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Analysis: Cannabis Use by Pancreatitis Patients Associated With Reduced In-Hospital Mortality, Lower Cancer Risk

Nashville, TN: Pancreatitis patients who consume cannabis are less likely to die while hospitalized and possess better overall health outcomes as compared to non-users, according to data published in the Journal of Gastrointestinal and Liver Disease.

An international team of researchers from the United States and India assessed the relationship between cannabis use and inpatient outcomes in a cohort of more than 907,000 hospitalized patients with chronic pancreatitis (CP).

After adjusting for confounders, cannabis use was associated with decreased odds of mortality (odds raMJ tio [OR]: 0.47), ICU admission (OR=0.71), deep vein thrombosis (OR=0.71), pulmonary embolism (OR=0.62), and pancreatic cancer (OR=.73).

“Our study reports [that] cannabis use among hospitalized patients with chronic pancreatitis [is] associated with improved in-hospital outcomes as well as lower odds of developing pancreatic cancer,” the study’s authors concluded. “Future research …. [should] aim to identify the exact mechanism by which cannabis exerts its effects on the pancreas and other organ systems is required.”

The findings are consistent with those of a 2019 study, which similarly reported that acute pancreatitis patients with a history of cannabis use had “significantly lower in-patient mortality” and shorter hospital stays than non-users.

Typically, patients with CP are at a higher risk of complications due to their compromised immune system.

Other studies have also linked cannabis use with decreased in-hospital mortality, specifically among patients with rheumatoid arthritis, acute myocardial infarction, cancer, chronic obstructive pulmonary disease, gastroparesis, HIV, burn-related injuries, traumatic brain injuries, and various other types of severe trauma.

Full text of the study, “Cannabis use and outcomes in patients with chronic pancreatitis: A national inpatient sample analysis,” appears in the Journal of Gastrointestinal and Liver Disease.

Idaho: Mandatory Minimum Penalties for Minor Marijuana Violations Take Effect

Boise, ID: Legislation took effect this week imposing new mandatory fines for people convicted of minor marijuana possession offenses.

Under the new law, offenders must pay a minimum fine of $300. Those convicted may also face up to one year in jail.

Republican Gov. Brad Little signed the legislation into law in February. Lawmakers claimed the mandatory fines are necessary because too many judges were refusing to impose fines for first-time offenders. Idaho is the only state to impose mandatory minimum penalties for first-time, low-level marijuana possession offenders.

Between 2018 and 2023, Idaho police made over 31,000 marijuana-related arrests. Over 94 percent of those arrests were for marijuana possession, not sales. Approximately half of all drug-related arrests in Idaho are marijuana-related.

Idaho lawmakers also passed a resolution this session providing the legislature with exclusive authority to decide marijuana policy. The resolution will appear as a ballot question next year.

Florida: New Law Suspends Medical Cannabis Access to Those With Certain Drug Convictions

Tallahassee, FL: Republican Gov. Ron DeSantis has signed legislation (SB 2514) into law suspending the registrations of medical cannabis patients and caregivers who have certain drug-related convictions on their records.

The new provisions are included in a Health and Human Services appropriations bill. The language reads, “The Department shall immediately suspend the registration” of any patient or caregiver convicted of “trafficking in the sale, manufacture, or delivery of, or possession with intent to sell, … of a controlled substance.”

Those who have their registrations revoked may reapply to participate in the program after they have “completed all terms” related to their conviction.

An earlier version of the bill sought to revoke registrations for any patient or caregiver convicted of even minor drug-related offenses, including those specific to the purchase of more than ten grams of marijuana. That language was eventually amended in a conference committee.

NORML generated hundreds of emails to lawmakers opposing the new restrictions, opining: “Patients do not lose their access to opioids and other traditional medications based on past convictions. They should not lose their access to medical cannabis either.”

Some 900,000 Floridians are registered in the state’s medical cannabis access program.

