Pediatric Use of Medical Marijuana in New York

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Explore the regulated world of pediatric medical marijuana use in New York, focusing on safety, legal guidelines, and management. This blog offers crucial insights for families considering medical marijuana for children, ensuring informed decisions and safe treatment under New York’s comprehensive regulatory framework.

December 8, 2023
A1 Marijuana Doctors

Medical Marijuana in New York

Overview and General Information

History of Medical Marijuana

Research and Studies

Legal and Regulatory Framework

Cannabis Laws

Legal and Legislative Updates

Decriminalization

Regulations and Restrictions

Reciprocity Agreements

Patient and Caregiver Information

Eligibility Requirements

Application Process

Evaluations

MMJ Certification

Medical Marijuana Card

Renewal of Medical Marijuana Card

MMJ Doctors

Patient Information

Caregiver Information

Medical Use and Health Information

Specific Conditions

Dosage and Administration

Medication Interactions

Safety and Adverse Effects

Pediatric Use

Access and Dispensaries

Local Dispensaries

Dispensaries in New York

Products

Consumption Methods

Additional Resources

FAQs

Resources and Support

News and Legal Updates

Public Opinion and Advocacy

Insurance Coverage

Specific Guidelines and Information

Usage Guidelines and Limitations

Travel and Transportation Guidelines

Workplace Rights

Veterans and Medical Marijuana

Environmental Impact

Home Cultivation Guidelines

Taxation and Revenue

Possession and Cultivation Limits

Sales and Distribution

In New York, pediatric use of medical marijuana is carefully regulated under the Marijuana Regulation and Taxation Act, focusing on safety and controlled usage.

This blog explores the complexities of using medical marijuana for children, including the legal framework, qualifying conditions, and safety concerns. Special attention is given to the potential impact on the developing brain and the risks of psychiatric effects.

It also highlights the critical role of parents and healthcare providers in monitoring and managing treatment, ensuring compliance with state regulations.

Essential for families considering this option, the blog offers valuable insights into pediatric medical marijuana use in New York, guiding them through the decision-making process with informed understanding and caution.

What Is the Legal Status of Pediatric Use of Medical Marijuana in New York?

In New York, the legal status of pediatric use of medical marijuana has evolved to offer a more patient-centric approach. As of 2023, there are no specific qualifying medical conditions for receiving medical marijuana treatment.

This change empowers healthcare providers in the state to exercise their professional discretion in determining whether a pediatric patient’s condition qualifies for medical cannabis access.

The New York Office of Cannabis Management (OCM) no longer issues medical marijuana cards. Instead, patients, including pediatric patients, require a certification from a healthcare provider.

This MMJ certification, along with a valid government-issued photo ID, is used to purchase medical cannabis at licensed dispensaries.

Which Medical Conditions in Children Qualify for Medical Marijuana Treatment?

Given the updated approach in New York, there is no predefined list of qualifying conditions for children to access medical marijuana. Healthcare providers have the autonomy to decide if a child’s medical condition could benefit from medical cannabis treatment.

This approach is more flexible and personalized, allowing for individualized treatment plans based on the child’s specific health needs and circumstances.

How Safe Is Medical Marijuana for Pediatric Patients?

The safety of medical marijuana for pediatric patients in New York, as in other states, is a topic that requires careful consideration and is guided by ongoing research and clinical practices.

Research on Medical Cannabis in Children: Systematic reviews and meta-analyses have been conducted to assess the safety and efficacy of medical cannabinoids in children. These studies have explored the treatment of conditions such as epilepsy, severe behavioral problems, chemotherapy-induced nausea and vomiting (CINV), spasticity, and autism spectrum disorder (ASD) with cannabinoid products. The results have shown potential benefits, especially in seizure control for conditions like Dravet syndrome. However, the research also notes the importance of considering potential adverse events and the complexity of dosing for different conditions.
Role of Pediatricians: With the increasing exposure of youth to cannabis, pediatric healthcare providers are crucial in providing evidence-based guidance on its use. They play a key role in counseling about the potential risks and benefits of medical marijuana. Pediatricians are advised to engage in open, non-judgmental conversations with patients and their families, using motivational interviewing techniques to discuss marijuana use. This approach is especially important for pediatric patients who may use marijuana for self-medication for issues like negative moods or sleep problems.
Variability in Effects and Risks: CBD and THC, the primary cannabinoids in cannabis, have different effects. CBD is known for not producing the ‘high’ associated with THC. However, the effects of medical marijuana can vary, and there are risks, especially concerning cognitive development in adolescents and young children. For instance, studies have shown that cannabis use can be associated with cognitive impairments and changes in brain structure, particularly in adolescents who use cannabis regularly.
Regulations and Prescription: In New York, as in other states, the qualifying conditions for medical marijuana use vary. While pharmaceutical-grade CBD has been approved by the FDA for some pediatric conditions, the regulation for medical marijuana obtained through dispensaries is less rigorous. Thus, the role of healthcare providers in evaluating and prescribing medical cannabis is pivotal.

