Situation of Cannabis Possession for Medical Use, in Surat Thani Province

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Utsani Eksuweeraphong

Abstract

The objectives of this research were to survey the situation of cannabis possession for medical use according to the Narcotics Act, No. 7, B.E. 2562 (2019), and to explore the perceptions and expectations related to the law on cannabis possession and medical cannabis among patients, the general public and competent officials in Surat Thani province. The cannabis possession forms from all patients submitted to the Surat Thani Provincial Public Health Office during February to May 2019 were reviewed. Thirty purposively selected respondents including patients, the general public, and competent officials were invited to participate in in-depth individual interviews. A total of 767 patients needed to use cannabis for relieving their symptoms or disease treatment. Approximately 80% of patients were male with an average age of 44.13 years (4–92 years). They had several cannabis forms in house, including oil extracts (59.84%), cannabis plants (57.11%), and dried cannabis (32.72%). Major symptoms or diseases were declared for cannabis possession including headache or migraine (38.85%), insomnia or stress (37.16%), and cancer (13.43%). In addition, most respondents received misinformation on cannabis from several channels which led to increasing use of cannabis without indication, cannabis addiction, and illegal possession. Therefore, relevant government agencies should hastily launch related measures such as increasing public education focusing on both risks and benefits of cannabis and illegal cannabis advertising control.

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References

Euachaikul C. Cannabis: Benefit, harm and improvement proposals for governance. Center for Continuing Pharmaceutical Education [Internet]. 2017 Nov [cited 2020 Mar 14]; [10 screens]. Available from: https://ccpe.pharmacycouncil.org/index.php?option=article_detail&subpage=article_detail&id (in Thai)

Taupachit W., Kessomboon N. Medicinal use of cannabis. Isan Journal of Pharmaceutical Sciences. 2017;13(Supplement):228-40. (in Thai)

Narcotics Act (No. 7) B.E. 2562 (2019). Published in Government Gazette, Vol. 136, Part 19A. (2019 Feb 18). (in Thai)

Notification of the Ministry of Public Health. The specification of possession of Narcotics of Category V, Cannabis, that are consumable for treatment of diseases before Narcotics Act (No. 7) B.E. 2562 (2019), into force do not be punished, B.E. 2562. Published in Government Gazette, Vol. 136, Part 49D (2019 Feb 26). (in Thai)

Notification of the Ministry of Public Health. Identify the name of the narcotics in the category 5 B.E. 2563 (2020). Published in Government Gazette, Vol. 137, Part 290D. (2020 Dec 14). (in Thai)

Ministerial Regulation. Application for and authorization to produce, import, export, sell or have in possession which the narcotics of category V, cannabis. B.E. 2564 (2021). Published in Government Gazette, Vol. 138, Part 79A. (2021 Nov 26). (in Thai)

Notification of the Ministry of Public Health. Identify the name of the narcotics in the category 5 B.E. 2565 (2022). Published in Government Gazette, Vol. 139, Part 35D. (2022 Feb 9). (in Thai)

Narcotics Control Division. Cannabis possession reporting system. [Internet]. 2019 May [cited 2021 Mar 2]; Available from: https://nacoticsreport.thai-fda.com/#/login. (in Thai)

C-MOPH Report. Number of people receiving medical cannabis. [Internet]. 2021 [cited 2021 Jul 12]; Available from: https://ccd.moph.go.th/report/web/rpt/alldrug/index?menu _id=1. (in Thai)

Department of Medical Services. Guidance on cannabis for medical use (fourth edition). [Internet]. 2021 Jan [cited 2021 Mar 14]; [35 screens]. Available from: https://mnfda.fda.moph.go.th/narcotic/wp-content/uploads/2021/04/Guidance-Updated-v-update-V.4260464.pdf. (in Thai)

Srisubat A., Thanasithicha S., Thaiyakul A., Konlaeaid S., Arunratanachot W., Imsuwanasri T., Mongkol C., Phaisaltuntiwongs W., Sawetprawichkul W., Outcomes of THC enriched in advanced staged cancer patients. Journal of the Department of Medical Services. 2021;45(4):208-14. (in Thai)

Department of Thai Traditional and Alternative Medicine. Cannabis and Thai traditional medicine in integrated palliative care of cancer patients. [Internet]. 2022 Feb [cited 2022 Feb 20]; [9 screens]. Available from: https://gnews.apps.go.th/news?news=103857. (in Thai)

Saijanket P., Nojan P., Meekai N., Suknarin R. Knowledge and attitudes about medicinal cannabis among people in Phitsanulok province. Journal of Thai Traditional and Alternative Medicine. 2020; 18(3): 595-603. (in Thai)