Marijuana for Medical Purposes Policy Statement
College of Physicians and Surgeons of Ontario: The Government of Canada’s Marihuana for Medical Purposes Regulations (MMPR) establish the legal framework that enables patients to obtain authorization to possess dried marijuana for medical purposes.
Under these regulations, physicians have primary responsibility for the decision to authorize patient use of dried marijuana for medical purposes. Physicians enable patients to access a legal supply of dried marijuana by completing a medical document that functions like a conventional prescription.
In keeping with the College’s mandate to serve and protect the public, this policy sets out expectations for physicians relating to the prescribing of dried marijuana for medical purposes (College of Physicians
…show more content…
Thus, many patients, physicians, and researchers have voiced support for the use of medical marijuana.
There was no evidence that prescribing medical marijuana would increase illicit drug use. Therefore, the association between early marijuana use and later drug use and abuse or dependence may arise from the effects of the peer and social context within which marijuana is used and obtained.
Finally, in order to achieve a cautious and compassionate use of medical marijuana, several recommendations should be taken in consideration to be implemented. So patients with debilitating symptoms who had been exhausting the regular conventional therapies could maintain a good quality of life. The following recommendations are synthesized based on the reviewed latest research evidences and updated practices literature:
• Increase health care provider education toward the efficacy and safety of cannabis, and comprehensive clinical management of patients using cannabis and its various
The certified patient and designated caregiver(s) will receive one-to-one guidance by the Pharmacist and/or the Dispensing Assistants under the Pharmacist’s direct and continuous supervision from reception through fulfillment. Patients and caregivers will have the opportunity to ask questions during this orientation. The patient/caregiver will learn about the medical marijuana prescription given by the patient’s physician, and the product and brand, which fulfill that prescription. Specific information relevant to the prescribed medical marijuana will be carefully explained. Patients/caregivers will learn about, but not limited to: specific dosage directions and instructions for administration; warning of adverse effects and/or any potential dangers; a warning about driving, operating equipment, childcare and making important decisions while under the influence of medical marijuana; methods to secure and store the product at the patient’s home; a list of excipients; any allergen warning; possible contra-indications; how to recognize what may be problematic usage or substance abuse of medical marijuana, the availability of different strains of marijuana and the purported effects of the different strains, information about the purported effectiveness of various methods, forms and routes of administering medical marijuana, the prohibition on the smoking of marijuana in public places, places open to the
The use of marijuana for medicinal purposes is a long-standing controversy. For centuries marijuana was prescribed to alleviate symptoms associated with a variety of illnesses. Anti-medical marijuana sentiments began with the Marijuana Tax Act of 1937. In 1970, the Controlled Substances Act banned the use of marijuana completely, categorizing it as a drug with no medicinal value, high abuse rates, and detrimental health effects (http://www.farmacy.org/prop215/apha.html). Since 1996, numerous states including California, Alaska, Arizona, Nevada, Oregon and Washington have passed medical marijuana initiatives supporting the right to prescribe marijuana for seriously or terminally ill patients (http://www.marihemp.com/marimed.html). The American Public Health Association and the Institute of Medicine represent two organizations that have recently researched and endorsed advancements in the study of medical marijuana. Both groups support the use of marijuana for specific treatments, such as reducing nausea in cancer patients receiving chemotherapy, stimulating the appetites of AIDS victims, and limiting spasticity in MS patients.
The cannabis plant (marijuana) has been used medicinally by a variety of cultures around the world. It was used as medicine in the United States until when a new tax fee led to its discontinued use. Congress has voted on several bills to legalize the medical use of marijuana; however none of those bills were passed. In June 2005 the U.S. Supreme Court ruled 6-3 that federal laws against marijuana, including its medical use, are valid. The government has authorized few research studies into the health effects of medical marijuana. The U.S. Food and Drug Administration (FDA) has not approved
The use of medical marijuana is a controversial topic because many find it beneficial as others find the usage to be recreational. Many people may find that the usage of medical marijuana may eventually be over prescribed. The use of medical marijuana has increased over the years for treatments to multiple diseases and conditions, but it was not always this way. Although it has been dated to early years, there were periods of times where medical marijuana was illegal. In my opinion, I think treating patients whom are
Since government funding is not permitted, private dispensaries are generally set up to administer marijuana prescriptions with varying levels of restrictions ranging from strict to almost nonexistent (Kleber & Dupont, 2012). Physicians may issue a “marijuana card” to patients who apply for drug treatment programs within their authorized state of residence and processed for approval or denial (Harding, 2013). Conventional pharmacies cannot administer marijuana prescriptions; therefore insurance companies do not cover it. Patients have the option of having a personal supply (if approved in their state) or the use a dispensary facility.
