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India Is Working To Legalize Industrial Medical Cannabis Cultivation

India has one of the oldest connections to cannabis out of any nation on earth, particularly for sacramental purposes. According to Psychology Today, “The earliest mention of cannabis has been found in The Vedas, or sacred Hindu texts. These writings may have been compiled as early as 2000 to 1400 B.C.”

A common form of cannabis in India is bhang, which is a drink infused with various levels and types of cannabis. Bhang is reportedly common in many parts of India, even though it is technically illegal.

According to section 20 of India’s Narcotic Drugs and Psychotropic Substances Act (1985), ‘the sale/purchase, transportation, interstate import/export or any other commercial activity of cannabis’ is a punishable offense.

Cannabis use is largely tolerated in India, although there are definitely instances of people receiving harsh punishments for simple possession. Medical cannabis use is legal to some degree, with the Centre telling the Delhi High Court in January 2022 that the use of cannabis is ‘not completely banned’ and that ‘medical and scientific use of cannabis is allowed under the law.’

Uttarakhand became the first state in India to allow commercial cultivation of hemp crops back in 2018, and in 2019 the Madhya Pradesh government followed suit. In February 2020 India permitted its first medical cannabis clinic to open in Bengaluru.

Yet, large-scale cultivation of medical cannabis nationwide has remained out of reach. That could be changing soon. Per The Tribune:

Chief Parliamentary Secretary (CPS) Sunder Singh Thakur said today that the state government was working to legalise the cultivation of cannabis for medicinal and industrial purposes. The government would formulate a policy for cannabis cultivation so that farmers could get additional income, he added.

He presided over the inaugural ceremony of the three-day training workshop of the Himalayan Forest Research Institute (HFRI), Shimla, at the Atal Bihari Vajpayee Institute of Mountaineering and Allied Sports, Manali.

How long it will take for such reforms to be fully implemented is unclear at this time. What is clear is that if India succeeds in its pursuits, it will move closer to taking its rightful spot as an international cannabis industry powerhouse.

Uruguay’s Medical Cannabis Industry To Expand Via Authorization Of ‘Master Formulas’

Uruguay was the first country to ever pass and implement a national adult-use legalization measure. Lawmakers initially passed a legalization measure back in 2013, and regulated adult-use sales via pharmacies began in 2017.

Since that time Uruguay’s emerging legal adult-use industry has garnered significant international attention and generated considerable headlines, and rightfully so. After all, what Uruguay did and continues to do on the adult-use front is truly historic.

However, Uruguay’s cannabis industry and policy are not limited to just adult-use cannabis. Uruguay’s medical cannabis program, which receives far less attention, is set to undergo a fairly substantial expansion thanks to a recent authorization by the government. Per Montevideo (translated to English):

The government established through a decree the expansion of access routes to products made from medical cannabis, by regulating a procedure to be able to carry out treatments through master formulations prescribed by treating doctors and made in authorized pharmacies.

The decree enabled access to “master preparations based on cannabis extracts or standardized cannabinoids, from companies authorized by the Department of Medicines for the production of plant raw material with pharmacological activity.” “These master preparations may exclusively contain active principles derived from cannabis,” added the second article of the regulations.

This new authorization will hopefully help some of the most suffering patients in the South American nation, who historically have had to rely on less-sophisticated forms of medical cannabis. This is not to say that raw flower and rudimentary preparations are not sufficient, as those options can clearly help many people. Yet, for some suffering patients, they are not the best option.

Depending on a suffering patient’s condition(s), certain consumption methods are not as viable as others. Additionally, particular conditions and individual cases respond better to certain formulations for various reasons, so patients in Uruguay having more options to consider is a great thing from that perspective.

Cannabis Consumers In Canada Continue To Transition To The Regulated Market

Canada was the second nation to pass a national adult-use legalization measure back in 2018, with only Uruguay preceding Canada in doing so (2013). Yet, unlike Uruguay, Canada allows legal sales to anyone of legal age whereas Uruguay limits it to residents only.

As such, Canada provides the best example for international observers to monitor and see what is working with the nation’s regulated industry and what is not working. With other nations considering legalization, any insight Canada can provide is valuable.

