Do i need a medical card for cbd oil

What Are Medical Marijuana and Cannabidiol (CBD)? Everything You Need to Know

The cannabis plant, from which marijuana is derived, is often smoked for recreational purposes. But people are increasingly using marijuana to treat medical conditions — and this medical marijuana is not always smoked. It comes in many forms:

  • Marijuana cigarettes containing the cannabinoids (chemical compounds) tetrahydrocannabinol (THC) or cannabidiol (CBD), or both THC and CBD
  • CBD oils, edibles, tinctures, creams, and capsules
  • Cannabis-derived pharmaceutical products approved by the Food and Drug Administration (FDA)

Studies suggest that the medical use of marijuana may help treat the following conditions or help alleviate the following symptoms: (1)

  • Anxiety, particularly social anxiety disorder
  • Chronic pain

Some research has suggested that the cannabinoids in marijuana could also be useful in managing these conditions: (2,3,4,5,6,7)

  • Inflammation
  • Arthritis
  • HIV/AIDS like Crohn’s disease and irritable bowel syndrome (IBS)

According to a 2017 report from the National Academies of the Sciences, Medicine, and Engineering (NASME), the strongest scientific evidence so far has been found in support of using marijuana for chronic pain, cancer-related nausea and vomiting, and MS-related spasticity. (1)

This NASME report, one of the largest of its kind, looked at more than 10,000 studies published since 1999.

How Does Marijuana Affect the Body?

It depends on whether THC or CBD is the cannabinoid at work. They produce similar effects, but there are differences in intensity because they each affect a different neural pathway.

THC is thought to engage with the body’s endocannabinoid system, which helps regulate physiological functioning. THC is similar to a chemical that’s present in this system, and when these two chemicals meet, the similarity allows THC to exert an influence on the body and brain in ways that alter coordination, memory, decision-making, appetite, and mood.

The endocannabinoid system also helps regulate gastrointestinal functions, and this may explain why medical marijuana seems to help digestive disorders like IBS.

CBD, scientists think, affects the brain because of the way it interacts with the neurological pathways that regulate serotonin, the hormone that regulates anxiety, pain, nausea, and appetite.

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How Can Marijuana Help Opioid Use Disorder?

Some individuals use marijuana instead of addictive opioids to treat pain. In these cases, marijuana may actually be responsible for a decrease in the use of — and deaths from — these prescription drugs.

A study published in May 2018 in JAMA Internal Medicine reported that prescriptions for opioids decreased in states that have medical marijuana laws. Researchers looked at Medicare data from 2010 to 2015 and found that states with active dispensaries saw 3.742 million fewer daily doses of opioids filled by pharmacies. (8)

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Another study, published in October 2014 in JAMA Internal Medicine, found that states with medical cannabis laws had a 24.8 percent lower annual overdose rate than states without such laws. (9)

Some states, like Pennsylvania and New York, now consider opioid use disorder as a qualifying condition for medical marijuana use. New York, for example, allows people who qualify to use medical marijuana instead of opioids to treat pain.

What Is Cannabidiol and How Will It Affect Me?

Cannabidiol is the cannabinoid in marijuana that, along with interacting with the brain’s serotonin system, may also help relax and calm you, but it doesn’t alter your perception or affect physical reactions too much. CBD may be particularly effective for: (10)

  • Anxiety disorders
  • Nausea and vomiting
  • Psychotic disorders
  • Non-cancer-related pain
  • Depression
  • Addiction
  • Sleep problems (Dravet syndrome and Lennox-Gastaut syndrome)

Staci Gruber, MD , is an associate professor of psychiatry at Harvard Medical School in Boston and the director of the Marijuana Investigations for Neuroscientific Discovery program at McLean Hospital in Belmont, Massachusetts, which is researching the neurological effects of medical marijuana use.

In a large study that she’s conducting on the use of medical marijuana, Dr. Gruber says the second most commonly reported use of medical marijuana among subjects is for anxiety. She’s also about to begin an FDA-approved clinical trial of a CBD sublingual (administered under the tongue) tincture, consisting of CBD in a coconut oil base, for the treatment of anxiety. (Tinctures are medicines — in this case CBD — dissolved in a liquid like alcohol or glycerine.)

Indeed, anecdotal evidence points to the effectiveness of CBD as an anxiety and stress reducer, as well as a sleep aid. Eric*, a busy sales executive in San Francisco, has been sleeping more soundly since he started using a high-CBD, low-THC product via a vaporizer three months ago for work-related stress and anxiety.

“The quality of my sleep is better, I’m sleeping longer and deeper, and I now have no problem falling and staying asleep,” he says. “It has changed my life.”

In addition to being a potentially powerful treatment for anxiety disorders, a growing body of research is suggesting that CBD may help treat symptoms of neurological disorders such as Parkinson’s disease and Alzheimer’s disease . (11,12)

Scientists think that CBD acts in yet to be determined ways that protect the brain against inflammation and oxidative stress. (13)

Research also points to CBD as a potential treatment for psychosis and schizophrenia . (14,15)

Medical marijuana may also be effective in palliative care. In one Canadian case study, published in 2013 in Case Reports in Oncology, physicians reported that CBD oil, administered orally, was a successful treatment for a 14-year-old patient in palliative care with an aggressive form of leukemia. (16)

Texas Medical Marijuana

Eligible Texans have access to medical marijuana through the State’s compassionate use program (CUP) administered by the Texas Department of Public Safety (DPS). Texans with certain medical conditions may qualify. Learn more about its use and who can get a prescription.

