Access to medical marijuana may tighten as a result of a new standard doctors are expected to follow if they prescribe pot.

Rules tighten for doctors who prescribe medical marijuana

New standard sets minimum age of 25, continuing care requirement to curb speedy weed docs, avoid 'free for all'

Doctors who prescribe medical marijuana to their patients are being directed by their regulatory body to follow a new professional standard that may reduce legal access to the drug.

The standard approved May 1st by the B.C. College of Physicians and Surgeons sets out detailed requirements doctors should follow if they authorize a patient to receive pot from a federally licensed commercial producer.

Except in rare cases, it says, patients under age 25 shouldn’t get pot at all, nor should those with psychosis or substance abuse disorders, cardiovascular or respiratory illnesses, or those who are pregnant or breastfeeding.

And medical marijuana should only be prescribed with the consent of a doctor who has an ongoing “treating relationship” with the patient.

Doctors of B.C. president Dr. Bill Cavers said he hopes that condition weeds out speedy pot authorizations from physicians who specialize in them, sometimes online via Skype.

“I don’t think it’s appropriate for a person to walk into a clinic for the first time ever and then walk out with a doctor’s signature with no follow-up or ongoing therapeutic relationship,” he said. “Any physician providing a signature or access to marijuana for medical usage should know their patients.”

Cavers acknowledged approval will be “more difficult” for would-be medical pot users who don’t have a family doctor, but he said some walk-in clinics do offer ongoing care for patients.

He said he supports the new standard.

“There need to be guidelines otherwise it’s a free-for-all with a substance that we know has had some deleterious effects in some people.”

Cavers said the federal government has put added responsibility on doctors by requiring an authorization that amounts to a prescription for pot instead of the old system of merely confirming a patient had an eligible condition.

He said most B.C. doctors don’t want to prescribe pot without much more evidence of its benefits and how it can be safely and effectively used – as with any other pharmaceutical.

“It is the responsibility of Health Canada, I think, to come in and actually clarify this,” Cavers said. “Physicians are crying out  for more investigation to find out whether marijuana is an effective substance and, if so, for what conditions, at what dosage and for what duration. We need all those answers to do a good job for our patients.”

Pot-prescribing doctors who violate the new rules could be investigated by the college if a complaint is lodged and potentially face discipline.

Doctors are supposed to document that conventional medicine hasn’t worked, that they discussed the risks of pot with a patient and assessed them for potential addiction.

A doctor who can’t demonstrate they complied with the professional standard might also be denied insurance if a patient they prescribe pot gets ill and sues.

It’s unclear what the changes may mean for the rapidly sprouting pot dispensaries that have varying rules on who they will sell cannabis.

“Some dispensaries will sell to anybody who walks in with no paperwork at all,” said pro-cannabis crusader Dana Larsen.

Others – including the one he operates – are stricter and require some form of physician approval, he said.

Municipal regulations planned by Vancouver and potentially other cities may tighten those practices, he said.

Larsen said the college’s standard may spur willing doctors to refuse to issue a formal authorization for cannabis from a licensed producer – which copies the paperwork to Health Canada – but instead provide a note to take to a dispensary.

“When a doctor signs our paperwork nobody sees that but us and the doctor and the patient,” Larsen said.

“If anything this could push some doctors to be more likely to prescribe for dispensaries and less likely to prescribe for licensed producers.”

The college’s new standard also bars doctors from charging for patients for a cannabis authorization, or for any other associated services.

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

COVID-19 test tube. (Contributed)
test tube with the blood test is on the table next to the documents. Positive test for coronavirus covid-19. The concept of fighting a dangerous Chinese disease.
Interior Health launches online booking for COVID-19 tests

Testing is available to anyone with cold, influenza or COVID-19-like symptoms

selfie.
Morning Start: Selfies Kill More People Than Sharks

Your morning start for Tuesday, Oct. 20, 2020

A health-care worker prepares to swab a man at a walk-in COVID-19 test clinic in Montreal North, Sunday, May 10, 2020, as the COVID-19 pandemic continues in Canada and around the world. (THE CANADIAN PRESS/Graham Hughes)
Interior Health records 21 new COVID-19 cases over the weekend

Thirty-six cases remain active; two people are in the hospital, one of whom is in intensive care

Gabrielle Clarke is an art therapist in Golden who works in mixed media art. Clarke’s art will be on display downtown at the Go-Lab. (Gabrielle Clarke photo)
Mixed media arts show comes to Go-Lab

Clarke’s art will be on display until Nov. 6

FILE – People wait in line at a COVID-19 testing facility in Burnaby, B.C., on Thursday, August 13, 2020. THE CANADIAN PRESS/Darryl Dyck
167 new COVID-19 cases, 1 death recorded as B.C. enters 2nd wave

Three new healthcare outbreaks also announced

A 20-year-old man was pronounced dead following a three vehicle collision on Highway 1 west of Revelstoke Tuesday, Oct. 20, 2020. (File photo)
One dead after Highway 1 crash near Revelstoke

20-year-old man pronounced dead at the scene of a three vehicle collision west of Revelstoke

Steven Stuart Gardner has been charged with possession of a firearm contrary to an order and possession of a firearm without a licence. He has also been charged, under the Motor Vehicle Act, with driving while prohibited. (Crime Stoppers photo)
Car connected to shooting, dumped in Chase leads to unrelated arrest

Investigation of Kamloops shooting leads police to a rural Chase property

Volunteer registered nurse Stephanie Hamilton recieves a swab from a driver as she works at a Covid-19 testing site in the parking lot at Everett Memorial Stadium on Tuesday, Oct. 20, 2020 in Everett, Washington. (Andy Bronson / The Herald)
13 more COVID-19 cases in Interior Health region

There are 624 cases in the region since the start of the pandemic

The body of Natsumi Kogawa, 30, was found in the Gabriola Mansion on Davie Street, Vancouver, in September 2016. Vernon man William Schneider, who was found guilty of second-degree murder, now awaits the decision of his appeal hearing Monday, Oct. 19, 2020. (Vancouver Police Department photo)
No decision yet for Vernon man appealing murder sentence

William Victor Schneider was convicted in relation to Natsumi Kogawa’s death in 2016

Vernon once again boasts the lowest gas prices in B.C. Oct. 20, 2020. (Jennifer Smith - Morning Star)
North Okanagan boasts lowest gas prices in B.C.

Gas going up, and down, in Vernon specifically

Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

This 2020 electron microscope image made available by the National Institute of Allergy and Infectious Diseases shows a Novel Coronavirus SARS-CoV-2 particle isolated from a patient, in a laboratory in Fort Detrick, Md. THE CANADIAN PRESS/AP-NIAID/NIH via AP
At least 49 cases of COVID-19 linked to wedding in Calgary: Alberta Health

McMillan says the city of Calgary has recently seen several outbreaks linked to social gatherings

École de L’Anse-au-sable. (Google Maps)
COVID-19 confirmed at Kelowna Francophone school

École de L’Anse-au-sable is not affiliated with local SD23

Most Read