One of the biggest measures of success for legalization is whether or not consumers transition away from the unregulated market into the regulated market. According to a recent study in Canada, that is exactly what is occurring, and at an increasing rate. Below is more information about it via a news release from NORML:

Waterloo, Canada: Canadian cannabis consumers are steadily transitioning from the unregulated market to the legal market, according to data published in the Harm Reduction Journal.

Investigators affiliated with the University of Waterloo, School of Public Health surveyed over 15,000 cannabis consumers regarding where they obtained their products. Researchers evaluated data for the years 2019 to 2021. (Canada instituted licensed retail sales of cannabis products in October 2018.)

Authors reported that the percentage of respondents legally sourcing their cannabis products increased year over year. Respondents were most likely to purchase cannabis-infused drinks, oils, and capsules from the legal marketplace. About 55 percent of respondents said they obtained cannabis flower exclusively from legally licensed retailers.

In 2019, fewer than half of consumers acknowledged obtaining their cannabis products from legal sources. According to separate consumer survey data published last year, that percentage rose to nearly 70 percent in 2020.

“Legal sourcing of cannabis was greater in 2021 than 2020 for all ten cannabis products [surveyed]. In 2021, the percentage of consumers sourcing all their products legally in the past 12 months ranged from 49 percent of solid concentrate consumers in 2021 to 82 percent of cannabis drink consumers,” investigators reported. “Transitioning consumers of all cannabis products into the regulated market is important for public health and safety. Future studies should continue to examine cannabis product sourcing in Canada over time, as well as ways to displace the illegal market for all cannabis products without also promoting the use of high-potency cannabis products.”

Full text of the study, “Legal sourcing of ten cannabis products in the Canadian cannabis market, 2019-2021: A repeat cross-sectional study,” appears in the Harm Reduction Journal.

Cannabis In Subjects Pre-Treated With Pain Medications Doesn’t Negatively Impact Breathing

Opioids are exponentially more harmful compared to cannabis, however, there are times when both forms of medicine have to be consumed by the same patient on the same day. This could be due to various valid reasons and is entirely situational.

In those limited instances where consuming both medications is necessary, some medical professionals worry about any type of undesired side effects that may occur when the two medications interact in the patient’s body.

One lingering question seems to relate to how breathing may be affected, if at all. Fortunately, a team of researchers in the Netherlands investigated the matter and found no negative impact. Below is more information about it via a news release from NORML:

Leiden, The Netherlands: Cannabis inhalation in subjects pre-treated with oxycodone doesn’t negatively impact their breathing, according to clinical trial data published in the British Journal of Anesthesia.

Dutch investigators compared inhaled cannabis versus placebo in 18 healthy volunteers pre-treated with 20mgs of the prescription opioid oxycodone. Participants inhaled cannabis flower either 1.5 hours or 4.5 hours following opioid administration.

Researchers reported that the use of oxycodone alone was associated with depressed respiration. However, the combined use of THC and opioids failed to enhance this effect. “Our data do imply that oxycodone was solely responsible for the respiration depression in the oxycodone/THC arm of the study,” authors reported.

They concluded: “[I]n human volunteers, THC has no significant effect on ventilatory control after placebo or oxycodone pretreatment. This suggests that cannabinoid receptors do not interact with respiratory pathways in the brainstem, or that CB1 receptor activation is offset by an opposing effect at CB2 receptors.”

Unlike opioids, which are responsible for over 75,000 overdose deaths annually, cannabinoids are not defined as central nervous depressants and they are incapable of causing lethal overdose.

Controlled trials have shown that the co-administration of cannabis and opioids produces enhanced analgesic effects. Patients prescribed opioids typically reduce or eliminate their intake of opiate-based drugs following cannabis therapy.

Full text of the study, “Inhaled delta-9-tetrahydrocannabinol does not enhance oxycodone-induced respiratory depression: Randomized controlled trial in healthy volunteers,” appears in the British Journal of AnesthesiaAdditional information is available from the NORML Fact Sheet, ‘Relationship Between Marijuana and Opioids.’