Arkansas: Hemp Ban Not Preempted by Federal Law, Federal Court Rules

Little Rock, AR: An Arkansas law prohibiting the sale of hemp-derived intoxicating products is not preempted by the 2018 federal Farm Bill, according to a ruling issued last week by the Eighth Circuit Court of Appeals.

Plaintiffs challenged the 2023 law (Arkansas Act 629), which restricts the sale of hemp-derived intoxicating cannabinoids that are the result of a chemical synthesis, such as products high in concentrations of delta-8-THC. The Court rejected plaintiffs’ arguments, opining that federal law “facilitates” but does not mandate states to regulate hemp-related products.

“Just because states may legalize hemp under the 2018 Farm Bill does not mean they must,” the Court determined.

The decision is similar to rulings issued earlier this year by federal courts in Alaska and Virginia, which also determined that state governments retain the ability to restrict the sales of hemp-derived intoxicating products. In Alabama, a Montgomery Circuit Court judge also recently upheld that state’s newly imposed ban on smokable hemp products.

Nearly half of all US states impose severe restrictions on the retail sale of delta-8-THC and similar products, according to reporting provided by Courthouse News Service. However, Republican Governors in Florida and Texas have recently vetoed legislation that sought to impose similar bans.

The case is Bio Gen LLC et al. vs Sarah Huckabee Sanders et al.

Ohio: Lawmakers Pause Effort To Roll Back Voter-Approved Marijuana Legalization Law

Columbus, OH: Legislation modifying the state’s voter-approved adult-use marijuana law has stalled ahead of lawmakers’ summer recess.

Lawmakers recently cancelled a pair of scheduled votes on a substitute version of Senate Bill 56 after legislators raised numerous concerns about its language. In recent months, NORML has generated over 17,000 messages to lawmakers opposing the bill.

The amended bill makes numerous changes to existing law, including placing a cap on the total number of state-licensed cannabis retailers permitted statewide, imposing THC potency limits, and criminalizing the possession of any marijuana products obtained from out of state. It also prohibits the sale of hemp-derived intoxicating products in outlets other than state-licensed dispensaries.

Fifty-seven percent of Ohio voters approved Issue 2 in 2023. Regulators implemented the law as written in 2024, following a failed attempt by some of the state’s leading Republicans to pass legislation that would have gutted many of its key provisions.

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Study: No Significant Link Between Current Marijuana Use and Increased Risk of Heart Attack

Oklahoma City, OK: Adults who acknowledge having used cannabis within the past 30 days do not possess a significantly elevated risk of heart attack as compared to non-users, according to data published in the American Journal of Preventive Medicine (AJPM) Focus.

A pair of researchers affiliated with the University of Oklahoma Hudson College of Public Health assessed the relationship between marijuana use and asthma, depression, and myocardial infarction in a representative sample of 729,240 individuals.

Unadjusted models determined that current marijuana consumers possessed a decreased risk of heart attack and an increased risk of asthma; however, these associations became non-significant once investigators adjusted for covariates (e.g., age, pre-existing health conditions, etc.).

These findings “seem to support previous studies showing that marijuana use was not associated with MI [myocardial infarction],” the study’s authors concluded.

Researchers did identify a statistically significant link between current cannabis use and depression, but they cautioned that this result “does not indicate a causal association.”

Although individual studies assessing cannabis use and cardiovascular health have yielded inconsistent results, a literature review of 67 papers published in The American Journal of Medicine concluded, “[M]arijuana itself does not appear to be independently associated with excessive cardiovascular risk factors.”

Full text of the study, “The association between marijuana use and myocardial infarction, asthma, and depression in racial and sexual minorities: BRFSS 2016-2022,” appears in AJPM Focus.

Survey: Over One in Three Californians Report Current Cannabis Use, Most Say They Obtain It From Licensed Dispensaries

San Diego, CA: Over one-third of California adults acknowledge having consumed cannabis within the past three months, and most say that they obtain it primarily from state-licensed dispensaries, according to survey data published in the journal Cannabis and Cannabinoid Research.

