Strong consumer demand has led to medicinal cannabis being used more
widely in the treatment of a number of medical conditions, or for patients
presenting with poor symptom control.
An application to prescribe medicinal cannabis can be submitted for:
Before a medical practitioner applies to access medicinal cannabis for a patient,
they should complete a comprehensive clinical assessment identifying risk
factors that will want to be addressed.
An accurate and thorough history taken by the medical practitioner should include:
We suggest an initial treatment plan indicate a 4-12-week trial period in which the
effectiveness of the medicinal cannabis product for the patient’s
condition/symptoms can be determined.
The plan should clearly indicate:
As medicinal cannabis is an unapproved medicine, it is important that patients are
reviewed regularly to ensure efficacy and to manage any adverse events. We suggest
that a monitoring program similar to opioids would be clinically useful.
Once established on a dose, a monthly review is recommended as a minimum.
At each review the medical practitioner should ensure the following areas are covered:
Symptom Control, Adverse Events, Aberrant Behaviour, Records (SAAR):
Titration is the process of gradually increasing a doseis achieved. We advise all new patients to start low and go slow. Patients should not ingest additional cannabis until they have accurately gauged the effect of their prior dose. Taking too much cannabis can cause discomfort and should be avoided. Below are some key notes in finding your titration point.
Below is an example of a titration schedule for an oil formulation containing 20mg/ml of active ingredient, taken BD. It should be noted that titration is response dependant:
Start dosing in the evening and separate doses by at least six (6) hours.
Gradually increase the quantity (if needed) until you find the optimal dose.
Maintain a consistent dosing schedule and increments.
Adjust dose timing accordingly based on severity of symptoms. Some patients prefer to take smaller doses at greater intervals.
Please note, the table is a guide to dosing for your patient. The dose may also very dependent on the concentration of active ingredient (THC / CBD) in the formulation.