Bavaria’s Health Minister Is Clearly Wrong About Cannabis

I have never traveled to Bavaria, or Europe for that matter. I plan on making my first trip later this year to attend the International Cannabis Business Conference in Berlin in June. While I am excited to explore many parts of Germany, one jurisdiction that I plan on steering clear of is Bavaria. That is born out of fear, perhaps an irrational fear, regarding the German state’s reported position on cannabis, as expressed in a recent legal opinion published by Bavaria’s Health Minister Klaus Holetschek (CSU).

Obviously, there are many things that I know nothing about when it comes to Germany being that I have never traveled there, however, it is abundantly clear that Bavaria’s Health Minister despises all things cannabis. After all, various federal lawmakers in Germany are pursuing adult-use legalization as part of a governing coalition agreement and Minister Holetschek is leading the internal opposition against it.

Unfortunately for Minister Holetschek, the facts do not support his recently published ‘legal opinion,’ which I personally feel would be better described as a political hit job attempt. I have never traveled to Bavaria, but I have studied cannabis policy for multiple decades, have served on the front lines of cannabis activism for many years, and was at one point a scholarship law student. With that in mind, below are some of my thoughts and analysis regarding Minister Holetschek’s stated opinions (Minister Holetschek’s stated opinions are translated from German to English).

International And European Agreements

Many of Holetschek’s arguments seem to be based on a lack of evidence to the contrary and/or incomplete information, which are classic prohibitionist political communication tactics. Those strategies worked for a long time being that prohibition was the absolute law of the world for many years. Yet, we no longer operate in a world in which there are no examples of national-level legalization already in existence. According to Minister Holetschek, ‘above all’ the main reason why Germany should not pass an adult-use legalization measure is that it “violates international law and European law.”

“The UN drug control bodies rate a comprehensive cannabis legalization of the kind planned by the federal government in constant decision-making practice as a breach of the UN Convention on Drugs.” Minister Holetschek reportedly stated.

What Minister Holetschek fails to acknowledge in his assertion is that nothing meaningful has happened to Canada, which legalized cannabis for adult use in 2018, after Canada did quite literally what the Minister is selectively clutching his pearls about. Furthermore, the United States has allowed state-level legalization to proceed, which in itself puts the U.S. out of compliance to some degree, and nothing meaningful has happened to the U.S. federal government either. It is my understanding that both nations receive annual warnings from the UN about being out of compliance, but that is the extent of it.

It’s a safe bet that the same will prove to be true in Germany. Even if some international or continental feathers get ruffled by Germany proceeding with legalization, if history is a guide there will be nothing more than some sternly worded letters being received. Additionally, it’s absolutely worth noting that Germany’s Health Minister’s opinion regarding the EU-level component of treaties directly contradicts that of the Bavarian Health Minister, with German Health Minister Karl Lauterbach previously expressing that he was ‘certain’ that the European Union would allow Germany to proceed. People can form their own opinion, although I am going to personally rely on the opinion of the federal health minister on this one.

Protecting Youth

Minister Holetschek’s arguments regarding veiled ‘doomsday scenarios’ about youth consumption are particularly outdated.

“I cannot understand how the release of cannabis for ‘pleasure purposes’ for young people over the age of 18 should improve health and youth protection.” Minister Holetschek reportedly stated. That statement is like something straight out of the 1930s film Reefer Madness.

‘What about the children?’ is one of the most historically popular talking points used by cannabis prohibitionists. But unlike decades past, there are now many peer-reviewed studies regarding cannabis, and a growing body of pre and post-legalization public health data that can be easily acquired and examined, including data that pertains to youth consumption.

Per government data from the Oregon Health Authority, not only was there no spike in youth consumption following the launch of legal adult-use sales and outright possession legalization in 2015; youth consumption rates actually went down from 2012 to 2018 in Oregon. A broader study conducted by researchers at Michigan State University, which involved consumption survey data from over 800,000 respondents in states where cannabis sales were permitted, also found no spike in youth cannabis usage rates.

A study in 2021 conducted by researchers in Canada found ‘no significant differences’ in cannabis consumption rates before and after cannabis legalization in Canada. As of May 2022, data out of Uruguay also demonstrated no sustained changes in youth consumption rates post-legalization. If Minister Holetschek is truly worried about the youth in a post-legalized Germany, he can look at the available data and hopefully sleep better knowing that his fears are unfounded.

