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Related Experiment Videos

A Pediatric Hospital Policy for Medical Marijuana Use.

Amy E Carver1, Jennifer Jorgensen1, Michael W Barberio1

  • 1Children's Hospital Colorado, Aurora, Colorado; and.

Pediatrics
|July 15, 2020
PubMed
Summary

Medical marijuana (MMJ) use in pediatric patients presents safety challenges, particularly drug interactions. A specialized consultative service at Children's Hospital Colorado found MMJ potentially unsafe in most cases, recommending adjustments or avoidance.

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Area of Science:

  • Pediatric pharmacology
  • Cannabinoid medicine
  • Healthcare policy

Background:

  • Medical marijuana (MMJ) legalization is expanding, offering potential relief for pediatric chronic illnesses.
  • Significant challenges exist regarding MMJ efficacy, safety, and regulatory discrepancies in pediatric care.
  • Children's Hospital Colorado pioneered MMJ policies and a dedicated consultative service.

Purpose of the Study:

  • To report on the initial patient cohort managed by a pediatric MMJ consultative service.
  • To identify common indications for MMJ use and associated safety concerns in pediatric patients.
  • To evaluate the recommendations made by the consultative service regarding MMJ use.

Main Methods:

  • Retrospective review of the first 50 pediatric patients evaluated by the MMJ consultative service.

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  • The service included a clinical pharmacist and social worker.
  • Analysis of patient diagnoses, symptoms, MMJ use, and consultative recommendations.

    • Main Results:

    • Eighty percent of patients had oncologic diagnoses.
    • Commonly addressed symptoms included nausea, vomiting, appetite stimulation, seizures, and pain.
    • MMJ use was deemed potentially unsafe in 64% of patients, primarily due to drug-drug interactions.
    • Recommendations included MMJ avoidance or schedule adjustments in 68% of patients.

    Conclusions:

    • Pediatric MMJ use requires careful management due to potential safety issues, especially drug interactions.
    • Institutional policies and specialized consultative services are crucial for supporting safe MMJ use in pediatric hospitals.
    • Developing expertise in MMJ is essential for pediatric healthcare providers and patient families.