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LETTER TO EDITOR
Year : 2014  |  Volume : 31  |  Issue : 4  |  Page : 433  

Author's reply


1 Department of Pulmonary Medicine, Kalpana Chawla Government Medical College, Karnal, Haryana, India
2 Ex Intern, Government Medical College and Hospital, Chandigarh, India

Date of Web Publication1-Oct-2014

Correspondence Address:
Surender Kashyap
Department of Pulmonary Medicine, Kalpana Chawla Government Medical College, Karnal, Haryana
India
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Source of Support: None, Conflict of Interest: None


PMID: 25378868

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How to cite this article:
Kashyap S, Kashyap K. Author's reply. Lung India 2014;31:433

How to cite this URL:
Kashyap S, Kashyap K. Author's reply. Lung India [serial online] 2014 [cited 2019 Dec 10];31:433. Available from: http://www.lungindia.com/text.asp?2014/31/4/433/142112

Sir,

We acknowledge the comments [1] regarding our article published in Lung India. [2] We agree with the author that Bhang, which consists of cannabis leaves, is not included under the purview of the Narcotic Drugs and Psychotropic Substances Act (NDPS Act), 1985, in legal terms. However, the purpose of our review was to shed light on the medicinal use of Marijuana in general. It is also to be noted that, in India, unscrupulous use of Bhang is prevalent. Bhang, exclusively in its leafy form is sparingly used, because of its frequent mixing with the other constituents of cannabis. It is also our view that Bhang should be strongly regulated due to its psychotropic effects, as discussed by the author, [1] and therefore, should be included under the NDPS Act.

The various forms of cannabis are as follows: [3]

  1. Marijuana: The tetrahydrocannabinol (THC) content 0.5-5%, which further includes two preparations:
    • Bhang -Only dry leaves
    • Ganja -Leaves and flowering tops with a higher resin content
  2. Hashish: Dried resin extracted from flowering tops with a THC content of 2-20%
  3. Hash oil: Liquid extract that contains 15% THC
  4. Sinsemilla: Non-pollinated flowering tops from female cannabis plant, with high content of THC (20%)
  5. Dutch Hemp (Netherweed), with THC concentration as high as 20%


There is not much literature on Bhang and its effects among its users, so it is prudent to study this form of cannabis in more depth.

Interestingly, there has been an amendment in the NDPS act in March, 2014. [4] The amendment has broadened the objectives of the NDPS Act and promotes the medical and scientific use of narcotic drugs and psychotropic substances. This will also pave the way for more research in the field of chronic pain management and palliative care including the use of medicinal cannabis and its congeners.

 
   References Top

1.Balhara YPS, Mathur S. Bhang - beyond the purview of the narcotic drugs and psychotropic substances act. Lung India 2014;31:431-2.  Back to cited text no. 1
  Medknow Journal  
2.Kashyap S, Kashyap K. Medical marijuana: A panacea or scourge.Lung India 2014;31:145-8.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.Aydin A, Fulton AJ. Cannabinoid Poisoning. US: Medscape; Updated on July 2013. Available from: http://emedicine.medscape.com/article/833828-overview. [Last accessed on 2014 Jul 13].  Back to cited text no. 3
    
4.Narcotics and Drug Psychoactive Substances (Amendment) Act, 2014. Available from: http://www.indiacode.nic.in/acts2014/16 of 2014.pdf.[Last accessed on 2014 Jul 13].  Back to cited text no. 4
    




 

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