Public Health

“Let me be clear: I firmly oppose cannabis legalization because of the serious health risks of this drug.” Minister Holetschek reportedly stated. “Legalizing cannabis and insisting on prevention is like starting a fire and then calling the fire brigade. The Berlin traffic light coalition can’t be serious about that.”

Those statements by the minister operate on the false assumption that if cannabis is prohibited no one will consume it. To use the minister’s own wording, the fire was started a long time ago and burns at all times regardless of whether prohibition is in place or not. There is zero evidence in Germany or anywhere around the world that cannabis prohibition lowers consumption rates. From the pure consumption standpoint, the real major difference between legalization and prohibition is that people are consuming tested and regulated products in the former scenario, and consuming untested products in the latter scenario. Clearly, people consuming tested products is far superior for public health outcomes compared to forcing all consumers towards unregulated sources.

“Experiences from the USA and Canada show that the black market cannot be dried up with legalization. Rather, the black market continues to exist.” Minister Holetschek also reportedly stated.

Again, Minister Holetschek is only giving part of the overall picture via the previously cited comment. Make no mistake – the unregulated cannabis market will never be 100% diminished in Germany or anywhere else, just as unregulated tobacco products will never go away 100%, and a whole host of other times like fake Rolex watches, moonshine, and other illegal items that are bought and sold around the world every day to some degree will never go away 100%.

Right now, 100% of the adult-use market in Germany goes through unregulated sources given the fact that all adult-use sales are prohibited. Meanwhile, in Canada, a recent study concluded that during the period of 2019-2021, consumers moved from the unregulated market to the regulated market at an increasing rate year over year, with over half of Canadian consumers (55%) now reporting that they obtain their flower exclusively from regulated sources.

Not only does the transition to a regulated market benefit public health directly via the consumption of safer products, it also provides a tremendous boost to local economies and public coffers. As of a year ago, the legal cannabis industry in Canada had reportedly created over 150,000 jobs, generated over $15 billion in taxes and fees for governments of all levels, and contributed over $43.5 billion to the nation’s GDP since the start of legalization. Again, those estimates are from a year ago and obviously have only risen since then. Minister Holetschek can stick to his talking points, however, as you can clearly see the facts are not on his side and policymakers all over the world would benefit from disregarding his opinions when it comes to cannabis policy.

Thailand Study Finds CBD Treatment Effective At Treating Canker Sores

Canker sores are not a fun topic to discuss, however, they are even less fun to endure. Canker sores, also referred to as aphthous ulcers, are small, shallow sores that develop inside the mouth or at the base of the gums.

According to the Mayo Clinic, “The precise cause of canker sores remains unclear, though researchers suspect that a combination of factors contributes to outbreaks, even in the same person.” Potential contributing factors include, but are not limited to: injury, foot sensitivities, stress, and lack of vitamins and minerals.

A recent study based in Thailand examined CBD as a potential treatment for canker sores, and the researchers’ findings are promising. Below is more information about it via a news release from NORML:

Bangkok, Thailand: The use of a topical agent containing trace levels of plant-derived CBD reduces ulcer size and promotes healing in subjects with recurrent aphthous ulcers (a/k/a canker sores), according to clinical trial data published in the journal BMC Complementary Medicine and Therapies. 

A team of Thai researchers compared the use of a topical patch containing 0.1 percent CBD with a placebo in 100 healthy subjects with recurrent aphthous ulcers (RAU). The CBD ointment was applied three times per day for seven days. Ulcer size was measured on days zero, two, five, and seven.

Authors reported that topical CBD “reduced ulcer size and accelerated ulcer healing without side effects.”

They concluded: “This clinical study demonstrated that topical 0.1 percent CBD reduced ulcer size and accelerated ulcer healing without any reported local (signs of allergic and anaphylactic reactions) or systemic (vital sign and blood test alteration) side effects.

Furthermore, in the RCT [randomly controlled trial], topical CBD exerted an anti-inflammatory effect by reducing the erythematous border size in the early stage and decreasing pain intensity in the late stage of RAU. Thus, CBD may be appropriate for RAU patients who choose not to take topical steroids, except for cases where CBD is contraindicated.”