How Is Dosage Determined for Pediatric Patients?

Determining the appropriate dosage of medical marijuana for pediatric patients is a complex and critical process, guided by several key principles to ensure safety and efficacy. Here are the general guidelines followed in dosing for children:

Start Low and Go Slow: The common approach is to start with a very low dose and gradually increase it. This method allows for careful monitoring of the child’s response and minimizes the risk of adverse effects.
Weight-Based Dosing: Dosage is often calculated based on the child’s weight, similar to many pediatric medications. This helps in tailoring the dose to the child’s physical size and metabolism.
Condition-Specific Dosing: The specific medical condition being treated also influences the dosage. For example, the dosing for epilepsy may differ from that for chronic pain or autism spectrum disorders.
Formulation Considerations: The form of medical marijuana (such as oil, tincture, or capsule) can affect how it is absorbed and metabolized in the body. This is taken into account when determining the dosage.
Titration to Effect: Dosage is adjusted (titrated) based on the child’s response. The goal is to find the minimum effective dose that provides therapeutic benefits with the least side effects.
Monitoring and Adjustment: Regular follow-up and monitoring are essential. Dosage may be adjusted based on the child’s ongoing response, side effects, and changes in their condition or overall health.
Consultation with Specialists: Pediatric dosing of medical marijuana should be overseen by healthcare providers with expertise in both pediatric care and medical marijuana. They can provide guidance based on the latest research and clinical experience.
Legal and Regulatory Compliance: In jurisdictions like New York, the dosing for pediatric patients must also comply with state-specific medical marijuana regulations and guidelines.

Due to the variability in individual responses and the evolving nature of research in this area, pediatric dosing of medical marijuana requires a highly individualized and cautious approach. Parents and caregivers should work closely with healthcare providers to ensure the safe and effective use of medical marijuana in children.

What Are the Recommended Administration Methods for Children?

For pediatric patients, the administration methods of medical marijuana are chosen with a focus on safety, efficacy, and ease of use. The recommended methods are:

Oral Preparations:
- Oils and Tinctures: These are commonly used due to precise dosing and ease of administration. They can be administered under the tongue for quicker absorption or added to food or drinks.
- Capsules and Edibles: Capsules provide a precise dosage, though they may be challenging for younger children to swallow. Edibles (like gummies or baked goods) are another option, but dosing can be less precise, and there’s a risk of accidental overconsumption.
Transdermal Preparations:
- Patches: These deliver cannabinoids through the skin over time, providing a steady dose and minimizing peaks and troughs in blood concentration. They are useful for continuous symptom management.
Topical Applications:
- Creams and Lotions: For localized symptoms like pain or inflammation, topical applications can be effective without systemic effects.
Nasal Sprays:
- Cannabinoid Nasal Sprays: These are less common but can be used for rapid relief, especially in seizure disorders. They provide the advantage of bypassing the digestive system.
Rectal Suppositories:
- Suppositories: These are an alternative for children who cannot take oral medications. They provide consistent absorption and are useful when nausea or vomiting prevents oral administration.
Inhalation (with Caution):
- Vaporization: While generally not the first choice for pediatric use due to concerns about lung health, vaporization can be considered in certain circumstances, especially for rapid relief. Smoking is typically avoided in pediatric patients.

The choice of administration method depends on the child’s age, the condition being treated, the child’s ability to tolerate the method, and the need for rapid versus sustained symptom control.

