Medicine can be delivered to the human body in any number of ways. More often than not, oral consumption is the preferred delivery method for Medical Cannabis. You simply swallow some pills or capsules and that’s that. There are also aerosols to be inhaled and medications delivered through injections. Then there is the transdermal patch. It doesn’t get a lot of play because it’s not utilized as much as most of the other delivery methods.
The transdermal patch is a means of delivering medication through the skin. Here in Utah, transdermal delivery is legal within the Medical Cannabis realm. So it’s theoretically possible that a manufacturer could produce a Medical Cannabis transdermal patch for pain, or some other qualifying condition.
A transdermal Medical Cannabis patch works the same as any other transdermal application. The explanation is found in the name. ‘Transdermal’ refers to the idea of transferring medication into the body through the skin. In terms of the transdermal patch, the patch is saturated with the medication in question. As it makes contact with the skin, the medication is transferred and then absorbed. It travels through the skin and into the underlying tissue.
Delivering medication through a transdermal patch is very similar to delivering it through a topical ointment. The big difference is that a patch maintains contact with the skin, thereby delivering more medication for a longer period of time. A transdermal patch gives you a lot more bang for your buck than a topical ointment or cream.
Transdermal applications are possible due to the skin’s nature as an organ. In fact, the skin is the largest organ in the body. It is waterproof yet breathable. It is flexible but still strong. Finally, it has an uncanny ability to absorb all sorts of substances.
Medical science has known of the effectiveness of transdermal applications for quite some time. So much so that doctors have been recommending them for decades. Three of the most common uses are:
As effective as transdermal patches are, patients really shouldn’t be careless with them. Preparation is key before applying a patch. Preparation starts with removing any other patches that contain the same medication. This is to prevent overdose. The second step is to clean the area where the patch will be applied and then wash the hands with soap and water.
Only after all the prep is completed is it appropriate to open the package and remove the transdermal patch. It is then applied directly to the skin. Adhesive on the patch keeps it in place.
It’s a good idea with any type of transdermal patch to keep your doctor up to date on how it’s working. The doctor should also be kept informed of any negative side effects you may experience. Of course, this applies to all transdermal patches.
If you are using a transdermal Medical Cannabis product, you’ll be delivering THC to your body through your skin. Keep a record of how this works for you. Write down when you apply a patch, how it makes you feel, and any unpleasant side effects you experience. Give that information to your pharmacist next time you purchase Medical Cannabis. Every bit of information you can provide will help them offer you the best possible advice.
The transdermal patch has been an effective medicine delivery tool for years. Undoubtedly, some Medical Cannabis patients prefer it as their main delivery option.
Utah regulations require all patients wishing to use Medical Cannabis to have a valid Medical Cannabis card. Patients are not allowed to purchase cannabis products and give them to others, especially friends and family members who do not have valid cards themselves. Patients cannot even give cannabis to out-of-state visitors. But out-of-state visitors can apply for a non-Utah resident card.
Are you aware of the non-Utah resident Medical Cannabis Card? The card didn’t exist back when our state first implemented its Medical Cannabis program. It was added after the fact, to make it easier for Medical Cannabis patients from other states to continue using their medications when they visit Utah.
A non-Utah resident card essentially gives out-of-state visitors temporary access to Medical Cannabis here. The process for obtaining a card is very similar to the process Utah residents complete. Requirements are virtually the same as well. The only significant difference is the duration of a non-resident card.
Let’s say your family visits from Oklahoma. One of your family members has a valid card from Oklahoma. That card is not recognized in Utah, but your family member can apply for a non-Utah resident card. If granted, the card would give your family member the opportunity to use Medical Cannabis for up to 21 days of a single stay.
Non-residents can apply for cards twice per year. However, expiration dates are not extendable or negotiable. A non-Utah resident card is good for 21 days and that’s it. Those 21 days are consecutive as well. A visitor could not use it for a week in July, then another in August, and a third in September.
