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.

Just Posted

Editorial: Go out and play

How much is too much screen time?

CIBC to close its branch in Fraser Lake next year

The Canadian Imperial Bank of Commerce (CIBC) is closing its Fraser Lake… Continue reading

Couple selling fake jewelry in Fraser Lake, say RCMP

A man and woman have been defrauding local residents, offering fake jewelry for sale

Gitxsan forming cross-sector salmon management team

Nation again declares closure of fishery in territory for 2019

Omar Khadr wants changes to bail conditions

‘My life is held in suspension’, says the former Guantanamo Bay detainee

Sissons scores OT winner as Predators beat Canucks 4-3

VIDEO: Vancouver battles back to earn single point in Nashville

Lions announce seven members of coaching staff not coming back for 2019

The operational moves come two days after the Lions announced DeVone Claybrooks as the team’s new head coach

$12K awarded to atheist family who oppose Christmas, Hanukkah in B.C. classroom

Gary Mangel,May Yasue said holidays, Remembrance Day and Valentine’s Day not appropriate in preschool

Coach accused of sexual assault says apology letter was misinterpreted

Dave Brubaker has pleaded not guilty to one count of sexual assault and one count of invitation to sexual touching

Give the gift of nature this holiday season

Please don’t be mad, but I bought you a moose

Aboriginal poet faces backlash for calling out NHL-themed totem poles

Rebecca Thomas says she received backlash for asking a drugstore chain to remove NHL merchandise

No plans yet for free WiFi on BC Transit buses

BC Transit says they are monitoring the roll-out of free WiFi on Translink vehicles

Some Kotex tampons recalled in Canada and U.S.

In some cases, tampon users sought medical attention “to remove tampon pieces left in the body.”

Most Read