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Has your medical condition failed to respond to every treatment available? Have you or your doctor considered MEDICAL CANNABIS as a trial of therapy but don’t know how?

WE HELP YOU GET STARTED ON MEDICAL CANNABIS JOURNEY

Forms of Medical Cannabis that can be prescribed to you.

Dried floral Plant (Buds)

When you are prescribed the dried floral plan( buds) you have to use a vaporizer and not smoke it. Vaping is considered safe and also uses less cannabis.

Active ingredients: delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), 18% total THC (THC+THC-acid) and <1% total CBD (CBD + CBD-acid) and lesser amounts of other cannabinoids and terpenes.

PRECAUTIONs

  • Patients should  not drive while treated with medicinal cannabis:
  • Cannabinoids can impair the ability to drive.
    THC can be detected and measured in saliva hours after administration and may be detectable in urine many days after the cessation.
  • Patients should not consume alcohol when treated with medicinal cannabis: as Alcohol may increase the THC levels.

Cannabidiol oil

Cannabidiol extract from the plant in the form of oil, the concentration of different products are from 25mg/ml to 250mg/mg.

While THC certainly offers tremendous health benefits, its mind-altering effects aren’t preferred by everyone. CBD, on the other hand, can deliver many of the same benefits of THC without inducing its psychoactive effects.

CBD  also reduces some of the other adverse effects that people can experience from THC, such as anxiety.

After CBD oil is prescribed to you a dose titration guide will be given to you to increase the dose for symptom relief.

If you are also using THC based product CBD will help to reduce the high/anxiety effect of THC.

THC Oil

The main difference between the dried floral plant(buds)  & THC oil is the onset of action and duration of action.

Oils are generally more slowly absorbed than those
consumed by inhalation. The bioavailability of oral cannabis may be low (10-20% of THC; 6-10% of CBD) due to internal and first pass liver metabolism.

Effects may be generally delayed for 30–90 minutes, with peak onset of the effect occurring 2–4 hours after consuming
THC oil, with effects lasting from 8–24 hours.

Based on your medical condition a recommendation can be made to use THC oil or the cannabis Dried floral plant.

CBD + THC oil

CBD + THC oil combination is a good starting point for most medical conditions when starting on a trial of treatment with medical cannabis.

The whole-plant cannabis preparations are quantifiably superior to single compounds because the plant’s complex mix of cannabinoids, terpenes, and flavonoids interact synergistically to create an “entourage effect” that enhances each other’s therapeutic effects.

Entourage effect: The combined actions of cannabinoids and other molecules in the plant may present clinical advantages such as lower adverse effects and greater efficacy on therapeutical management of several conditions such as pain, inflammation, Anxiety, Depression, cancer etc

Cannabis mouth spray

To make the cannabis mouth spray there is a lot of science involved. Cannabis is not water soluble and cannot be absorbed from mouth till its made water soluble.  The cannabis spray manufacturers use a process that converts poorly water-soluble molecules into a water-soluble form prior to administration, thus enhancing the bioavailability of a highly fat-soluble drug.

Absorption via the oral mucosa bypasses the gut and has a fast onset of action and higher bioavailability.

Depending on your medical condition a cannabis mouth spray can be recommended.

CBD Crystals

CBD crystals are a highly refined and purest form of CBD. Unlike other extracts, CBD crystals are at least 98% pure, meaning that no other substances are present in your CBD.

A highly convenient way to take CBD crystals is to mix with an e-liquid for a vape pen.

You can also mix it with many different types of oils, but the best to use is olive, coconut, or hemp seed oil.

CBD crystals are also excellent for edible products. You can easily bake with CBD crystals

We wouldn’t advise you to Apply for medical cannabis until you have read through to the end of this page, it will help you reach the right conclusion and be more educated about medical marijuana.Medical cannabis is not a first-line treatment for any medical condition. The final decision to prescribe is done by the doctor and will be agreed or refused as per his clinical judgement.

Your application process

STEP-1
REGISTER
Apply with your medical information, your diagnosis, past treatments and outcome.
STEP-2
CONSULTATION
Consultation with the doctor to seek further information to decide what type and dose of medical cannabis will suit you the best. Plan follow up
STEP-3
DISPENSE
After the consultation application will be lodged with TGA under the Special Access Scheme and once approved, your prescription will be dispensed and posted from the pharmacy.
TELE-CONSULTATION IS AVAILABLE
Medical Conditions that TGA has approved for medical cannabis:

Chronic Pain

      • Chronic non-cancer pain
      • Chronic Fatigue Syndrome
      • Chronic Headache
      • Fibromyalgia pain
      • Arthritis Pain
      • Chronic Hip pain
      • Chronic Back pain
      • Irritable Bowel Syndrome Pain
      • Endometriosis
      • Chronic pelvic pain

Neuropathic Pain

  • Trigeminal Neuralgia
  • Peripheral Neuropathy

Palliative Care

  • Palliative Pain

Neurological

Conditions

  • Multiple Sclerosis Pain
  • Multiple Sclerosis Spasticity
  • Epilepsy
  • Migraine

Sleep Disorders

  • Chronic Insomnia
  • Sleep Apnea

Cancer

  • Cancer pain
  • Chemo-induced Nausea
  • Anorexia and wasting associated with cancer or chronic illness.

