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Cannabis for Medicinal Use

Dáil Éireann Debate, Thursday - 17 September 2020

Thursday, 17 September 2020

Ceisteanna (215)

Holly Cairns

Ceist:

215. Deputy Holly Cairns asked the Minister for Health his plans to introduce legislation to premiere the medical uses of cannabis; and if he will make a statement on the matter. [24661/20]

Amharc ar fhreagra

Freagraí scríofa

On 26th June 2019, the Minister for Health signed legislation to allow for the operation of the Medical Cannabis Access Programme on a pilot basis for five years. 

The Programme will facilitate access to cannabis-based products for medical use in line with legislation and with the clinical guidance for the scheme. 

Cannabis products will only be listed in Schedule 1 of the Regulations once they have been considered as suitable for use under the Medical Cannabis Access Programme. 

The Medical Cannabis Access Programme will make it possible for a medical consultant to prescribe a cannabis-based treatment for a patient under his or her care for the following medical conditions, where the patient has failed to respond to standard treatments:

- Spasticity associated with multiple sclerosis

- Intractable nausea and vomiting associated with chemotherapy

- Severe, refractory (treatment-resistant) epilepsy.

The following specified controlled drug products (cannabis-based products) have been accepted as being suitable for use under the Medical Cannabis Access Programme:

- Aurora High CBD Oil Drops

- CannEpil Oral Solution

- Tilray Oral Solution THC10:CBD10 25ml

The HSE is currently engaged in pricing and supply negotiations with manufacturers and suppliers of the products listed above, for this reason the programme is not yet operational. Pending the conclusion of these negotiations I am not in a position to put a specific date on the commencement of the programme.

Pending full operation of the MCAP and for medical indications not included in the MCAP, doctors may continue to utilise the Ministerial licencing route pursuant to Section 14 of the Misuse of Drugs Acts 1977-2016 to prescribe cannabis-based products for their patients, should they wish to do so.

In line with the Chief Medical Officer's advice, the granting of a licence for cannabis for medical purposes must be premised on an appropriate application being submitted to the Department of Health, which is endorsed by a consultant who is responsible for the management of the patient and who is prepared to monitor the effects of the treatment over time. 

Further information on medical cannabis is available on the Department’s website.

It is important to note that the medical decision to prescribe or not prescribe any treatment, including cannabis treatment, for an individual patient is strictly a decision for the treating clinician, in consultation with their patient. The Minister for Health has no role in this clinical decision-making process.

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