Medical Cannabis in Thailand Outline - Introduction - Pharmacological of cannabis chemicals - Cannabis situation in the world - Cannabis law and legalised for medical purpose - Concept of Cannabis for Medical use - Cannabis activities Cannabis sativa, Cannabis indica, and Cannabis ruderalis Cannabis
Scientific name : Family : Cannabaceae It is generally known as Introduction Tetrahydrocannabinol (THC) Cannabidiol - Psychotropic Euphoria and relaxation Alteration memory and cognitive perceptual abilities - Immunosuppressive - Cardiovascular - Analgesic - Anti-emetic - Anticonvulsant - Anti-inflammatory - Cardiovascular - Analgesic - Immunosuppressive Pharmacological of cannabis chemicals Cannabis situation in the world - Cannabis with tracing back to the ancient world - The 19th centuries Federal restriction of cannabis use and sale - 1942 cannabis was dropped from the United States Pharmacopoeia - 1961 Cannabis was included in the UN drug control - In Thai traditional medicine use as an ingredient in recipes Around the world attitudes towards the use of cannabis are shifting - Many countries recognised the medical benefits of cannabis. - The medicinal benefits have been proven and reported - General cannabis use, both for recreational and medical purposes, has increasing acceptance by legislative action Nowadays… Medicinal Cannabis Policies and Practices Around the world Medicinal Cannabis Regulated: 29 countries Argentina, Australia, Brazil, Canada, Chile, Columbia, Croatia, Czech Republic, Finland, France, Germany, Greece, Israel, Italy, Jamaica, Macedonia, Mexico, Netherlands, New Zealand, Peru, Philippines, Poland, Puerto Rico, Romania, Spain, Switzerland, United Kingdom, United States, Uruguay Cannabis on the road to legalization in Thailand The world attitudes are shifting Governments move towards legalization face a challenge: between hard prohibition and controlled under legalization Thai traditional medicine is widely known but scientific research and studies remain vague The claimed wonders of medical include the treatment of various conditions such as Parkinson’s, asthma, insomnia and even cancer Cannabis law and legalized for medical purposes 2019, the new law is a modification as the Narcotic Drugs Act (No. 7) cannabis is still categorized as a Class 5 illegal drugs. The 1979 Narcotic Drugs Act that categorize cannabis as a class-5 narcotic banning its productions, use and possession. Legalise cannabis is for medical and research purpose. Use as recreational drugs still are not allowed Summary of Thailand’s New Medical cannabis Law - Patients able to carry if have prescriptions from professionals who have a license to prescribe - License for government organizations tasked with medical, research and education. - Every activity will be controlled under strict regulations. - Violators will be liable in prison and/or a fine depending on the amounts. Important Policies in medical cannabis 1. Safety - Cannabis extract are safe from toxic impurity - low risk in treatment To Response this policy - Products (by GPO) 2. Effectiveness Benefit > Risk 3. Equity - Equity to access - No conflict of interest - Licenses - Medicals Staffs - Guideline - Service (Cannabis Clinic) THC CBD THC:CBD Thai Traditional Medicine Products Suksaiyat : Promote sleep Tumlai Phrasumain : Muscle relaxant DTAM GANJA OIL Medical Staffs - A training in the medical use for medical staffs, pass get certificate. - The course organized by the Department of Medical Services and the Department of Thai traditional and Alternative Medicine - Given knowledge on cannabis, its medical use, and the illnesses that could be treated and precaution & counseling - Cannabis prescription certificate from the Food and Drug Administration By : DEPARTMENT OF MEDICAL Knowledge and Guideline for Medical staffs Concept of Cannabis for Medical use Patient Screening >>indication - Registered - Get the benefit and risk data - Decision with the willing Medical staff - Take a training - Registered and have prescription certificate Prescribing in cannabis product - Start low dose - Record prescription accurately - Dispense by certified pharmacist - Report dispensed amount Control and monitoring - Follow up and closely monitoring adverse effect - Monitoring and prevent misuse >> Indication for medical cannabis use : 3 groups Group 1 Approval : Have a study to approve - Antiemetic effect from chemotherapy - Refractory epilepsy - Spasticity in Multiple sclerosis - Intractable neuropathic pain Group 2 Probably to control the symptom : Need more study to support in efficacy and safety - Parkinson’s disease - Alzheimer’s disease - Post-traumatic stress disorder - Analgesic in cancer - Palliative care Group 3 May be use as an adjuvant therapy or last choice under decision of physician << Control and monitoring Thai FDA Thai FDA Office of the Narcotics Control Board Royal Thai Police Headquarters Narcotics Suppression Bureau National Health Security Office Thai FDA Cannabis activities in Songkhla - Training course - Cannabis clinic in Hatyai and Songkhla hospital - MOU with Prince of Songkla University The service of Hatyai hospital’s cannabis clinic Clinic opening at 19th Oct. 2019/ data at 3rd Dec. 2019 Number of patient THC Suksaiyat Tumlai Phrasumain Total Number of patient who got the medicine 60 19 2 81 Visit of patient who got the medicine 98 31 5 134 Dispense drug 98 (Bottles) 280 (packs) 36 (packs) 98+316 Visit number 283 69 352 Enhance public awareness of the health risks associated with cannabis. Informed where to find cannabis clinics, products available and indications for medical cannabis. Under the main concept under legal control, properly use and safety.