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Medical Marijuana

Medical Marijuana. Proposed Constitutional Amendment in Florida Drug Free Duval January 2014. Medical Marijuana: Proposed Florida Constitutional Amendment.

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Medical Marijuana

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  1. MedicalMarijuana Proposed Constitutional Amendment in Florida Drug Free Duval January 2014

  2. Medical Marijuana: Proposed Florida Constitutional Amendment Article X, Section 29 (b) (1) “Debilitation medical condition” means cancer, glaucoma, positive status for HIV, AIDS, hepatitis C, ALS, Crohn’s disease, Parkinson’s disease, multiple sclerosis or other conditions for which a physician believes that the medical use of marijuana would likely outweigh the potential health risks for a patient. Article X, Section 29 (b) (5) “Medical Marijuana Treatment Center”…entity that acquires, cultivates, possesses, processes (food, tinctures, aerosols, oils or ointments), transfers, transports, sells, distributes, dispenses or administers marijuana…related supplies or educational materials & is registered to the Department (of Health) Article X, Section 29 (b) (7) “Personal caregiver”…at least 21 years of age…agreed to assist patient’s medical use of marijuana…caregiver ID card issued by Department…assistno more than five patients at one time. Age Restrictions for patients- none ID Card requirements – noneFacility Permit requirements – none Caregiver standards - none

  3. The Road to Medicine Step 1:

  4. The Road to Medicine Step 1: Symptoms/sickness

  5. The Road to Medicine Step 1: Symptoms/sickness Step 2:

  6. The Road to Medicine Step 1: Symptoms/sickness Step 2: Appointment or walk in

  7. The Road to Medicine Step 1: Symptoms/sickness Step 2: Appointment or walk in Step 3:

  8. The Road to Medicine Step 1: Symptoms/sickness Step 2: Make an appointment or walk in Step 3: Get to appt – give medical history

  9. The Road to Medicine Step 1: Symptoms/sickness Step 2: Appointment or walk in Step 3: Medical history Step 4:

  10. The Road to Medicine Step 1: Symptoms/sickness Step 2: Appointment or walk in Step 3: Medical history Step 4: Tests if needed

  11. The Road to Medicine Step 1: Symptoms/sickness Step 2: Appointment or walk in Step 3: Medical history Step 4: Tests if needed Step 5:

  12. The Road to Medicine Step 1: Symptoms/sickness Step 2: Appointment or walk in Step 3: Medical history Step 4: Tests if needed Step 5: Diagnosis

  13. The Road to Medicine Step 1: Symptoms/sickness Step 2: Appointment or walk in Step 3: Medical history Step 4: Tests if needed Step 5: Diagnosis Step 6:

  14. The Road to Medicine Step 1: Symptoms/sickness Step 2: Appointment or walk in Step 3: Medical history Step 4: Tests if needed Step 5: Diagnosis Step 6: Medication and/or other treatment

  15. The Road to Medicine The Prescription:

  16. The Road to Medicine The Pharmacy and the Pharmacist

  17. The Road to Medicine • Follow up • Confirmation of diagnosis after test results received • Call if any side effects occur • Unless acute care, regular follow-up appointment for refills of meds after reasonable period

  18. The Road to Medi-Marijuana Step 1: Familiarize yourself with the Guidelines Step 2: Understand your state registry system Step 3: Get clear about dispensaries v caregivers Step 4: Know the limits that you can possess or grow Step 5: Investigate reciprocity between states Step 6: Show your id Step 7: Provide proof of residency Step 8: Get written recommendation from your doctor Step 9: Complete your state application form Step 10: Pay for your license Step 11: Get your card/license Step 12: Visit the pot dispensary http://www.motherjones.com/politics/2010/10/california-medical-marijuana-pot-card http://www.wikihow.com/Get-a-Medical-Marijuana-ID-Card

  19. The Road to Medi-Marijuana The license

  20. The Road to Medi-Marijuana The Pot Dispensary and Pot Salesperson

  21. The Road to Medi-Marijuana By Josh Harkinson 10/11/10 “I have writer’s cramp. My wife has arthritis. Guess who got a prescription for medical marijuana.” • Wife has documented, severe arthritis. Rheumatologist refused to consider MM for her condition, referred her to her GP. Took three days to get an appt with each. • Josh had no previous conditions, and no medical documentation. Got appt at “Price-Less Evaluations” within a few hours. Saw a doctor who’s first question was “So, can cannabis help you in some ways?” Next question was, “So how does it help you?” OBTAINED RECOMMENDATION and medical ID card ($90 for both). • Wife finally spoke with GP who told her, “I am not willing to write a letter for a relatively healthy 34-year-old for medical marijuana.” • Observation by writer: “The irony is that medical pot is readily available to recreational users while it remains inaccessible for many truly sick people who might benefit from it.”

