There are many requests from doctors and patients regarding the prescription of medical cannabis, that is, how a prescription is made that prescribes medical cannabis; for this reason, Farmagalenica makes available for educational purposes, several examples of medical prescriptions that can be used for the paid prescription to make life easier for doctors and (therefore) patients: ready to download the cannabis prescription! of medical cannabis, with the regulatory explanation of how a medical cannabis prescription should be prepared, additional requirements that the doctor must fulfill in addition to the prescription, and what the patient must do operationally.
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First of all, it must be said that galenic cannabis is a galenic drug, that is, prepared by the pharmacist: like all galenics, unfortunately, there is no dedicated and ongoing training for the class. Medical on how to write a prescription, which is different from the normal prescription for industrial drugs.
Similarly, few pharmacies in Italy prepare medical cannabis (for example, some of Farmagalenica), so even if you have a medical prescription, it is not guaranteed that it is easy to find the preparation.
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Let’s try to provide all the information you need for compiling a medical cannabis prescription.
General information on medical cannabis prescriptions
IT IS ESSENTIAL TO KNOW THAT:
- all facsimiles and examples are related to the prescription of medical cannabis on the doctor’s private prescription book (the “white” prescription) valid for purchase exclusively for a fee. There is NO facsimile for the SSN prescription because there is currently no unique way to prescribe free cannabis, but this varies from region to region (and would always require a dedicated SSN prescription book).
- the prescription for cannabis has the payment (charged to the patient) can be
- In each facsimile and example of the prescription, there are also instructions for correct compilation according to the dictates of law 94/98 (the “Di Bella” Law) and the ministerial decree of November 9, 2015.
- there is no limit on the quantity or duration of treatment: any quantity can be prescribed for any duration. This is because it is a paid prescription, while in the NHS (SSR) prescription, regions may impose constraints and limits (for example, a maximum of 30 days of treatment or 3 months).
established by ANY doctor registered with the Italian Medical Association: specialist, general practitioner, hospital, etc.
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FOR THE IN A HURRY: What must the doctor do to prescribe a medical cannabis prescription?
The Doctor must do 3 things:
- obtain the informed consent of the patient (that is, explain the risks, reasons for therapy, side effects, etc…), having them sign. An example of informed consent can be downloaded in DOCX by clicking here.
- write the medical cannabis prescription based on ministerial indications, using for simplification the facsimiles and examples available in the following paragraph.
- fill out the data collection form on treated patients, to be sent to the region territorially competent based on the indications that the regions themselves will provide (IF they provide them). Click HERE to download the form directly. For more information, consult the following page of the Ministry of Health’s website.
By Dr. Marco Ternelli, a summary sheet on medical cannabis in Italy is available for download: pharmacology, legislation, dosages, advice, side effects, indications,… Click on Download to download the PDF for free.
Medical Cannabis Guide Italy varieties dosages extracts GalenicaDownload
What are the methods for prescribing cannabis for a fee?
As previously stated, the Doctor must obtain the informed consent (download it HERE) from the patient, BUT is not obliged to indicate it in the prescription: the purpose is in fact to “protect” the Doctor and is solely within their competence, in addition to the fact that it would render the confidentiality of the prescription null (because the informed consent indicates the patient’s name and surname). Once this is done, fill out the medical cannabis prescription on a private prescription (white prescription) with the following formalities:
- The NUMERIC or ALPHANUMERIC code of the patient, NOT the first name and surname of the patient or their tax identification number. The ratio aims to protect the patient’s privacy: only the prescriber knows the real identity of the patient, associated with the
- code of the date of preparation of the
- stamp (or letterhead) of cannabis on medical prescription and signature of the prescribing doctor
- of the substance, including the title, among the various available (for example Cannabis flos 22% THC — 50 mg). The indication of the cannabis brand TODAY (Bedrocan, Bediol, Bedica, FM2, Pedanios, etc.) is mandatory when it is not possible to identify a variety with certainty (for example Bediol or FM2); it is optional, however, when there is no doubt about the variety of cannabis prescribed by the doctor (for example, 14% cannabis refers only to Bedica).
- pharmaceutical form: paper/filters/bags/oil solution/opening capsules for herbal tea/tincture/eye drops, etc.
- the number of doses (for example 10 papers) or the quantity (for example 50 ml)
- which is not mandatory, but it is strongly recommended that there be. Note that the ministerial decree of November 9, 2015 imposed the indication of dosage by weight, but referring to It is not necessary to indicate the dosage by weight on the prescription. It is strongly recommended, only and exclusively in the case of the prescription of extracts (oil, resins, creams, etc…) that the doctor indicates the dosage in mg of THC or in mg of CBD, NOT in drops or ml, leaving it to the pharmacist to convert the dose of THC or CBD into the corresponding number of drops or ml based on the actual content of the extract.
- the reasons for the prescription or the “need for treatment” (ministerial decree of November 9, 2015), or the specific requirements justifying the use of the impromptu prescription (for example “lack of industrial product”, “treatment of pain in patients resistant to conventional therapies”, etc.), in accordance with the provisions of law 94/98.
- age and sex of the patient
Each cannabis prescription has a validity of 30 days excluding the editorial and the pharmacist has the obligation (DM November 9, 2015) to deliver a copy stamped, dated, and signed by the pharmacist.
