Cannabis as medicine: Time for Nepal to rethink?
For centuries, marijuana has been part of Nepal’s cultural landscape. However, the 1976 ban on its production and consumption has deprived the country of a significant opportunity—not only in tourism and the economy but, more importantly, in accessing its medical benefits. In earlier times, sadhus and yogis used marijuana for religious and medicinal purposes. Nepal was once renowned for its legendary Himalayan cannabis, and Kathmandu’s streets were a haven for tourists and hippies from around the world.
Legalizing cannabis is complex, particularly due to the stigma and misunderstanding surrounding its use. Research shows that its medical benefits emerge not from smoking but from refined and processed forms. Despite growing evidence, it remains illegal and widely misunderstood. Medicinal cannabis can aid in pain relief, reduce inflammation, manage anxiety and depression, treat epilepsy and seizures, improve sleep, and help with neurodegenerative diseases like Alzheimer’s and Parkinson’s.
As scientific studies increasingly confirm marijuana’s therapeutic value, Nepal should reconsider its stance—not to encourage unregulated use, but to harness its vast medical and economic potential.
Globally, perceptions of marijuana are shifting. Over 40 countries, including Germany, Thailand, and several US states, have decriminalized or legalized cannabis for medical use. From chronic pain to neurological disorders, its therapeutic applications are driving reform. Studies highlight cannabis’s effectiveness in easing symptoms of multiple sclerosis and controlling seizures in epilepsy.
A major breakthrough came when research confirmed the medical potential of cannabinoids, particularly CBD (cannabidiol) and THC (tetrahydrocannabinol). These compounds have proven effective in managing chronic pain, anxiety, and epilepsy. CBD, which lacks the psychoactive effects of THC, has shown promise in treating conditions like Parkinson’s and Alzheimer’s.
Nepal’s unique geography and climate make it ideal for cultivating high-quality cannabis. Reintroducing marijuana into the formal economy—strictly for medical use—could offer a valuable economic edge. Legal cultivation could empower farmers, generate export revenue, and create jobs. Despite calls for legalization, the government has yet to take concrete steps, largely due to the outdated 1976 Narcotic Drugs (Control) Act, which still classifies cannabis as illegal. This legislation remains a significant barrier to reform.
Ironically, during Shivaratri—a major Hindu festival—marijuana use is normalized, highlighting a contradiction where illegality exists only on paper. So how can we normalize it in law?
In regions like Rolpa, Rukum, and remote parts of Karnali Province, wild cannabis already grows in abundance. With proper cultivation practices, Nepal could supply high-grade medical marijuana for domestic and global markets. The global legal cannabis market was valued at $21bn in 2023 and is projected to grow by 25.7 percent annually through 2030. For a developing country like Nepal, in search of sustainable revenue sources amid economic uncertainty, marijuana may very well be the “green gold” waiting to be refined.
The benefits of medical marijuana span multiple sectors—from farmers, vendors, and logistics providers to healthcare systems, patients, and the government. Legalization could empower local communities and drive job creation. A regulated cannabis economy could open new revenue streams through taxation, exports, and pharmaceutical partnerships, significantly contributing to GDP growth.
Beyond boosting state revenues, legalization could generate employment across the entire supply chain—from cultivation and processing to research, transportation, and retail. Medical cannabis also offers the public a sense of reassurance. As disillusionment grows with the side effects of chemical-based medications, many are turning toward plant-based, herbal alternatives.
Medical cannabis provides natural and, in many cases, more effective treatment for a range of physical and mental health conditions. This shift not only supports public health and economic gains but also fosters innovation in Nepal’s herbal and pharmaceutical industries.
A proposed bill remains stalled, largely due to the outdated 1976 Act and fears of international backlash. Nonetheless, within Nepal, researchers, experts, and policymakers increasingly advocate for legalization. In fact, whichever political party champions and executes the bill may gain a competitive political advantage. Public support—especially among the youth—is growing rapidly. However, misconceptions persist. Many still confuse the medical benefits of cannabis with recreational smoking, which is misleading. Medical cannabis involves administering refined compounds like CBD and THC in precise, controlled doses—not raw or smoked forms.