  22. Marijuana Overview • Most commonly used illicit drug in the US1 • 94 million Americans +(40%) age 12 and older have tried marijuana at least once2 • 23% of substance abuse admissions are for marijuana alone3 • 4% of US population meets criteria for marijuana dependence4 • Probably the most controversial drug of abuse in the US1-NSDUH 2006 & 2009; 2-Gallup 2013; 3- Scot Teitelbaum 2013; 4-NCBI/NIH 2003 & 2009

  23. Marijuana Epidemiology • Used by 75% of all illicit drug users1 • 50% of all illicit drug users use only marijuana2 • Up to 79% of marijuana users have concurrent alcohol use3 • Estimated $15-$37 billion per year in sales in the US4 1-The Weed Blog; 2-Policy Almanac/marijuana; 3-NCBI/NIH; 4-Robert O’Neill, US Attorney

  24. Marijuana Use Trends: Perceived Risk

  25. Marijuana Use Trends: Teen Use Trends in Adolescents' Annual Use of Marijuana

  26. Marijuana Potency:Not Your Parents’ Pot

  27. Marijuana: It’s Not Addictive….Right? • 1 in 6 adolescents who try marijuana will become addicted1, 2 • About 10% of all people who try marijuana will become daily users2 • According to the 2010 NSDUH, of the 7.1M Americans addicted to illicit drugs,marijuana is drug of choice for 63%, or 4.5M people3 • There is no generally effective treatment for marijuana dependence yet4

  28. Marijuana & Medicine: It is good for what ails you…right? • Medical marijuana has been touted to be the “cure” or “reliever” of many medical conditions: Alzheimer's… fibromyalgia… dystonia… Hepatitis C… diabetes…pruritis…osteoperosis…ALS…Tourette’s Syndrome…hypertension…sleep apnea…GI disorders…incontinence…rheumatoid arthritis…pain… depression…glaucoma…tremors… seizures…epilepsy…cancer…COPD…HIV/AIDS… Crohn’s Disease…migraines…multiple sclerosis… nausea…spasticity…wasting syndrome…malaria… gout…insomnia…inflammation…muscle spasms… cerebral palsy…spinal cord injuries…ADHD… Parkinson’s disease…PTSD…Writers Cramp…Schizophrenia…sleep apnea…Eczema…Endometriosis…Renal failure…Quadriplegia…Agoraphobia…seriously?1 1-http://www.unitedpatientsgroup.com/resources/illnesses-treatable

  29. Marijuana & Medicine: It is for the seriously ill…right? • A real look at medical marijuana users: • Average user in CA is a 32 year old white male with a history of alcohol & substance abuse & no history of life-threatening illness.1 • CO, according to DOH, only 2% of users have cancer, less than 1% report HIV. 94% report “severe pain.”2 • OR: 10 physicians made the majority of all recommendations. LAST six reasons were HIV, Cancer, Seizures, Cachexia, Glaucoma and Agitation.3 1-Cerda, M, Wall, M, Keyes, KM, Galea, S (2012); 2-Colorado Dept of Health-Medical Cannabis Statistics; 3-Oregon.gov/pharmacy/imports/marijuana/public/ORStatePolice_OMM

  30. So you decide…Does it fit in our medical system? Medicine Medical Marijuana Patient describes their situation which can include over 198 conditions per medical dispensary websites Requires a physician to agree that “the benefit of using the marijuana may outweigh the risk” Physician is not able to recommend specific strain of the plant (name), strength, frequency of use, dosage Refills are not addressed…only the length of the license Dispensaries will be required to register with the DOH – no inspections, no sterility requirements, etc No requirement for any physician to be attached to a medi-pot dispensary • Requires symptoms that can be documented along with baseline diagnostic (blood pressure, temperature, heart rate • Must be approved to be potentially effective treatment for the symptoms • Requires physician to prescribe the named drug, strength, frequency, dosage & refills • Must be obtained by an AHCA approved/monitored pharmacy • Must be distributed by a Pharm D lead pharmacist w/counseling

  31. Conclusions

  32. Conclusions

  33. Questions or Comments? Thank you! Please engage in education and advocacy in this IMPORTANT FIGHT! Please like us on facebook: Drug Free Duval

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