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Enter any bar or public place and canvass opinions on cannabis and there will be a different opinion for each person canvassed. Some opinions will be well-informed from respectable sources while others will be just formed upon no basis at all. To be sure, research and conclusions based on the research is difficult given the long history of illegality. Nevertheless, there is a groundswell of opinion that cannabis is good and should be legalised. Many States in America and Australia have taken the path to legalise cannabis. Other countries pineapple express either following suit or considering options. So what is the position now? Is it good or not?

The National Academy of Sciences published a 487 page report this year (NAP Report) on the current state of evidence for the subject matter. Many government grants supported the work of the committee, an eminent collection of 16 professors. They were supported by 15 academic reviewers and some 700 relevant publications considered. Thus the report is seen as state of the art on medical as well as recreational use. This article draws heavily on this resource.

The term cannabis is used loosely here to represent cannabis and marijuana, the latter being sourced from a different part of the plant. More than 100 chemical compounds are found in cannabis, each potentially offering differing benefits or risk.

CLINICAL INDICATIONS

A person who is "stoned" on smoking cannabis might experience a euphoric state where time is irrelevant, music and colours take on a greater significance and the person might acquire the "nibblies", wanting to eat sweet and fatty foods. This is often associated with impaired motor skills and perception. When high blood concentrations are achieved, paranoid thoughts, hallucinations and panic attacks may characterize his "trip".