In order to apply for a non-Utah resident Medical Cannabis Card, an out-of-state visitor must have a qualifying condition recognized by state regulations. The most commonly cited conditions in the Beehive State are chronic pain, PTSD, seizure disorders, and cancer. The out-of-state visitor must also possess a valid card from their home state.
The process for applying begins with a visit to the UtahID website where the visitor will create an account and furnish ID information. Once an ID account has been established, the visitor can log on to Utah’s Electronic Verification System (EVS) to complete the non-Utah resident Medical Cannabis Card application.
Visitors are required to provide information about their medical conditions and existing cards. Once completed and submitted (along with the application fee), a visitor’s application is reviewed by the DHHS before approval or denial. It can take up to three weeks for the DHHS to respond. Therefore, we suggest visitors apply at least a month before their arrival. They are required to pick a date on which the card becomes valid. It will expire 21 days later.
One final thing you should know is that the non-Utah resident Medical Cannabis Card does not give out of town visitors permission to bring cannabis into the state from elsewhere. Transporting Medical Cannabis across state lines is not allowed.
That means an out-of-state visitor with a valid non-resident card must purchase their medications from a state-licensed Medical Cannabis pharmacy. Visitors cannot take cannabis out of the state, either. So everything purchased here must be consumed here.
State lawmakers approved the non-Utah resident card to make it easier for out-of-town guests to continue treating their qualifying medical conditions while visiting the state. Thanks to the non-resident card program, your friends and family members can visit you in Utah without having to worry about their medications. Schedule an appointment with Utah Marijuana to get your non-resident card!
It is a pretty safe bet that you’re familiar with Medical Cannabis delivery methods, such as vaping, using tinctures, and ingesting gummies, tablets, etc. But have you ever considered transdermal patches? Transdermal preparations are among the approved products in Utah. They are also a different way to use Medical Cannabis that don’t get a lot of attention.
Transdermal preparations would fall under the topical category. As topicals, you apply them to the skin. The idea is that the medication travels through the skin on the way to the bloodstream. By contrast, vaping delivers medicine to the bloodstream through the lungs while tinctures deliver it through the skin underneath the tongue.
A good way to think of a transdermal Medical Cannabis product is to compare it to a nicotine patch for smoking cessation. Perhaps you know someone who has used nicotine patches. Maybe you have used them yourself. You stick the nicotine patch to your skin (usually on an arm) and then mostly forget about it. It slowly releases nicotine into your skin and on to the bloodstream.
The beauty of the nicotine patch is that it delivers a continuous stream of nicotine at a very slow rate. Its effects are consistent and more easily controlled. By applying the same concept to Medical Cannabis, manufacturers of transdermal products give patients another option for slow, steady cannabinoid delivery.
By now you are probably wondering what types of patients would use transdermal patches. There is no particular group per se, but transdermal products are ideal for people who need all-day relief from their symptoms. They can just apply the patch early in the day and not have to worry about it any further.
Transdermal products are also good choice for people who don’t want to vape or dry heat raw plant material. The same goes for folks who aren’t all that plussed by tinctures. Again, the number one benefit of the transdermal product is that it consistently delivers medication throughout the day.
Like we say all the time, transdermal patches may or may not work for you. Results vary among patients. For starters, your particular qualifying medical condition might be best treated with another form of Medical Cannabis. That’s for you, your medical provider, and your pharmacist to determine.
There is also the reality that patients respond differently. A friend of yours might consider transdermal patches the greatest thing since sliced bread. You might decide that tinctures still work best for you. The only way to know for sure is to try.
If you would like to give transdermal patches a try, ask about them on your next visit to the Medical Cannabis pharmacy. You can always buy one and see how it goes. We would recommend tracking your usage so as to give your Pharmacy Medical Provider (PMP) the data they need to advise you.
Come to think of it, we think it’s a good idea to track all your Medical Cannabis consumption. Regardless of your preferred delivery method and strains, tracking is a fantastic way to help both you and your PMP better understand how Medical Cannabis is working for you.
As for the transdermal patch, it is one of many options we have available in Utah. Go ahead and research the transdermal principle and see what you think. Then talk it over with your medical provider. A transdermal patch could turn out to be the best product for you. And if not, you still have other choices.