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Medical marijuana

Texas’s Compassionate Use Program (CUP) allows certain physicians to prescribe low tetrahydrocannabinols (THC) cannabis for medical purposes.

Low-THC comes from the plant Cannabis Sativa L. All parts of the plant and any resulting compounds, salts, resins, oils and derivatives that contain no more than 0.5 % by weight of THC are considered Low-THC. Medical use of these substances is limited to swallowing, not smoking, the prescribed dose of low-THC.

Medical conditions

By law, CUP is limited to Texas patients with:

  • Epilepsy
  • Seizure disorders
  • Multiple sclerosis
  • Spasticity
  • Amyotrophic lateral sclerosis
  • Autism
  • Terminal cancer

Medical marijuana prescriptions

Patients may get Low-THC cannabis prescribed if:

  • The patient is a permanent resident of Texas
  • The patient has one of the medical conditions listed above
  • A CUP registered physician prescribes
  • That qualified physician decides the benefit outweighs the risk

There is no age limit for prescriptions. Patients under 18 may need a legal guardian.

Getting a prescription:

  • The physician will enter a prescription in the Compassionate Use Registry of Texas (CURT)
  • After, the patient or legal guardian can go to any licensed dispensary to get the prescription
  • The patient or legal guardian will need to provide ID and patient’s, last name, date of birth, and last five digits of their Social Security Number

CURT is an online system provided by DPS and used by Qualified physicians to input and manage low-THC prescriptions.

Dispensaries use the CURT system to search for the patient’s information before filling any related prescriptions.

Physician qualifications

A physician’s qualifications to prescribe low-THC is outlined in Section A169.002 of Senate Bill 339 (PDF).

Do you need a medical card for CBD?

Cannabidiol or CBD is the lesser-known commpound found in the cannabis Sativa plant. Tetrahydrocannabinol or THC is a more famous type of cannabinoid and is the active ingredient in the pot that catapults “high” users. Hemp is what they call cannabis that contains 0.3 percent or less of THC.

The 2018 Farm Bill or the Agriculture Improvement Act of 2018 recategorized the hemp plant from the marijuana plant. So even though both were of the cannabis plant, they were no longer considered the same. For the hemp-based CBD industry, this has been a big and favorable change, as their goal is to separate its image from how medical and recreational marijuana is viewed.

CBD is claimed to relieve fear, depression, and post-traumatic stress disorder. It’s even being advertised for sleep promotion. Part of the popularity of CBD is that it claims to be “non-psychoactive” and that customers will benefit from the plant without being high. In 2018, two forms of treatment-resistant epilepsy were approved by the FDA (trade name Epidiolex) for CBD: Dravet syndrome and Lennox-Gastaut syndrome in children with refractory epilepsy.

If you want to buy CBD without any THC and it comes from hemp, you won’t need a medical card. However, if you want to buy CBD with higher THC content, a medical marijuana identification card issued by a registered practitioner will indeed be required in most states. Hemp is part of a cannabis plant but requires that it does not have more than 0.3 percent THC to be called commercial hemp. It is important to keep in mind that all CBD is not created equally and what you purchase from a gas station can differ substantially from what you may get at a MMTC or reputable company that tests each batch of products prior to sale.

In states that legalize recreational marijuana, you can simply go into a pharmacy and get either marijuana-based or hemp-based CBD. All you have to do is present a valid driver’s license or ID that confirms you are over 21. But this is opposite to states that legalized medical marijuana. There, a practitioner will need to qualify you as a patient to buy marijuana-based CBD. Qualifications rely on the individual, with others having stricter conditions such as discomfort, distress, or post-traumatic stress, and some need even more stringent medical conditions such as epilepsy or cancer.

Who qualifies for a medical marijuana card?

The policy for those who should be qualified for a medical marijuana card varies from one state to another on who applies for medicinal cannabis. For medical states, an eligible individual may receive a medical marijuana card or permit to enter pharmacies and purchase medicinal marijuana items with a prescription from a local doctor. On the contrary, adult users in states where recreational cannabis has been approved may not require a medicinal marijuana card, but they do not gain access to the same prescription of cannabis drugs provided by doctors.

Medical marijuana is authorized by several states for reasonable, qualified patients. There are eligibility requirements, as well as a summary of what medical problems and signs ought to be reviewed by a specialist to be approved as a legitimate medical marijuana patient.

For minors, a recommendation from a licensed healthcare practitioner is required to approve medical patients to use marijuana. Then, it is required that a mature individual be able to serve as their caregiver or approved parent. The caregiver will be at least 18-21 years old (age differs from state to state) and must be able to handle the well-being of a child that has been diagnosed and he or she should purchase drugs from a legally approved cannabis store only.

An example of a state that legalizes medical marijuana is Arkansas and below is the breakdown of what medical conditions and symptoms a physician must validate in the aforementioned state for a patient to be a valid medical marijuana patient and is allowed to hold a medical marijuana card.

  • Cancer
  • Glaucoma
  • HIV/AIDS
  • Hepatitis C
  • Amyotrophic lateral sclerosis
  • Tourette’s Syndrome
  • Crohn’s disease
  • Ulcerative Colitis
  • Post-traumatic stress disorder (PTSD)
  • Severe arthritis
  • Fibromyalgia
  • Alzheimer’s disease
  • A chronic or debilitating disease that produces:
    • Cachexia or wasting syndrome
    • Peripheral neuropathy
    • Intractable pain
    • Severe nausea
    • Seizures, including that characteristic of epilepsy

    Severe or persistent muscle spasms including those characteristics of multiple sclerosis