No two patients are equal, so no two cannabis treatments will work the same. While many in the industry accept that a ‘Doctor knows best approach’ doesn’t always work with cannabis, some professionals are advocating for stronger prescribing guidelines. Sam Ashton, patient and founder of Cannabis Clinic Cardiff, argues the case for the Hybrid Patient.
It would be a real exaggeration, though, to say this study proves that smoking marijuana is good for your lungs. The study's authors put their findings in a more tentative light: a lack of adverse effects on lung function from occasional use of marijuana and indications of possible harm to the lungs from heavy use. Moreover, the estimates of the exposure to marijuana were inexact. Joints vary substantially in size and potency. The data from CARDIA didn't distinguish between smoking marijuana in joints, by pipe, or with a bong (water pipe). A more precise comparison of marijuana and tobacco use will require controlled clinical trials. But, in the meantime, this study offers some assurance to people with chronic medical conditions who use pot in moderation for pain relief or appetite stimulation. If marijuana is the only thing they are smoking, they aren't likely to add COPD to their health woes.
No two patients are equal, so no two cannabis treatments will work the same. While many in the industry accept that a ‘Doctor knows best approach’ doesn’t always work with cannabis, some professionals are advocating for stronger prescribing guidelines. Sam Ashton, patient and founder of Cannabis Clinic Cardiff, argues the case for the Hybrid Patient.
Very informative and interesting article. Great that this clinic is patient focused, my worries are how the regulators are going to view this type of practice going forward. I would also be interested in how this clinic addresses drug seeking behaviours from patients and also if the government turns around and uses these clinics as an excuse to clamp down on prescribing MC so hard that it impacts all MC patients access.
Very informative and interesting article. Great that this clinic is patient focused, my worries are how the regulators are going to view this type of practice going forward. I would also be interested in how this clinic addresses drug seeking behaviours from patients and also if the government turns around and uses these clinics as an excuse to clamp down on prescribing MC so hard that it impacts all MC patients access.
I understand what you are saying but i think big pharma will be the reason for clampdown rather than clinics but excuses will be made.
I think this clinic is taking the approach to legacy users very well and to understand where they are coming from and shouldnt be left out or struck off for going to black market or transitioning from combustion. They cant advise this but to reduce harm from tobacco smoke and not vaping due to that addiction then i think its best that Hybrid patients combust pure green if its taking them away from tobbacco then transitioning to vape which some clinics are promoting very high end far too expensive vaporisers so entice with price.
Asking for a medication by name is 1 of the biggest drug seeking behaviours there is also dosage and allowance, All of these has to be patient led due to the fact of alot of patients know the strains and chemotypes that suit them . Downregulation of CB1 Medical receptors is causing higher allowance and have to go to different chemotypes to combat this , All of these from a big pharma pov is classic drug seeking behaviour.
I understand what you are saying but i think big pharma will be the reason for clampdown rather than clinics but excuses will be made.
I think this clinic is taking the approach to legacy users very well and to understand where they are coming from and shouldnt be left out or struck off for going to black market or transitioning from combustion. They cant advise this but to reduce harm from tobacco smoke and not vaping due to that addiction then i think its best that Hybrid patients combust pure green if its taking them away from tobbacco then transitioning to vape which some clinics are promoting very high end far too expensive vaporisers so entice with price.
Asking for a medication by name is 1 of the biggest drug seeking behaviours there is also dosage and allowance, All of these has to be patient led due to the fact of alot of patients know the strains and chemotypes that suit them . Downregulation of CB1 Medical receptors is causing higher allowance and have to go to different chemotypes to combat this , All of these from a big pharma pov is classic drug seeking behaviour.
Agree with most of what you are saying and the approach they are taking for Hybrid/ legacy patients seems sensible and appropriate and could be looked at as an example of best practice (or not?).
The issue will be the recommendations for a more robust and standardised approach to prescribing and how the regulators will decide to implement and monitor this. There are cases of doctors losing their right to prescribe in other markets so it could also happen here.
Agree with most of what you are saying and the approach they are taking for Hybrid/ legacy patients seems sensible and appropriate and could be looked at as an example of best practice (or not?).