Medical Cannabis Cards can be recommended in Utah by two types of medical providers. The first is the Qualified Medical Provider (QMP), the second is the Limited Medical Provider (LMP). The latter group is the topic of this post. How much do you know about them?
Utah’s LMP program was not initially part of the Medical Cannabis package that resulted from passage of Proposition 2 in 2018. In fact, the state didn’t finally approve LMPs until just over a year ago. Adding them to the equation has arguably had a positive impact on Medical Cannabis patients.
Things have been going so well for the Limited Medical Provider program that Utah Physician magazine just ran a detailed piece about it in their October-November 2022 issue. It is a great article that offers some information that was previously hard to come by just by looking at the state’s Medical Cannabis website.
You might already know that QMPs are medical providers who have taken the necessary steps to be certified with the state to recommend Medical Cannabis. They have prescribing authority, they have met the continuing education requirements, and they have registered with the state. The reward for going through that process is the ability to recommend Medical Cannabis to hundreds of patients.
The LMP hasn’t gone through the certification process. Still, they are a licensed medical provider with existing authority to prescribe narcotics. Your family doctor or nurse practitioner is the perfect example.
LMPs with prescribing authority can recommend Medical Cannabis to up to 15 patients at a time. They do not have to undergo continuing education or pay the annual licensing fee.
We think it is important to point out that a Limited Medical Provider is every bit as qualified as QMPs to recommend Medical Cannabis. Even without state certification and continuing education, they are still licensed medical professionals with the same overall training education as the rest of their peers.
Giving them the ability to recommend Medical Cannabis was designed to help patients who may not have easy access to QMPs. Think rural patients who live an hour or more away from one of Utah’s urban centers. Allowing their local doctors to help them out makes life much easier on them.
For us, one of the big take-aways from the Utah Physician article was the knowledge that the process is slightly different for LMPs. When a QMP recommends Medical Cannabis to a patient, they actually interact with the state’s electronic verification system (EVS). That is not the case for LMPs.
An LMP downloads and completes a form on behalf of the patient. The form can then be sent to a local Medical Cannabis pharmacy via electronic means or delivered in person by the patient him or herself. Pharmacy staff enter information from the form into the EVS. A temporary card is issued via email and the patient can immediately make that first purchase.
It is not quite clear why the process was set up differently. If we had to hazard a guess, we would say that the state is trying to make things as easy as possible on LMPs in order to encourage more medical providers to get on board.
At any rate, potential Medical Cannabis patients who don’t have easy access to a QMP can now enlist the help of a willing medical doctor, nurse practitioner, etc. with prescribing authority in Utah. We invite you to learn more about the Utah Limited Medical Provider program whether you are a patient or provider. It is a great program that provides a valuable service.
It is a good thing that the state decided to implement administration of the Medical Cannabis program online. We all live online these days. So establishing the electronic verification system (EVS) was a no-brainer. That said, the EVS can be confusing. Consider a patient’s EVS status. There are four options that could show up in a patient’s account.
Imagine you just completed your Medical Cannabis Card application and paid your fee. Now you are waiting for your card to arrive via email. You can check your status any time by logging in to your account. Likewise, current patients looking to renew their cards can also check their status.
Here are the four options and what each one means:
The first option is ‘Awaiting State Review’. By law, the state has up to 15 days to review your application and render a decision. Reviews are typically completed in considerably less time, but there aren’t any guarantees. Seeing this status on your account page lets you know that your application is being processed.
If you are concerned that it’s taking too long, you can always check with your QMP’s office to see if they have submitted the required information on their end. If you used an LMP, this particular issue doesn’t apply.
Assuming your application has been processed and approved, your status should say ‘Active’. You should have already received your Medical Cannabis Card via email. If not, check your spam folder. Maybe it got diverted there by mistake.
You can also print a paper copy of your card directly from the EVS. Visit the EVS website with a smartphone and you should be able to view your card as well. If so, you can save a copy to your phone’s internal storage.
