The Canadian Cannabis Act legalizes and regulates recreational cannabis use in 2018

Canada is on the cusp of an unprecedented change in its governmental approach to recreational cannabis consumption. By July of 2018 the country will legalize and regulate recreational cannabis use across the country via the implementation of the Cannabis Act, representing the second country in the world and the first in North America to do so. As other countries around the world struggle with illegal cannabis consumption, the Canadian example and novel regulatory scheme could prove a useful guiding tool for future policy in other jurisdictions. The following paper discusses key areas to watch and a brief intro of how Canada got to where it is and the foundational need for a shift in policy.

Proposed state legislation removes limits on medical marijuana

The bill would revise certain requirements concerning patient access to medical marijuana. Specifically, it provides for alternative treatment centers to make medical marijuana available to patients in oil form, removes restrictions that made edible forms of medical marijuana available only to qualifying patients who are minors, and removes the current 2-ounce limit on the quantity of medical marijuana that may be dispensed in a 30-day supply.

Practical considerations in medical cannabis administration and dosing

Cannabis has been employed medicinally throughout history, but its recent legal prohibition, biochemical complexity and variability, quality control issues, previous dearth of appropriately powered randomised controlled trials, and lack of pertinent education have conspired to leave clinicians in the dark as to how to advise patients pursuing such treatment. Suggestions are offered on cannabis-drug interactions, patient monitoring, and standards of care, while special cases for cannabis therapeutics are addressed: epilepsy, cancer palliation and primary treatment, chronic pain, use in the elderly, Parkinson disease, paediatrics, with concomitant opioids, and in relation to driving and hazardous activities.