Spasticity is a medical symptom that causes severe tightness and rigidity in the muscles due to lengthy contractions. Normally, messages are passed from the muscles via the nervous system and spinal cord to the brain. However, strokes, conditions present at birth, cerebral palsy, multiple sclerosis and trauma to the spinal cord and brain, will impede how these signals move towards and away from the affected muscles.
Most prolific in the legs, it can also impact other muscles throughout the body with the intensity differing from patient to patient. Most people with spasticity experience disfigurement and disability, alongside the pain from involuntary muscle spasms.
Orthodox treatments for spasticity range from physiotherapy and medication including Botox injections and baclofen. Body braces can also be prescribed along with transcutaneous electrical nerve stimulation (TENS) therapy. Similarly, intrathecal medications are delivered to the cerebrospinal fluid via a pump that is attached to the abdomen during surgery. Another procedure, Rhizotomy, sees a neurosurgeon carefully cut fibres away from the spine’s nerves. Although effective, some may find these complex treatments daunting.
Sativex (an equal mix of THC and CBD) is applied orally by a spray, and, according to the findings of a 2013 clinical trial, may alleviate multiple sclerosis muscle spasticity. There were no serious side effects in this trial, so Sativex could prove an alternative treatment option.
Yes. Cannabis-based medicinal products (CBMPs) have been legal since the 1st of November 2018, when they moved from a Schedule 1 product to a Schedule 2 product. This reflects their potential for medical use.
Cannabis-based medicinal products, also known as CBMPs, can be prescribed by private consultants, when appropriate, within their specialty area when there is unmet clinical need.
In the UK cannabis medicines are accessed primarily via private clinics. However, any specialist physician can prescribe cannabis medicines. GROW® is here to provide education and support to any specialists looking to prescribe or just to find out more.
There are 3 licensed medicines which contain cannabinoids – Epidiolex for some forms of epilepsy, Sativex for multiple sclerosis (MS), and Nabilone for chemotherapy-induced nausea and vomiting (CINV). However, only a handful of prescriptions have been issued in the NHS to date.
Most cannabis-based medicinal products (CBMPs) are instead unlicensed, and they must be written on a private prescription, typically issued by private clinics specialising in medical cannabis treatment.
Cannabis medicines come in multiple forms; flowers, often referred to as herbal cannabis (to be vaporised, rather than smoked), oils (taken under the tongue) and capsules. Cannabis medicines come in high-THC, high-CBD and balanced varieties.
Smoking medical cannabis is illegal. Medical cannabis can instead be taken in different forms depending on the desired speed of onset and duration of action, which is discussed between the patient and their doctor.
It’s important to find a clinic that works for you. Most importantly you need to find a Doctor that specialises in your condition. For example, patients with pain will need to see pain specialist, while those with a mental health condition must see a psychiatrist.
It’s important for patients to know they can use any pharmacy that supplies the appropriate medicines in the UK.
Some clinics have a preferred pharmacy but will be able to send prescriptions to others if needed. If patients have any questions about available medicines, they can contact IPS Pharma.
To speed up the process, patients should bring a copy of their medical records. These are then forwarded to the clinic in advance of the first consultation.
No. Cannabis-based medicinal products (CBMPs) are only prescribed by GMC-registered specialist doctors. As they are medicinal, CBMPs are regulated by the Medicines and Healthcare products Regulatory Agency (MHRA); which ensures the safety, quality, and effectiveness of medicines in the UK.
Over-the-counter (OTC) CBD products can be purchased without a prescription in pharmacies, health food shops, or online. These may come in forms such as oil tinctures, capsules, or vapes. They are not medicinal products as they are regulated by the Food Standards Agency (FSA) as a food supplement, with a 0.3% limit on THC.
Patients are free to seek a second opinion from another clinic. Patients should ensure the clinic has communicated their reasons for deciding not to prescribe. It may be that they feel you should try other medicines before trying cannabis medicines, or that they need to see more information about your medical history before they are happy to prescribe.
We are always here to help. If you have a question, comment or want to learn more please fill in your details below and one of our team members will contact you.