We are living through what can only really be described as a health-care revolution. Cannabis, long seen by the UK 'powers that be' as nothing more than a recreational drug, now has the spotlight squarely aimed at its medicinal and therapeutic properties.
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CBD products (CBD oil, CBD gummies, CBD balms) are all the rage here in the UK, and rightfully so. Cannabidiol (CBD) is an amazing compound. But, it is far from the only Cannabis sativa L. produced chemical that has powerful potential.
If you have been searching for an all-natural, plant-based treatment option that can provide relief without the heavy side effects that often go hand in hand with conventional medications because they have been failing to meet your needs, prescribed cannabis oil may be the answer.
What is prescribed cannabis oil, and is it legal in the UK?
Prescribed cannabis oil is exactly what it sounds like - cannabis-based medicine made from a cannabis extract (usually mixed with a carrier oil) that can only be accessed through a prescription from a specialist.
In the UK, cannabis-based medicines were rescheduled in November 2018, allowing for them to be prescribed legally by specialist doctors on the General Medical Council's Specialist Register. This decision only came to fruition after decades of research, advocacy, lobbying, and the heroic efforts of patients who found relief in cannabis-based medicines when other treatments have failed.
How does medical cannabis oil differ from CBD oil?
Cannabis oil prescribed by a registered specialist can legally contain the entire spectrum of cannabinoids and terpenes found in the plant, including THC (the psychoactive compound in cannabis).
In the UK, CBD oil is legal for purchase and consumption without a prescription, but only as long as it contains less than 1 mg of THC per container, or 0.2% THC (tetrahydrocannabinol). CBD oil is a wonderful wellness tool and can help with a wide range of health concerns.
But, it is important to note that CBD alone does not always provide the same level of relief as a full-spectrum medical cannabis oil.
Other than the inclusion of THC, what sets medical cannabis oil apart from CBD oil?
CBD oil is a general wellness supplement, while medical cannabis oil is specifically prescribed for the treatment of a wide range of health conditions.
Medical cannabis oil is prescribed by a specialist who tailors the dosage and ratio of cannabinoids to meet the individual patient's needs best.
Patients with a prescription for medical cannabis receive ongoing clinical support and monitoring from their prescribing specialist.
While CBD oil is legal for purchase without a prescription, medical cannabis oil is only available through a specialist prescription, ensuring proper medical oversight and accountability.
The regulatory oversight of medical cannabis oil is much more stringent than that of CBD oil, ensuring a higher level of quality and consistency in each batch.
The full-spectrum nature of medical cannabis oil means that it can potentially provide a more comprehensive and balanced therapeutic effect than just CBD alone.
Let's dive into that last point a little further.
Theentourage effect is a term used to describe the synergistic effect of multiple compounds found in cannabis working together to provide a therapeutic outcome that is more than the sum of its parts.
CBD is just one component of this "entourage" - it works best when accompanied by other cannabinoids, terpenes, and flavonoids. THC and CBD are the two major cannabinoids produced by this amazing plant, and they have a balancing effect on each other, potentially enhancing the overall therapeutic potential.
How does medical cannabis oil work?
To explain this, we are going to have to venture intothe endocannabinoid system - the largest neurochemical receptor system in the human body.
The ECS and its role in maintaining homeostasis
The ECS is a complex network of receptors and signalling molecules responsible for maintaining homeostasis (or balance) within the body.
It is made up of three components:
Endocannabinoids - cannabinoids produced by the body that interact with cannabinoid receptors, and act as the chemical messengers.
Cannabinoid receptors - found through both the central and peripheral nervous systems, these receptors react to endocannabinoids and plant-based cannabinoids (like CBD and THC). The two cannabinoid receptors are CB1 and CB2.
Metabolic enzymes - responsible for breaking down endocannabinoids after they have served their purpose.
