Cannabis Patient Seminar Illinois Chapter of the National Organization to Reform Marijuana Laws Medical Cannabis - What is it? Introduce yourself to one of your neighbors that you don’t know and tell them what you know about medical cannabis Cannabis: Safe or Dangerous Lethal Dose-50 Rating: ?????????? Zero Documented Human Cannabis Overdose Fatalities Estimated LD-50 1:20,000 or 1:40,000 (equals consuming ~1,500lbs in about 15 minutes) Cannabis: Safe or Dangerous "There is no conclusive evidence that the drug effects of marijuana are causally linked to the subsequent abuse of other illicit drugs." Institute of Medicine 1999 ReportMarijuana & Medicine: Assessing the Science Base Cannabis: Safe or Dangerous 2009 there were 354,159 admissions to treatment with marijuana reported to be the primary substance of abuse, out of a total 1,963,089 admissions for all substances that year= 18% Substance Abuse & Mental Health Admn. Treatment Episode Data Set 1999-2009 Cannabis: Safe or Dangerous Federal statistics show that 56.2% of all primary marijuana admissions in 2009 were referred through criminal justice/DUI. Substance Abuse & Mental Health Admn. Treatment Episode Data Set 1999-2009 Methods of Cannabis Consumption • Smoking • Vaporizing • Edibles • Oils • Tinctures Medical Research on Cannabinoids • • Cannabinoids (CBs) are the compound found in the cannabis plant There are over 70 known cannabinoids that interact with the Endocannabinoid System (ECS) through two cannabinoid receptors, CB1 receptors & CB2 receptors Medical Research on Cannabinoids Cannabinoids include: tetrahydrocannabinol (THC) cannabidiol (CBD) cannabinol (CBN) anandamide (AEA) 2-arachidonyl glycerol (2-AG) • • • • • Medical Research on Cannabinoids "[S]lowed the growth of lung cancers, breast cancers and a virus-induced leukemia in laboratory mice, and prolonged their lives by as much as 36 percent." Aug. 18, 1974 Washington Post story covering Medical College of Virginia study done for the U.S Government Medical Research on Cannabinoids 1974 Medical College of Virginia Study published in Journal of the National Cancer Institute in 1975 -Antineoplastic Activity of Cannabinoids JNCI J Natl Cancer Inst (1975) 55 (3): 597602. doi: 10.1093/jnci/55.3.597 1. Medical Research on Cannabinoids “Cannabinoids possess ... anticancer activity [and may] possibly represent a new class of anti-cancer drugs that retard cancer growth, inhibit angiogenesis (the formation of new blood vessels) and the metastatic spreading of cancer cells." Mini-Reviews in Medicinal Chemistry October 2005 Medical Organization Endorsements American Nurses Association & IL Nurses American College of Physicians American Academy of Family Physicians American Medical Student Association American Public Health Association American Society of Addiction Medicine Medical Organization Endorsements American Medical Association, “Our AMA urges that marijuana’s status as a federal Schedule I controlled substance be reviewed with the goal of facilitating the conduct of clinical research and development of cannabinoid-based medicines, and alternate delivery methods.” Nov. 10, 2009 Illinois Medical Cannabis Timeline Jan. 1, 2014 - Effective Date Apr 18, 2014 - Final Rules submitted to JCAR ~90 day review (45 days for public comments) Fall 2014 - IL Dept. of Ag. Accepts Apps Sept-Oct. Patients with last name beginning with A-L apply to DPH Nov-Dec. Patients with last name beginning with M-Z apply to DPH Illinois Medical Cannabis Timeline ~Jan. 2015 IL Dept. of Ag. Issues Licenses ~120 days to grow medical cannabis ~Late Spring/Early Summer 2015 Medicine Available What does the new law do? Allows doctors to recommend cannabis for a specific list of qualifying conditions Provides a legal way for approved patients to purchase medical cannabis* *Still ILLEGAL federally Feds vs. State “The US Congress has determined that cannabis is a controlled substance. Illinois has placed cannabis in Schedule I of the Illinois Controlled Substances Act. Growing, distributing, transporting and possessing cannabis in any capacity, other than as part of a federally authorized research program, is a violation of federal laws. The State of Illinois’ Compassionate Use of Medical Cannabis Pilot Program Act does not authorize any permittee to violate federal or state