{"id":61462,"date":"2018-12-18T18:45:57","date_gmt":"2018-12-18T18:45:57","guid":{"rendered":""},"modified":"2018-12-18T18:45:57","modified_gmt":"2018-12-18T18:45:57","slug":"cannabis-un-comite-dexperts-francais-donne-son-feu-vert-pour-lusage-therapeutique","status":"publish","type":"post","link":"https:\/\/harissa.com\/news-wp\/cannabis-un-comite-dexperts-francais-donne-son-feu-vert-pour-lusage-therapeutique\/","title":{"rendered":"Cannabis\u00a0: un comit\u00e9 d\u2019experts fran\u00e7ais donne son feu vert pour l\u2019usage th\u00e9rapeutique"},"content":{"rendered":"<header>\n<p>Cannabis&nbsp;: un comit\u00e9 d\u2019experts fran\u00e7ais donne son feu vert pour l\u2019usage th\u00e9rapeutique<\/p>\n<p>Les experts estiment que la plante peut \u00eatre utilis\u00e9e pour soulager, par exemple, les contractions musculaires affectant les personnes souffrant de scl\u00e9rose en plaques.<\/p>\n<p>Par Fran\u00e7ois B\u00e9guin &#8211; Le Monde<\/p>\n<\/header>\n<p>La l\u00e9gislation fran\u00e7aise prohibant indistinctement cannabis m\u00e9dical et cannabis \u00ab&nbsp;r\u00e9cr\u00e9atif&nbsp;\u00bb pourrait bient\u00f4t \u00e9voluer. Le comit\u00e9 d\u2019experts mis en place par l\u2019Agence nationale de s\u00e9curit\u00e9 du m\u00e9dicament (ANSM) a jug\u00e9, jeudi 13&nbsp;d\u00e9cembre,&nbsp;<em>\u00ab&nbsp;pertinent d\u2019autoriser l\u2019usage du cannabis \u00e0 vis\u00e9e th\u00e9rapeutique&nbsp;dans certaines situations cliniques et en cas de soulagement insuffisant ou d\u2019une mauvaise tol\u00e9rance des traitements accessibles&nbsp;\u00bb.<\/em><\/p>\n<p>Dans son avis, le comit\u00e9 dresse la liste des situations dans lesquelles la plante de cannabis pourrait \u00eatre utilis\u00e9e&nbsp;: douleurs r\u00e9fractaires, certaines formes d\u2019\u00e9pilepsie s\u00e9v\u00e8res et pharmacor\u00e9sistantes, soins de support en oncologie, situations palliatives ou spasticit\u00e9 douloureuse de la scl\u00e9rose en plaques. Soit au total, selon les chiffres g\u00e9n\u00e9ralement avanc\u00e9s par les associations de patients, entre 300&nbsp;000 et un million de personnes en France.<\/p>\n<p>Les treize membres du comit\u00e9 se prononcent pour une&nbsp;<em>\u00ab&nbsp;\u00e9volution de la l\u00e9gislation&nbsp;\u00bb<\/em>&nbsp;tout en posant d\u2019embl\u00e9e d\u2019importantes limitations. Le cannabis ne devrait par exemple pas \u00eatre fum\u00e9, en raison des&nbsp;<em>\u00ab&nbsp;risques pour la sant\u00e9&nbsp;\u00bb&nbsp;<\/em>li\u00e9s \u00e0 la combustion. Ils souhaitent aussi que les patients autoris\u00e9s \u00e0 faire usage de ce cannabis soient suivis via un&nbsp;<em>\u00ab&nbsp;registre national&nbsp;\u00bb<\/em>, afin de permettre une \u00e9valuation du&nbsp;<em>\u00ab&nbsp;b\u00e9n\u00e9fice-risque&nbsp;\u00bb<\/em>&nbsp;du produit.