Note: The pharmacist sends each month each copy of the cannabis prescription to the AUSL. The Doctor has nothing to send.
Where can I download facsimiles and examples of Dutch, Italian, Canadian, and veterinary cannabis prescriptions?
Here are some facsimiles (for educational purposes only, except for errors or omissions) in PDF format for the prescription of cannabis by Dutch BedrocanBV, Italian FM2 and Pedanios Canadian updated in 2019.
Note: For cannabis oils, the facsimile only states the new method of standardized galenic cannabis oil with the Ternelli method, that is, a fixed and constant concentration of THC or CBD each time (for example 1.0%, or 10 mg/ml) regardless of the initial concentration of the inflorescence.
To download it, simply click on the desired PDF.
| Filename//Link | Size |
|---|---|
| Bedica alcohol tincture facsimile_Farmagalenica.pdf | 95.55 KB |
| Bedica cards facsimile_Farmagalenica.pdf | 95.16 KB |
| Bedica olive oil facsimile_Farmagalenica.pdf | 92.17 KB |
| Bediol FM2 Pedanios alcohol resin facsimile_Farmagalenica.pdf | 98.03 KB |
| Bediol FM2 Pedanios alcohol tincture facsimile_Farmagalenica.pdf | 95.57 KB |
| Bediol FM2 Pedanios openable capsules facsimile_Farmagalenica.pdf | 84.08 KB |
| Bediol FM2 Pedanios rolling papers facsimile_Farmagalenica.pdf | 95.3 KB |
| Bediol FM2 Pedanios olive oil eye drops facsimile_Farmagalenica.pdf | 94.1 KB |
| Bediol FM2 Pedanios olive oil facsimile_Farmagalenica.pdf | 92.96 KB |
| Bedrocan Pedanios alcohol resin facsimile_Farmagalenica.pdf | 98.01 KB |
| Bedrocan Pedanios alcohol tincture facsimile_Farmagalenica.pdf | 95.51 KB |
| Bedrocan Pedanios openable capsules facsimile_Farmagalenica.pdf | 84.01 KB |
| Bedrocan Pedanios rolling papers facsimile_Farmagalenica.pdf | 95.25 KB |
| Bedrocan Pedanios olive oil facsimile_Farmagalenica.pdf | 92.09 KB |
| Bedrolite Pedanios alcohol resin facsimile_Farmagalenica.pdf | 97.99 KB |
| Bedrolite Pedanios alcohol tincture facsimile_Farmagalenica.pdf | 95.52 KB |
| Bedrolite Pedanios openable capsules facsimile_Farmagalenica.pdf | 84.01 KB |
| Bedrolite Pedanios rolling papers facsimile_Farmagalenica.pdf | 95.26 KB |
| Bedrolite Pedanios olive oil facsimile_Farmagalenica.pdf | 92.12 KB |
| Pure CBD capsules_Farmagalenica.pdf | 82.35 KB |
| FM2 olive oil facsimile_Farmagalenica.pdf | 92.07 KB |
Where can I find a Doctor who can write a medical cannabis prescription?
First of all, it should not be forgotten that any doctor can issue a medical cannabis prescription (for a fee): for this reason, even the general practitioner can do so, but this is not mandatory since a doctor can only prescribe a drug if, in good faith and conscience, they believe it is necessary to treat the patient’s condition.
Remember: a doctor is never obliged to prescribe a drug, whether cannabis or not.
It is not possible, for legal reasons, to indicate in this article where and which doctors prescribe medical cannabis in Italy. However, we can suggest:
- contact pharmacies that do galenic preparations on Cercagalenico.it and ask individually if they have names of doctors or if they know specialized centers where medical cannabis is used
- use Google, Duckduckgo, Bing, Yahoo as search engines to find prescribing doctors
- register on www.letsweed.com and see if the names of the doctors are available
- , ask other patients on Facebook or other social networks
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Some frequently asked questions about the prescription of medical cannabis
What is meant by “cannabis oil”?
The term “cannabis oil” is often used to refer to alcohol extract, that is, FECO or RSO resin (Rick Simpson Oil), but from a pharmaceutical point of view, the correct reference is to cannabis olive oil, that is, an olive oil extract. The error likely arises from the American term oil which, in Italian, is literally translated as OIL, thus automatically associating it with olive oil, while in reality it refers to the consistency of the alcoholic resin. For more information on cannabis oil, you can read the dedicated article.
What is the correct prescription to download for an oncological disease?
It depends: in case of pain, rolling papers or cannabis oil are generally used. If you wish to use Rick Simpson oil or full extract cannabis oil, the recommended preparation is that of cannabis resin in an alcoholic extract. NOTE: read a lot carefully (and make sure you understand it well) before downloading the facsimile.
Where can I find more information on medical cannabis?
On the availability of the company ACEF (one of the Italian importers of medical cannabis), we attach an explanatory PDF containing many other technical, scientific, and bibliographic information. Furthermore, with the kind permission of Dr. Marco Ternelli, a summary sheet on medical cannabis, including an overview of the evolution of medical cannabis prices over the years. More information on medical cannabis is available on the website of the Ministry of Health and the military pharmaceutical chemical factory in Florence.
For any other questions or concerns, you can write in the comments.
Finally, do not forget that to find out which Farmagalenica pharmacies are able to sell Cannabis Sativa L products, consult the search engine cercagalenico.it (a new page will open).
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