Wyoming Neurologic Associates

healthcare with your brain in mind

As specialists in diagnosis and treatment of diseases affecting the brain, spinal cord, nerves and muscles in adults and children, we are dedicated to providing the finest neurologic and mental health care in the region.


"Medical Marijuana" isn't legal in Wyoming

A few commenters have expressed opinions about the legalization of pot in Wyoming. To be clear, the only thing that has changed is that hemp oil with high CBD and low THC will soon be allowed to be prescribed by neurologists for patients with intractable epilepsy. There was a bill considered that would decriminalize possession of marijuana and another that would create a loophole for "prescribing medical marijuana." Both of these bills failed in committee and were never debated in the house or senate. I wish to add two comments here.  First, legalizing marijuana for recreational usage is not a medical issue per se. There may be some public health issues to consider but these are dwarfed by public health issues like alcohol, tobacco, firearms and carbon emissions. In other words the medical establishment should not have a lot to say on this matter. Secondly, with just a couple of exceptions, there isn't really any such thing as "medical marijuana." The reason I say this is that there is very little in the way of clinical evidence that marijuana will treat or cure medical conditions. Exceptions to this statement include chemotherapy-induced nausea and chronic pain related to multiple sclerosis. In these conditions there have been useful trials showing substantial benefit that seems to outweigh potential risks. The broader issue is that that "marijuana" is not a monolithic substance which is part of the definition of what we call medication. When a doctor prescribes 20 mg of simvastatin, for example,  there is a very high probability that is what the patient will get from the pharmacy. But, if a doctor writes a prescription for "medical marijuana" there is, at this time, absolutely no meaningful expectation of what the patient will receive (dose, form, formulation, frequency of use) which are the basic requirements of a "prescription." All this is not to say whether or not I think marijuana may have many medicinal uses (I suspect it will) but rather to support the notion that it is simply incorrect to call marijuana a medicine. In the meantime, "Medical Marijuana" is not legal in Wyoming.

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