Pediatric Conditions

  • Pediatric epilepsy
  • Autism
  • ADHD
  • Tourette’s Syndrome

Psychiatric Conditions

  • Depression
  • Anxiety
  • Post Traumatic Stress Disorder
  • Schizophrenia

Other Chronic Medical conditions

Also, ANY CHRONIC CONDITION THAT
Has lasted three months or longer
also, has not responded to conventional medical treatment, or has side effects

Medical Applications of Cannabinoids

Cost of Medical Cannabis

Approval Renewal / Subsequent Applications :  $ 199
These consultations are required yearly for the TGA Application Renewals, or if you would like to add or change your product.

The monthly cost of medical cannabis:
Cannabis cost will depend on the amount of THC or CBD in the product, approximately it may cost $200-300/month. Products and prices can be discussed in the consultation.

Medical Cannabis Australia

  • Is Medicinal Cannabis Legal  Australia?: In early 2017, the Federal Government loosened laws to allow easier importation of medicinal cannabis from suppliers overseas. Medicinal marijuana isn’t approved by the Therapeutic Goods Association (TGA) as a registered good so special approval is needed to take it, and it needs to be prescribed by an authorised doctor.
  • How hard is it to get a prescription?
    Quite hard, because medicinal marijuana isn’t approved by the Therapeutic Goods Association (TGA) as a registered good, you need special approval to take it, and the TGA provides two ways for you to go about getting this:
  • Doctors Application: Doctors have to apply to become “authorised prescribers” of specific non-listed drugs to patients with particular medical conditions.
  • Patient Application: Doctors have to  apply for medicinal marijuana on behalf of their patients through the “Special Access Scheme.”
  • A justification for Medical cannabis: In both cases, doctors need to be able to show that the drug would be of benefit for a particular patient with a specific disease, and the application processes are stringent. As well, the use of marijuana for medical purposes still needs to be legal in your state or territory. On that note, individual states and territories also have their laws regarding access to medicinal marijuana.
  • Special Access Scheme: Under the TGA Special Access Scheme, some forms of medicinal cannabis are currently available. The scheme provides for the import and supply of an unapproved therapeutic good to individual patients on a case-by-case basis.
  • Special Access Scheme Category A:  is for terminally ill patients, and
  • Special Access Scheme B: is for patients who are not terminally ill but need access to medicinal cannabis for their condition.
After we confirm your eligibility for medical cannabis, We will apply to TGA and State for approval.
  • The process : Our team will work through this complicated process and simplify the process for you from initial assessment to TGA approval and ongoing treatment planning. Once we complete our evaluation and confirm your eligibility for medical cannabis, We will apply to TGA on your behalf, through one of the above pathways. We may also need to apply for state approval, as rules relating to medicinal cannabis currently varies between states.

 

  • Medicinal cannabis as your treatment: will only be considered after standard treatments have failed. It is important to note that response to medicinal cannabis varies from person to person and finding the right dose may require trial and error. Our understanding of the role of medicinal cannabis will evolve as more people get treated with medical cannabis

Medical Cannabis

The Endocannabinoid system

  • Our body many natural cannabinoids: Every human has an Endocannabinoid System in their bodies that restore homeostasis by promoting sleep, appetite, stress reduction, modulation of pain and inflammation. Our body naturally makes cannabinoids which are called endocannabinoids. And the cannabinoids derived from plants care called Phytocannabinoids.  These cannabinoids act on receptors called CBD 1 & CBD 2.
  • Receptor’s Location CBD1: Mainly located in the central nervous system,  CBD2: Mainly located in the immune system Cannabinoid compounds in Cannabis interact with these receptors to produce effects on the effects.
  • ​CBD & THC: There are two main chemicals in cannabis CBD (cannabidiol) and THC (tetrahydrocannabinol)
  • THC in cannabis has psychoactive effects what gives high feeling and has been used for the recreational purpose for this effects, and it also has been found useful to treat nausea and vomiting, decrease pain, relieve muscle spasms, improve appetite and help with sleep disorders. THC has analgesic, anti-inflammatory and antioxidant properties.
  • CBD has an anti-psychoactive effect that controls or moderates the ‘high’ caused by the THC. CBD  also reduces some of the other adverse effects that people can experience from THC, such as anxiety.CBD  has shown effective for seizures, pain, and to reduce anxiety. Together, THC and CBD may benefit a range of conditions.
  • Strains  INDICA, SATIVA, HYBRID: INDICA + SATIVA

