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Frequently Asked Questions

What conditions can be treated with medical cannabis in New Zealand?

In New Zealand, medical cannabis can be prescribed for a range of conditions, including chronic pain, anxiety, multiple sclerosis, epilepsy, cancer-related symptoms, and palliative care.

How does medical cannabis work in the body?
Medical cannabis interacts with the body’s endocannabinoid system, which plays a role in regulating various processes such as pain, inflammation, mood, and appetite. The cannabinoids in medical cannabis bind to cannabinoid receptors in the body, producing therapeutic effects.
What are the potential risks and side effects of medical cannabis?
The potential risks and side effects of medical cannabis can include dizziness, fatigue, dry mouth, impaired concentration, and short-term memory problems. It can also interact with certain medications, so caution should be exercised in patients taking other drugs. All prescription medicines come with a consumer medicine information which can help guide when prescribing
How should medical cannabis be dosed and administered?

The dosing and administration of medical cannabis can vary depending on the patient’s condition and individual response. It is typically started at a low dose and titrated up gradually based on the patient’s needs, also known as “starting low, going slow”. Different forms of medical cannabis are available, including oils and dried flower, and the appropriate form and route of administration should be determined based on the patient’s preferences and condition along with what the product is verified for by the Ministry of Health.

Are there any age restrictions or special considerations for using medical cannabis?
While there are no specific age restrictions for medical cannabis use in New Zealand, considerations should be made for pediatric and geriatric patients. The risks, benefits, and appropriate dosing should be carefully evaluated in these populations.
Are there any drug interactions with medical cannabis?
Yes, medical cannabis can interact with certain medications, particularly those metabolized by specific liver enzymes. It is important for doctors to review a patient’s medication list and consider potential drug interactions before prescribing medical cannabis
What is considered a high dose of Tetrahydrocannabinol (THC)?
THC doses exceeding 20–30 mg/day may increase adverse events or induce tolerance without improving efficacy. Most patients use 1–3 grams of herbal cannabis per day. The dose is highly individualised and a general approach to cannabis (THC) initiation is ‘start low, go slow, and stay low’ (MacCallum & Russo 2018).
What forms of medical cannabis are available in New Zealand?
In New Zealand, medical cannabis is available in the form of pharmaceutical-grade cannabis products, including oils and capsules. These products undergo strict quality control measures and meet regulatory standards.
How long does it take for medical cannabis to take effect?
The onset of effects can vary depending on the form of medical cannabis and the method of administration. Inhalation or vaporization may have a quicker onset, typically within minutes to a few hours, while oral ingestion may take longer to take effect, usually within one to two hours.
Is medicinal cannabis organic?
As it currently stands, no prescription cannabis products are certified organic. It is important to note however that most dried flower products are grown without pesticides and herbicides and meet the Ministry of Health’s Minimum Quality Standards – the toughest cannabis regulations in the world.

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