Marinol is a terrible drug. It is 99% THC, which bring high % of side effects, most notably psychosis (YES, psychosis), and others like cotton mouth, tachycardia...etc become more pronounced than just smoking MJ. I've been in practice for 10 yrs, and never had a patient ask me for Marinol(but tons of Vicodin, Tylenol #3, #4.....gee I wonder why?). My wife has been a pharmacist for 10 yrs, and never dispensed Marinol. The notion that people claim smoking MJ for pain relief, IMHO, is a whole bunch of cow dung. There are much better analgesics out there. If you want to test the analgesic potency of MJ vs other meds personally, why not try to take a couple of Tylenol #3 or #4, then stab yourself in the thigh with a fork, then next day get yourself as high as you can with MJ and do the same (YES, I tried it when I was in med school, I'm ashamed to say
). I guarantee you will feel hell of a lot more pain being stoned than after taking a couple of Tylenol with Codein.
As for anti-nausea, there are also much better meds than Marinol. How about Compazine, or better yet, Tigan for Cancer / AIDS patients. I can't deny the fact that many patients with AIDS Wasting Syndrome gain significant amt of weight back after starting to smoke MJ because of increased appetite, and that improved the lab values, mood, immune system.......but not Marinol, because the side effects are not worth the benefit.
And to Dr Freeze's defense, IMHO, there is not a whole lot of MEDICINAL USE for MJ. You find me someone who tells me that he/she is smoking MJ for nausea/pain and not for the EUPHORIC effects, and I'll find you a LIAR. But Freeze, if you look around you, there're many many closet smokers in your class, among your professors, and attending physicians, I guarantee you that. I hardly ever smoke any more, but when I'm away on vacation, I will toke up a joint here and there if I have one. Does that make me an irresponsible physician?? Does that decrease my work performance?? I don't think so, since THC level becomes undetectable after 1-2 weeks of use for occasional smokers. Smoking a joint on my vacation a month ago is not gonna impair my judgement and performance as a physician NOW.
Personally, I'm not opposed to legalizing MJ, and think that in our lifetime, it will be legalized at some point. But some of the claims the proponents of legalizing MJ are just ridiculous, as well as the opponents. I'm not gonna get into it at this point.
I think HotBahamaMama nailed it on the head, right now there's no way scientifically to differentiate whether someone has just smoked a joint or did it a week ago, not like the Breath-a-lyzer. I would imagine there would be less oppositions toward legalization of MJ if there is a way.
As for anti-nausea, there are also much better meds than Marinol. How about Compazine, or better yet, Tigan for Cancer / AIDS patients. I can't deny the fact that many patients with AIDS Wasting Syndrome gain significant amt of weight back after starting to smoke MJ because of increased appetite, and that improved the lab values, mood, immune system.......but not Marinol, because the side effects are not worth the benefit.
And to Dr Freeze's defense, IMHO, there is not a whole lot of MEDICINAL USE for MJ. You find me someone who tells me that he/she is smoking MJ for nausea/pain and not for the EUPHORIC effects, and I'll find you a LIAR. But Freeze, if you look around you, there're many many closet smokers in your class, among your professors, and attending physicians, I guarantee you that. I hardly ever smoke any more, but when I'm away on vacation, I will toke up a joint here and there if I have one. Does that make me an irresponsible physician?? Does that decrease my work performance?? I don't think so, since THC level becomes undetectable after 1-2 weeks of use for occasional smokers. Smoking a joint on my vacation a month ago is not gonna impair my judgement and performance as a physician NOW.
Personally, I'm not opposed to legalizing MJ, and think that in our lifetime, it will be legalized at some point. But some of the claims the proponents of legalizing MJ are just ridiculous, as well as the opponents. I'm not gonna get into it at this point.
I think HotBahamaMama nailed it on the head, right now there's no way scientifically to differentiate whether someone has just smoked a joint or did it a week ago, not like the Breath-a-lyzer. I would imagine there would be less oppositions toward legalization of MJ if there is a way.
Last edited:

