Cannabis-Based Products for Medicinal (CBPM) Use

Question 1

Define a Cannabis-based product for medicinal use in humans

Answer 1

Preparation which:

a) Is, or contains cannabis, resin, cannabinol or derivative (NOT dronabinol)
b) Is produced for medicinal use in humans

c) is a:
- medicinal product or
- substance or prep used as ingredient of, or in production of a medicinal product

Question 2

Which legal regulations were amended to allow CBPMs to be prescribed by clinicians on the GMC’s specialist register?

When were they amended?

Answer 2

• Misuse of Drugs Regulations

- November 2018

Question 3

Can food grade CBD oil be purchased form pharmacies? What must be assured prior to this?

Answer 3

Yes - a Certificate of Analysis from the supplier must be acquired to ensure there is no THC in the oil

Question 4

What regulatory body are CBD oil products regulated by?

Answer 4

The Food Standards Agency - also means they cannot make health benefit claims

Question 5

What must be carried out by relevant HCPs in hospitals if patients bring in their own CBD oil for use in care?

Answer 5

Carry out a risk assessment on a case-by-case basis

Question 6

What is Sativex and what is it used to treat?

Answer 6

Used in multiple sclerosis (MS) and comes in an oromucosal spray containing CBD and THC

Question 7

What is Epidyolex and what is it used to treat?

Answer 7

An oral solution containing CBD and licensed for treatment of seizures associated with Lennox-Gastaut syndrome, or Dravet syndrome in patients aged 2 years or older

Question 8

What is the current prescribing status and method of CBPMs?

Answer 8

Initial Rx of CBPMs (excluding Nabilone, Sativex) must be made by specialist medical practitioner (i.e. Dr included in the register of specialist medicinal practitioners)