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Haeuser, Winfried; Hoch, Eva; Petzke, Frank; Thomasius, Rainer; Radbruch, Lukas; Batra, Anil; Sommer, Claudia und Havemann-Reinecke, Ursula (2019): Medizinalcannabis und cannabisbasierte Arzneimittel: ein Appell an Ärzte, Journalisten, Krankenkassen und Politiker für einen verantwortungsvollen Umgang. In: Schmerz, Bd. 33, Nr. 5: S. 466-470

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Abstract

Since the adoption of the law of March 6, 2017, any German physician can prescribe medical cannabis flowers and cannabis-based magistral and finished medicinal products. No specific indications for prescriptions are provided in the law. The statutory health insurance companies bear the costs once an application for cost coverage has been approved by the Medical Service of the Health Funds. The German associations of psychiatry (child, adolescents, and adults), neurology, palliative care, addictology, and painmedicine are watching these developments in the media, politics, and medical world with concern due to: the option to prescribe cannabis flowers despite the lack of sound evidence and against the recommendations of the German Medical Association;the lack of distinction between medical cannabis flowers and cannabis-basedmagistral and finished medical products;the indiscriminately positive reports on the efficacy of cannabisbasedmedicines for chronic pain and mental disorders;the attempts by the cannabis industry to influence physicians;the increase in potential indications by leaders of medical opinion paid by manufacturers of cannabisbased medicines. The medical associations make the following appeal to journalists: To report on the medical benefits and risks of cannabis-based medicines in a balanced manner. To physicians: to prescribe cannabisbased medicines with caution;to prefer magistral and finished medicinal products over cannabis flowers. To politicians: to consider data according to the standards of evidence-based medicine when making decisions and provide financial support for medical research into cannabis-based medicines.

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