There are a number of practical considerations which patients should discuss with their treating doctor and consider before being prescribed a cannabis medicine. These considerations include:
We encourage patients to discuss their interest in cannabis medicines with their treating doctor, as they will be in the best position to provide advice regarding prescribing a cannabis medicine. This is because they will be familiar with their patient’s medical condition and family history, as well as having knowledge of existing medications or other therapies their patient is currently prescribed or undergoing. Patients do not need to be referred to a ‘cannabis clinic’.
If the doctor prescribing a cannabis medicine is not the patient’s usual treating doctor, it is expected that they will have a good working relationship with their usual doctor. This is to ensure the patient’s safety, because there are significant risks involved in administering an unregistered, experimental cannabis medicine. Unknown factors include whether the cannabis medicine will react in a harmful way with any existing medicine being taken, and the nature and severity of possible side effects.
Controls on prescribing cannabis medicines in NSW are in line with the restrictions for many other substances, including some severe acne medications, medicines for Attention Deficit Hyperactivity Disorder (ADHD) and narcolepsy, as well as medicines for persons with an established drug dependency. It is important that patients disclose if they have already been prescribed a cannabis medicine or if they have an ongoing drug dependency being managed by another doctor. This ensures better coordination of care for the patient under their treating doctors.
To prescribe an unregistered Schedule 8 cannabis medicine, a doctor must apply to the Australian Government’s Therapeutic Goods Administration (TGA) for an authority to prescribe. A doctor will also need to apply to NSW Health if they are seeking to prescribe or supply such a medicine to a child or a drug dependent person. Neither the TGA nor NSW Health charge doctors or patients for making an application to prescribe a cannabis medicine.
Despite widespread anecdotal claims that cannabis is a natural, benign product, a cannabis medicine, like any experimental medicine, has potential risks. These include the way it interacts with other medicines, as well as uncertainty about its possible side effects. For doctors, anecdotes do not equal evidence.
In NSW, any doctor can legally prescribe a cannabis medicine for a health condition if they believe it is an appropriate treatment option for their patient and they have obtained the relevant authorities.
Unfortunately, it is easier said than done. In this article, I will cover many important questions you may be wanting to ask.
Hi Jenjen, thanks for the question. Hemp seed oil does not contain any CBD or THC. Make sure you are using an actual medicinal cannabis product. If the product is Hemp CBD oil with a low THC %, it is unlikely that the traces of THC will show up on a drug test. The best solution to avoid any concerns or worries is to purchase a CBD isolate or broad spectrum CBD, these contain 0% THC and there is no chance of a positive result. Prices start at $99. Hope this helps!
Do you need a prescription for CBD oil?
Hi Waseem Im adverse to prescrit pain releaf, I have a bone on bone painful, pending opp presently nil
priority due to Chemo therapy. I had an opp to try a dropper of full spectrum Hemp extract, to my surprise it diminished my pain for approx 7 hours. The product was purchased off shore, I wud like to have access in NZ…i will try thru my GP initially but its heartening to know u are there.
MBChB (Otago), BSc (Auckland) – As our tele-medicine doctor and author, Dr. Waseem keeps busy educating both patients and doctors about medicinal cannabis. He also consults with people from all over New Zealand, offering a listening ear and giving the most relevant advice.
Now I’m ready to ask for another prescription but I want to know if there is a higher strength that actually works better than this as I find low dose isn’t enough. Obviously not cheap but willing try anything as I’m on high a class drugs with medication and I’m trying too cut those out and replace it possibly with medicated marijuana as not helping my organs high anti flams but no effects damages has organs to why I’m asking as I’m desperate.