Barriers to enrollment in the Minnesota medical cannabis program (and other updates)
Charles Reznikoff, MD
An important, and skeptical, article was published in a premier medical
journal one week prior to the Minnesota “go live”
I would have a difficult time giving patients both medical marijuana and narcotics. I already am trying hard to get patients off narcotics for chronic pain issues due to dependence etc. I feel marijuana will have the same issues as we are currently having with narcotic use
I believe this will open a huge "can of worms“ with treating chronic pain. If there is convincing evidence of benefit I would be willing to be educated. Otherwise I am not for this.
This indication makes me nervous to register as at this point do not feel comfortable with the burden it would place on me.
I think it will open thefloodgates of people desiring these drugs and will be difficult to sort the
appropriate ones.
Physician concerns
• Practicing medicine outside the evidence base norms
• Unconventional production, regulation, dispensing
• Recreating the opioid-for-pain epidemic
• Challenging conversations, demanding patients
• Paperwork and red tap
• Time and energy to learn something new
• Personal opinions about marijuana
Responsible and thoughtful doctors are resistant to medical cannabis
because of the evidence and process
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