The ECS plays a crucial role in:
Anxiety management
Appetite and feeding behaviours
Emotional responses
Depression management
Nervous system functions
Neurogenesis (creation of new neurons)
Neuroprotection (protection of nerve cells)
Cognitive functions
Learning processes
Memory retention
Pain perception
Inflammation
Fertility and sexual function
When the ECS falls out of balance, it can affect these functions, leading to various health conditions. This is where medical cannabis oil comes in.
How does medical cannabis oil interact with the human system?
Medical cannabis oil works by interacting with the ECS, along with a range of other biological systems and pathways within the body.
THC binds to CB1 receptors, found primarily in the brain and central nervous system, while CBD has a bit more of a roundabout approach. CBD does not bind in the same way as THC to CB1 receptors, which is why THC is psychoactive, and CBD is not.
BothTHC andCBD have been shown to positively affect our dopaminergic system, which regulates mood and other cognitive functions.
What about terpenes?
Terpenes are aromatic compounds that give cannabis its distinct smell and flavour. They also add to the entourage effect when part of a prescribed cannabis oil, potentially enhancing the therapeutic effects.
Beta-caryophyllene - one of the few terpenes that can bind directly to CB1 receptors, producing anti-inflammatory effects.
Myrcene - anti-inflammatory and sedative properties
Limonene - mood enhancer and stress reliever
Pinene - bronchodilator and anti-inflammatory agent
Linalool - anti-anxiety and sedative properties
By taking the full spectrum of compounds found in prescribed medical cannabis oil, patients may experience a more comprehensive therapeutic effect that takes advantage of the entourage effect.
What health issues can medical cannabis oil potentially help with?
The extensive list of medical uses for cannabis oil can be a surprise for the uninitiated.
Unlike most conventional pharmaceuticals (which usually target one or two specific conditions, diseases, or symptoms), prescribed cannabis oil has been shown to help sufferers with a whole host of health issues.
Psychiatric
UK medical cannabis oil can be prescribed for manypsychiatric issues, including:
Anxiety
Depression
Post-Traumatic Stress Disorder (PTSD)
Obsessive-Compulsive Disorder (OCD)
Eating Disorders
Insomnia
Chronic Pain
Prescribable cannabis oil has shown promise in treatingchronic pain caused by:
Arthritis
Back or Joint Pain
Migraines
Ehlers Danlos Syndrome
Endometriosis
Fibromyalgia
Gastrointestinal
Cannabis-based medicines, including medical cannabis oil, can be used to treat certaingastrointestinal issuessuch as:
Crohn's Disease
Irritable Bowel Syndrome (IBS)
Inflammatory Bowel Disease (IBD)
Ulcerative Colitis
Celiac Disease
Neurological
Neurological conditions that have been shown to be helped by medical cannabis oil in the UK include:
ADHD
Alzheimer's Disease
Epilepsy
Motor Neurone Disease (MND)
Multiple Sclerosis (MS)
Parkinson's Disease
Sleeping Disorders
Sleep issues are one of the most common reasons UK patients take medical cannabis oil. It can help with:
Insomnia
Narcolepsy
Restless Leg Syndrome
Nightmare Disorder
Sleep Apnoea
Sleepwalking
Cancer-related symptoms
Although prescribable THC/CBD oil will not curecancer, it has the potential to help with:
Chemotherapy-induced vomiting
Pain management
Cancer-related anxiety
Cancer-related depression
This is not an exhaustive record. If your specific health concern/issue isn't listed, check out our freeeligibility checker. It takes less than 30 seconds to complete, and you'll come out with a clear idea of whether you qualify for medical cannabis oil.
How do you access prescribed cannabis oil in the UK?
Here in the UK, there are two routes for prospective patients to consider - the NHS and private cannabis clinics.
NHS cannabis oil prescriptions explained
The NHS is extremely restrictive when it comes to cannabis-based medicine prescriptions.
Even though medical cannabis is totally legal in this country and has been proven to offer patients suffering from a range of conditions lasting relief - the NHS guidelines for prescribing cannabis-based medicine are stringent and have left many patients disappointed.
