Saturday 16 May 2015

Marijuana extract now legal, but how to get it?

CBD oil, a marijuana extract, is now legal within a narow framework, though many are confused about law’s specifics


The cause of medicinal marijuana took a step forward in Tennessee this month when Gov. Bill Haslam signed a measure making an extract of marijuana legal for use in treating intractable epileptic seizures.
Initially, the legalization of non-intoxicating cannabidiol oil (CBD) was sought for child victims of particularly severe forms of epilepsy, but the final version of the bill has made CBD available for anyone suffering from debilitating seizures.

There is enough evidence of CBD’s effectiveness to convince former opponents like Dr. Sanjay Gupta and local leaders like physician state Sen. Mark Green.
However, many Tennessee families are still in the dark about whether CBD is available, what the procedures are for legally obtaining and using it, and how the process of determining eligibility is supposed to work.
The day after Haslam signed the bill, Doak Patton, director of NORML (National Organization for the Reform of Marijuana Laws) Tennessee, said he was inundated with requests for information.

“I’ve been on the phone all day with people,” Patton said May 5, “but I don’t know what to tell them. Since it’s not made or available in Tennessee, will people bringing it in from out of state be breaking federal law? The specifics aren’t out there.”
However, the Mathes family of Greene County has been ready for the day for a while, hoping CBD would become available for their 16-month-old daughter Josie, who suffers hundreds of seizures a day.
Stacie Mathes, Josie’s mother, spoke to The Leaf-Chronicle and detailed the procedures for other families looking for help.

Narrow gateway
Under federal law, there are still illegalities attached to CBD due to marijuana’s continued status as a Schedule I drug, meaning that, officially, there are no recognized legitimate medical uses.
There are, however, narrow channels where aspects of existing law can be bypassed.
“CBD is still somewhat illegal,” Mathes said, “but this law will protect parents once you get the CBD inside of the state. For instance, it’s legal in Colorado where they have one of the most effective versions, called Charlotte’s Web, but how do you get it in Tennessee?

“There is a group called Realms of Caring (RoC) that is helping parents to get CBD. We contacted them in October to get the ball rolling when we thought we were going to have to do what other people in Tennessee were doing.”
Those families were leaving the state, joining a growing number of “marijuana refugees” desperate to get help for their seizure-stricken children.
“We thought we would have to go, to move, to help our daughter,” Mathes said. “With their (RoC’s) help, we are able to obtain CBD through the Stanley Brothers (Stanley Brothers Social Enterprise), which now ships CBD to 48 states.”

Nicole Mattison of RoC, whose own family moved to Colorado last year to obtain medical CBD for her daughter, Millie, 3, told The Leaf-Chronicle the shipments are allowed under the U.S. Agricultural Act of 2014 (also commonly referred to as the “Farm Bill”), which includes a section on the “Legitimacy of Industrial Hemp Research.”
“Charlotte’s Web products are Farm Bill-compliant, with independent verification already completed by the Department of Agriculture,” she said in an email. “And RoC is conducting an IRB (institutional review board)-approved study for seizure and epilepsy disorders we urge all of our clients to enroll in.”

Colorado connection
“Just a short time ago,” Mathes said, “the makers of Charlotte’s Web had a wait list of 12,000 people. They’ve upped their production, and now there is no wait list, and parents don’t have to come to Colorado or get a card. All they have to do is go to www.theroc.us and fill out their information. They’ll get a log-in and a password. They’ll have access to a dosing calculator based on that specific oil, which is standardized so there’s no confusion.

“Then they’ll go to the Stanley Brothers website, which is www.cwbotanicals.com and place their order. Anybody can order, but it’s $600 a bottle. However, if you are an RoC client, at checkout your price will be $250. That’s their client price.
“There are other providers in other places. I don’t know too much about them. But you have to be careful on the Internet because there have been problems. The Stanley Brothers have a great reputation.”

Realms of Caring doesn’t actually sell any products, Mattison said, but they do use studies, experiences and research to help guide administration for individuals using Charlotte’s Web, which they endorse as safe and effective, produced in an FDA-registered lab, following FDA practices.

‘We worked so hard’
Under the new law, any prescription recommendation has to come from a doctor licensed to practice in Tennessee.
Felicia Harris of Clarksville, whose daughter Lexy suffers from Dravet syndrome, has been going to a Missouri neurologist and will have to get an in-state doctor now, not necessarily a neurologist. But she thinks that’s a small consideration now that CBD is available and legal in Tennessee.

“I’m just overwhelmed with excitement that people like us can finally get our kids the treatment that will help them without jumping over a whole lot of hoops,” Harris said. “It almost doesn’t seem real because we worked so hard. Last year’s bill didn’t help because it still wasn’t available to us.”
That bill, which passed in 2014, authorized a pilot test that was supposed to be run by Vanderbilt University using in-state product developed by Tennessee Tech. But the Drug Enforcement Administration didn’t give the necessary permission, meaning the test program was dead from the start.

Without DEA authorization, the school risked losing critical federal research funding and Title IV financial aid.
To do what many other families had done and move out of state, Harris would have had to split her family up, since her husband serves in the military.
“There were all these strings attached,” she said, “and now it’s like those strings have been cut.”

‘Now we can stay home’
It should be understood that possession of CBD oil in Tennessee is legal now only within a narrow framework for a specific purpose: to treat intractable epilepsy.
Even though the oil contains almost none of the intoxicating component of marijuana, possession is still illegal for any other purpose.

Mathes, whose husband works in law enforcement, said there are two things people need to have with them at all times to avoid problems with the law: a doctor’s authorization and a receipt from where the prescription was obtained.
“If you get pulled over,” she said, “law enforcement has no way to test the oil. So you’re going to have to show those two proofs if you’re carrying the oil.”

Regarding her own situation with her daughter, Mathes said of the new law, “We always said it was going to be lifesaving because we were out of medical options. Surgery was too risky. Moving meant losing our whole support system. We wouldn’t know anybody except for other refugee families we had met here. It would have been very hard.
“Now we can stay home, do what we have to do and take care of our child.”

Next up for Tennessee is a more ambitious and comprehensive Republican-sponsored medical marijuana bill – controversial on both sides of the aisle. It moves forward into summer study, with advocates and opponents getting ready to man the battle lines again in 2016.

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