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There are many different medicinal products available in Australia that differ in active ingredients, concentrations, format, quality and regulatory control. Most medicinal cannabis products are unapproved products in Australia as they do not appear on the ARTG. Unappproved medicines need to be accessed through 'special access' pathways with approval from the Therapeutics Goods Australia TGA. Find out more about how to access medicinal cannabis in Australia. It is the responsibility of the prescriber to specify which product they wish to access. The TGA provides a list of unapproved medicinal cannabis products that can assist prescribers with selecting the appropriate product. While the cannabis plant contains hundreds of bioactive molecules, there are two main active constituents that are being used for medicinal purposes; deltatetrahydrocannabinol THC and cannabidiol CBD. The term ' medicinal cannabis ' encompasses any form of cannabis that is used for therapeutic purposes, and therefore comes in many forms. Medicinal cannabis should be thought of as a class of medication, rather than a single form of medication. There are many medicinal cannabis products available in Australia that differ in chemical constituents, strength, formulation, and quality. The Poisons Standard dictates the level of regulatory control that is applied and how easily people can access these substances. Each drug mentioned in the Poisons Standard is placed in a certain category called a 'schedule' based on the potential risks and harm associated with its use. Medicinal cannabis products are classified as either Schedule 8 controlled drugs , Schedule 4 prescription-only or Schedule 3 pharmacist-only drugs. As most medicinal cannabis products are unregistered medicines, they can vary in quality. When selecting a medicinal cannabis product, ask the manufacturer for a certificate of analysis to verify the cannabinoid content and the absence of impurities like heavy metals and pesticides. It is currently illegal for patients taking cannabis medicines that contain THC to drive. Read more here: Cannabis and driving. Medicinal cannabis products can involve either plant-derived cannabinoids so-called phytocannabinoids or synthetically produced cannabinoids. Plant-derived products are raw cannabis plant materials that have been produced in a strict GMP-compliant environment from cloned plants and allow for predictable cannabinoid content. This plant material would be vaporised or smoked by the user. Medicinal cannabis products in 'flos' or 'bud' form are only prescribed to be vaporised via a TGA approved and registered medical device. Plant-derived products can also come in the form of liquids oils or tinctures , which are made by extracting cannabinoids from plant material by exposing it to solvents such ethanol or supercritical carbon dioxide. The liquid is typically swallowed or put under the tongue using a dropper. Other sublingual methods of ingestion such as a wafer or lozenge are also under development. Other extracts are made into gels for topical application onto the skin. Finally, concentrated plant extracts are sometimes put into capsules that are swallowed much like any other medicine. Plant-derived products vary in their level of phytocannabinoids. Whole or 'full-spectrum' plant extracts are produced in a way that preserves the balance of all the different cannabinoids and terpenoids in the plant. Other extracts are filtered and manufactured in a way that maximised the presence of one particular cannabinoid such as CBD. There is a belief that the therapeutic benefits of cannabinoids such as CBD, are improved when maintained in a full-spectrum extract — this is often referred to as ' the entourage effect '. This is more of a 'pharmaceutical' approach to cannabinoid production and avoids the many issues involved in growing cannabis plants. The information held in these pages is intended to be an educational resource to direct patients and medical practitioners more clearly and safely to work in this emerging medical landscape. Initiative home Accessing medicinal cannabis What products are available? What medicinal cannabis products are available? An overview of medicinal cannabis products available in Australia. Registered cannabis medicines There are currently only two medicinal cannabis products registered on the Australian Register of Therapeutic Goods ARTG registry: Epidyolex cannabidiol , which is indicated for use as adjunctive therapy of seizures associated with Lennox-Gastaut syndrome or Dravet syndrome for patients 2 years of age and older. Sativex Oromucosal Spray nabiximols , which is indicated as treatment for symptom improvement in patients with moderate to severe spasticity due to multiple sclerosis who have not responded adequately to other anti-spasticity medication and who demonstrate clinically significant improvement in spasticity related symptoms during an initial trial of therapy. Types of medical cannabis products available While the cannabis plant contains hundreds of bioactive molecules, there are two main active constituents that are being used for medicinal purposes; deltatetrahydrocannabinol THC and cannabidiol CBD. Medicinal cannabis products can be: Derived from the plant, e. These products tend to have THC. Broad-spectrum: products containing a range of cannabinoids and other cannabis constituents, but with no THC present. All other medicinal cannabis: All other medicinal cannabis products are classified as Schedule 8 controlled drugs. Product types: understanding the difference Medicinal cannabis products can involve either plant-derived cannabinoids so-called phytocannabinoids or synthetically produced cannabinoids. Plant-derived cannabinoids Plant-derived products are raw cannabis plant materials that have been produced in a strict GMP-compliant environment from cloned plants and allow for predictable cannabinoid content. Synthetically produced cannabinoids Cannabinoids such as THC and CBD can be produced in a laboratory using organic chemistry techniques. Discover our research. Participate in our research View clinical trials here. Prescribing Medicinal Cannabis in Australia. This Australian Prescriber article, selected as the top article for , is a great resource for medical doctors or patients to give their doctors to learn more about the process of prescribing medicinal cannabis; including accessing products, conditions treated and adverse effects. How to get medicinal cannabis. Medical cannabis and driving. Medical cannabis use is increasingly common in Australia. Patients and physicians need to be aware of the important implications that such use may have for driving. The aim of this article is to briefly review the scientific evidence regarding cannabis and driving impairment and discuss current legal issues affecting patients, as well as to update physicians on relevant issues and the best guidance to offer their patients.

