Friday, January 04, 2013 3:04:24 PM
1) There is considerable variability in the dosing of THC and other psychoactive components of marijuana in natural preparations, be they smoked, swallowed, or whatever. I don't expect prescribers to embrace these wholeheartedly (even in California, it is a very small slice of the physician base that participates in providing patients with cards denoting them as eligible for 'medical marijuana), because of liability issues. If you don't know what the potency of a drug is, selecting a dose for a prescription is a guessing-game.
2) Similarly, patients who want their medications paid for by Medicare or private insurors are unlikely to see medical marijuana in any form reimbursed in the foreseeable future. For largely the same reasons as cited above for #1.
3) There are a lot of patients who--unless the pricing for a pharma option is prohibitive and not reimbursible--are not going to go through the trial and error of figuring out self-administered marijuana for something like SA.
You can knock yourself out with a GABAergic drug like alcohol, in the form of tequila shots. That doesn't mean there hasn't been an enormous market for GABAergic insomnia drugs.
NP
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