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I am also GI. I would never endorse or approve of Marijuana for inflammatory bowel disease as any kind of palliation. I would never prescribe Marinol, benzos, or opiates for Crohn's or UC either. It's just a recipe for dependence and can also mask real clinical pathology. It's typically the well meaning but ill-informed PCM that puts someone on opiates, benzos, or Marinol for IBD abdominal pain.
For the lazy/disreputable PCM: For IBS, get'em stoned and they'll stop bothering the clinic so much.
More serious question: for those treating cancer pt's w/ serious N/V, how does zofran stand up against other regimens?
Less serious: how about Marinol for lower back pain?