laws.” -Dep Ag. Rules Qualifying Conditions 1) Cancer 2) Glaucoma 3) HIV (positive status for Human Immunodeficiency Virus) 4) AIDS (Acquired Immune Deficiency Syndrome) 5) Hepatitis C 6) Amyotrophic Lateral Sclerosis 7) Crohn's Disease 8) Agitation of Alzheimer's disease 9) Cachexia/Wasting Syndrome 10) Muscular Dystrophy Qualifying Conditions 11) Severe Fibromyalgia 12) Spinal Cord Disease - including but not limited to: 13) Arachnoiditis 14) Tarlov Cysts 15) Hydromyelia 16) Syringomyelia 17) Rheumatoid Arthritis 18) Fibrous Dysplasia 19) Spinal Cord Injury 20) Traumatic Brain Injury and Post-Concussion Syndrome Qualifying Conditions 21) Multiple Sclerosis 22) Arnold-Chiari Malformation and Syringomyelia 23) Spinocerebellar Ataxia (SCA) 24) Parkinson's 25) Tourette's 26) Myoclonus 27) Dystonia 28) Reflex Sympathetic Dystrophy 29) RSD (Complex Regional Pain Syndromes Type I) 30) CRPS (Complex Regional Pain Syndromes Type II) Qualifying Conditions 31) Causalgia 32) Neurofibromatosis 33) Chronic Inflammatory Demyelinating Polyneuropathy 34) Sjogren's Syndrome 35) Lupus 36) Interstitial Cystitis 37) Myasthenia Gravis 38) Hydrocephalus 39) Nail-Patella Syndrome 40) Residual Limb Pain Adding qualifying conditions • Petition DPH o Jan. & July - petitions accepted for new conditions Patient & Dr. petition for condition to be added Medical Cannabis Advisory Board recommend or deny new condition • • • • 1 Patient advocate/caregiver 2 nurses 3 patients (1 being a veteran) 9 doctors Director of DPH has final decision making authority • Work with Legislature Senate Bill 2636 • SB2636 passed the Illinois Senate Apr 2 49-5 • Pending in the House - Hearing soon • Adds seizure conditions including epilespy • Allows for ONLY minors with seizures • conditions to be patients May give authority to DPH to allow minors with other conditions to be patients Who Cannot be a Medical Cannabis Patient ● ● ● ● ● Law Enforcement Officers & Firefighters Anyone with a school bus permit Anyone with a Commercial Drivers License Anyone under the age of 18 Anyone convicted of a felony violation of the Cannabis Control Act, Controlled Substances Act, Methamphetamine Control & Community Protection Act Patient Registration Requirements • Bona fide doctor-patient relationship o Waived for VA patients • Doctor’s recommendation • Background check • Fingerprinting • Designated dispensing organization How will patients get medical cannabis 21 Cultivation Centers will produce the medicine & then sell it to 60 medical cannabis dispensing organizations. How will patients get medical cannabis • • Patients will NOT be allowed to grow their own medicine or have their caregiver grow their medicine Patients cannot bring in medicine from other medical cannabis states Medical Cannabis Dispensaries • Patients can obtain up to 2.5 ounces of • cannabis every 14 days Limits include the weight of cannabis used to make infused products, not final weight Illinois Medical Cannabis Caregivers • Patients that are unable to obtain their own • • medicine can have a registered caregiver obtain it for them Each caregiver must be 21 and can have no more than one patient that they support Caregivers must purchase medicine from a dispensary DPH Rules • • • $100 fee for patients, $25 for caregivers o Patients on SSDI/SSI - $50 FOID restriction removed Health Care facilities not considered public places for purposes of consumption smoking will be prohibited but other methods will be allowed What to do moving forward 1. Talk to YOUR doctor for a recommendation 2. Let lawmakers know how you feel about the Compassionate Use of Medical Cannabis Pilot Program Act 3. Learn more about cannabinoids 4. Educate others about the program & medicine IDPH Needs to Hear from Patients! Public Hearings on Proposed Rules May 5, 9:30AM Thompson Center, Concourse Level, Assembly Hall Auditorium 100 W Randolph St, Chicago May 21, 9:00AM UI Springfield 1 University Plaza, Springfield Medical Cannabis Organizations Americans for Safe Access International Cannabinoid Research Society International Association for Cannabinoid Medicines Illinois Cannabis Patients Association Official Website for MCPP http://mcpp.illinois.gov - Proposed Dept. of Public Health Rules - Public Commentary Email: [email protected] http://www.ilga.gov/commission/Jcar Q&A Questions?