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Can Medical Marijuana Help Your Child?

Children in Pennsylvania, New Jersey and Delaware who have autism or seizures can take medical marijuana if a doctor approves.



Lindsey Good, nurse practitioner, with CBD tinctures and capsules at TerraVida Holistic Centers in Abington, PA.

Photo courtesy of TerraVida Holistic Centers

Kiera, an 11-year-old Glenside, PA girl who suffers from seizures, is sleeping much better now. So too is Grace, an eight-year-old with autism, from Harleysville, PA.

Both children are using medical marijuana for their medical conditions. After three weeks, their parents believe the treatment is helping.

“The biggest change is she sleeps through the night. She used to get up at 3 or 4 in the morning,” says Grace’s mom, Kim.  “She’s also putting sentences together better.”

Kiera’s mom, Vicki, says her daughter, in addition to sleeping more soundly, has improved focus. Best of all, a recent electroencephalography (EEG) showed Kiera hadn’t had any seizures, where she previously had up to 30 a day, even when taking other medications. “It was huge,” Vicki says of the EEG result for Kiera, who has a rare genetic condition that can cause a host of developmental problems, including seizures.

“I was very hesitant about it,” Vicki says of medical marijuana, but she researched and decided to try it because other medications didn’t offer much relief and had potentially serious side effects, including one with a black-box warning that it could cause death.  “The side effects were worse than the seizures,” she says.

PA, NJ and DE allow medical marijuana for children

Pennsylvania, New Jersey and Delaware all recently started medical-marijuana programs for people, including children, with certain medical conditions. While the list varies slightly from state to state, all three allow it to be used to treat seizures. In Pennsylvania, autism is one of the covered conditions. In New Jersey, autism must be accompanied by anxiety, while in Delaware, a child with autism needs to exhibit aggressive behavior to qualify.

The National Institute on Drug Abuse, a federal agency, says that marijuana contains chemicals that appear to reduce inflammation and have other medicinal properties, but it also warns that it carries the risk of addiction, particularly in children.

PA, NJ, and DE marijuana dispensaries now open for business

In order to buy medical marijuana for a child in Pennsylvania, the patient must first visit a doctor who has been certified by the state as a participant in the program. If the doctor confirms that the child has one of 21 medical conditions approved for the drug, a parent, guardian or designated caregiver, after a criminal background check, gets a card that can be taken to a marijuana dispensary. The dispensaries, the first of which opened in Pennsylvania in February, are required to have a doctor or pharmacist on duty to consult with customers. If they have multiple locations, they can have a physician’s assistant or registered nurse practitioner at the additional locations.

“The dispensaries are much like pharmacies, a doctor will certify the patient for medical marijuana, and the patient goes to the dispensary and gets the product they think will work the best for their medical condition,” said Nate Wardle, a spokesman for the Pennsylvania Department of Health. “Parents/caregivers should consult with their practitioner about the form of medical marijuana that would be best for their child. Parents/caregivers can also consult with the medical professional at the dispensary.”

There are two forms of medical marijuana: the THC (tetrahydrocannabinol) form, which can cause a “high” and the CBD (cannabinoid) form, which does not. They come in pills, oils, topical forms, such as patches or ointments, vapors and liquids designed to treat various serious illnesses, according to the state’s Office of Medical Marijuana.    

In Southeastern Pennsylvania, TerraVida Holistic Centers has dispensaries in Abington, Malvern and Sellersville. Chris Visco, TerraVida president and COO, says she started to research the use of medical marijuana after seeing members of her family suffer from cancer.  “I just stayed on top of it,” she says. Helping people relieve their pain, especially children, has been “so rewarding, more than I can ever imagine.”

With her business partner, Deena Birnbaum, she opened the centers as soon as state law allowed. Business has been brisk, she says, and she foresees the need for about 15 centers in the region to accommodate customers. There are currently 21 statewide.

In New Jersey, there are Alternative Treatment Centers in Bellmawr, Cranbury, Egg Harbor, and Woodbridge with one planned in Secaucus. A physician registered with the program most certify that the patient has one of the qualified conditions.