A quick word here about the ‘Active’ status and renewals is in order. Let’s say you renew your card a few days before it expires. You check your status and see that it’s still ‘Active’. Great. The state will not issue your new card until the day after your existing card expires.
Make a point of checking in that day after. If you haven’t received your new card via email, check your spam folder. You should be able to see the new card on the EVS page. You can print a paper copy if you like.
Seeing the ‘Incomplete’ status on your account tells you that the DHHS needs more information before they can render a decision. They have either sent you an email or will be doing so shortly. So again, check your spam folder.
What more information would the state need? It’s hard to say. Maybe you made a mistake entering your contact information. Perhaps the information you provided doesn’t exactly match what your QMP provided. Hopefully it’s a minor issue you can correct with little effort.
Unfortunately, some Medical Cannabis Card applications do get denied. There can be a number of reasons for such denials. If that’s the case for you, your status on the EVS will state ‘Denied’. Changing your application to that status should trigger an email explaining what happened. Check your spam folder if you don’t get one.
Card status on the EVS site is designed to help Medical Cannabis patients know where they are with their cards at any given time. It is not a perfect system (no system is) but it does the job. As a Medical Cannabis patient, you can check your own status any time simply by logging in to your EVS account.
A number of studies discussing cannabis consumption during pregnancy were published this past summer. Generally speaking, they only looked at the number of women using cannabis to relieve pregnancy symptoms. They did not examine the safety issue. So, unfortunately, an important question remains unanswered: how should a pregnant woman approach Medical Cannabis use?
Medical Cannabis is recommended by medical providers to treat a specific condition. Here in Utah, it might be anything from chronic pain to PTSD and cancer symptoms. A pregnant woman diagnosed with a qualifying condition might still choose to use Medical Cannabis. But should she?
There is no black-and-white answer to that question. Like every other medication, pregnant women are advised to use caution with Medical Cannabis. Caution is always the best approach when the goal is to do right by the baby in the womb.
A chief concern of using Medical Cannabis during pregnancy is the potential for low birth weight. It is a legitimate concern, though we don’t have enough concrete data to make a determination at this point.
The Cannigma website has a very thorough article on this topic. It is a good read and one we highly recommend. Without getting into all its details here, the article cites numerous studies suggesting that cannabis consumption during pregnancy can result in lower birth weight and shorter gestation.
One of the mentioned studies compared pregnant women who did not use cannabis at all with those who reported cannabis use at 15 weeks. The former group, on average, gave birth to babies with higher weights. Their gestation times also tended to be longer.
Having said that, the cannabis-consuming group still gave birth to babies whose weight, on average, was within the acceptable range for healthy babies, albeit slightly lower. Likewise for gestation periods. They were shorter, on average, but still within the acceptable range for safety.
As we say frequently here at Utahmarijuana.org, there is still a lot more research to be done into the possible impacts of Medical Cannabis on babies in the womb. Here is what we already know:
It would be unwise for us to assume that Medical Cannabis is completely harmless to babies in the womb without scientific evidence to prove it. Assumptions are never a good thing in medicine. It is best to wait on the science and see what it produces.
In the meantime, pregnant women should not be afraid to discuss Medical Cannabis with their doctors. If you are pregnant or planning to become pregnant, ask as many questions as you have. Combine the answers you get with your own research.
We also want to encourage you to work with your medical provider to ensure both a safe pregnancy and your own health and well-being. If you are dealing with a condition on Utah’s Medical Cannabis qualifying conditions list, you have more than just your pregnancy to worry about.
You and your provider might determine that Medical Cannabis is an appropriate treatment. On the other hand, you might decide that it’s best to look for an alternative. You and your provider ultimately need to reach a decision together.
The lesson here is to approach Medical Cannabis with caution. We have some inkling of how it might affect the baby in the womb, but we still don’t know for sure. Erring on the side of caution isn’t a bad way to go.
If you have been using Medical Cannabis for any length of time, you know that there is a lot to learn about it. If you are new to the whole Medical Cannabis thing, you likely don’t know what you don’t know. Both groups could stand to learn more about terpenes. They are one of the least understood aspects of cannabis consumption.