It’s crucial to consult with a healthcare provider experienced in pediatric medical marijuana use to determine the most appropriate method. They can provide guidance on safe usage, proper dosing, and monitoring for effectiveness and side effects.

How Should Parents Monitor the Effects of Medical Marijuana in Children?

For parents administering medical marijuana to their children, careful monitoring is crucial to ensure safety and efficacy.

Here are some tips for parents on how to monitor the effects and recognize side effects:

Maintain a Treatment Diary: Keep a detailed record of the medical marijuana treatment, including dosage, frequency, method of administration, and any changes made to the regimen. Note the timing in relation to meals or other medications.
Observe and Record Responses: Pay close attention to your child’s response to the treatment. Record any changes in symptoms, both improvements and any new or worsening symptoms. This includes behavioral changes, sleep patterns, appetite, mood, and cognitive functions.
Look for Side Effects: Be vigilant for common side effects such as drowsiness, dizziness, changes in appetite, gastrointestinal discomfort, or mood swings. Document any side effects, their severity, and how long they last.
Regular Health Check-ups: Schedule regular appointments with your child’s healthcare provider to review the treatment’s effectiveness and safety. Share the treatment diary and discuss any concerns.
Monitor Cognitive and Emotional Development: Pay attention to your child’s cognitive and emotional development, including learning abilities, memory, social interactions, and emotional regulation.
Educate Yourself: Understand the potential effects and side effects of medical marijuana. The more informed you are, the better you can monitor and interpret the changes in your child.
Communicate with Teachers and Caregivers: If applicable, inform teachers and caregivers about the child’s medical marijuana use. They can provide additional insights into the child’s behavior and performance in different settings.
Watch for Allergic Reactions: Be aware of signs of allergic reactions, such as rashes, itching, or difficulty breathing, which require immediate medical attention.
Adjustments as Needed: Be prepared to adjust the treatment plan in consultation with your healthcare provider based on your observations and your child’s changing needs.
Ensure Legal Compliance: Always ensure that the use of medical marijuana is in compliance with state laws and regulations, particularly regarding dosage and administration methods.

By closely monitoring their child and maintaining open communication with healthcare providers, parents can play a crucial role in ensuring the safe and effective use of medical marijuana in pediatric care.

What Are the Common Side Effects in Pediatric Patients?

Pediatric patients using medical marijuana may experience a range of side effects, similar to adults but often with different implications due to their developing bodies and brains.

Common side effects in pediatric patients include:

Drowsiness and Sedation: One of the most common side effects, especially with high-CBD products, is drowsiness or sedation, which can impact daily activities and alertness.
Changes in Mood or Behavior: Some children may experience mood swings, irritability, or changes in behavior. This can be particularly noticeable in children with underlying neurological or psychiatric conditions.
Gastrointestinal Issues: Nausea, vomiting, diarrhea, or changes in appetite can occur, especially when starting treatment or adjusting dosages.
Dizziness and Balance Issues: Dizziness or a sense of imbalance is a possible side effect, which can be concerning in younger children who are still developing motor skills.
Dry Mouth and Eyes: Similar to adults, pediatric patients may experience dry mouth and dry eyes after using medical marijuana.
Concentration and Memory Difficulties: THC-containing products can affect cognitive functions, including concentration and memory, which is a concern in school-aged children.
Fatigue: Some children may feel unusually tired or lethargic, which can affect their energy levels and participation in activities.
Headaches: Some pediatric patients report headaches as a side effect of medical marijuana use.
Psychiatric Symptoms: In rare cases, especially with high-THC strains, children may experience anxiety, paranoia, or hallucinations.
Respiratory Issues: If medical marijuana is inhaled, it can lead to respiratory issues, although this method is less common and often not recommended for pediatric patients.

It’s important to note that the side effect profile can vary based on the type of medical marijuana used (THC vs. CBD dominant), the method of administration, and the individual child’s physiology and underlying health conditions.

Parents and caregivers should closely monitor for these side effects and consult with healthcare providers in New York for any concerns or unusual reactions. Regular follow-up and adjustment of the treatment plan may be necessary to minimize side effects and ensure the safety and well-being of the child.

What Are the Legal Implications of Pediatric Medical Marijuana Use in New York?

