We are fully supportive of patients who are on a low narcotics dose (low MED) who wish to add medical marijuana to their pain therapy. We recommend this for the simple reason that we don’t want them to be over-medicated with medical marijuana and a high dose of narcotics. Regarding patients who have high morphine-equivalent doses, or MEDs, we ask that they reduce their opioid dose by at least 25 percent if they want to start taking medical marijuana or see a medical marijuana provider. We can offer those who are already on a medical marijuana plan any and all medications with the exception of narcotic medications. So when we see new patients who have chronic pain, we know whether or not they are already taking medical marijuana. The Ohio Automated Rx Reporting System (OARRS), which tracks controlled prescription drugs to patients, also tracks and monitors medical marijuana. Evidence of usage will remain in the urine of an infrequent user from 1 to 5 days, of a once-daily user for 1 to 3 weeks, and of a frequent user (multiple times per day) for 4 to 6 weeks. It will then decline rapidly over several hours. Marijuana usage will register highest immediately after an individual has smoked, vaped, or consumed an edible product. As a result, patients who take medical marijuana put their employment at risk.ĭrug screens can be performed by testing a person’s blood, urine, or hair. If you registered positive on a marijuana screen, however, you would fail your employment physical and drug screen. As long as you have a prescription from a physician, your workplace will understand that you’re on the medication for health-related reasons, and your employment and medication usage will not be affected. Consider this scenario: You undergo an employment drug screen, or a random drug screen, and register positive because you are taking a narcotic medicine for pain, a benzodiazepine for anxiety, or some type of muscle relaxant. Legal implications are my biggest concern and one reason why Mayfield physicians have chosen not to prescribe marijuana medication cards. Legal issues related to medical marijuana use Nor do we have plans to do so at this time. The cost of medical marijuana can range from $300 to $500 per month.Īt present, no Mayfield provider is certified to prescribe the medical marijuana card. The card should last two years before it needs to be recertified. A medical marijuana card is kind of like your driver’s license: It’s official it’s a government document and it enables you to secure product from a dispensary. You can get this card from a physician who has been trained (and licensed) to determine whether or not you qualify for one. In order to secure a prescription for medical marijuana, you need a medical marijuana card. The FDA has approved prescription CBD (Epidiolex) for the treatment of two severe types of seizure disorders. It is touted as a treatment for almost everything, including pain and anxiety. In Ohio, diagnoses include ALS, Alzheimer’s disease, cancer, chronic pain, Crohn’s disease, chronic traumatic encephalopathy (CTE), epilepsy and seizure disorders, fibromyalgia, glaucoma, HIV-AIDS, hepatitis C, inflammatory bowel disease, multiple sclerosis, Parkinson’s disease, post-traumatic stress disorder (PTSD), sickle cell anemia, spinal cord injury, Tourette syndrome, traumatic brain injury, and ulcerative colitis.īy comparison, cannabidiol (CBD) is widely available online and at stores throughout the country. (Medical marijuana is illegal in Kentucky.) Each state has established its own list of conditions that can be treated with medical marijuana. There are currently 29 states, including Ohio, that allow the medical use of marijuana. This is in contrast with, cannabidiol, or CBD, a marijuana extract or oil that does not contain THC. Medical marijuana, which is available by prescription from a dispensary, contains THC (tetrahydrocannabinol), the psychoactive ingredient that produces a high. The Food and Drug Administration has approved medical marijuana for the treatment of pain (including from headaches and cancer), nausea, and depressed appetite. The short answer, at this time, is that Mayfield physicians do not prescribe medical marijuana.įirst, some background. I hear the question several times a week: Do doctors at Mayfield Brain & Spine prescribe medical marijuana?
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