The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Medical cannabis in the UK: from principle to practice

Medical cannabis in the UK: from principle to practice
Medical cannabis in the UK: from principle to practice
In the UK, medical cannabis was approved in November 2018, leading many patients to believe that the medicine would now be available on the NHS. Yet to date, there have been only 12 NHS prescriptions and less than 60 prescriptions in total. In marked contrast a recent patient survey found 1.4 million people are using illicit cannabis for medical problems.

Such a mismatch between demand and supply is rare in medicine. This paper outlines some of the cur-rent controversies about medical cannabis that underpin this disparity, beginning by contrasting current medical evidence from research studies with patient reported outcomes. Although definite scientific evi-dence is scarce for most conditions, there is significant patient demand for access to medical cannabis. This disparity poses a challenge for prescribers and many concerns by physicians when deciding if and how to prescribe medical cannabis still need to be addressed.

Potential solutions to how the medical profession and regulators could respond to the strong demand from patients and families for access to medical cannabis to treat chronic illnesses when there is often a limited scientific evidence base on whether and how to use it in many of these conditions, are outlined.
There is a need to maximise both clinical research and patient benefit, in a safe, cautious and ethical manner, so that those patients for whom cannabis is shown to be effective can access it. We hope our discussion and outlines for future progress offer a contribution to this process.
Cannabis,, cannabidiol,, d9 Tetrahydrocannabinol (d9THC), cannabidiol, patient, medical cannabis,, patient
0269-8811
931-937
Schlag, Anne
66a2a131-aaaa-405f-a7cc-502efc83c7bd
Baldwin, David
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Barnes, Michael
adbbf0ba-1fac-4aaa-901a-aa11f9a0c900
Bazire, Steve
f077e352-d220-47c9-8588-4b0ec891af0f
Coathup, Rachel
51cb4262-3213-4304-81a5-bc52ee426167
Curran, Val
458254ca-0d05-44b2-833a-4d38a41c97d1
McShane, Rupert
7581898c-7a14-4a4d-a624-d7d693d4507a
Phillips, Larry
c2bbe274-7707-4bbe-b445-5deebc583b7f
Singh, Ilina
484f8762-9736-4ccd-a8aa-995a28e16d15
Nutt, David J.
d0ea03e2-172d-4888-bfd0-239dc7c953cb
Schlag, Anne
66a2a131-aaaa-405f-a7cc-502efc83c7bd
Baldwin, David
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Barnes, Michael
adbbf0ba-1fac-4aaa-901a-aa11f9a0c900
Bazire, Steve
f077e352-d220-47c9-8588-4b0ec891af0f
Coathup, Rachel
51cb4262-3213-4304-81a5-bc52ee426167
Curran, Val
458254ca-0d05-44b2-833a-4d38a41c97d1
McShane, Rupert
7581898c-7a14-4a4d-a624-d7d693d4507a
Phillips, Larry
c2bbe274-7707-4bbe-b445-5deebc583b7f
Singh, Ilina
484f8762-9736-4ccd-a8aa-995a28e16d15
Nutt, David J.
d0ea03e2-172d-4888-bfd0-239dc7c953cb

Schlag, Anne, Baldwin, David, Barnes, Michael, Bazire, Steve, Coathup, Rachel, Curran, Val, McShane, Rupert, Phillips, Larry, Singh, Ilina and Nutt, David J. (2020) Medical cannabis in the UK: from principle to practice. Journal of Psychopharmacology, 34 (9), 931-937. (doi:10.1177/0269881120926677).

Record type: Article

Abstract

In the UK, medical cannabis was approved in November 2018, leading many patients to believe that the medicine would now be available on the NHS. Yet to date, there have been only 12 NHS prescriptions and less than 60 prescriptions in total. In marked contrast a recent patient survey found 1.4 million people are using illicit cannabis for medical problems.

Such a mismatch between demand and supply is rare in medicine. This paper outlines some of the cur-rent controversies about medical cannabis that underpin this disparity, beginning by contrasting current medical evidence from research studies with patient reported outcomes. Although definite scientific evi-dence is scarce for most conditions, there is significant patient demand for access to medical cannabis. This disparity poses a challenge for prescribers and many concerns by physicians when deciding if and how to prescribe medical cannabis still need to be addressed.

Potential solutions to how the medical profession and regulators could respond to the strong demand from patients and families for access to medical cannabis to treat chronic illnesses when there is often a limited scientific evidence base on whether and how to use it in many of these conditions, are outlined.
There is a need to maximise both clinical research and patient benefit, in a safe, cautious and ethical manner, so that those patients for whom cannabis is shown to be effective can access it. We hope our discussion and outlines for future progress offer a contribution to this process.

Text
Medical cannabis in the UK_revised_clean - Version of Record
Download (63kB)

More information

Accepted/In Press date: 27 February 2020
e-pub ahead of print date: 10 June 2020
Keywords: Cannabis,, cannabidiol,, d9 Tetrahydrocannabinol (d9THC), cannabidiol, patient, medical cannabis,, patient

Identifiers

Local EPrints ID: 438412
URI: http://eprints.soton.ac.uk/id/eprint/438412
ISSN: 0269-8811
PURE UUID: 90c08c68-b0c7-4834-8b7a-5129bca8168a
ORCID for David Baldwin: ORCID iD orcid.org/0000-0003-3343-0907

Catalogue record

Date deposited: 09 Mar 2020 17:32
Last modified: 26 Nov 2021 02:37

Export record

Altmetrics

Contributors

Author: Anne Schlag
Author: David Baldwin ORCID iD
Author: Michael Barnes
Author: Steve Bazire
Author: Rachel Coathup
Author: Val Curran
Author: Rupert McShane
Author: Larry Phillips
Author: Ilina Singh
Author: David J. Nutt

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×