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With medicinal cannabis now legally available under the Therapeutic Goods Administration (TGA) framework, more Australian patients are turning to their doctors for guidance. For medical practitioners, prescribing cannabis requires more than clinical knowledge—it demands careful consideration of regulations, safety, and patient needs. Here are the five most important factors to keep in mind:
1. Understanding the Legal Framework
Practitioners must be familiar with TGA approval processes such as the Special Access Scheme (SAS) and Authorised Prescriber pathways. State and territory rules also vary, so compliance requires knowing both federal and local requirements.
2. Assessing Patient Eligibility
Cannabis is typically considered when conventional treatments have failed or caused intolerable side effects. Thorough patient history, symptom assessment, and review of prior treatments are essential before prescribing.
3. Selecting the Right Product & Dosage
Cannabis medicines vary in cannabinoid content (THC and CBD ratios), form (oils, capsules, flower), and strength. Choosing the right formulation and starting at a low dose before gradually adjusting helps minimise side effects and optimise benefits.
4. Monitoring for Safety & Effectiveness
Regular follow-up appointments are vital to track symptom improvement, check for adverse reactions, and adjust the treatment plan. Practitioners should also educate patients on safe storage, driving laws, and potential interactions with other medications.
5. Staying Up to Date with Research & Guidelines
Cannabis medicine is a rapidly evolving field. Ongoing professional education ensures prescribing is evidence-based and aligned with the latest clinical guidelines.
Final word: Prescribing medicinal cannabis in Australia is about balancing patient care with legal compliance and clinical responsibility. By understanding the rules, assessing carefully, and monitoring closely, practitioners can provide safe, effective treatment to eligible patients.
