License to Grow Cannabis Indoors

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Marijuana for Medical Purposes Regulations
(MMPR)
What do I need to know?
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Presentation Objectives
? Basic understanding of Marijuana for Medical
Purposes Regulations (MMPR) ? Review statistics
on cannabis usage and results of the CCSN
medical cannabis survey ? Differences between
licensed producers and dispensaries ? Basic
information on medical cannabis usage and
potential use ? Cannabis varieties ? How to
legally access medical cannabis
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What is Cannabis?
? Dried flowers of the female plant is generally
used ? Contains a number of active substances,
such as ? ?9-tetrahydrocanabinol (THC) ?
Cannabidiol (CBD) ? THC is mainly responsible for
the effects of the plant, but other cannabinoids
like CBD may also influence the effectiveness of
cannabis
Cannabis sativa L. Scientific drawing from Franz
Eugen Köhler's Medizinal-Pflanzen. Published and
copyrighted by Gera-Untermhaus, FE Köhler in
1887 (18831914). The drawing is signed W.
Müller.
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What are cannabinoids?
? Cannabinoids are chemical compounds that act
on cannabinoid receptors in human
body ? Phytocannabinoids are produced only by
marijuana plant ? THC, CBD, CBC, CBG,THCV,
CBN ? Synthetic cannabinoids are
laboratory-synthesized molecules or extracted
compounds that bind to cannabinoid
receptors ? Endocannabinoids are naturally
produced cannabinoids in the body ? Anandamide,
2- Arachidonylglycerol (2-AG)
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Key Objectives of Marijuana for Medical Purposes
Regulations (MMPR)
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What are the main differences between MMAR and
MMPR?
MMAR(old program) MMPR(new program)
Support for Access Physician pre-defined Physician or nurse practitioner
Authorization Complex application to Health Canada Simple registration with Licensed Producer
Production Purchase from Health Canada Personal use production Designated-person production Licensed Producer only
Health Canada Mandate Authorize and license individuals with medical support administer production contract Regulate LPs, including licensing, audit and inspection
Distribution Health Canada supply sent through secure courier designated producer can distribute in person or by mail Licensed Producer (LP) (secure direct delivery)
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Medical Cannabis Users in Canada (2019)
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Licensed Producers (LPs)

• Activities and Requirements
• LPs are licensed and operate under the
  supervision of Health Canada and shall comply
  with local By- laws and regulations.
• LPs are allowed to dispense medical cannabis in
  the following forms
• Dried Cannabis
• Oil/Extract
• Fresh cannabis buds or leaves
• Cannabis can be produced only indoor (secure
  environment)

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What are the benefits of medical cannabis
produced by a licensed producer?
? Pharmaceutical grade strains ? Laboratory
tested and quantified THC and CBD
concentrations ? Consistent cannabinoids
content ? Contamination free ? Mold ? Bacteria
e.g. E.coli, Salmonella ? Heavy Metals Arsenic,
cadmium, cobalt, mercury and lead ?
Pesticide ? Cheaper, legal and safer than illegal
sources ? Can be claimed as a medical expense
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Who may benefit from Medical Cannabis?
? Chronic Pain ? Treatment of resistant nausea
and vomiting ? Wasting Syndrome and Loss of
Appetite ? Muscle spasm due to Multiple
Sclerosis, Amyotrophic Lateral Sclerosis(ALS)
Spinal Cord Injury ? Epilepsy (seizures) ? Arthri
tis and Musculoskeletal Disorders ? Movement
disorders ( i.e. Parkinsons disease, Tourettes
syndrome Huntingtons Disease) ? Glaucoma ? Anx
iety and Depression ? Sleep Disorders ? Post-Traum
atic Stress Disorder (PTSD) ? Alzheimers Disease
and Dementia ? Inflammatory Bowel Diseases (IBD.
i.e. Crohns disease and ulcerative colitis
) ? Irritable Bowel Syndrome (IBS)
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Medical Cannabis Survey Results
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Medical Cannabis Survey Results
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Who is not a good candidate for Medical Cannabis?
? Allergy to any cannabinoid or to
smoke ? History of serious mental disorder such
as schizophrenia, psychosis, bipolar disorder in
patient or family ? Serious liver, kidney, heart
or lung disease ? Pregnancy or planning to get
pregnant or nursing ? Patients under the age of
18 years ? Men who wish to start a
family ? History of alcohol or drug abuse or
substance dependence
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Cannabis Variety
? There are three main species of cannabis ?
Indica ? Sativa ? Ruderalis ? There are many
varieties of medicinal cannabis which
have different strengths, compositions and thus
different effects
Most strains are a hybrid of Indica and Sativa,
with one or the other dominant. Hybrids can yield
a balancing combination of effects.
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Proof of Legal Possession under MMPR
? Patient label or shipping invoice serve as
proof of legal possession for client ? Client-spec
ific label MUST contain ? Full name of
client ? Full name of the HCP who provided the
medical document ? Name of the LP ? Daily dose
(g) ? Expiry of the clients registration/medical
document ? Law enforcement and police officials
may ? Request to see a piece of photo
identification when validating proof of authority
to possess ? Verify legal possession of dried
marihuana by contacting the LP, In the course of
an investigation
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Traveling with medical cannabis
? Within Canada ? You may travel within Canada
keeping your documentation with you at all
times. ? Outside of Canada ? patients must
contact the embassy or the consulate of the
country they are visiting to inquire about
permission to bring the medicinal cannabis with
them. ? Some countries, such as USA, does not
allow medical cannabis to be transported into the
country.
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Cannabis Driving
? Patients using dried cannabis should be
advised not to drive for at least ? 4 hours
after inhalation ? 6 hours after oral
ingestion ? 8 hours after inhalation or oral
ingestion if the patient experiences
euphoria/high
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