Researchers with the University of California at San Diego surveyed over 5,000 California adults. Respondents were demographically matched to the 2020 California census.

Thirty-seven percent of respondents reported currently consuming cannabis products, while 33 percent said that they were former consumers. Over three quarter of current consumers said that they obtained marijuana products primarily from licensed dispensaries – a finding that the study’s authors acknowledged is “in contrast to public reporting regarding the strong presence of the illicit marketplace” in California.

Current consumers said that their cannabis use positively impacted their lives, with participants reporting improved emotional (82 percent), mental (81 percent), and physical (62 percent) health. More than half of consumers acknowledged using cannabis in place of a prescription medication – a finding that is consistent with other surveys.

California voters approved a ballot measure regulating the adult-use marijuana market in 2016.

Full text of the study, “Cannabis use in California following legalization of recreational use,” appears in Cannabis and Cannabinoid Research.

Clinical Trial: FDA-Approved CBD Formulation Associated With Clinically Evident Improvements in Autistic Boys

San Diego, CA: The adjunctive use of CBD in the form of the plant-derived FDA-approved drug Epidiolex is associated with symptomatic improvements in autistic boys with severe behavioral problems, according to clinical trial data published in the Journal of Autism and Developmental Disorders.

Investigators affiliated with the University of California at San Diego assessed CBD treatment versus placebo in a cohort of 39 autistic boys ages 7 to 14. Clinicians observed participants on either a weekly or biweekly basis throughout the study period but were unaware of which participants were consuming CBD or placebo until after the study’s conclusion.

“Blinded clinical impressions showed almost two-third of the participants had behavioral improvements with CBD,” researchers reported. “Reductions in aggressive behaviors and hyperactivity were observed most frequently, with improvements in communication being seen in almost 30 percent. Since many of the participants were non-speaking at the onset of the study, this was a notable change, with several of the children beginning to use words for the first time.”

Investigators did not identify significant differences between CBD treatment and placebo on other outcome measures – a result that they attributed to the study’s small sample size and a greater than expected placebo effect. They acknowledged that Epidiolex possesses an acceptable safety profile and is well-tolerated in this patient population. (Epidiolex was approved by the FDA in 2018 specifically for the treatment of Dravet Syndrome and Lennox-Gastaut Syndrome, two rare forms of childhood epilepsy.)

“Despite the limitations, this study provides valuable new information about a potential role of CBD in improving behavior in a subset of children with autism, as well as the strong role the placebo effect plays in this condition,” the study’s authors concluded.

Several other placebo-controlled trials and observational studies have shown that the use of cannabinoids can improve symptoms and provide quality-of-life benefits to patients with autism.

Full text of the study, “Cannabidiol treatment for severe problem behaviors in autistic boys: A randomized clinical trial,” appears in the Journal of Autism and Developmental Disorders.

Case Report: Topical Application of Hemp Seed Oil Mitigates Eczema Symptoms

Katowice, Poland: The daily application of hemp seed oil is associated with reduced inflammation, itching, and other symptoms associated with eczema, according to the results of a case study published in the journal Current Issues in Pharmacy and Medical Sciences.

Polish researchers reported on an eczema patient’s progress after using cannabis seed oil topically for three months. The patient applied the oil once daily prior to going to sleep.

“In our observational study, regular, 3-month application of the emulsion based on cannabis sativa L. oil considerably reduced inflammation, erythema, pruritus, xerosis and scaling of the skin, soothing excoriations and lichenification (hardening of the skin),” the study’s authors concluded.

A prior observational study similarly reported that the topical application of the plant-derived cannabinoids CBD and CBG (cannabigerol) reduced itching and other related symptoms in eczema patients.

