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

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

A B.C. police officer shows an approved roadside screening device. Photo: Saanich News file
Woman caught passed out behind the wheel in Trail

Police located the 38-year old in her parked but still running car, and had to rouse her awake.

Photo courtesy of Mercer Celgar
Mercer Celgar to install new technology thanks to $4.5 million in federal funds

Project features process to improve fibre processing and address regional fibre availability issues

Asian clams versus native B.C. clams comparison. Photo: Columbia Shuswap Invasive Species Society
Invasive Asian Clams found in Pend D’Oreille River

Watercraft users and anglers are urged to clean, drain and dry gear

The KBRH Gratitude Mural by Tyler Toews was unveiled at Kootenay Boundary Regional Hospital on June 9. L-R: Kala Draney, third year med student, Dr. Scot Mountain, Diane Shendruk from IH, Dr. Carolyn Stark, Dr. Sue Benzer, Dr. Kristen Edge, James Brotherhood, Dr. Dennis Small, and Dr. Sue Babensee. Photo: Submitted
Kootenay Boundary doctors offer a healthy dose of goodness with Gratitude Mural

Its red ribbon is in the shape of a heart rising above a Kootenay Boundary mountain scene

A cougar, or cougars, went on a killing rampage at a small Fruitvale farm. Photo: Thomas S. on Unsplash
Cougar euthanized after taking out small animal farm in Fruitvale

Wildlife interactions, poachers or polluters should be reported to RAPP at 1.877.952.7277

Maxwell Johnson is seen in Bella Bella, B.C., in an undated photo. The Indigenous man from British Columbia has filed complaints with the B.C. Human Rights Tribunal and the Canadian Human Rights Commission after he and his granddaughter were handcuffed when they tried to open a bank account. THE CANADIAN PRESS/HO-Heiltsuk Nation, Damien Gillis, *MANDATORY CREDIT*
VIDEO: Chiefs join human rights case of Indigenous man handcuffed by police in B.C. bank

Maxwell Johnson said he wants change, not just words, from Vancouver police

For more than a year, Rene Doyharcabal and a small group of neighbours in Langley’s Brookswood neighbourhood have been going out every evening to show support for first responders by honking horns and banging pots and drums. Now, a neighbour has filed a noise complaint. (Langley Advance Times file)
Noise complaint filed against nightly show of support for health care workers in B.C. city

Langley Township contacted group to advise of complaint, but no immediate action is expected

A nurse prepares a shot of the COVID-19 vaccine at the Yukon Convention Centre in Whitehorse on Wednesday, March 3, 2021. THE CANADIAN PRESS/Mike Thomas
Vancouver couple pleads guilty to breaking Yukon COVID rules, travelling for vaccine

Chief Judge Michael Cozens agreed with a joint sentencing submission,

An inmate in solitary confinement given lunch on Tuesday, May 10, 2016. THE CANADIAN/Lars Hagberg
22-hour cap on solitary confinement for youth in custody still too long: B.C. lawyer

Jennifer Metcalfe was horrified to hear a youth had spent a total of 78 straight days in isolation

Old growth in the Columbia Valley, in the Kinbasket area. (Photo submitted)
Wildsight: Old-growth forests are being logged in Golden

Wildsight says that Canfor has been logging old growth at the Blaeberry headwaters

People line up to get their COVID-19 vaccine at a vaccination centre, Thursday, June 10, 2021 in Montreal. THE CANADIAN PRESS/Ryan Remiorz
Vaccines, low COVID case counts increase Father’s Day hope, but risk is still there

Expert says people will have to do their own risk calculus before popping in on Papa

B.C. Premier John Horgan listens as Finance Minister Selina Robinson presents the province’s latest budget, April 20, 2021. The budget projects $19 billion in deficits over three years. (Hansard TV)
B.C. government budget balloons, beyond COVID-19 response

Provincial payroll up 104,000 positions, $10 billion since 2017

COVID-related trash is washing up on shorelines across the world, including Coldstream’s Kal Beach, as pictured in this May 2021 photograph. (Jennifer Smith - Black Press)
Shoreline cleanup finds COVID-related trash increased during height of the pandemic

Great Canadian Shoreline Cleanup reports litter from single-use food packaging nearly doubled

Doctor David Vallejo and his fiancee Doctor Mavelin Bonilla hold photos of themselves working, as they kiss at their home in Quito, Ecuador, Wednesday, June 9, 2021. Doctor Vallejo and Doctor Bonilla suspended their wedding in order to tend to COVID-19 patients and in the process Vallejo got sick himself with the disease, ending up in an ICU for several days. (AP Photo/Dolores Ochoa)
Love, sacrifice and surviving COVID-19: one couple’s story

COVID hits Ecuadorian doctors who delayed wedding to treat sick

Most Read