3 drugs that went from legal, to illegal, then back again

This drug bottle from the United States contains cannabis tincture. Wikimedia^[13]

In the 1880s, cannabis was used therapeutically^[14] in the United States to treat tetanus, migraine and “insane delirium”. But not everyone agreed on (or even knew) the best dose. Local producers simply mixed up what they had into a tincture^[15] – soaking cannabis leaves and buds in alcohol to extract essential oils – and hoped for the best^[16].

So how did cannabis go from a slightly useless legal drug to a social menace?

Some of it was from genuine health concerns about what was added to people’s food, drink and medicine.

In 1908 in Australia^[17], New South Wales listed cannabis as an ingredient that could “adulterate” food and drink (along with opium, cocaine and chloroform). To sell the product legally, you had to tell the customers it contained cannabis.

Some of it was international politics. Moves to control cannabis use began in 1912 with the world’s first treaty against drug trafficking^[18]. The US and Italy both wanted cannabis included, but this didn’t happen until until 1925^[19].

Some of it was racism. The word marihuana is Spanish^[20] for cannabis (later Anglicised to marijuana) and the drug became associated with poor migrants. In 1915, El Paso, Texas, on the Mexican border, was the first US municipality to ban the non-medical cannabis trade^[21].

By the late 1930s, cannabis was firmly entrenched as a public menace^[22] and drug laws had been introduced across much of the US, Europe^[23] and (less quickly) Australia^[24] to prohibit its use. Cannabis was now a “poison” regulated alongside cocaine and opiates^[25].

The 1936 movie Reefer Madness fuelled cannabis paranoia. Motion Picture Ventures/Wikimedia Commons^[26]

The 1936 movie Reefer Madness^[27] was a high point of cannabis paranoia. Cannabis smoking was also part of other “suspect” new subcultures such as Black jazz^[28], the 1950s Beatnik movement^[29] and US service personnel returning from Vietnam^[30].

Today recreational cannabis use is associated with physical and mental harm^[31]. In the short term, it impairs your functioning, including your ability to learn, drive and pay attention^[32]. In the long term, harms include increasing the risk of psychosis^[33].

But what about cannabis as a medicine? Since the 1980s there has been a change in mood^[34] towards experimenting with cannabis as a therapeutic drug. Medicinal cannabis products^[35] are those that contain cannabidiol (CBD) or tetrahydrocannabinol (THC). Today in Australia and some other countries, these can be prescribed by certain doctors to treat conditions when other medicines do not work^[36].

Medicinal cannabis has been touted as a treatment for some chronic conditions such as cancer pain^[37] and multiple sclerosis^[38]. But it’s not clear yet whether it’s effective^[39] for the range of chronic diseases it’s prescribed for. However, it does seem to improve the quality of life^[40] for people with some serious or terminal illnesses^[41] who are using other prescription drugs.

Cocaine, tonics and addiction

Several different species^[42] of the coca plant grow across Bolivia, Peru and Colombia. For centuries, local people chewed coca leaves or made them into a mildly stimulant tea. Coca and ayahuasca (a plant-based psychedelic) were also possibly used to sedate people before Inca human sacrifice^[43].

In 1860, German scientist Albert Niemann^[44] (1834-1861) isolated the alkaloid we now call “cocaine” from coca leaves. Niemann noticed that applying it to the tongue made it feel numb.

But because effective anaesthetics such as ether and nitrous oxide had already been discovered, cocaine was mostly used instead in tonics and patent medicines.

Hall’s Coca Wine was made from the leaves of the coca plant. Stephen Smith & Co/Wellcome Collection, CC BY^[45][46]

Perhaps the most famous example was Coca-Cola, which contained cocaine^[47] when it was launched in 1886^[48]. But cocaine was used earlier, in 1860s Italy, in a drink called Vin Mariani – Pope Leo XIII was a fan^[49].

With cocaine-based products easily available, it quickly became a drug of addiction.

Cocaine remained popular in the entertainment industry^[50]. Fictional detective Sherlock Holmes injected it^[51], American actor Tallulah Bankhead^[52] swore by it, and novelist Agatha Christie used cocaine to kill off some of her characters^[53].

In 1914, cocaine possession was made illegal in the US^[54]. After the hippy era of the 1960s and 1970s, cocaine became the “it” drug of the yuppie 1980s^[55]. “Crack” cocaine also destroyed mostly Black American urban communities^[56].

Cocaine use is now associated with physical and mental harms. In the short and long term, it can cause problems with your heart and blood pressure^[57] and cause organ damage^[58]. At its worst, it can kill you^[59]. Right now, illegal cocaine production and use is also surging^[60] across the globe.

But cocaine was always legal for medical and surgical use^[61], most commonly in the form of cocaine hydrochloride. As well as acting as a painkiller, it’s a vasoconstrictor^[62] – it tightens blood vessels and reduces bleeding. So it’s still used in some types of surgery^[63].

Heroin, coughing and overdoses

Opium has been used for pain relief ever since people worked out how to harvest the sap of the opium poppy. By the 19th century, addictive and potentially lethal opium-based products such as laudanum^[64] were widely available across the United Kingdom, Europe^[65] and the US. Opium addiction^[66] was also a real problem.

Because of this, scientists were looking for safe and effective alternatives for pain relief and to help people cure their addictions.

In 1874, English chemist Charles Romley Alder Wright (1844-1894) created diacetylmorphine^[67] (also known as diamorphine). Drug firm Bayer thought it might be useful in cough medicines^[68], gave it the brand name Heroin and put it on the market in 1898. It made chest infections worse^[69].

Allenburys Throat Pastilles contained heroin and cocaine. Seth Anderson/Flickr, CC BY-NC^[70][71]

Although diamorphine was created with good intentions, this opiate was highly addictive^[72]. Shortly after it came on the market, it became clear that it was every bit as addictive^[73] as other opiates. This coincided with international moves to shut down the trade in non-medical opiates^[74] due to their devastating effect on China and other Asian countries.

Like cannabis, heroin quickly developed radical chic. The mafia trafficked into the US and it became popular in the Harlem jazz scene^[75], beatniks embraced it^[76] and US servicemen came back from Vietnam^[77] addicted to it. Heroin also helped kill US singers Janis Joplin and Jim Morrison^[78].

Today, we know heroin use and addiction contributes to a range of physical and mental health problems^[79], as well as death from overdose.

However, heroin-related harm is now being outpaced by powerful synthetic opioids such as oxycodone^[80], fentanyl^[81], and the nitazene^[82] group of drugs. In Australia, there were more deaths and hospital admissions from prescription opiate overdoses^[83] than from heroin overdoses.

In a nutshell

Not all medicines have a squeaky-clean history. And not all illicit drugs have always been illegal.

Drugs’ legal status and how they’re used are shaped by factors such as politics, racism and social norms of the day, as well as their impact on health.

Read more https://theconversation.com/3-drugs-that-went-from-legal-to-illegal-then-back-again-240010

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