Topical application of cannabinoids, particularly CBD, has demonstrated benefits in the treatment of a variety of skin-related conditions, including, leg ulcers, skin ulcers of the fingertips, psoriasis, erythema, pruritus, and acne. It has also been associated with wound healing in patients with refractory leg ulcers and with the rare skin blistering disease epidermolysis bullosa. The application of hemp seed oil has been shown to accelerate wound healing in animal models.

Full text of the study, “Topical use of cannabis sativa L.-based emulsion for management of atopic dermatitis persisting from infancy in a 23-year-old male – a case study,” appears in Current Issues in Pharmacy and Medical Sciences.


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Most Healthcare Professionals Are Unprepared To Counsel Patients About Cannabis

Old Westbury, NY: Most US healthcare professionals say that they are unprepared to discuss the therapeutic use of cannabis with their patients, according to a review of studies published in the journal Medical Cannabis and Cannabinoids.

Investigators with the New York Institute of Technology College of Osteopathic Medicine reviewed 41 studies assessing medical practitioners’ attitudes toward medical cannabis.

They found that most respondents perceive themselves to be inadequately prepared to counsel their patients on the issue.

“US physicians and medical trainees perceived significant knowledge barriers to recommending MC [medical cannabis] and counseling patients on its therapeutic use,” researchers reported. “Students, residents, and fellows remain minimally prepared on this topic, both on the pharmacological principles and the ability to provide guidance to patients who have questions.”

The study’s authors concluded: “Physicians expressed the need for postgraduate education on MC in different formats, including CME (webinars and conference presentations), along with clearer state clinical practice guidelines. … Effectively training current and future healthcare professionals on MC is a necessary step toward improving patient care and reducing potential stigma associated with medical versus recreational cannabinoid use.”

Full text of the study, “Physicians’ knowledge, attitudes, and perceptions about medical cannabis in the United States: A scoping review,” appears in Medical Cannabis and Cannabinoids.

Survey: Parkinson’s Disease Patients Report Quality of Life Improvements Following Cannabis Use

Marseille, France: Most Parkinson’s disease (PD) patients who consume cannabis say that it mitigates their symptoms and improves their health-related quality of life, according to survey data published in the journal Parkinson’s Disease.

French investigators surveyed 1,136 patients with PD (median age: 68 years). Among those who acknowledged using cannabis, 60 percent said that it improves their quality of life. Most respondents said that cannabis mitigates their pain and rigidity and improves their sleep. Approximately 40 percent of consumers said that cannabis use reduces their tremor frequency. Many patients similarly reported beneficial effects from the use of CBD products.

Medical cannabis use is not permitted in France. CBD products are legally accessible.

“Both cannabis and CBD users reported high effectiveness levels for sleep disorders, pain, and rigidity/cramps, as well as high overall levels of satisfaction with the substances,” the study’s authors concluded. “An enhanced communication with healthcare providers and facilitated access to safe products are needed in France so that people with PD can maximize the benefits of cannabinoids when clinically appropriate.”

Observational studies have found cannabis inhalation to be associated with PD symptom improvements, including improvements in pain, tremor, and bradykinesia (slowness of movement).

Full text of the study, “Patterns of use and patient-reported effects of cannabinoids in people with PD: A nationwide survey,” appears in Parkinson’s Disease.

Preclinical Data Suggests CBD Mitigates Age-Related Cognitive Decline

Lethbridge, Canada: The daily administration of CBD is associated with improved memory and reduced age-related cognitive decline, according to preclinical data published in the journal Frontiers in Aging Neuroscience.

Canadian researchers assessed the effects of CBD on memory impairment and brain inflammation in older mice. Animals in the study were administered CBD daily for a period of seven months.

Researchers reported that CBD treatment reduced neuroinflammation and improved learning and memory processes.

“The findings of this study indicate that CBD reduces inflammatory response in the brain and improves cognitive decline associated with aging,” the study’s authors concluded. “Importantly, evidence was also observed suggesting that long-term CBD treatments do not have negative impacts on these same functions and brain regions, nor do they cause negative side effects in aged mice subjects. … It is possible that the effects of CBD treatment can be enhanced if an extract with THC and terpenoids is used.”

