the scent of cannabis.

In Maryland, the Supreme Court ruled in 2020 that police cannot engage in the warrantless search of a person based solely upon the odor of marijuana. Separate legislation enacted in 2023 forbids police from initiating a stop or search of a motor vehicle based upon the odor of cannabis.

The case is State vs. Torgerson.

Kentucky: Police Arrested Hundreds of Thousands of People for Marijuana Violations Over Past Two Decades

Frankfort, KY: Over 300,000 Kentuckians have been charged with violating state marijuana laws since 2002, according to an analysis provided by the Kentucky Center for Economic Policy.

Over 90 percent of those charged were accused of violating marijuana possession laws -- a Class B misdemeanor punishable by up to 45 days in jail and a criminal record. About 59 percent of those charged with violating state marijuana laws were convicted.

“All told, one out of 10 of the 3.1 million people charged with a crime in Kentucky in [this] time period (June 2002 to July 2022) faced cannabis charges,” the report’s authors wrote. “Kentucky should recognize the ongoing harms of an incarceration-based approach and begin moving toward a system that regulates and taxes cannabis use.”

“Even one marijuana possession arrest is one too many, much less over 300,000,” said Kentucky NORML Executive Director Matthew Bratcher. “These arrests and prosecutions disrupt the lives of hundreds of thousands of good, hard-working people, while simultaneously diverting police and prosecutorial resources away from the enforcement of serious criminal activity. It’s time to pivot away from these failed punitive policies of prohibition and embrace one of legalization, regulation, and education.”

Full text of the report is available from the Kentucky Center for Economic Policy.

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Survey: Athletes Report Using Cannabis Products To Promote Exercise Recovery

Kent, OH: Those who engage in regular exercise frequently report consuming cannabis products to assist in recovering from physical activity, according to data published in the Journal of Cannabis Research.

Researchers affiliated with Kent State University in Ohio surveyed over 100 subjects who reported using cannabis and regularly engaging in aerobic and/or resistance exercise.

Investigators summarized their findings as follows: “Twenty-two participants (20 percent) reported using CBD for recovery from aerobic exercise and 25 participants (23 percent) reported CBD use to recover from resistance exercise. Sixty-eight participants (61 percent) reported using THC after aerobic exercise for recovery. Similarly, 67 participants (60 percent) reported using THC after resistance exercise for recovery. When participants were asked, ‘Do you feel that cannabis in the form of CBD aids in your recovery?’ 93 percent stated ‘yes’ while seven percent stated, ‘I’m not sure.’ When asked, ‘Do you feel that THC aids in your recovery?’, 87 percent of participants stated, ‘yes’ while 13 percent stated, ‘I’m not sure’. No participant answered, ‘no’, for either of these questions. All of the participants felt that use of cannabis was low risk regarding health outcomes.”

The authors concluded: “The present study demonstrated that in addition to more traditional recovery methods, cannabis is used as an ergogenic recovery aid by individuals that exercise regularly. … More data are necessary to understand the role of cannabis in exercise recovery as well as perceived ergogenic benefits of cannabis by individuals who both regularly participate in exercise and habitually use cannabis.”

Another study published in the same journal earlier this year reported that the twice-daily use of topical CBD alleviates chronic pain in former elite-level (professional) athletes.

Several other studies have found that cannabis use is associated with increased exercise frequency, including among older adults. Yet another study, published in July, found that subjects reported “a more positive exercise experience” when they ran immediately after having used cannabis compared to when they did not.

Full text of the study, “Cannabis use for exercise recovery in trained individuals: A survey study,” appears in the Journal of Cannabis Research.

Study: Cannabis Oil Extracts Associated With Sustained Improvements in Patients With Chronic Health Conditions

Sydney, Australia: The use of plant-derived cannabis extracts is associated with health-related quality of life improvements in patients suffering from pain, fatigue, and other chronic conditions, according to observational trial data published in the journal PLOS One.

Australian investigators assessed the efficacy of cannabinoid extracts in a cohort of 2,300+ patients authorized to use medical cannabis. (Under Australian law, physicians may authorize cannabis products to patients unresponsive to conventional prescription treatments.) Study participants consumed extracts containing varying percentages of THC and CBD for three months.

Consistent with the results of other large-scale observational studies, researchers reported clinically meaningful improvements following cannabis treatment.

“This study found [that] overall HRQL [health-related quality of life] improved over 3-months in patients accessing prescribed MC [medicinal cannabis] in Australia,” authors reported. “Results showed both statistically significant and clinically meaningful improvements in overall HRQL and fatigue for people with chronic health conditions. Similar improvements were found in pain scores for participants with chronic pain; depression scores for patients with depression; and anxiety scores in patients with anxiety.”

They concluded: “Our findings suggest that prescribing MC in clinical practice may alleviate symptoms of pain, fatigue, anxiety, and depression in patients with chronic health conditions and improve overall HRQL. ... The findings from this study contribute to the ongoing evidence for decision making both in clinical practice and at policy level.”

Full text of the study, “Health-related quality of life in patients accessing medicinal cannabis in Australia: The QUEST initiative results of a 3-month follow-up observational study,” appears in PLOS One.

Pilot Study: Vaporized Cannabis Associated With Reduced Symptoms in Patients With Post-Traumatic Stress

Vancouver, Canada: The short-term use of herbal cannabis consisting of a balanced ratio of THC and CBD is associated with symptom reductions in patients with post-traumatic stress, according to data published in the journal Trials.

Canadian researchers assessed subjects’ use of vaporized cannabis over a three-week period.

Investigators reported, “Comparison of CAPS [Clinician Administered PTSD Scale] scores pre and post treatment identified a trend toward reduction in PTSD symptoms. ... However, under-recruitment resulted in low power and prohibited placebo comparison, making these results more suggestive than persuasive.”

They concluded, “Positive trending results and high patient need mandate future studies of cannabis for the treatment of PTSD.”

Two recent observational studies, one from Australia and the other from the United Kingdom, reported that patients diagnosed with post-traumatic stress respond favorably to medical cannabis treatment. By contrast, a 2021 clinical trial reported that the inhalation of marijuana flowers provided limited benefits compared to placebo in treating symptoms of PTSD.

Full text of the study, “A small clinical trial of vaporized cannabis for PTSD: Suggestive results and directions for future study,” appears in Trials.

Survey: Many Canadian Nurses Don’t Receive Any Training on the Use of Medical Cannabis

Winnipeg, Canada: Fewer than four in ten Canadian nursing students say that they receive information about the use of medical cannabis during their training, according to survey data published in the journal Nurse Education Today.

Over three hundred nursing students participated in the survey. Only 38 percent acknowledged “receiving any education on cannabis in their nursing program.” Over 90 percent of respondents acknowledged that they would feel uncomfortable discussing cannabis with their patients without further educational training.

“Education on both medical and non-medical cannabis is needed to support future nurses addressing cannabis use in their clinical practice,” the study’s authors concluded. “Nursing institutions must implement and evaluate curricula to ensure nursing students are adequately prepared to address cannabis use in their clinical practice and their own fitness to practice.”

Cannabis has been legally available in Canada via a doctor’s authorization since 2001. The Canadian government legalized marijuana products for adults in 2018.

The study’s findings are consistent with those of prior surveys of health professionals in Canada and the United States which report that most doctors and nurses believe that they receive insufficient training with regard to cannabis.

Full text of the study, “Baccalaureate nursing students’ knowledge, attitudes, educational needs, and use of medical and non-medical cannabis at five institutions in Manitoba, Canada: A cross-sectional analysis,” appears in Nurse Education Today.

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