MyEpilepsyTeam | The social network and support group for those living with epilepsy General practitioners (GPs) and specialists can apply to prescribe medicinal cannabis.
What Is The Difference Of Prescription Cbd Vs Over The Counter Cbd?
CBD and medical marijuana aren’t the same thing. Hemp oil and CBD are. They do not have THC in them like the medical marijuana does. Medical marijuana is cannibus. CBD is cannabidiol. Two very different things. TCH ( in the leaf of the marijuana plant. That IS the one that can make you, mellow, euphoric, or high. Because the CBD and hemp oil is from the stem it doesn’t contain THC. That is why CBD and hemp oil IS legal in all 50 states. There are some places online that are more widely used than others. If you want the name of a few reliable sites, let me know. I, myself, haven’t started using CBD oil YET. I am planning on it after my surgery in a few weeks.
The only negative thing I’ve heard is that it can change your AEM levels. it may cause the medication levels to be too high or too low. So. your neurologist should know you are on it so he can order blood levels to be checked more often.
I live in Maryland and medical marijuana is not legal here yet. Washing D. C. Is a 40 minute ride from my home. seems like they should make medical marijuana legal here.
The other problem I am having is my epileptologist doesn’t want to advise or agree with CBD oil. His reasoning is he says there haven’t been enough clinical trials on adults, and dosing is an uncertainty. I’ve spoken to people who sell CBD and have given me an idea of how much to start with. I told my doc it all on me. I’m taking responsibility for if it doesn’t help, All I need him to do is know I’m going to use it, and order blood work to check levels.
There is a difference between AED Meds and medical Marijuana. AED meds have many side effects. Medical marijuana or CBD is minimal to non, with side effects. Marijuana is even more safer than Alcohol and tobacco cigarettes. Many people ( not everyone ) can control their seizures better than the AED meds.
One other little Tidbit is that your insurance won’t pay part of CBD. By Federal Law it’s still illegal. So if your interest in it, you would to pay out of pocket.
@A MyEpilepsyTeam Member
If you friend request me on Facebook, I’ll send you the information and articles I have and a few choices of where to get it online. I don’t want to post here, and if I put my email here it won’t show up. My Facebook name is Mindy Glazer. You can private message me or just friend request me and I’ll accept. Talk to you soon.
Prescribing medicinal cannabis
Any registered medical practitioner in Queensland can prescribe medicinal cannabis for any patient with any condition, if they believe it is clinically appropriate and have obtained the required Commonwealth approval.
Medicinal cannabis products are classified as either Schedule 3, Schedule 4 or Schedule 8 controlled substances, most products are not listed on the Australian Register of Therapeutic Goods (ARTG). In circumstances where patients need access to therapeutic goods that are not included in the ARTG, a Therapeutic Goods Administration (TGA) approval is required in order for the medicine to be prescribed.
The Commonwealth Department of Health manages and enables access to:
In Queensland, the Medicines and Poisons (Medicines) Regulation 2021 describes the requirements for prescribing and dispensing S4 and S8 medicines.
Queensland doctors can prescribe Schedule 4 – cannabidiol (CBD) and Schedule 8 – tetrahydrocannabinol (THC) or tetrahydrocannabinol: cannabidiol (THC:CBD) products without a Queensland approval.
Guidance and regulations
- Guidance’s for the use of medicinal cannabis in Australia are a suite of national guidance documents that cover a range of medical conditions, symptoms, and products to be used. The individual documents can be viewed on the TGA’s website.
- The Medicines and Poisons (Medicines) Regulation 2021 outlines specific requirements for dealing with regulated substances, including medicinal cannabis, review the Regulation for more information.
- The Medicines and Poisons Act 2019 provides for the development of departmental standards which outline the minimum requirements for safe and effective management of regulated substances, including medicinal cannabis, review the standards for more information.
When making an application to the TGA, you will need to reference clinical evidence that supports using the specific type of medicinal cannabis product proposed (e.g. THC, CBD, or THC and CBD in combination) for your patient’s medical condition or symptoms.
More research is being done on the uses of medicinal cannabis. The scientific evidence base is limited but suggests that medicinal cannabis may be suitable for:
You may apply for other conditions; however, you will need to supply clinical evidence with your application for this to be considered. There is no evidence that medicinal cannabis is an effective treatment for cancer.
Clinicians should not:
- consider medicinal cannabis as an alternative treatment for cancer.
- defer their standard treatment in favour of using medicinal cannabis.
NSW Cannabis Medicines Advisory Service – (for NSW health practitioners only). However, the Service is also available if:
- You are a medical practitioner in a state or territory outside of NSW but are treating a patient residing in NSW, or
- You are a NSW medical practitioner treating a patient in cross-border areas of NSW.
Commonwealth Department of Health
The Commonwealth Department of Health regulates medicinal cannabis products through the Therapeutic Goods Administration (TGA) and the Office of Drug Control (ODC).
Generally, medicines imported into, supplied in, and exported from Australia must be entered in the Australian Register of Therapeutic Goods (ARTG), which is administered by the TGA. However, there are mechanisms available for access to medicines that are not registered on the ARTG.
As most medicinal cannabis products are currently unregistered medicines, access to these products is through the Commonwealth Special Access or Authorised Prescriber Schemes or through a Clinical Trial.
Your legal obligations
The prescriber must:
- adhere to all conditions as detailed in any TGA import licence or permit, if they are the importing party
- comply with any conditions imposed on a TGA approval relating to the medicinal cannabis product(s) being used, including obtaining informed consent in writing from the patient (or the person with the legal authority to consent to the treatment on behalf of the patient) in relation to the proposed use of the specified medicine
- comply with the Departmental standard – monitored medicines when prescribing S8 medicinal cannabis products for dispensing or giving a treatment dose
- comply with the requirement to check QScript prior to prescribing or giving a treatment dose of a monitored medicine, including S8 medicinal cannabis
- report any adverse events, adverse reactions, serious adverse reactions and unexpected reactions to the TGA.
Find a product
Doctors can apply to prescribe both plant-based products and synthetic products when used for a therapeutic purpose, including:
- tinctures: plant material infused in oil or alcohol
- vapour: dried plant material or concentrated cannabis extract is heated in a vaporiser
- capsules or sprays: generally, oil-based capsules taken orally
- pharmaceutical products such as nabiximols.
Smoking in general is harmful, smoking of cannabis products is not supported.
Products currently used in Australia:
provide a list of manufacturers and suppliers for imported and locally produced medicinal cannabis products currently in use in Australia.
- Nabiximols (Sativex), is listed as an approved medicines on the Australian Register of Therapeutic Goods.
- Sativex is a Schedule 8 medicine and is a plant-derived product. In Queensland medical practitioners can prescribe Sativex without requiring an approval from the state or the TGA.
How to make an application
Doctors seeking approval to prescribe medicinal cannabis products that are not registered on the ARTG to a Queensland patient will do so via the TGA’s Online System.
Doctors who have already registered can login to the TGA’s Online System
There is no requirement for a Queensland approval to prescribe S8 or S4 medicinal cannabis.