Separate data published recently in the journal Alzheimer’s Research and Therapy similarly reports that CBD treatment improves memory in preclinical models of Alzheimer’s disease (AD).

Full text of the study, “Effects of cannabidiol on age-related cognitive decline in C57 mice,” appears in Frontiers in Aging Neuroscience.

Pennsylvania: City of Easton Adopts Marijuana Decriminalization Ordinance

Easton, MD: Members of the Easton (population: 30,000) city council have approved an ordinance decriminalizing low-level marijuana offenses.

The ordinance, passed by a 4-3 vote. It reduces marijuana-related violations within the city’s limits to fine-only citations. Under state law, possessing either marijuana or marijuana paraphernalia is classified as a criminal misdemeanor, punishable by jail time.

Under the new local law, which takes effect on July 11, 2025, first-time possession offenses (of 30 grams or less) are punishable by a fine of $25. Possessing cannabis-related paraphernalia is also punishable by a $25 fine. The public use of cannabis is punishable by a $150 fine. Those cited for multiple offenses will face higher fines.

The ordinance’s sponsor said that it will prevent residents from being saddled with criminal records for minor marijuana violations.

Numerous other Pennsylvania cities, including Erie, Harrisburg, Philadelphia, and Pittsburgh, have enacted similar ordinances.

Since 2018, nearly 90,000 Pennsylvanians have been arrested for violating state marijuana laws. Over 85 percent of those arrests were for marijuana possession.

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Survey: Endometriosis Patients Say Cannabis Is More Effective, Poses Fewer Side Effects Than Prescription Medications

Sydney, Australia: Most patients with endometriosis say that cannabis is superior to pharmaceutical medications and possesses fewer side effects, according to survey data published in the journal Reproduction & Fertility.

Australian researchers assessed responses from 889 endometriosis patients residing in 28 countries.

Consistent with prior surveys, most respondents acknowledged positive experiences with medical cannabis. Seventy-eight percent of respondents described cannabis as “more effective in managing my symptoms than my current or previous pharmaceutical medication.” An equal percentage acknowledged that cannabis posed “less severe” side effects than prescribed medications.

Sixty-nine percent of respondents said that they turned to cannabis because other medications provided inadequate pain control. Ninety percent of those surveyed said that they would recommend cannabis “to a friend or relative with the disease.”

“Cannabis was viewed as superior to pharmaceuticals both in terms of effectiveness and side effect profile,” the study’s authors concluded. “More research is urgently needed, including clinical trial and real-world data to evaluate safety, tolerability, and effectiveness of quality-assured medicinal cannabis products in the endometriosis population.”

Separate survey data published in the journal Archives of Gynecology and Obstetrics reports that nearly one in five patients with endometriosis consume cannabis to manage their pain or other symptoms.

Full text of the study, “In the Weeds: Navigating the complex concerns, challenges, and choices associated with medicinal cannabis consumption for endometriosis,” appears in Reproduction & Fertility.

Feds: Smoking Still Most Popular Way to Consume Cannabis

Bethesda, MD: Smoking is the preferred method of ingestion for most cannabis consumers, according to nationally representative data published in the journal Addiction.

Federal researchers affiliated with the National Institutes of Health examined data from the National Survey on Drug Use and Health. Among those respondents who reported consuming cannabis for non-medical purposes, 79 percent acknowledged “predominantly smoking cannabis.” Among medical consumers, 74 percent said that smoking was their primary method of ingestion.

A separate analysis of NSDUH data published in the Journal of Cannabis Research reported that 77 percent of current cannabis consumers (as defined as having used marijuana during the past month) prefer smoking the substance. Respondents were more than twice as likely to inhale cannabis than consume edibles (37 percent) or engage in vaping (35 percent).

