John Stewart used to run the pharmaceutical company behind the narcotic painkiller OxyContin. Now he is banking on medical marijuana.
Mr Stewart does not know which is more controversial these days, OxyContin or pot.
He guesses the average person would give “a bigger negative” to the powerful and controversial painkiller that has been linked to the opioid overdose and addiction epidemic in the US and Canada.
“There is a lot of anti-opioid sentiment,” he says, delicately. “And certainly based on the social disruption that we’ve seen it’s understandable.”
In the US, an estimated 1.9 million Americans were addicted to prescription opioid painkillers in 2014. Accidental overdoses from prescription painkillers quadrupled between 1999 and 2012. In 2014, drug overdoses were the leading accidental cause of death south of the border, driven by prescription opioids.
North of the border, some 15% of Canadians have an opioid painkiller prescription and 2% of those report abusing the drug.
But Mr Stewart has turned his attention elsewhere. He left Purdue Pharma in 2013 and is now a co-founder of Emblem, a medical marijuana company based in Paris, Ontario.
He credits his time at Purdue Pharma, which did some early research into therapeutic cannabis but never brought a drug to market, for sparking his current interest – finding better ways to deliver the medical benefits of cannabis to patients.
Now, his new job might just end up eating away at the bottom line of opioid manufacturers like the one he once worked for.
Doctors prescribe less pain medication in medical marijuana states. Recent research out of the University of British Columbia suggests cannabis has potential in helping to ease alcoholics and people addicted to opioids off their habit.
But Mr Stewart maintains there is still a place for powerful opioids that can help relieve severe and chronic pain.
“I saw a lot of patients who really, really, really had their pain improved by these drugs, of which OxyContin was only one,” he says.
He also argues some people also abuse pot.
Emblem is one of the newest entries into Canada’s burgeoning pot marketplace. It received its license to grow and sell medical marijuana from Ottawa last year, joining 35 other competitors in an increasingly crowded marketplace.
Investors, which include Mr Stewart, believe it can eventually generate CA$100m ($74m; £60m) in revenue a year.
Ottawa brought in a new regime for medical cannabis – legalised in Canada in 2001 – in 2014, forcing patients to buy their medication through large-scale licensed growers that would ship them dried marijuana. Those new rules helped launch a commercial industry that’s flourishing in the country.
Cultivators like Aphria, Mettrum Health, and Canopy Growth, currently Canada’s largest producer, have become stock market darlings.
In October, Shoppers Drug Mart, one of Canada’s major pharmacy chains, applied to distribute medical marijuana to the current cannabis patients, a number that is growing.
Right now, licensed producers can only ship the product to patients, which Mr Stewart calls “cumbersome”. Patients can also grow limited amounts.
The federal Liberals also plan to introduce a bill this spring to legalise recreational marijuana across the country, which has further fuelled investment in the cannabis sector.