With 520 physicians from Colorado taking the survey, 46% said they would not recommend prescribing the plant to patients, while only 19% said they would recommend it. When asked about continuing research, “Nearly all agreed on the need for further medical education about medical marijuana.” With 91% agreeing that it should be explored deeper, it shows that many people don’t actually know the truth of how helpful or harmful marijuana can be.
The American Society of Addiction Medicine’s (ASAM) public policy statement on “Medical Marijuana,” clearly rejects smoking as a means of drug delivery. ASAM further recommends that “all cannabis, cannabis-based products and cannabis delivery devices should be subject to the same standards applicable to all other prescription medication and medical devices, and should not be distributed or otherwise provided to patients …” without FDA approval. ASAM also “discourages state interference in the federal medication approval process.” (“Who’s With
Background: The Marijuana Tax Act of 1937 established the federal prohibition of marijuana. Dr. William C. Woodward of the American Medical Association testified against the Act, arguing that it would ultimately prevent any medicinal use of marijuana. The Controlled Substances Act of 1970 established five categories, or "schedules," into which all illicit and
The legalization of marijuana in other states has increased access to and acceptability of this drug for both medicinal and recreational purposes. In the absence of well-designed research and FDA approval, this creates unique challenges for both practitioners and regulators alike. Doctors are being pressured to recommend medical marijuana based off of the requests of the users. The regulations that have been put on marijuana are extremely loose fitting and hard to control
Until very recently the only research that has been conducted on the medical use of Cannabis has been for the relief of cancer patients. The primary use at this point has been for the relief of nausea and vomiting associated with cancer chemotherapy (Nantional Cancer Institute, 2014). Some of the other uses have been for anorexia and cachexia in HIV/AIDS, chronic, especially neuropathic pain, spasticity in multiple sclerosis, and spinal cord injury (Nantional Cancer Institute, 2014). The scientific data collected over the years is precisely clear that the use of medical Cannabis is needed and should be allowed everywhere in the United States.
The use of cannabis toward medicine should not be shocking to anyone, since it has been around for centuries. As a matter of fact, it has been under medicinal aid for an estimated 5,000 years. Western medicine truly grasped marijuana’s medicinal abilities in the 1850’s. Infact, doctors documented over one hundred papers about how marijuana helped numerous disorders, such as nausea, glaucoma, movement disorders, pain relief, depression, and anxiety. It also helps cancer patients and those with HIV or Aids. Currently, many American patients have access to marijuana use so that they can have effective treatments for their illnesses. Medical marijuana use is achievable because
The legalization of medical marijuana has brought into question various components of medical care for advance practice nurses (as well as others within the larger healthcare profession). In addition to navigating the legal complexities of care associated with this particular method, advance practice nurses must understand prescriptive rights, best practices for us and how statutory language as it is currently written has been amended for medical use. This is a growing movement in the healthcare sector and one that will continue to evolve as legalization continues to be a large part of the national health care conversation. Advance practice nurses, as professionals that can and often do prescribe medication, must be knowledgeable about the parameters surrounding prescriptive rights. Moreover, they are required to know the latest information from a legalization perspective in order to ensure professional boundaries are not being crossed in the process of helping patients.
The use of medical marijuana has been discussed for the last few years. Many studies have been conducted on the effects and benefits medical marijuana has on a person. As of today, 29 states, including DC have legalized the use of medical marijuana. Many medical marijuana users use it as treatment for pain relief, depression, and anxiety. The articles “Medical marijuana use linked to lower prescription drug use, higher rating for Bill and Teds Excellent Adventure,” “Legal marijuana linked to fewer opioid prescriptions,” and “Use of prescription pain medications among medical cannabis patients: comparisons of pain levels, functioning, and patterns of alcohol and other drug use” are informative in delivering their information on how medical marijuana lowers prescription drug use.
The medical use of marijuana has been a discussion that has been in the news and all around us recently. This is currently a hot topic of interest. There is an enormous amount of evidence that marijuana could be effect against many things. For example evidence shows it could be used to help relieve pain during chemotherapy, but along with this there is also evidence that at times marijuana can cause harm to someone as well. As nurses we must see each side of the debate to make our care for our patients sounder. One quote that directly applies to this topic, which is very important, was written in the Journal of Clinical Nursing:
As the debate about marijuana’s use as a medicine continues, experts have given us information pertaining to