The findings are consistent with data previously provided in March by the Centers for Disease Control and Prevention.

Full text of the study, “Prevalence of cannabis consumption methods among people with medically recommended and nonmedical cannabis use in the United States,” appears in Addiction. Full text of the study, “Disparities in use modalities among adults who currently use cannabis, 2022-2023,” appears in the Journal of Cannabis Research.

Case Series: Patients With Drug-Resistant Epilepsy Experience Seizure Freedom Following Daily Use of Cannabis Extracts

Toronto, Canada: The daily use of plant-derived cannabis extracts containing THC and CBD is associated with prolonged periods of seizure freedom in patients with refractory epilepsy, according to data published in the journal Frontiers in Neuroscience.

A team of Canadian researchers reviewed data from 19 patients with drug-resistant epilepsy (DRE). Following the daily use of cannabis extracts, all patients experienced seizure freedom for periods of at least 90 days. Five patients were seizure-free for more than one year.

Prior to cannabis treatment, patients’ median seizure rate was 6.5 seizures per month.

“The results of the study support prioritizing CBPMs [cannabis-based products for medicinal use] in cases of DRE,” the study’s authors concluded. “Our cohort’s SF [seizure freedom] periods were substantial, considering the patients’ DRE statuses, and the difficulty individuals with DRE have in achieving SF. … Future double blind, placebo-controlled studies should assess whether CBPMs should be prioritized as first-line medical therapy for DRE cases that lack established, evidence-based treatment options.”

In 2018, Food and Drug Administration officials granted market approval to Epidiolex, a prescription medicine containing a standardized formulation of plant-derived cannabidiol for the explicit treatment of Dravet Syndrome and Lennox-Gastaut Syndrome – two rare forms of childhood epilepsy.

Full text of the study, “19 patients report seizure freedom with medical cannabis oil treatment for drug-resistant epilepsy: A case series,” appears in Frontiers in Neuroscience.

Analysis: Most Commercially Available CBD Gummy Products Lack Accurate Labeling

Lexington, KY: Most commercially available CBD gummy products contain quantities of cannabidiol that are significantly different than what is purported on the products’ packaging, according to data published in the journal Cannabis and Cannabinoid Research.

Researchers affiliated with the University of Kentucky assessed the cannabinoid content of 56 nationally available CBD gummy products.

Consistent with prior assessments, 70 percent of the products contained CBD concentrations that differed significantly from those listed on their labels. Within-product analysis also revealed that CBD percentages were often inconsistent from one gummy to another. Thirty-nine percent of products tested positive for the presence of THC.

“Unregulated CBD product packaging is not an accurate indication of the product constituents,” the study’s authors concluded. “CBD products do not have reliable CBD concentrations, both relative to the dose listed on the label and among individual gummies within the same bottle. These products also frequently contain delta-9-THC (and occasionally delta-8-THC), often unbeknownst to the consumer. The results of this study support the growing body of literature suggesting the necessity of CBD product regulation to ensure customer health and safety.”

Provisions in the Agriculture Improvement Act of 2018 federally legalized the production and sale of hemp-derived cannabinoid products. Although the legislation explicitly tasked the FDA with establishing regulations to govern the hemp-derived CBD market, the agency refused to do so. In 2023, regulators countered that Congress – not the FDA – must take primary responsibility for creating a regulatory framework overseeing the commercial production and marketing of hemp-derived cannabinoid products.

NORML and other groups have urged the FDA to establish regulatory guidelines governing the production, testing, labeling, and marketing of hemp-derived cannabinoid products. Third-party analyses conducted by the FDA and others have consistently reported that commercially available CBD products and other hemp-derived cannabinoid products are of variable quality and potency, and that they may contain contaminants, adulterants, or elevated levels of heavy metals.

Full text of the study, “Cannabidiol gummy products: LC-MS/MS Assessment of Cannabinoid Concentrations,” appears in Cannabis and Cannabinoid Research.