 

  • EVIDENCE: Medical cannabis is not TGA registered due to a lack of high-quality evidence. There is ongoing research, and clinical trials are being done worldwide. Medical marijuana is only used for medical conditions where every treatment has been tried and has failed, and there are no more options to try. Medical cannabis is not a first-line treatment for any medical conditions.
  • Do not smoke cannabis for medical purposes: Smoking is a particularly harmful way of taking marijuana, mainly because carcinogenic substances are inhaled directly into the lungs. Smoking cannabis is not recommended as the smoked form contains at least 50 of the same carcinogens as tobacco.

Medical vs illegal cannabis:

Medicinal cannabis and illegal cannabis come from the same type of plants – but are very different. Illegal marijuana is grown from unknown sources and may contain pesticides, moulds, and bacteria which are harmful. The content of THC and CBD is not known.

Medical Cannabis: Standardised for quality and consistency. CBD and THC content is known by mg/ml and is accurate. The manufacture of medicinal cannabis is highly regulated and must conform to strict Good Manufacturing Practices – this means products are free from harmful ingredients, that doctors know what is in it, and that the effect it has for a patient will be the same from bottle to bottle.

Patient resources for Medical cannabis

Guidance for the use of medicinal cannabis in Australia

Learn More about Medical cannabis research by
Dr Raphael Mechoulam ‘Father of Cannabis,’ the Man Who Discovered Why Weed Makes You High.

This Video is for education purpose only and nothing in the video should be used as medical advise.

Assessment process for Medical cannabis.

Step-1: Comprehensive clinical assessment

 

Before commencing treatment with medicinal cannabis complete, a comprehensive clinical evaluation will be done by our medical team which will involve detailed medical and mental health history.

Important information you will need to provide:

  • Medical diagnosis and symptoms for which medical cannabis is considered. Ongoing medical symptoms and impact on life.

  • Past medical history:  all medical diagnosis and history of Cardiovascular disease, Respiratory disease, liver disease and renal disease.

  • Medication History:   All treatments that have been tried and have failed, length of time the treatments that were trialled and the reasons for stopping the treatment. Side effects from the treatment.  all other current medications and indications of use.

  • Mental health history: History of mental illness, depression, anxiety, PTSD, schizophrenia.

  • Family medical history: Medical conditions,  mental health, particularly a family history of schizophrenia.

  • History of drug dependence and substance abuse disorder in past.

  • Personal/ lifestyle/social history, Nicotine dependence, alcohol dependence/abuse, and previous illicit drug use.

  • Social history: social and family support for the use of a medicinal cannabis product.

  • Caring for young children, child safety, employment (especially where it involves driving or operating  machinery), “at risk” living conditions and the risk of falls in older patient

  • Physical investigations: radiology reports, Bloods results

Step-2: Treatment planning

  • Trial Phase: We will start on the three-month trial of medical cannabis to determine its effectiveness for your condition or symptoms.

  • Dose titration and close feedback phase: Regular feedback will be taken from you to measure the effectiveness of medical marijuana. Simple questionnaires like mood, pain, symptom improvement will be done regularly. Dose titration will be advised as per your response.

  • Follow up monitoring plan: Weekly/fortnightly/monthly reviews will be done case based monitoring plan will be decided.

  • Exit Strategy: We have an exit strategy in situations where the medicinal cannabis product after 2-3 months trial on a therapeutic dose has not helped to manage the symptoms, or psychoactive or other side-effects are prohibitive (particularly for THC preparations). Starting dose will be slowly increased in response to a lack of efficacy until toxicity outweighs any benefit.

Dosing
The general principle is  “start low, go slow”. If you have never used cannabis before a starting dose can be low at 0.1–0.5mg  and up-titrated from there. If you have used cannabis before dosing advice will consider tolerance and accumulation of THC in fat stores.

Dosage forms

  • Oils

  • Flowers: delivered via Vaporisation Devices, separate TGA application is needed in addition to the one for medicinal cannabis.

  • Capsules

  • Buccal sprays

Driving
Out of the two preparations, THC is considered to impair driving capacity. If you are prescribed THC, you can not drive. During consultation with our doctor, you will need to sign a consent form for the same.