In New York, the use of medical marijuana for pediatric patients is subject to specific legal implications and responsibilities for parents and caregivers. Understanding and adhering to these legal considerations is crucial to ensure compliance with state laws and the safety of the child. Key legal implications include:

Certification and Registration: Pediatric patients must be certified for medical marijuana use by a qualified healthcare provider registered with the New York State Medical Marijuana Program. The child must also be registered as a patient in the program.
Parental or Guardian Consent: For minors, consent from a parent or legal guardian is mandatory. They must agree to the child’s use of medical marijuana and are typically involved in managing the treatment.
Designated Caregivers: New York law allows for designated caregivers, who must be at least 21 years old, to assist in obtaining, administering, and managing medical marijuana treatment for pediatric patients. These caregivers also need to be registered with the state’s medical marijuana program.
Purchase and Possession Limits: Medical marijuana for pediatric patients must be obtained from state-licensed dispensaries. The law stipulates specific possession limits, and parents or caregivers must adhere to these limits.
Prohibited Forms of Consumption: The state prohibits certain forms of medical marijuana that are deemed inappropriate for pediatric use, such as smoking. Parents and caregivers must ensure that the administration method complies with state regulations.
Confidentiality and Privacy: Parents and caregivers must protect the child’s confidentiality and privacy regarding their medical marijuana treatment, in accordance with state laws and HIPAA regulations.
Travel and Transportation: While medical marijuana can be legally used within New York State, transporting it across state lines is a federal offense. Parents and caregivers need to be aware of legal restrictions when traveling.
School Administration: New York law allows for the administration of medical marijuana on school grounds under certain conditions. Parents and caregivers should coordinate with the child’s school to ensure compliance with school policies and state laws.
Regular Review and Compliance: The use of medical marijuana in pediatric patients should be regularly reviewed by the certifying healthcare provider, and treatment must comply with ongoing state regulations and guidelines.
Legal Risks: Non-compliance with these regulations can lead to legal consequences. It is essential for parents and caregivers to stay informed about the current laws and any changes to ensure they are legally protected.

Parents and caregivers are advised to consult with legal professionals or healthcare providers knowledgeable in medical marijuana laws in New York to fully understand their responsibilities and ensure they are providing the safest and most compliant care for their child.

Why Is Informed Consent Crucial in Pediatric Medical Marijuana Treatment?

Informed consent is a fundamental aspect of pediatric medical marijuana treatment, holding significant importance for several reasons:

Ethical Considerations: Informed consent is an ethical cornerstone in healthcare, ensuring that parents or guardians make decisions about a child’s treatment based on a full understanding of the potential benefits, risks, and alternatives. This is especially crucial for medical marijuana, given its complex legal and medical implications.
Legal Compliance: In many jurisdictions, including New York, obtaining informed consent is a legal requirement for treating minors with medical marijuana. This process ensures that the treatment is not only medically appropriate but also legally sanctioned.
Understanding of Risks and Benefits: Medical marijuana, particularly in pediatric use, comes with specific risks and benefits. Informed consent ensures that parents or guardians are fully aware of these, including potential side effects, long-term implications, and the current state of medical research.
Shared Decision-Making: Informed consent involves a collaborative process between healthcare providers, parents, and, when appropriate, the child. This shared decision-making ensures that the treatment aligns with the child’s best interests, considering medical needs and family values.
Management of Expectations: It helps in setting realistic expectations about the outcomes of medical marijuana treatment. Parents and guardians are better prepared to monitor the child’s response to treatment and make informed decisions about continuing or adjusting the treatment plan.
Protection for Healthcare Providers: It also protects healthcare providers by documenting that they have provided the necessary information and obtained consent, thereby adhering to professional and legal standards.
Empowerment of Parents/Guardians: Informed consent empowers parents or guardians by giving them control and choice in their child’s healthcare decisions. It respects their autonomy and acknowledges their role in the child’s health and well-being.

Informed consent in pediatric medical marijuana treatment is essential for ethical, legal, and practical reasons. It ensures that parents or guardians are fully educated about the treatment, agree to it, and are active participants in the child’s healthcare journey.

Where Can Parents Find Local Dispensaries for Pediatric Medical Marijuana in New York?