<\/p>\n<p>S\u2019il ouvre la voie \u00e0 une l\u00e9galisation encadr\u00e9e du cannabis \u00e0 usage m\u00e9dical, cet avis n\u2019est qu\u2019une premi\u00e8re \u00e9tape. L\u2019ANSM devrait d\u2019abord&nbsp;<em>\u00ab&nbsp;dans les prochains jours&nbsp;\u00bb<\/em>&nbsp;d\u00e9cider&nbsp;<em>\u00ab&nbsp;des suites \u00e0 donner \u00e0 ces travaux&nbsp;\u00bb<\/em>&nbsp;et annoncer sa position. Un avis similaire \u00e0 celui du comit\u00e9 technique constituerait le v\u00e9ritable feu vert au cannabis th\u00e9rapeutique.<\/p>\n<h2>\u00ab&nbsp;Conditions draconiennes&nbsp;\u00bb ?<\/h2>\n<p><em>\u00ab&nbsp;L\u2019ANSM a choisi les membres du comit\u00e9, a donn\u00e9 la feuille de route, difficile pour elle de faire marche arri\u00e8re&nbsp;\u00bb<\/em>, estime Yann Bisiou, sp\u00e9cialiste du droit de la drogue \u00e0 l\u2019universit\u00e9 Paul-Val\u00e9ry-Montpellier-3, qui se demande toutefois si l\u2019agence ne peut pas assortir son feu vert de&nbsp;<em>\u00ab&nbsp;conditions draconiennes&nbsp;\u00bb&nbsp;<\/em>qui aboutiraient \u00e0&nbsp;<em>\u00ab&nbsp;un syst\u00e8me tellement lourd (enregistrement des patients, d\u00e9livrance en pharmacie hospitali\u00e8re) qu\u2019il soit inefficace&nbsp;\u00bb.<\/em><\/p>\n<p>Il reviendra d\u2019ailleurs au comit\u00e9 d\u2019experts de d\u00e9tailler au cours des six prochains mois les conditions de mise en place de ce cannabis th\u00e9rapeutique.<\/p>\n<p>Que prescrira pr\u00e9cis\u00e9ment le m\u00e9decin&nbsp;? Tous les m\u00e9decins pourront-ils en prescrire ou seuls quelques sp\u00e9cialistes (neurologues, canc\u00e9rologues) seront-ils autoris\u00e9s \u00e0 le faire&nbsp;? Pourront-ils le faire en premi\u00e8re intention ou uniquement en cas d\u2019\u00e9chec av\u00e9r\u00e9 d\u2019un m\u00e9dicament&nbsp;? Quel remboursement par la S\u00e9curit\u00e9 sociale&nbsp;? Comment les patients se procureront-ils du cannabis&nbsp;? Sous quelle forme sera-t-il dispens\u00e9&nbsp;? Si la voie fum\u00e9e est exclue, resterait le vapotage, les suppositoires ou les infusions.<\/p>\n<p>Parall\u00e8lement \u00e0 cette longue liste de questions, les politiques devront \u00e9galement s\u2019emparer de la question. La ministre des solidarit\u00e9s et de la sant\u00e9 Agn\u00e8s Buzyn a d\u00e9j\u00e0 dit \u00eatre pr\u00eate \u00e0&nbsp;avancer si elle avait le feu vert des scientifiques.&nbsp;<em>\u00ab&nbsp;Je n\u2019ai absolument pas de doctrine arr\u00eat\u00e9e sur le sujet. Soit c\u2019est utile et nous le ferons, soit les m\u00e9dicaments sous forme de comprim\u00e9s suffisent et on s\u2019arr\u00eatera l\u00e0&nbsp;\u00bb,&nbsp;<\/em>avait-elle d\u00e9clar\u00e9 en juillet.<\/p>\n<h2>\u00ab&nbsp; Pas de raison que \u00e7a tra\u00eene&nbsp;\u00bb<\/h2>\n<p>Olivier V\u00e9ran, le d\u00e9put\u00e9 (La R\u00e9publique en marche) de l\u2019Is\u00e8re, neurologue de profession, se&nbsp;positionne en pointe sur ce sujet.&nbsp;<em>\u00ab&nbsp;On peut avancer tr\u00e8s vite, dans l\u2019ann\u00e9e, il n\u2019y a pas de raison que \u00e7a tra\u00eene trop \u00bb<\/em>, a-t-il fait valoir lors d\u2019un colloque sur les enjeux de la l\u00e9galisation du cannabis th\u00e9rapeutique, le 5&nbsp;d\u00e9cembre, \u00e0 l\u2019Assembl\u00e9e nationale.