TIP: Click on subject to list as thread! ANSI
echo: altmed
to: JANE KELLEY
from: ALEX VASAUSKAS
date: 1997-07-13 08:49:00
subject: Marijuana as medi [18/28

 >>> Part 18 of 28...
differently.  In some persons, the symptoms of the disease are barely 
detectable, even over long periods of time.  In these cases, the persons 
can live their lives as if they did not suffer from the disease.  In 
others, more of the symptoms are present and acute, thereby limiting 
their physical capabilities.  Moreover, others may experience sporadic, 
but acute, symptoms.
          5.  At this time, there is no known prevention or cure for 
multiple sclerosis.  Instead, there are only treatments for the symptoms 
of the disease.  There are very few drugs specifically designed to treat
spasticity.  These drugs often cause very serious side effects.  At the 
present time two drugs are approved by FDA as "safe" and "effective" for 
the specific indication of spasticity.  These drugs are Dantrium and 
Lioresal baclofen.
          6.  Unfortunately, neither Dantrium nor Lioresal is a very 
effective spasm control drug.  Their marginal medical utility, high 
toxicity and potential for serious adverse effects make these drugs 
difficult to use in spasticity therapy.
          7.  As a result, many physicians routinely prescribe 
tranquilizers, muscle relaxants, mood elevators and sedatives such as 
Valium to patients experiencing spasticity.  While these drugs do not 
directly reduce spasticity
                                 - 41 -
they may weaken the patient's muscle tone, thus making the spasms less 
noticeable.  Alternatively, they may induce sleep or so tranquilize the 
patient that normal mental and physical functions are impossible.
          8.  A healthy, athletic young woman named Valerie Cover was 
stricken with multiple sclerosis while in her early twenties.  She 
consulted several medical specialists and followed all the customary 
regimens and prescribed methods for coping with this debilitating disease 
over a period of several years.  None of these proved availing.  Two 
years after first experiencing the symptoms of multiple sclerosis her 
active, productive life - as an athlete, Navy officer's wife and mother - 
was effectively over.  The Social Security Administration declared her 
totally disabled.  To move about her home she had to sit on a skateboard 
and push herself around.  She spent most of her time in bed or sitting in 
a wheelchair.
          9.  An occasional marijuana smoker in her teens, before her 
marriage, she had not smoked it for five years as of February 1986.  Then 
a neighbor suggested that marijuana just might help Mrs. Cover's multiple 
sclerosis, having read that it had helped cancer patient's control their 
emesis.  Mrs. Cover acceded to the suggestion.
         10.  Just before smoking the marijuana cigarette produced by her 
neighbor, Mrs. Cover had been throwing up and suffering from spasms.  
Within five minutes of smoking part of the marijuana cigarette she 
stopped vomiting, no longer felt nauseous and noticed that the intensity 
of her spasms was significantly reduced.  She stood up unaided.
         11.  Mrs. Cover began smoking marijuana whenever she felt 
nauseated.  When she did so it controlled her vomiting, stopped the 
nausea and increased her
                                 - 42 -
appetite.  It helped ease and control her spasticity.  Her limbs were 
much easier to control.  After three months of smoking marijuana she 
could walk unassisted, had regained all of her lost weight, her seizures 
became almost nonexistent.  She could again care for her children.  She 
could drive an automobile again.  She regained the ability to lead a 
normal life.
         12.  Concerned that her use of this illegal substance might 
jeopardize the career of her Navy officer husband, Mrs. Cover stopped 
smoking marijuana several times.  Each time she did so, after about a 
month, she had retrogressed to the point that her multiple sclerosis 
again had her confined to bed and wheelchair or skateboard.  As of the 
Spring of 1987 Mrs. Cover had resumed smoking marijuana regularly on an 
"as needed" basis.  Her multiple sclerosis symptoms are under excellent
control.  She has obtained a full-time job.  She still needs a wheelchair 
on rare occasions, but generally has full use of her limbs and can walk 
around with relative ease.
         13.  Mrs. Cover's doctor has accepted the effectiveness of 
marijuana in her case.  He questioned her closely about her use of it, 
telling her that it is the most effective drug known in reducing 
vomiting.  Mrs. Cover and her doctor are now in the process of filing an 
Investigational New Drug (IND) application with FDA so that she can 
legally obtain the marijuana she needs to lead a reasonably normal life.
         14.  Martha Hirsch is a young woman in her mid-thirties.  She 
first exhibited symptoms of multiple sclerosis at age 19 and it was 
diagnosed at that time.  Her condition has grown progressively worse.  
She has been under the care of physicians and hospitalized for treatment.  
Many drugs have been prescribed for her by her doctors.  At one point in 
1983 she listed the drugs that had been
                                 - 43 -
prescribed for her.  There were 17 on the list.  None of them has given 
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