Reschedule Marijuana to a Schedule II Substance Urges Medical Society

In response to these challenges, ASRA has issued a formal position statement calling for rescheduling of marijuana and more clinical outcomes research to determine its safety and effectiveness as a medical intervention.

Marijuana is classified as a Schedule 1 substance with “no currently accepted medical use and a high potential for abuse,” according to federal law. As a result, it cannot be readily studied in clinical trials. There is a dearth of information regarding the long-term effects of marijuana use, specifically its effects on learning and cognitive function. “Cannabis use disorder” is a recognized disorder in patients who continue to use cannabis despite clinically significant impairment.

According to Dr. Narouze, evidence has shown that, in addition to clinical evidence supporting its use, medical marijuana is associated with significant decreases in drug prescriptions, particularly opioid prescriptions, as well as reduced costs in those states in which medical marijuana laws were implemented.1

By downgrading marijuana to a Schedule II substance, the federal government would enable researchers to study it in clinical trials, leading to a better understanding of who would benefit from its use, as well as assisting in development of formulations with minimal side effects.

The ASRA Board of Directors approved the “ASRA Statement on Cannabis” at its September 30th Board meeting. In it, ASRA “pleads” to the National Institutes of Health to implement guidelines to encourage clinical research of various cannabis preparations, to better understand the long-term safety profile, and to compare marijuana to other analgesics.