&nbsp;<em>\u00ab&nbsp;Pas besoin de changer la loi, il faut changer un mot dans un d\u00e9cret&nbsp;\u00bb<\/em>, a-t-il lanc\u00e9 \u00e0 la tribune, en proposant la mise en place d\u2019un site de production, d\u2019un circuit de distribution par les pharmacies hospitali\u00e8res et d\u2019un suivi de chaque patient.<\/p>\n<p>En France,&nbsp;un seul m\u00e9dicament, le Sativex, a obtenu son autorisation de mise sur le march\u00e9 (AMM) en&nbsp;2014 pour les raideurs et contractions musculaires (\u00ab&nbsp;spasticit\u00e9&nbsp;\u00bb) de la scl\u00e9rose en&nbsp;plaques, mais il n\u2019est pas commercialis\u00e9 faute d\u2019accord sur le prix entre&nbsp;le laboratoire et&nbsp;les autorit\u00e9s de sant\u00e9. D\u2019autres m\u00e9dicaments comme le Marinol sont accessibles uniquement avec une autorisation temporaire nominative, ce qui en restreint consid\u00e9rablement l\u2019usage.<\/p>\n<p>Les patients fran\u00e7ais qui sont soulag\u00e9s par le cannabis th\u00e9rapeutique sont jusqu\u2019\u00e0 pr\u00e9sent contraints de se fournir sur le march\u00e9 ill\u00e9gal, sans garantie sur la qualit\u00e9 des produits, ou d\u2019aller dans des pays o\u00f9 le cannabis m\u00e9dical est autoris\u00e9, comme la Suisse.&nbsp;<em>\u00ab&nbsp;Ils sont amen\u00e9s \u00e0 vivre un parcours du combattant pour se fournir&nbsp;\u00bb<\/em>, a soulign\u00e9 le docteur Pascal Douek, membre de Fondation ARSEP pour la recherche sur la scl\u00e9rose en plaque, le 5&nbsp;d\u00e9cembre, pointant \u00e9galement un aspect financier&nbsp;<em>\u00ab&nbsp;important&nbsp;\u00bb<\/em>, r\u00e9servant de fait cette plante \u00e0&nbsp;<em>\u00ab&nbsp;une frange de la population qui en a les moyens&nbsp;\u00bb<\/em>.<\/p>\n<p>Une trentaine de pays dans le monde dont de nombreux Etats am\u00e9ricains et le Canada autorisent le cannabis th\u00e9rapeutique, dont vingt et un de l\u2019Union europ\u00e9enne ainsi que la Suisse, la Norv\u00e8ge, Isra\u00ebl et la Turquie.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cannabis&nbsp;: un comit\u00e9 d\u2019experts fran\u00e7ais donne son feu vert pour l\u2019usage th\u00e9rapeutique Les experts estiment que la plante peut \u00eatre utilis\u00e9e pour soulager, par exemple, les contractions musculaires affectant les personnes souffrant de scl\u00e9rose en plaques. Par Fran\u00e7ois B\u00e9guin &#8211; Le Monde La l\u00e9gislation fran\u00e7aise prohibant indistinctement cannabis m\u00e9dical et cannabis \u00ab&nbsp;r\u00e9cr\u00e9atif&nbsp;\u00bb pourrait bient\u00f4t \u00e9voluer.&hellip;&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":61463,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-61462","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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