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I don't have time to lookup a link, but one of the documented side effects of Marinol that smoked MJ doesn't have is skin rashes.
Then there's the fact that Marinol pills are prescribed to patients who suffer from nausea and have a hard time keeping anything down, much less the very pills intended to help the nausea. Marinol pills are counter-intuitive for chemo patients.
Well, you don't have time to look up a link, but do have time to post...
Mild skin rashes are very well documented in cases of people using it as a topical in the treatment of much more serious ailments like skin cancer. The rash is easily treated with moisturizer.
The case of Marinol is specific to one type of delivery system and should be dealt with separately. When a cancer patient is so far gone they can't keep pills down, the fault is not usually with the pill and its contents, but the body failing.