The FDA Approved an Opioid 1,000 Times Stronger Than Morphine While Blocking Cannabis Research for Decades

Two CBD oil tincture bottles with cannabis leaf labels alongside scattered green and white pharmaceutical capsules and an orange prescription bottle on a wooden surface, illustrating the contrast between plant-based cannabidiol and conventional pharmaceutical drugs

Drug Policy · FDA · Cannabis Research

Two things were happening at the same time in America. One: the FDA was waving through synthetic opioids — including one stronger than fentanyl — during the deadliest drug crisis in U.S. history. Two: that same agency, working with the DEA, was making cannabis research so difficult that scientists could barely study it. Here’s the timeline, year by year.

In November 2018, at the peak of the opioid epidemic, the FDA approved a new drug called Dsuvia. It’s a tablet form of sufentanil — a synthetic opioid that is 500 to 1,000 times stronger than morphine and 10 times stronger than fentanyl, the drug that was already killing more than 130 Americans every day.

The FDA’s own advisory panel chairman publicly broke with his committee to oppose it. A U.S. Senator warned that “an opioid 1,000 times more powerful than morphine is 1,000 times more likely to kill.” The FDA approved it anyway.

At the same time — across those same years — researchers trying to study CBD, a non-intoxicating plant compound with a well-documented safety record, had to apply for special DEA licenses, source their material from a single government-approved facility, and navigate a bureaucratic maze that made serious research nearly impossible.

Same agency. Same era. Very different outcomes. Let’s go through it.

Track One: The Opioid Express

The story of the opioid crisis starts with a single drug approval and a single misleading sentence on a label.

1995
FDA approves OxyContin with a dangerously broad label. Purdue Pharma gets the green light to sell extended-release oxycodone for everyday conditions like back pain — not just severe cancer pain. The label includes a line claiming the drug’s slow-release formula reduced its abuse potential. That claim had no clinical evidence behind it. The two main FDA reviewers who approved it both later went to work for Purdue.
1996–2001
Purdue floods the country with sales reps and false claims. The company grows its doctor outreach list from 33,000 to nearly 95,000. Sales reps are trained to tell physicians that OxyContin’s addiction risk is “less than one percent.” Doctors are taken on all-expenses-paid trips to “pain management seminars.” The pills start flowing.
1999
Overdoses appear across the country. The FDA does nothing. The DEA is already flagging OxyContin-related arrests. Cities from Baltimore to Honolulu are reporting overdose spikes. The FDA continues to approve Purdue’s marketing.
2007
Purdue pleads guilty. Pays $634 million. Keeps selling. Purdue and three executives admit they intentionally misled doctors about OxyContin’s addiction risk. The fine sounds huge. It’s roughly 18 months of revenue. The company keeps operating.
2018
FDA approves Dsuvia — 1,000x stronger than morphine. With 130 Americans dying daily from opioids, the FDA approves the most potent opioid tablet ever brought to market. The manufacturer projects $1.1 billion in annual sales.
800,000+
Americans who have died from opioid overdoses since OxyContin launched in 1995. The CDC calls this the first wave of an epidemic that is still ongoing.
Source: CDC / GovFacts.org

Former FDA Commissioner David Kessler later said of the OxyContin approval: “No doubt it was a mistake. It was certainly one of the worst medical mistakes, a major mistake.” Purdue made over $35 billion in OxyContin sales before it was done.

Track Two: The Cannabis Cage

While all of this was happening, researchers who wanted to study cannabis for pain, sleep, or anxiety were trapped in a very different system.

Since 1970, cannabis has been classified as Schedule I under federal law — the most restrictive category, reserved for substances with “no accepted medical use” and “high abuse potential.” That’s the same schedule as heroin. It’s a more restricted category than cocaine or meth, both of which are Schedule II.

1970
Cannabis placed in Schedule I. Nixon’s administration schedules cannabis as having no medical value. The commission Nixon himself appointed recommends decriminalization. Nixon ignores it.
1995–2010
Cannabis research is effectively frozen. While OxyContin floods the country, scientists wanting to study CBD for pain or anxiety must apply for DEA registration, source material from a single approved facility in Mississippi, and navigate a process that takes years. Oxycodone and fentanyl face none of these barriers — they’re Schedule II.
2015
DEA “eases” CBD research requirements — slightly. Researchers no longer have to submit a written request every time they expand their study protocol. This is the magnitude of the “easing.” CBD remains Schedule I.
2019–2023
FDA spends four years deciding if CBD can be sold as a supplement. Concludes: no. After a four-year review, the FDA decides it doesn’t have the authority to regulate CBD as a dietary supplement and asks Congress to create a new pathway. Congress does not act.
2025
Cannabis finally moves to Schedule III. More than 50 years after its Schedule I placement, cannabis is rescheduled — acknowledging what HHS had already confirmed: it has accepted medical uses and a lower abuse potential than previously classified.

The Revolving Door

Here’s the part worth sitting with.

The two main FDA reviewers who approved OxyContin in 1995 both later took jobs at Purdue Pharma. One of them, Dr. Curtis Wright IV, met with Purdue representatives at a hotel near FDA offices during the review process, allowed the company to help write portions of his official assessment, signed off on the label — and resigned from the FDA a year later to work for Purdue at a much higher salary.

The FDA did not properly enforce the Food, Drug, and Cosmetic Act when it approved Purdue Pharma’s new drug application. The FDA has not undertaken a root cause analysis of its regulatory errors that contributed to this public health catastrophe.

— American Medical Association Journal of Ethics, 2020

That was written in 2020. No such analysis has happened since. The Sackler family, which owned Purdue, is still worth an estimated $10+ billion even after bankruptcy and settlements.

What This Actually Means

The gap here isn’t a coincidence. It’s a system doing exactly what systems do — rewarding what’s profitable and restricting what isn’t.

Patentable synthetic drugs generate enormous returns and have every incentive to move quickly through approval. A plant that has been used medicinally for thousands of years can’t be patented — so there’s no financial engine pushing it through the process. Meanwhile, the pharmaceutical industry spends more on lobbying than any other sector in America.

The result: an agency that approved an opioid 1,000 times stronger than morphine during a historic overdose crisis, while simultaneously ruling that a non-lethal plant compound with millennia of documented human use couldn’t even be sold as a supplement without congressional approval.

Both of those things were true. At the same time. In the same country. Managed by the same regulatory body.

From The Canna Blog

For more on the safety comparison between CBD and the drugs we’ve been reaching for instead, read our piece on CBD vs. Tylenol. And for the bigger picture on why pharmaceuticals isolate single compounds while cannabis works differently, see Big Pharma Patented Nature and Called It Medicine.

Where Things Stand Now

Cannabis moving to Schedule III in 2025 is a real and meaningful step. It eases research barriers, acknowledges medical value, and begins correcting 55 years of misclassification. A December 2025 executive order pushed federal agencies to go further, improving access to hemp-derived CBD products.

These are good things. They are also very, very late.

The opioid crisis that began with OxyContin’s approval in 1995 has never ended. An estimated 187 Americans still die from opioid overdoses every day. We are only now beginning to build a serious scientific record on cannabinoids — research that was held back not by a lack of curiosity from scientists, but by a deliberate policy choice to keep a non-lethal plant in the most restricted drug category in federal law.

The people using CBD tinctures and gummies for pain, anxiety, and sleep were never the problem. They were just operating in a system that had its priorities upside down for a very long time.

Leave a Reply

Your email address will not be published. Required fields are marked *