The issue will be the recommendations for a more robust and standardised approach to prescribing and how the regulators will decide to implement and monitor this. There are cases of doctors losing their right to prescribe in other markets so it could also happen here.
Yes all of this is based on what happened in australia but , Its hard because of ceiling high especially with pain patients in both markets opiods v canna the big diff is we can upregulate and reset where they cant so very different , Regulators will have the big pharma standardised approach which will cause a hell of alot of issues esp with pain patients.
If there is only a select few who are willing to prescribe then obv it will be looked at as if they have overprescribed but with an abundance of drs willing to prescribe opiods then they should look at the opiod epidemic with american opiods that killed a country all available here , SEND THEM TO CARDIFF CLINIC get them off that nastiness.
I looked at 1 state in australia who have limited to 60g a month well i would die of a seizure if i lived there and didnt use black market. Feel sorry for esp pain patients in that state.
I think the problem is the classification status of it being a controlled drug. Regardless of which controlled drug, opioid or cannabis, it has to be prescribed strictly in line with the regulations. The prescriber is legally required to comply with the requirements and that’s what the Cardiff clinic are testing I think by putting in a care plan for Hybrid patients.. let’s hope the regulators understand the patient centred approach and this is more widely adopted and becomes the norm rather than the exception so the most vulnerable patients get access to the meds they need. Or they start to take away prescribing rights from doctors and clinics and make it more restrictive ?
I think the problem is the classification status of it being a controlled drug. Regardless of which controlled drug, opioid or cannabis, it has to be prescribed strictly in line with the regulations. The prescriber is legally required to comply with the requirements and that’s what the Cardiff clinic are testing I think by putting in a care plan for Hybrid patients.. let’s hope the regulators understand the patient centred approach and this is more widely adopted and becomes the norm rather than the exception so the most vulnerable patients get access to the meds they need. Or they start to take away prescribing rights from doctors and clinics and make it more restrictive ?
Most people were Hybrid patients when joining 1st clinic , i was but not used bm since 1st script cos cant afford to and wouldnt now anyway.
Its up to cardiff to ask the right questions and transition patients fully which im sure a good % will and i think they are doing a good service to the wider community , i dont think they are breaking regulations much just raising the obvious, Regardless of what drug you take or how its took i think you should never be knocked back for treatment and a plan to transition as we see with street drugs and treatment in big pharma clinics.
We just have to wait and see what they regulate while the world legalizes and offers homegrow we are stuck with people who want to make it like their pills.
I was definitely Hybrid and used BM alongside my first script. My advantage was that I’ve been vaping it since I restarted using it for pain relief. Trying to quit smoking and simultaneously learn how to vape and consume your medication via a different route is setting patients up to fail.
I’m only 3 months into my journey but it has reignited my interest in the plant and as a keen gardener I am thinking about my options for the future and also the financial viability of being a long term medical patient.
I was definitely Hybrid and used BM alongside my first script. My advantage was that I’ve been vaping it since I restarted using it for pain relief. Trying to quit smoking and simultaneously learn how to vape and consume your medication via a different route is setting patients up to fail.
I’m only 3 months into my journey but it has reignited my interest in the plant and as a keen gardener I am thinking about my options for the future and also the financial viability of being a long term medical patient.
Its mainly patients who are new to cannabis that wasnt Hybrid users and that doesnt have to be and wont patient led until they get to know the plant and synergy with body then alot of these patients tell docs what works so i would say 90% of MC patients is patient led.
Most patients wont admit to still using or had to use BM due to bad product or delivery problems and i welcome the patients who admit to cardiff that they still do , iron fist struck off shouldnt happen by telling truth esp with anxiety patients , truth and trust and a plan little compassion, empathy very welcomed , adult cannabis use shouldnt be restrictive almost a human right to use and grow article 8 echr anyway
Theres loads of people who cant afford private script but it should be a right to use and i see all cannabis use as medicinal.
Alot of ppl are just affording script and cant get any spare money to afford a vape but need to have cleaner weed , clinics are promoting vapes like venty , mighty, volcano all very expensive and even a £40 vape might be too much for alot of patients, some will go without food for meds btw. Combustion only option open to them , cost of living hand to mouth.
