Ohio medical marijuana: Experts recommend adding irritable bowel syndrome to conditions list, but not OCD or autism

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Patients who suffer from irritable bowel syndrome may soon be able to legally obtain medical marijuana, after a committee recommended the condition be added to a list of illnesses for which the drug is permitted.

arthritis, chronic migraines and complex regional pain syndrome were conditions covered by pain that’s either chronic or intractable.IBS is related but not the same as inflammatory bowel disease – a qualifying condition in Ohio – and many patients confuse the two. While IBD is a disease of the bowels and intestines, IBS occurs in the gastrointestinal tract.

Some of the causes could be early life abuse and other stressors, food sensitivity, intestine infections, altered brain-gut interaction, microflora in the gut, small intestinal bacterial overgrowth, bile acids, genetic predisposition, among other potential causes. Scientists have even identified the endocannabinoid system receptors in the gut. A researcher in 2004 suggested a concept of clinical endocannabinoid deficiency to explain a number of ailments, such as migraines, fibromyalgia and irritable bowel syndrome, he said.

Slezak told the medical board that medical marijuana should be allowed for IBS, especially since “many of the pharmaceuticals developed for IBS have been associated with significant adverse events and even death.”The medical board chose Dr. Timothy Kantz, the medical director at CDC Addiction Services in Summit County, who oversees a medication-assisted treatment program that serves hundreds of patients a day in recovery from opiate use disorder, to provide expert testimony on OCD.

But 25% of patients don’t respond to the pharmaceutical drugs or exposure therapy, he said, and many others suffer due to an inadequate treatment response. Dr. LaRae Copley, a child, adolescent, adult psychiatrist in the Columbus area who is also a registered pharmacist and has a doctorate in molecular biology, urged the medical board to exercise caution. She noted a recent study showed promising results, but the level of THC used was estimated to be well below 3%.

“The only FDA drug approvals in ASD are for use of aripiprazole or risperidone in youth with autism targeting, specifically irritability defined as physical aggression, self-injurious behavior, and severe tantrums,” he said.

“Without a documented methodology the results of this particular qualifying condition review period can in essence be considered as as previous review periods, which in turn continues to subject patients to discrimination, and discriminatory practices at the hand of the board. This behavior is unethical, and negligent. The board should at ALL times be able to recall, share, and cite methodologies for reviewing potential qualifying conditions.

 

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