Medical Cannabis for the Treatment of Fibromyalgia

I will discuss a clinical trial was done by George Habib, (MD, MPH, Rheumatology Unit, Laniado Hospital, Netanya, Israel) to find out the effect of medical cannabis on fibromyalgia.

Medicinal applications of Cannabinoids

The infographic developed by CANNA Foundation summarises the therapeutic applications of cannabinoids.

Medical Cannabis Treatment Option for Intractable Childhood and Adolescent Epilepsy

CBD has anticonvulsant effects and CBD showed antioxidant, anti-inflammatory, neuroproliferative, and remyelinating effects.

References:

  1. Medicinal Cannabis | Epilepsy Action Australia | Epilepsy …. https://www.epilepsy.org.au/about-epilepsy/medicinal-cannabis/.
  2. Medicinal cannabis / medicinal cannabinoids. https://adf.org.au/wp-content/uploads/2018/12/Medicinal-Cannabis-Fact-Sheet-FINAL.pdf.
  3. Patient access | Office of Drug Control – odc.gov.au. https://www.odc.gov.au/patient-access.
  4. Althea. https://www.althea.com.au/generals/medicinal_cannabis.
  5. Guidance for the use of medicinal cannabis in Australia …. https://www.tga.gov.au/publication/guidance-use-medicinal-cannabis-australia-overview.
  6. Cannabinoids for Medical Use: A Systemic Review and Meta-analysis. Whiting et al. JAMA 2015; 313(24)2456-2473  https://bit.ly/2FLcHuK
  7. Royal Australian College of General Practice: Medicinal use of cannabis products Position statement – October 2016 http://www.racgp.org.au/download/Documents/Policies/Clinical/RACGP-positionon-medical-cannabis.pdf.
  8. Cannabis: The Evidence for Medical Use, Michael Barnes and Jennifer Barnes, May 2016 http://www.drugsandalcohol.ie/26086/1/Cannabis_medical_use_evidence.pdf.
  9. Faculty of Pain Medicine: Statement on “Medicinal Cannabis” with particular
    reference to its use in the management of patients with chronic non-cancer pain. 2015 http://fpm.anzca.edu.au/documents/pm10-april-2015.pdf.
  10. Access Pathways for use of medicinal cannabis in Queensland, https://www.health.qld.gov.au/__data/assets/pdf_file/0023/634163/med-cannabis-clinical-guide.pdf.
  11. Clinical trials related to medical cannabis, http://www.cannabis-med.org/english/studies.htm.
  12. Fundación CANNA, https://www.fundacion-canna.es/en

Meet Dr.Dushyant Singh

MBBS, FRACGP

Our Medical Care partners

Internal Medicine Physician

Pediatrician

Neurologist

Write to us for more Information

01:19 19 Aug 19
Helpful and informative doctor, great service!
02:55 06 Aug 19
Dr Singh is a very genuine person and I've found him to be most knowledgeable about Medical Cannabis and it's benefits. He has also made the whole process of gaining approval for it's use so much easier than I thought it would be. I highly recommend this doctor.
11:54 03 Jul 19
I live in a constant state of extreme anxiety and this cbd oil has definitely taken the edge off that anxiety, i would highly recommend it although it is quite expensive its worth it.
08:53 03 Jul 19
An incredible doctor who has a extensive knowledge in all areas of medicine, your treated like a person and you can see he takes pride in his profession, highly respectful practice. 👍 10 stars
02:44 28 Jun 19
Dr Singh is very informative and put my mind at ease on what to expect. Highly recommend
21:51 22 Jun 19
Best Dr I've ever experienced excellent service and knowledge I highly recommend Dr singh
00:47 19 Jun 19
Dr. Singh is an amazing Doctor. He treats his patients like family, and goes out of his way to try and help you as much as possible. I'm glad that I switched Doctor's, as Dr. Singh is an exceptional Doctor.
23:20 18 Jun 19
Dr Dushyant provides professional and ongoing care to his patients. I value my experience being treated by him and his team. I recommend that anyone who wishes to explore the possibility of incorporating medical cannabis into their medical regime to call Dr Dushyant and his team and have a conversation.
09:51 18 Jun 19
I found the process to be quite easy and straight forward. Dr was both knowledgeable and understanding of my condition and i had tga approval in a couple of weeks.
11:44 13 Jun 19
Very knowledgable and helpful doctor, great all round service.
06:57 13 Jun 19
Very good Dr and got alot of information on the treatment highly recommended!

FAX : +61 733196037

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Medical Cannabis Clinic Australia

9 Ambrose Drive,

Augustine Heights

QLD 4300

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