The findings are consistent with those of other trials and case reports finding that the topical application of CBD promotes wound healing in patients with scleroderma,  refractory leg ulcers and with the rare skin blistering disease epidermolysis bullosa. The topical application of cannabinoids, and of CBD in particular, has demonstrated benefits in the treatment of a variety of skin-related conditions, including psoriasiserythemapruritis, and acne.

Full text of the study, “Efficacy and safety of topical 0.1% cannabidiol for managing recurrent aphthous ulcers: A randomized controlled trial,” appears in BMC Complementary Medicine and Therapies.

Hemp May Be Increasingly Used As A Plant-Based Meat Ingredient

The hemp plant is one of the most versatile crops on earth, capable of producing numerous textiles and wellness products. According to new research out of Japan, it may also be capable of revolutionizing the food processing industry, particularly as it pertains to the production of plant-based meats.

A team of investigators associated with the Institute of Food Research, National Agriculture and Food Research Organization in Ibaraki, Japan examined the hemp plant’s usefulness to the food processing industry.

“In the era of SDGs, useful plants which provide valuable industrial outputs and at the same time pose less impact on the environment should be explored. Hemp seems one of the most relevant gluten-free crop plants to meet such requirements.” the investigators stated about their research.

As the researchers pointed out in their findings, which were published in Foods (an Open Access Journal by MDPI), the hemp plant requires far fewer pesticides and consumes less water during the growth cycle compared to many other crops.

“This short review investigates hemp’s sustainability as a plant as well as its utility value as a highly nutritional material in the food industry. Recent application research of hemp protein in food processing includes plant milk, emulsifiers, fortification of gluten-free bread, plant-based meat production, as well as membrane formation. These studies have revealed distinctive properties of hemp protein, especially in relation to disulfide (S-S)/sulfhydryl (-SH)-mediated interactions with protein from other sources.” the researchers stated in their abstract.

“Hemp seeds are high-protein, low-carbohydrate, and rich in dietary fiber and unsaturated fatty acids. After expression of oil from the seeds, the residual mass is a useful protein-rich material for food processing. Moreover, hemp seed protein has distinctive characteristics suitable for developing new foods such as an emulsifier, plant-based meat, and gas-retaining membrane. The cysteine-rich protein feature realizes unique disulfide-mediated interactions with protein from other sources and is thus expected to facilitate development of new food materials.” the researchers concluded.

The team of investigators also pointed out in their conclusion that hemp protein is less soluble and a higher temperature is needed for processing compared to other plant proteins, so further research is warranted regarding what it takes to achieve suitable reaction conditions for hemp protein.

According to international data company Grand View Research, the global plant-based meat market was valued at over $5 billion in 2021 and is expected to expand at a compound annual growth rate of 19.3% between now and 2030.

March 2023 Is Set To Be A Historic Month For European Cannabis

The next 32 days on the European continent could prove to be one of the most historic stretches of time for cannabis public policy and the continent’s emerging legal cannabis industry. Starting tomorrow, Malta’s government will begin accepting applications for non-profit cannabis clubs.

It’s a major milestone not just for Malta, which is the only country in Europe to pass a national adult-use legalization measure, but it’s also a major milestone for the greater European industry being that Malta is the first nation in Europe to set up this kind of national adult-use licensing system. It will be very interesting to see how many applications Malta receives next month.

Malta is not the only nation set to experience a historic March 2023. As every global cannabis observer already knows, lawmakers in Germany have worked very hard to make good on their coalition agreement component relating to legalizing cannabis for adult use and implementing a regulated adult-use industry.

Germany’s Health Minister Karl Lauterbach made a formal presentation of a legalization plan back in October 2022 and has since lobbied the European Union for its permission to proceed with an official introduction of a legalization measure.

What some observers seem to have overlooked, or perhaps forgotten about, is that roughly a month ago Minister Lauterbach reportedly confirmed a timetable for a formal introduction of a legalization measure and indicated at the time that he had ‘no reason to doubt’ that a legalization measure would be introduced ‘in the first quarter of this year.’