The only way to access prescribed THC/CBD oil via the NHS is to have exhausted all other treatment options, and only if you are battling:
Nausea and/or vomiting caused by chemotherapy
Muscle spasms and stiffness caused by Multiple Sclerosis (MS)
One of two rare forms of epilepsy (Dravet syndrome and Lennox-Gastaut syndrome)
All other patients will need to consider the second option - private cannabis clinics.
Private UK cannabis clinic medical oil prescriptions
However, patients who are not offered medicinal cannabis therapy options on the NHS may still be eligible for a personalised medical cannabis treatment plan withReleaf.
Here at Releaf, we have done all the legwork to make the process as pain-free as possible for our patients. We have an easy-to-useeligibility checker that takes less than 30 seconds to complete, and once you share your medical records, we can book you in for an online consultation with one of our specialist doctors.
We are proud to work with some of the most experienced and trusted medical cannabis prescribers in the UK, and all cannabis medicines we offer have gone through the most stringent testing and checks to ensure their effectiveness and safety.
FAQs - UK prescribed medical cannabis oil
Is medical cannabis oil the same as CBD oil?
No, they are not the same. Medical cannabis oil can legally contain more than 1 mg of THC per container. Over-the-counter CBD options cannot.
Is medical cannabis oil safe?
Yes, all medical cannabis treatment options have been shown to have a positive safety profile.
When a specialist prescribes and oversees treatment, it is even safer.
Does prescribed cannabis oil come with the risk of side effects?
Yes, just like all medications, there is the potential for side effects with prescribed cannabis oil. These are usually minor and well-tolerated.
Common side effects can include:
Dizziness
Dry mouth
Tiredness or fatigue
Changes in appetite/weight
It's imperative that you reach out to your specialist should you experience any side effects. They can adjust your dosage or recommend a different treatment option.
Are cannabis oils and tinctures the same thing?
No, although the terms are often wrongly used interchangeably, especially in the CBD industry.
By definition, tinctures are alcohol-based liquids that contain herbal extracts.Generally, cannabis oils do not contain alcohol and are made from cannabis extracts combined with a carrier oil (usually MCT oil).
The future of medical cannabis oil in the UK
A quick Google search is all that's needed to see just how colossal medical cannabis has already become in the UK. As patients and prescribers become more aware of the power of medical cannabis oil, the interest and demand for this alternative treatment option are only growing. Projections show that the market could be worth over£350 million by the end of 2024.
It's clear to see that medical cannabis is here to stay and to help even more patients in the future. As research and understanding of the plant continue to expand, we can expect to see even more health issues being positively impacted by prescribed cannabis oil.
If prescribable UK medical oil piques your interest, Releaf is here to help. We are the UK's first 'all-in-one' medical cannabis clinic, with our own pharmacy, our own prescribers, and a team dedicated to making the process as seamless as possible. Take a step towards better health today.
It is important to seek medical advice before starting any new treatments. The patient advisors at Releaf are available to provide expert advice and support. Alternatively, click here to book a consultation with one of our specialist doctors.
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Sam North, a seasoned writer with over five years' experience and expertise in medicinal cannabis, brings clarity to complex concepts, focusing on education and informed use.
Our articles are written by experts and reviewed by medical professionals or compliance specialists. Adhering to stringent sourcing guidelines, we reference peer-reviewed studies and scholarly research. View our editorial policy.
Much like all other treatment options in the UK, medical cannabis does come with costs. But, here at Releaf we do our best to balance bespoke, specialised care with affordable and accessible treatment plans, and our ever-growing patient numbers and reams of positive reviews on Trust Pilot, show we’re keeping the scales in check.
Medical cannabis has become increasingly accessible and accepted in recent years. However, accessing cannabis-based products - even from legal sources - can have an impact on everyday life. From medicating in public or even the comfort of your own home to driving and employment, there are many things to consider when becoming a medical cannabis patient.
Even though medical cannabis has been a full legal treatment option here in the UK since 1 November 2018, there is still a level of stigma surrounding it. It is anything but a surprise that some patients are worried about how their decision to pursue a medical cannabis prescription may affect their relationship with their general practitioner (GP).
Sam North
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