Terpenes may influence how Medical Cannabis affects you. Even if you are unaware of it, the different terpene profiles of the Medical Cannabis products you use could influence how each product makes you feel. So while research into terpenes continues, it is in all our best interests to learn as much as we can about them.
Here are five things every Medical Cannabis user should know about terpenes:
Terpenes are aromatic compounds found in plant life. As such, they are not limited to cannabis alone. Here in Utah, the chances are pretty good that you are familiar with what pine trees smell like. Pines get their unique odor from their terpenes. The same goes for roses, carnations, and even the grass in your front yard.
Next up, it’s not just a single terpene that gives a tree or plant its unique smell. Many trees and plants contain multiple terpenes. That is certainly the case with Medical Cannabis. The different properties of a plant’s combined terpenes determine its complete odor and flavor profile.
Though the jury is still out on efficacy, the currently available data suggests that terpenes may influence it. In other words, certain ones may enhance the effects that you feel from Medical Cannabis. Processors and manufacturers alike are currently studying terpene profiles in hopes of finding a definitive answer.
At the very least, some terpene profiles may make your Medical Cannabis products more enjoyable to use. If nothing else, making you feel more positive about your medicine will encourage you to use it more consistently. That is never a bad thing.
The cannabis industry is also looking into the possibility that terpenes can encourage the entourage effect. What is this effect? It is observed when multiple products within a Medical Cannabis regimen work better as a combined medication.
You might try a particular tincture and discover that it works okay for you. Same with an edible. But if you layer them – which is just another way of saying you use both – you might find that you feel a lot better. This is the entourage effect. Terpenes may very well promote the entourage effect for some people.
Last but not least, you should know that terpenes are not regulated. Processors and manufacturers are not required to test for terpenes or report them. They also aren’t required to include detailed terpene profiles on their labels.
What does this mean to you as a Medical Cannabis patient? By all means research different terpene profiles to learn as much you can. At the same time, be prepared to not have all the information on the terpenes in your Medical Cannabis products. The industry is still working through how to handle terpene reporting and labeling.
There is a lot to know about Medical Cannabis. Terpenes and how they affect users are just a small part of a very broad topic. As a patient, you owe it to yourself to get as much education as you can. Thankfully, Utah MArijuan offers an introductory guide to terpenes and other of resources to help you get started.
We are all familiar with the stereotypical cannabis user becoming insatiably hungry in the minutes and hours following consumption. While it makes for funny plot lines on TV and in film, what we affectionately call “the munchies” is a reality for many cannabis users. It sort of comes with the territory.
Interestingly, not all Medical Cannabis users experience the munchies. And among those who do, the sensation can vary in intensity. One patient can be incredibly hungry while another is just mildly hungry. So what’s going on? The current data suggests there might be two things going on.
Experienced Medical Cannabis users know that THC and CBD affect the body by binding to cannabinoid receptors in the brain. They also know that the human endocannabinoid system plays a role in regulating dozens of physiological functions, including hunger.
In terms of the munchies, what’s going on inside your body could be nothing more than a reaction to THC. In other words, THC is binding to some of the receptors that regulate your appetite. They are also stimulating those receptors. This makes you hungry — even if you were not prior to consuming.
Another possibility is that the THC in your Medical Cannabis is stimulating production of a hormone known as ghrelin. This particular hormone is produced by the enteroendocrine cells in your gastrointestinal tract. It is believed that THC can stimulate those cells to produce more ghrelin. More ghrelin means more sensations of hunger.
A third possibility is that both reactions are occurring simultaneously. Again, people react to cannabis differently. It is hard to say exactly what happens in every case. But it wouldn’t be surprising if Medical Cannabis patients exhibiting strong hunger pangs are actually experiencing both reactions.
If you are thinking that delivery method could contribute, you’re on the right track. One delivery method might not produce a more intense hunger than another, but the speed at which you start to feel hungry can definitely be affected.