In New York, parents seeking local dispensaries for pediatric medical marijuana can follow these steps to locate and choose the right dispensary for their needs:

Consult the New York State Medical Marijuana Program: The New York State Department of Health’s Medical Marijuana Program website is a primary resource. It provides a list of registered dispensaries across the state.
Use the Dispensary Locator Tools: Many dispensaries have websites with locator tools to help find the nearest location. These tools often allow you to filter dispensaries based on products, services, and specific medical marijuana strains.
Ask the Healthcare Provider: The child’s healthcare provider, particularly if they are registered with the state’s medical marijuana program, can recommend dispensaries that are known for catering to pediatric patients.
Check for Pediatric Specialization: Some dispensaries specialize in or are more experienced with pediatric patients. They can offer products and dosages suitable for children and may have staff trained to assist with pediatric needs.
Read Reviews and Testimonials: Look for reviews or testimonials from other parents who have used dispensaries for pediatric needs. This can provide insights into the quality of service and products.
Contact Dispensaries Directly: Call or visit the dispensaries to inquire about their experience with pediatric patients, the availability of suitable products, and any additional support they offer for families.
Verify Product Quality and Safety: Ensure that the dispensary adheres to safety and quality standards, including product testing and proper labeling.
Consider Convenience and Accessibility: Factor in the location, hours of operation, and the dispensary’s policies on ordering and pickup, especially if regular visits are needed.
Seek Recommendations from Support Groups: Parental support groups or advocacy groups for medical marijuana can be valuable resources for recommendations based on firsthand experiences.
Ensure Legal Compliance: Verify that the dispensary operates in compliance with New York State laws, particularly those pertaining to pediatric medical marijuana use.

By thoroughly researching and considering these factors, parents can find a dispensary that not only meets the legal requirements but also addresses the specific medical and personal needs of their child.

FAQs about Pediatric Use of Medical Marijuana in New York

What conditions qualify a child for medical marijuana treatment in New York?

In New York, children with certain severe, debilitating, or life-threatening conditions may qualify for medical marijuana treatment. These include epilepsy, cancer, HIV/AIDS, and certain chronic diseases. The specific conditions are defined by the New York State Medical Marijuana Program.

How can parents legally obtain medical marijuana for their child in New York?

Parents can legally obtain medical marijuana for their child by first getting a certification from a healthcare provider registered with the New York State Medical Marijuana Program. The child must then be registered as a patient, after which medical marijuana can be obtained from a state-licensed dispensary.

What are the common side effects of medical marijuana in children?

Common side effects in children may include drowsiness, dizziness, changes in appetite, mood alterations, and gastrointestinal issues. The severity and occurrence of these side effects can vary based on the dosage and form of medical marijuana used.

Are there specific administration methods recommended for children using medical marijuana?

Recommended administration methods for children typically include oils, tinctures, and capsules, as they allow for precise dosing and are easier to administer. Smoking is generally not recommended for pediatric patients.

What legal considerations should parents be aware of when using medical marijuana for pediatric treatment in New York?

Parents should be aware of the legal requirement for a registered healthcare provider’s certification, the need for parental or guardian consent, adherence to possession limits, and compliance with the recommended forms of medical marijuana. Additionally, they should ensure that the use of medical marijuana does not conflict with school policies if administration during school hours is necessary.

Conclusion on Pediatric Use of Medical Marijuana in New York

In New York, the use of medical marijuana for pediatric patients is a regulated and sensitive matter, primarily reserved for severe or life-threatening conditions like epilepsy and cancer.

Parents must navigate a stringent legal framework, requiring certification from a healthcare provider registered with the New York State Medical Marijuana Program and adherence to specific administration methods, such as oils and tinctures.

The decision to use medical marijuana in children involves careful consideration of potential side effects, the necessity for informed consent, and an understanding of legal responsibilities. This approach ensures that treatment is not only effective but also safe and compliant with state laws.

As research evolves, it continues to shape the understanding and application of medical marijuana in pediatric care, offering potential relief and hope for affected families in New York.

Resources

https://cannabis.ny.gov/patients

https://www.mpp.org/states/new-york/

https://norml.org/laws/new-york-penalties-2/

https://cannabis.ny.gov/practitioners

https://cannabis.ny.gov/medical-cannabis

https://cannabis.ny.gov/medical-cannabis-program-faqs

https://www.safeaccessnow.org/new_york_advocacy

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