In Delaware, there are dispensaries, called Compassion Centers, in Wilmington and Lewes with additional ones planned in Newark and Smyrna. Doctors must also certify that the patient has one of the qualified medical conditions.

Number of children in medical marijuana programs remains small

Pennsylvania Department of Health spokesperson April Hutcheson said that approximately 300 children are approved to receive medical marijuana out of the 7,200 cards that have been issued. Approximately 26,000 people had applied to the program as of March.   

TerraVida centers have provided medical marijuana products for about 1,850 people, 10 percent of whom have been children under 18. “We see more autistic children than any other reason for children,” Visco said.

According to the New Jersey Department of Health, half of 1 percent of the 18,700 patients using medical marijuana in the state are minors. The top conditions for which they are using it are seizures, post-traumatic stress disorder and inflammatory bowel disease.

In Delaware, 21 juveniles’ caregivers have signed up to receive medical marijuana as of late March. There are 4,546 adult patients on the registry. The most common reason for which caregivers sought treatment for juveniles is seizures.

Concern for dependency risk with medical marijuana

While marijuana is a natural substance, it still poses risks for dependency, the NIDA cautions. It says that “people who begin using marijuana before the age of 18 are four to seven times more likely to develop a marijuana use disorder than adults,” which is a dependency on the drug that can lead to addiction in some people.

Visco disputes that marijuana could be addictive, saying most children take the CBD version of medical marijuana “which has zero psychoactive properties.”

School districts continue to warn students about the dangers of dependency-forming drugs, including marijuana, but some students are now going to class while taking medical marijuana.

A parent considering medical marijuana for a child needs to weigh the risks versus the benefits in, Hutcheson said.  “It’s a tool but not the only tool.”

For Vicki, whose daughter Kiera has developmental delays and suffered from seizures for years, the benefits outweigh the risk. “If her being addicted to marijuana was the worst thing I had to worry about, it would be a blessing,” she says.  


Medical conditions that qualify for medical marijuana in PA

These are the medical conditions eligible for medical marijuana in PA:

  •     Addiction substitute therapy – opioid reduction
  •     ALS
  •     Autism
  •     Cancer
  •     Crohn’s
  •     Dyskinetic and Spastic Movement Disorders
  •     Epilepsy
  •     Glaucoma
  •     HIV Positive, AIDS
  •     Huntington’s
  •     IBD
  •     Intractable seizures
  •     MS
  •     Neurodegenerative diseases
  •     Neuropathies
  •     Parkinson’s
  •     PTSD
  •     Severe chronic or intractable pain*
  •     Sickle cell anemia
  •     Spinal-cord nerve damage*
  •     Terminally ill/Palliative care

     

Medical conditions that qualify for medical marijuana in NJ


 Medical conditions eligible for medical marijuana in NJ:

  • ALS
  • Anxiety
  • Chronic pain related to musculoskeletal disorders
  • Chronic pain of visceral origin
  • Migraine
  • MS
  • Terminal cancer
  • Muscular dystrophy
  • IBD, including Crohn’s
  • Terminal illness, if the physician has determined a prognosis of less than 12 months of life
  • Tourette’s Syndrome

If the patient is resistant/intolerant to conventional therapy:

  • Glaucoma
  • Intractable skeletal muscular spasticity
  • PTSD
  • Seizure disorder, including epilepsy

If severe or chronic pain, severe nausea or vomiting, cachexia or wasting syndrome from the condition or treatment:

  • AIDS
  • Cancer
  • HIV Positive

     

Medical conditions that qualify for medical marijuana in DE


Medical conditions eligible for medical marijuana in DE:

  • Agitation of Alzheimer’s
  • AIDS
  • ALS
  • Autism with aggressive behavior
  • Cancer
  • Decompensated Cirrhosis
  • HIV Positive
  • PTSD
  • Terminal illness

A chronic or debilitating disease or medical condition or its treatment that produces one or more of the following;

  • Cachexia or Wasting Syndrome
  • Intractable nausea
  • Seizures
  • Severe and persistent muscle spasms, including but not limited to those characteristic of Multiple Sclerosis.
  • Severe debilitating pain that has not responded to previously prescribed medication or surgical measure for more than three months, or for which other treatment options produced serious side effects.

    Peg Quann is a freelance writer.

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