When you vape, dry heat, or use a cannabis tincture, you’re getting THC into your system nearly instantly. You begin feeling the effects within minutes. It stands to reason then that you would start feeling the munchies sooner as well.
On the other hand, it can take an hour or more for an edible product to change the way you feel. It takes longer for edible THC to make it into your blood stream and brain. So if it takes an hour or two, the munchies would probably be delayed that long as well.
Since delivery methods do impact the amount of THC that actually gets into your bloodstream, it is conceivable that you experience less intense hunger pangs with an edible as opposed to a vape or tincture. But that’s just speculation.
The munchies are a very real side effect some cannabis users experience. Let us set your mind at ease by saying that it’s nothing to worry about. It is perfectly fine to satisfy your hunger in the moment. And no, there is no evidence to date suggesting that satisfying the munchies means you’ll gain weight.
There seems to be a mechanism in play that helps your body more quickly burn calories while you are experiencing the munchies. Hopefully, future research will help us understand whether this mechanism is real and, if so, how it prevents weight gain.
At any rate, now you know why you sometimes get the munchies after using cannabis. It is a normal and natural reaction to THC.
Chronic pain and cancer are among the top five reasons people apply for Medical Cannabis cards in Utah. Interestingly, cancer patients often choose Medical Cannabis to help deal with the pain of the disease and its treatments. In such cases, a cancer patient’s Pharmacy Medical Provider (PMP) becomes an important member of the care team.
Cancer is a bit unusual in the sense that treating it often causes more discomfort than the disease itself. Chemotherapy and radiation treatments are not easy on the body. So it’s not unusual for cancer patients to experience significant pain along with other symptoms, including nausea.
Medical Cannabis can help alleviate both symptoms. However, a patient’s oncologist may not know the best way to utilize Medical Cannabis for each individual patient. That is where the PMP comes in.
The PMP is the most qualified medical provider to advise on Medical Cannabis use. As a licensed pharmacist, the PMP is trained in all things pharmacology. They are intimately familiar with the human endocannabinoid system. They understand how Medical Cannabis interacts with that system.
Oncologists, general practitioners, etc. are not trained in pharmacology. Their medical school training focused primarily on biology and physiology, along with some anatomy. So while an oncologist may discuss Medical Cannabis with a cancer patient, they may not fully understand how the drug should be used to help that particular patient.
The lack of knowledge among oncologists can leave cancer patients wondering where to turn for answers to their questions. According to a recently published study from Boston’s Dana-Farber Cancer Institute, patients often rely on the advice of dispensary and pharmacy staff.
Their study interviewed twenty-six dispensary/pharmacy employees in thirteen states to try to understand their knowledge of Medical Cannabis as a therapeutic response to cancer pain and nausea. Unfortunately, the interviews revealed a lack of knowledge among these cannabis professionals.
In a previous study, the same Boston research team found that some 80% of oncologists were willing to discuss Medical Cannabis with patients. Yet only 30% felt they had the qualifications to actually recommend its use.
This takes us back to the PMP at the Medical Cannabis pharmacy. In Utah, every pharmacy is required to have a PMP on staff whenever the doors are open. PMPs are there to answer questions, offer advice, and even consult with patients to help them come up with a strategic care plan.
We consider the PMP one of the more critical members of the care team when it comes to Medical Cannabis therapeutics. The reason is simple: there are so many choices. It is easy for patients to walk into a pharmacy and immediately feel overwhelmed by the different products and delivery methods.
Things are made more complicated by the fact that people experience cancer pain and nausea in different ways. For some people, the pain is moderately annoying but tolerable. Other people find cancer pain nearly debilitating. It takes an experienced professional to help patients find the right therapeutic formula.
The oncologist is not adequately trained in pharmacology. That’s fine. No one expects it. On the other hand, the PMP is trained. That makes the PMP an important member of any cancer patient’s care team.
If you use Medical Cannabis, do you take advantage of your local pharmacy’s PMP? If not, you really should. Your PMP is a fountain of helpful knowledge and advice that could really make a difference in your treatment. Why not take advantage of everything your PMP knows?