Medical Marijuana Australia: The VICE Guide on How To Get It

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Patients may be eligible to trial medicinal cannabis if they have a chronic medical condition where conventional treatment options were determined to be unsuitable, and there is evidence to support the use of medicinal cannabis for the condition. Instead, the TGA, the governing body that regulates access to all medicines including medicinal cannabis, have created pathways for doctors to access medicinal cannabis products for their patients, where clinically appropriate. Australian registered medical practitioners who would like to access unapproved medicinal cannabis products for the treatment of appropriate patients may choose to do so through the Special Access Scheme SAS or the Authorised Prescriber Scheme. Alternatively, doctors can suggest their patients for a clinical trial or refer them to a doctor more experienced with medicinal cannabis. The medical practitioner has two ways of applying for unregistered medicines:. To source a drug for a single patient, a doctor can use the Special Access Scheme. The doctor can apply to the TGA to become an Authorised Prescriber AP , allowing the doctor to prescribe an unregistered medicine to a whole class of patients. For example, a paediatric neurologist might apply to the TGA to become an AP to prescribe medical cannabis products to children with epilepsy. Some patients may be eligible for clinical trials investigating medicinal cannabis products. Information on the clinical trials taking place at the Lambert Initiative can be found here. It is the responsibility of the prescriber to specify which product they wish to access. The TGA provides a list of unapproved medicinal cannabis products that can assist prescribers with selecting the appropriate product. Find out more. There are many different medicinal products available in Australia that differ in active ingredients, concentrations, format, quality and regulatory control. Initiative home Accessing medicinal cannabis What products are available? An overview of medical cannabis access for patients and medical professionals. More information can be found on the TGA's website. A table outlining the pathways available to access medicinal cannabis Access option Details Special Access Scheme For prescribing medicinal cannabis to a single patient Authorised Prescriber For prescribing medicinal cannabis to multiple patients with similar indications Clinical Trials Referring patient for a clinical trial, if available Shared-care Referring patient to a doctor more experienced in prescribing medicinal cannabis. How doctors can apply for medicinal cannabis The medical practitioner has two ways of applying for unregistered medicines: 1. Prescribing Medicinal Cannabis in Australia. A guide for medical doctors on prescribing medicinal cannabis or for patients to give to their doctors. This Australian Prescriber article includes information on products, conditions treated and adverse effects. It was selected as the top article of the Australian Prescriber for What products are available? Participate in clinical trials Register your interest here. Find a medical cannabis prescriber A directory of doctors and prescribers in Australia. What medicinal cannabis products are available? Medical cannabis and driving. Medical cannabis use is increasingly common in Australia. Patients and physicians need to be aware of the important implications that such use may have for driving. The aim of this article is to briefly review the scientific evidence regarding cannabis and driving impairment and discuss current legal issues affecting patients, as well as to update physicians on relevant issues and the best guidance to offer their patients. A primer on medicinal cannabis safety and potential adverse effects. Medicinal cannabis prescriptions are on the rise in Australia, and general practitioners will increasingly encounter patients using cannabis-based products. The aim of this review is to provide a primer on the safety issues that need to be considered with medicinal cannabis. For prescribing medicinal cannabis to multiple patients with similar indications. Referring patient to a doctor more experienced in prescribing medicinal cannabis.

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