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Cannabis Legalization: A Social Dilemma

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Cannabis is an herbal medicine that works on the central nervous system. Read below to learn about its legalization.

Written by

Dr. Afsha Mirza

Medically reviewed by

Neha Suryawanshi

Published At December 15, 2023
Reviewed AtDecember 15, 2023

Introduction:

Experimental and clinical examinations indicate considerable unfavorable consequences of cannabis smoking on physical and cognitive health and its interference with social and professional functioning. These unfavorable data far overshadow rarely recorded advantages for a fixed set of medical symptoms for which safe and efficacious alternative therapies are readily available. The medical utility of cannabinoid medications lies with chemically described combinations, not the cannabis plant. Legalization or medical usage through cannabis smoking has made it possible to assess significant public health threats, including an increased chance of schizophrenia (a condition that impacts an individual's capability to think, sense, and behave apparently), psychosis (a mental illness indicated by a disconnection from the truth), and other issues that arise with substance abuse.

What Is Cannabis Legalization?

Many groups have declared that smoking cannabis is a safe and efficacious therapy for different psychological and medical disorders, ranging from tension and anxiety to Alzheimer’s dementia (a developed condition that destroys memory and other vital mental processes) and Parkinson’s disease (an illness of the central nervous system that involves the nerves, often causing tremors). However, cannabis has not been declared fit for such usage by the Food and Drug Administration (FDA). Legalizing cannabis is the initial step towards clearing all lawful bans against it.

Cannabis would then be available unrestricted to the grown-up public residents for purchase and usage at choice, comparable to tobacco and alcohol. Decriminalizing cannabis suggests it would remain prohibited, but the lawful procedure would not charge an individual for possession if is found under a legally fixed amount. Capitalizing on the unrecognized lawful status of cannabis, companies dealing with cannabis are growing. Cannabis has been considered a relatively harmless recreational drug compared to narcotics, stimulants, and liquor. Incidentally, termination of cannabis usage does induce withdrawal. Still, the harshness is concealed by the incremental discharge of delta 9-tetrahydrocannabinol (THC), the primary psychoactive component in cannabis, from fat tissue (adipocytes), where it collects during chronic usage.

What Are the Uses of Cannabis?

  • Dronabinol, a manufactured tetrahydrocannabinol, is authorized as an antiemetic (useful against vomiting and sickness) in patients experiencing cancer chemotherapy (a kind of cancer therapy that utilizes one or more anti-cancer medications), as a hunger stimulant for weight loss or reduced food intake in acquired immunodeficiency syndrome (immune system disorder) patients, and less often to increase analgesic therapy. Dronabinol has some possibility for psychological and physical obsession.

  • Nabilone is a manufactured cannabinoid authorized for the peroral cure of nausea and vomiting in chemotherapy patients who have not reacted to traditional antiemetics and anorexia (an eating illness characterized by unhealthy obsession about weight gain, and fear of being overweight). Nabilone has an increased possibility for mental health side effects and dependence.

  • Sativex, a fluid extracted from the cannabis plant, utilized as a spray that possesses tetrahydrocannabinol and different cannabinoids. Sativex has been authorized for neuropathic aches, vomiting, and overactive bladder.

  • Indications for cannabis or cannabinoids smoking are spastic syndromes (irregular increase in muscle tone or immobility of muscle, which might interrupt movement or speech or be associated with distress or pain), neurological disorders, pain, and glaucoma (an eye disorder that causes blindness).

What Are the Adverse Effects of Cannabis?

1. Respiratory: Many of the exact mutagens and carcinogens discovered in tobacco smoke are encountered in marijuana vapor as well. Cannabis smoking has been revealed to reduce pulmonary function and cause chronic cough, airway inflammation, and irregular cell maturation that may antecede the beginning of cancer.

2. Immunologic: In humans, an increase in the death rate of human immunodeficiency virus-positive cannabis consumers has been marked.

3. Cardiovascular: Direct provocation of the cardiac pacemaker by cannabis directs to a rise in heart rate, causing tetrahydrocannabinol to be dangerous in cardiac patients.

4. Liver: Everyday cannabis usage is a threat factor for fibrosis (lung tissue becomes injured and scarred) progression with numerous consequences. Therefore, everyday cannabis usage in patients with liver disorders is contraindicated. Cannabis consumers metabolize and trigger or stop medications more slowly than usual, increasing the likelihood of harmful consequences of the medications.

5. Endocrine and Reproductive Systems: Cannabinoids have inhibitory consequences on luteinizing hormone, prolactin, growth hormone, and thyroid-stimulating hormone, with a small impact on the follicle-stimulating hormone. Cannabis can disturb female reproductive health. Women who smoke cannabis during gestation are likelier to have babies with low birth weight, maybe from a shorter pregnancy. The lipid solubility of tetrahydrocannabinol permits rapid transit in the breast, where it collects and ultimately passes to the infant.

6. Oncogenesis: Cannabis usage raises the risk of testicular germ cell tumors (a tumor that forms in a testicle from germ cells). The risk is significantly elevated in everyday usage that was at least weekly or started in youth.

7. Mental Health: Smoking cannabis has various acute and chronic impacts on human mental health. The mental consequences of smoked cannabis cause mental slowness, fatigue, joy, and some users encounter stress and paranoia (a sense of being oppressed). Acute adverse consequences on understanding and interpretation, restricted to courses of intoxication, are reported. Prolonged consequences of cannabis usage on mental performance are shown by declined cognitive performance, including a damaged capability to concentrate and filter out unnecessary details, due to the increased period of cannabis usage. Smoking cannabis delivers peace and enjoyment, improves well-being, contributes to ease stress, and enables one to deal with a difficult truth. Cannabis usage reduces cortical dopamine, significantly increasing mental functions, operating memory, and organizational function.

8. Cannabis usage has a considerable adverse effect on operations of heavy and hazardous equipment (self-reported mishaps), road traffic casualties, and significant damages.

9. Cannabis usage is cited to be factors linked with raised risk and deteriorated recovery from schizophrenia (a condition that impacts an individual's capability to think, sense, and behave apparently) and psychosis (a mental illness indicated by a disconnection from the truth).

10. Investigations suggest a connection between cannabis usage and early psychosis (a mental illness indicated by a disconnection from the truth).

Conclusion:

Investigations reveal the consequences of cannabis smoking on natural and particularly mental health as well as social and occupational functioning. The advocacy groups seek legalization or medical benefits of smoked cannabis, mostly ignoring drugs, including extracted tetrahydrocannabinol and other cannabinoids. It appears that what is supported is not the effectiveness of functional cannabis components but rather the administration method, a wider range of symptoms, and the consumption pattern. Based on the practical and clinical proof, it is safe to suppose that if there is any medical function for cannabinoid medications, it lies with chemically altered extracts, not unprocessed marijuana plants.

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Neha Suryawanshi
Neha Suryawanshi

Nutritionist

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