With February drawing to a close that puts the German adult-use legalization bullseye squarely on the month of March. Whether or not Minister Lauterbach’s reported timeline proves to be accurate or not is something that time will have to determine, although, there have been no meaningful setbacks reported from what I can tell as of the posting of this article.

Additionally, cannabis enthusiasts, entrepreneurs, investors, policymakers, and industry service providers are set to flock to Barcelona, Spain in March as part of the world’s largest super-event collaboration. The International Cannabis Business Conference has once again partnered with Spannabis, Europe’s top cannabis expo, to form another super-event that is a must-attend for anyone that is serious about succeeding in the emerging cannabis industry.

The International Cannabis Business Conference will host Spain’s largest cannabis B2B event on March 9th at the L’Auditori de Cornellà, with the after-party being held at the Hotel Arts (Ritz-Carleton) Barcelona. Spannabis will follow on March 10-12th at Fira de Cornellà. The super-event is the first large cannabis conference collaboration of the year. Whenever thousands of cannabis supporters get together and network good things happen, and that will surely be the case in Barcelona next month.

Cannabis policy and industry in Europe are both at pivotal points, and being that a legal industry cannot come into existence without reform occurring first, the two are directly tied to each other. If Germany does witness the formal introduction of an adult-use legalization measure next month, it will likely set off a wave of similar political activity in other parts of Europe and that will be good news for the continent’s emerging industry.

The same goes for Malta’s cannabis club application rollout. If Malta can successfully gather, review, and approve non-profit cannabis club applications, it will have set up a bureaucratic blueprint for other nations to copy. It’s nuanced but very significant.

We will all have to wait and see what happens for cannabis in Europe in March while doing our best to temper our excitement and expectations.

Italian Study Finds THC-Dominant Extracts Reduce Alzheimer’s-Induced Agitation

As of 2012, researchers estimated that as many as 24 million people globally were diagnosed with Alzheimer’s disease and that the number of people diagnosed with the condition would double every 20 years for the foreseeable future.

“Alzheimer disease is the leading cause of dementia beginning with impaired memory. The neuropathological hallmarks of Alzheimer disease include diffuse and neuritic extracellular amyloid plaques in brain that are frequently surrounded by dystrophic neurites and intraneuronal neurofibrillary tangles.” stated the authors of the previously cited study from 2012.

It is still unknown what exactly causes Alzheimer’s, although medical professionals seem to think that it’s a combination of genetic and environmental factors. Unfortunately, there is no known cure for the condition.

The cannabis plant may be able to help reduce Alzheimer’s-induced agitation according to a new study out of Italy. Below is more information about it via a news release from NORML:

Modena, Italy: The twice-daily use of THC-dominant plant-derived extracts is associated with symptom mitigation in patients with Alzheimer’s disease (AD), according to observational trial data published in the Italian journal La Clinica Terapeutica.

Italian researchers assessed the safety and efficacy of cannabis extracts containing 22 percent THC and 0.5 percent CBD in 30 patients with mild to severe Alzheimer’s disease. Study participants administered the extracts twice daily for 12 weeks.

Investigators reported reductions in patients’ agitation, apathy, irritability, sleep disturbances, and eating disturbances following cannabis treatment. They further acknowledged “lower levels of physically and verbally aggressive behaviors … in all patients.” Forty-five percent of subjects experienced “a significant decrease in cognitive impairment.” None of the patients complained of any adverse side effects. All of the patients exhibited increased quality of life and a “decrease in caregiver burden and costs of medical care and assistance.”

Authors concluded, “The results of our clinical trial suppose the effectiveness and in particular the safety of [a natural] CBD/THC preparation in two main symptoms of AD, agitation and weight loss.”

Prior trials have demonstrated the ability of both natural cannabis extracts and synthetic cannabinoids to mitigate various symptoms of Alzheimer’s. Preclinical data has shown that both THC and synthetic THC agonists can modulate neuroinflammation and the formation of amyloid plaque in the brain – both of which are believed to play a key role in the development of AD.

Full text of the study, “Oral THC | CBD cannabis extract in main symptoms of Alzheimer’s disease: Agitation and weight loss,” appears in La Clinica Terapeutica. Additional information on cannabinoids and Alzheimer’s disease is available from NORML’s publicationClinical Applications for Cannabis and Cannabinoids.