Will new limits on online prescriptions for psychotropic drugs hit medical marijuana patients?

@Angelika - maybe GdziePoLek apart from the drug search engine, would provide a search engine for doctors dealing with medical marijuana therapy, I know that there are various clinics, but they are usually in large centers, mainly Warsaw, but there are also a lot of doctors (still not enough) who specialize in medical marijuana treatment, and unfortunately many patients do not know that they have such a specialist "around the corner" - I say this regarding this limitation in access to e-prescription, and thus to the doctor ;)

@Angelika - Mrs. Angeliko as if you could discern what is going on: "The condition of examining the patient will not apply to the case referred to in Article 42 paragraph 2 of the Act of 5 December 1996 on the professions of doctor and dentist (Journal of Laws of 2022, item 1731, as amended). Deaths). Under that provision, a doctor may, without examining the patient, issue a prescription necessary for the continuation of treatment and an order for the supply of medical devices as a continuation of the supply of medical devices, if this is justified by the patient's state of health reflected in the medical records', that is to say, will these visits be necessary every 12 months, or will the doctor be able to consider that the medical records are sufficient for him? The more that the main problem is not RPW prescriptions (at least in my opinion), but the fact that one doctor does not know about what another doctor prescribed (such knowledge has POZ doctor and those doctors / pharmacists / others to whom we gave the right to it, eg through IKP, or declaration), in this way it was possible to buy several RPW prescriptions from different doctors, I omit that the issue of the interaction of many drugs, not necessarily narcotic, which can be as dangerous as opioid overdose, especially for seniors, was solved, but nobody seems to care about this :) All in all, ZUS is comfortable with it, and indirectly also for our beloved country ;)

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@Zoya I also interpret it in this way (if I mistakenly ask for a mistake). The problem will be primarily new patients or patients of clinics that do not issue any certificates or do not keep a history of treatment, but only write an e-prescription to the "client". So, in a way, it is a fight against "receptomats", and not against clinics that professionally approach the treatment of each patient. Of course, everything will come out in the wash :)

@Tehacjusz, this is exactly the wicket ;) After all, the medical records could have been prepared by the same doctor a month earlier on the basis of an online visit. Because there is probably no and there will be no ban on preparing medical records based on online visits. Also mainly more work for clinics to make everything agree. There may actually be a bigger problem with the first prescription, but as you can see, not necessarily with the continuation.

@TeHaCjusz - the first stationary visit, however, may be necessary. This provision applies only to the continuation of treatment, and it is difficult to talk about it without starting it

"The condition of examination of the patient will not apply to the case referred to in Article 42(2) of the Act of 5 December 1996 on the professions of doctor and dentist (Journal of Laws of 2022, item 1731, as amended). Deaths). Under that provision, a doctor may, without examining the patient, issue a prescription necessary for the continuation of treatment and an order for the supply of medical devices as a continuation of the supply of medical devices, if this is justified by the patient's state of health reflected in the medical records.' This can be interpreted as meaning that, if the doctor deems it necessary, he can issue a prescription without a visit ;) So this solves the problem with the first inpatient visit and with 1 inpatient visit per year, but it would be good to have some documentation so that the doctor prescribing cannabis has a basis for ;)

So I understand correctly that from the moment the changes come into force, if you have not previously had a stationary consultation with a doctor (up to 12m), he will not be able to re-prescribe a prescription for MM without a personal examination? It will come out the same only that you will simply have to go after doctors, and knowing the resourcefulness of compatriots, it will also come up with something

In case anyone was curious, here is the content of the regulation announced on May 2, which is reportedly to enter into force 14 days after the announcement. They established a whole 5 days of public consultation after the announcement, also congratulations...: In general, a lot of restrictions. Main conclusion: Issuing a prescription via ICT or communication systems will be possible if no more than 12 months have passed since the last examination of the patient, which resulted in issuing a prescription for a preparation containing a narcotic drug of groups I-N or II-N (...) https: //MSc. Farm /news/ important-changes-in-prescriptions-for-psychotropic-drugs-minister-introduces-restrictions/

The welfare state knows better

The regulation is reportedly due later this month. For now, it is known that the restrictions will apply to psychotropic and narcotic drugs, i.e. MM too. It is not yet known what will happen, but Niedzielski recently said in an interview that there will be some kind of "discomfort"

Has something moved in this topic? Any information when this regulation will appear and will there be any vacatio legis, or will it come into force immediately and there will be no time to look for a new doctor on the spot? Many people do not know that such a thing is planned, because in the media as you do not look after a specific entry, and the headlines of such information lack ;)

Morphine has more acceptance than MM. I am constantly updating my 4-year medical records and private MM treatment with a GP - I still have to be private. This will not change for a long time, because the emerging MM market in Poland is a business on patients' health. Apart from how the courts treat MM patients as drug addicts - another business of Zbigniew "Zorro's" reforms

@kiloTrawyW3lata - not all ;) for me, normally the prescription for morphine is written by one of the POZ doctors (I do not know about the rest), of course, for the treatment of ;) So I don't see that he has any obstacles in writing prescriptions for MM, especially if you talk to him well and describe the problem ;) How do I do the discernment is prescribed to him (because my current POZ doctor is even if you go with a fever of 38 it will tell you that you invent - I did not change because I am privately treated, because I do not have time for lipne diagnoses and waiting for years in the queue, and the POZ doctor is only after L4) - one saving because a visit to the National Health Fund, Secondly, on site and you can visit a doctor ;)

POZ doctors do not issue prescriptions for MM, because, firstly, they do not know how to issue a prescription for a prescription drug, secondly, they must be trained in MM, and as we know, for each qualification the doctor counts, so for a loooong time in PL a doctor from POZ will not issue a prescription for MM. And thirdly, most doctors - some 99% percent are afraid to write MM - because "after MM people are killed". ... they don't know that MM kills cancer cells...

