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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)
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.
- 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.
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.
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
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
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.
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
Your application process
- Chronic non-cancer pain
- Chronic Fatigue Syndrome
- Chronic Headache
- Fibromyalgia pain
- Arthritis Pain
- Chronic Hip pain
- Chronic Back pain
- Irritable Bowel Syndrome Pain
- Chronic pelvic pain
- Trigeminal Neuralgia
- Peripheral Neuropathy
- Palliative Pain
- Multiple Sclerosis Pain
- Multiple Sclerosis Spasticity
- Chronic Insomnia
- Sleep Apnea
- Cancer pain
- Chemo-induced Nausea
- Anorexia and wasting associated with cancer or chronic illness.
- Pediatric epilepsy
- Tourette’s Syndrome
- Post Traumatic Stress Disorder
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
Cost of Medical Cannabis
Doctor ConsultationAnnual Consultation
- Medical Condition Discussion,
- Treatment History review,
- Current Medicines Review,
- Product Selection, TGA Application, Consent Form,
- Information (provided to the patient)
Monthly ReviewRepeat Scripts
- Review of Medical cannabis treatment, Dose review,
- Prescription writing and tracking, Administration work related to ongoing dispensing
- TGA reporting, Product ordering and distribution
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.
- 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
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
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.
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.
Flowers: delivered via Vaporisation Devices, separate TGA application is needed in addition to the one for medicinal cannabis.
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.
- Medicinal Cannabis | Epilepsy Action Australia | Epilepsy …. https://www.epilepsy.org.au/about-epilepsy/medicinal-cannabis/.
- Medicinal cannabis / medicinal cannabinoids. https://adf.org.au/wp-content/uploads/2018/12/Medicinal-Cannabis-Fact-Sheet-FINAL.pdf.
- Patient access | Office of Drug Control – odc.gov.au. https://www.odc.gov.au/patient-access.
- Althea. https://www.althea.com.au/generals/medicinal_cannabis.
- Guidance for the use of medicinal cannabis in Australia …. https://www.tga.gov.au/publication/guidance-use-medicinal-cannabis-australia-overview.
- Cannabinoids for Medical Use: A Systemic Review and Meta-analysis. Whiting et al. JAMA 2015; 313(24)2456-2473 https://bit.ly/2FLcHuK
- 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.
- Cannabis: The Evidence for Medical Use, Michael Barnes and Jennifer Barnes, May 2016 http://www.drugsandalcohol.ie/26086/1/Cannabis_medical_use_evidence.pdf.
- 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.
- 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.
- Clinical trials related to medical cannabis, http://www.cannabis-med.org/english/studies.htm.
- Fundación CANNA, https://www.fundacion-canna.es/en
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