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              Marijuana or Marihuana:

          Brief Account on Cannabis Indica:

Marijuana also known as cannabis sativa, or Indian hemp in India, 
'Dagga' in South Africa, and 'Hashish' in Egypt. Also some people 
called it 'Grass', 'Pot', 'Reefer', ' Mary Jane', 'Joint','Cannabis' 
and Hashish.

Its cultivation is restricted by law, but it grows all over India.
It is the second most important addiction next to tobacco, and alcohol, 
the most popular substance used by young people for regular use and 
abusing. The active principle is a fat soluble oleoresin, cannabinol and other
cannaboids found in the leaves and flowering shoots of the plant.
The poisonous content is easily absorbed from the digestive and 
respiratory tract, with a stimulant action on central nervous system.
It can be used in various forms and different types: Hashish:
Hashish is a resinous substance, taken from the tops of female plants, 
and it contains the highest concentration of the toxin.Bhang: It is prepared 
from dried leaves and fruit shoots, which are used as an infusion in the form 
of a beverage, also it is known as siddhi, patti,and
sabji. Ganja:

The term marihuana or marijuana is used in America to refer to 
cannabis, and its mexican term meaning 'pleasurable feeling', also the form in which 
it is used is similar to ganja.It is made up of flowering tops of female plant, specially grown so 
there is large amount of resinous exudate.
The active principle in concentration is about 25%, and resin has rusty
green colour with characteristic odour. It is mixed with tobacco and smoked in a pipe, commonly indulged in by
sadhus, fakirs, a class of people who dress in scarlet coloured loose
clothes, and claim to have given up the worldly bonds specially in 
India.Majun: This is the preparation of bhang with sweetmeat. It has all effects of 
bhang and severe grandiose delusions.
Charas: It is the resinous exudate from leaves, stems of the plant, it is dark 
green or brown in colour. The active principle is in a concentration varying between 25 to 40 
percent. It is commonly smoked with tobacco in a pipe or 'hookah' and other form 
in which it is used alone or as part of confection, or drunk in beer, and 
some other beverage or smoked in cigarettes.
The cigarettes contain about 500 mg of Indian hemp and known as reefers 
or weed. It regular use leads to heroin addiction especially in teenagers.
The effects, side-effects including symptoms and signs:
The effects of marijuana are noted within seconds to several minutes 
after
inhaling the smoke from a joint or a pipe; or within 30 to 60 minutes 
after
ingestion of food containing marijuana forms bhang, and hashish.
The drug is commonly used as an aphrodisiac.

Being fat soluble, it is stored in fat cells of the body and it acts 
like a
time release capsule, with effect of a single dose lasting for over 7 
days,
hence it causes physical and psychological dependence and intense 
craving in
children.
The effects of cannabis in small or moderate doses of the drugs shows:
Euphoria,
Sense of relaxation, feeling of cheerfulness and well-being, the addict
tends to become talkative,
His appetite is increased and eats food with great relish,
He seeks sexual enjoyment.
The unpleasant effects that may occur are:
Depersonalization,
Change of body image,
Disorientation and acute panic reactions or severe paranoia.
In severe cases delirium and hallucinations reported.
In case of large doses of the drug, the effects are:
There is loss of perception of time and space,
Has visual hallucinations,
He sees nude beautiful women dancing before him, playing music, and 
singing
amorous songs.
In the later stage of narcosis giddiness, confusion and ataxia occur.
There is tingling and numbness in the extremities,
In severe cases generalized anesthesia  may be seen, very rarely the
patient goes in drowsiness, followed by coma and collapse.
Death may occur from respiratory paralysis.
The chronic use of the drug in any form of marijuana is known as 
hashish
insanity.
The addict is likely to commit sexual crimes of a homicidal nature,
following the continuous use of cannabis or Run Amok (It is a condition
resulting from the continued use of cannabis or even its use for first
time. It is characterized by a frenzied desire on the part of the person 
to
commit murders.)

Withdrawal Effects:
Agitation,
Insomnia,
Irritability,
Anxiety.
The lethal dose and period of Marijuana:
Minimum lethal dose of Charas is = 2.0 gms.     |
Minimum lethal dose of Ganja is = 8.0 gms.       |   Per kilo body 
weight.
Minimum lethal dose of Bhang is = 10.0 gms.     |

Lethal period:
Death can occur after 12 hours in acute poisoning.
Effects of marijuana in pregnancy: -

Treatment and Rehabilitation:
The treatment in marijuana lies in conjunction with community based 
support
programs, such as:
Comprehensive residential treatment program,
Behavior recognition therapy and modification program,
Psychotherapeutic treatment,
Rehabilitate the addict in counseling centers with proper counselor 
and
educator and social worker.
In worse health conditions, start with both physiological and 
psychological
treatment and support.
In an emergency, the patient should be hospitalized:
Stomach wash with warm water.
Intravenous fluids like saline, dextrose etc.
Give strong tea or coffee by mouth or per rectum.
In severe case give artificial respiration or supply oxygen.
Saline purgatives are administered to wash out the poisonous drug.