One more thought: if they want to limit the practices in the field of m.in Medical Marijuana, first of all, there should be a ministerial or IKP register of ALL DOCTORS who deal with therapy throughout Poland, so that the patient, as it is with other doctors / clinics / clinics, can look for the nearest specialist in his area through the IKP system. Secondly, if this Supreme Medical Chamber together with the Minister are so worried, maybe they should start EDUCATING / EDUCATING in the field of cannabinoid treatment!!! By the way, I'm afraid of these "specialists" from the Supreme Medical Chamber, because as I saw their performances regarding Medical Cannabis, when they confused the concepts - first to school or to courses abroad, and not to make life difficult for the Patient and Specialist Doctor!!!! It is a pity that they do not deal with such zeal with the Head of the SOR, who beat a patient or another head of the department who had 2 promile in the robot and claims that tests are needed to determine that he was unable to work ;)

I would like to add that often also POZ doctors, especially older people (because they have to take medication for various diseases) prescribe drugs that interact and serious and do not see it as a problem, and do not even inform the patient about possible serious interactions!!!! So if someone is not breastfeeding or pregnant or has a serious circulatory system disorder or is not prone to psychoses / schizophrenia, then there should be no grounds for refusing treatment with MEDICAL MARIJUANA, of course, as long as it helps someone (which, for example, shows documentation and long-term treatment!)

@Angelika - if you look at it this way, it is also a POZ doctor, seeing that the therapy is continuous and a constant dosage is determined, continue this therapy (after all, in the InternetPatient's Account there is an option to issue an order for drugs that comes to the POZ doctor)? Am I wrong? After all, POZ doctors prescribe insulin (you can easily overdose), alprazolam (so-called xanax), taramadol, or other opioids and somehow they do not see a problem in it? Maybe you need to change the POZ doctor to one who knows about treatment, and not persuading that it is "be" or that the patient invents something.

The general direction of changes is to be positive in the assumptions, but of course it is not known what the final shape of the solutions will be. The advantage would be, for example, increasing control over the effectiveness of therapy, reducing the risk of side effects due to interaction. After all, the attending physician should be able to write an e-prescription for the continuation of therapy without the obligation to make a stationary visit, e.g. if the patient uses the services of a clinic several hundred km away from his place of residence.

That is why Kaczyński's knee is rotting, because his doctors do not know that in the West, after operations and implants, marijuana is prescribed - thanks to this, the patient recovers quickly, there are no postoperative complications, and implants are accepted in most cases. And with us they murder for MM, so after the operations you will have to go personally for a prescription. They fell on their heads. What a dark garden.

@eHaCjusz - by the way, then the costs of medical visits should be charged to the state, because who will pay for commuting? As I said, if their approach will result in a deterioration in the quality of medical care, there will be a thick basis to subject these practices of the Polish State to accusation, for example, the European Court of Human Rights, they love the current government so much that they will give compensation to everyone immediately, look at the case of Doda and many other ;) And as they say, tens of thousands of euros will be useful to each patient for commuting and therapy :)

@Pacjent - and the only thing this State will lead to is a deterioration in the quality of life and health of people/patients ;) The question is whether then you should be collectively prosecuted before international tribunals, because in a sense it will be a crime against the life of a large group of people. In addition, on the one hand, therapy, and on the other hand access (since with us when THC metabolites are detected, it is immediately a man screwed behind the wheel, despite international opinions / studies on this subject, that the time of negative impact from the end of inhalation is max 8 hours, with us it is a week, because they will drag you to the courts to prove that you were not screwed up - and now drive 400-600km to the doctor, I think you would have to take a vacation for a week to get by buses/trains, because the car falls off, because the law does not exist in this respect).

The Ministry of Health will strive to introduce a certain restriction or even a ban on the dispensing of psychotropic drugs in this mode (online).

Let us hope that common sense will be maintained. Unfortunately, it is sad how you have to work hard as a patient. The online prescription is convenient, if nothing changes in the disease itself, and it is treated in the long term, what is the point of tormenting stationary visits? I remember how at the beginning we had to struggle with driving a few hours to Warsaw and now we have to come back to it? What about those for whom it literally hurts? I think it will eventually come to the point that you will have to buy seeds and risk, because at least there will be no breaks in treatment, it will be cheaper, there will be no problems with quality, only the patient will have to feel like a criminal, because the state does not allow him to be treated legally.

That is, what will no longer be prescriptions that you give a four-digit code

To TehaCjusz. Unfortunately, the topic has returned and the Minister of Health today (3.04.2023) said that there will be such a ban or restrictions

This topic, as well as consultations in the online form, has been scrolling for several years and so far nothing - I remember that the main point was to be that when you go to a new doctor (first visit) or change the disease entity, such a visit would take place stationary, and later with the possibility of online, but a slight noise on the side of the doctor and patients exploded, Because it is known how hard it is to find a specialist doctor, and not everyone health condition allows you to play "trips" around the provinces of ;)

Anonymous MM is not included in this group only in the narcotic group, which is even more severe than psychotropic. Niedzielski said that there will be restrictions or bans on online prescriptions for certain groups of drugs. So it's time to start planting yours because I do not have the time and money to go to the doctor a few hundred km for a prescription.

It seems to me that medical marijuana is not included in the group of psychotropic drugs, so it should not matter