We are a children's hospital with a lot of kids who are refractory to different neurological treatments for seizures. Many of them are able to use Epidiolex, if prescribed by Neurology or Heme/Onc/Pallative Care, but there still some patients who can only be controlled with non-FDA approved cannabis. Most of them acquire them from a dispensary and are approved by their provider for use in controlling their seizures. It can be problematic when they have to be admitted and Mom and/or provider wants them to continue to use.

I'm hoping you can weigh in on what's happening with this product (Cannabis)in your state and facility.

1. Do you allow the use of cannabis for seizures or are all patients converted to Epidiolex?

2. If allowed, is it allowed under a Patient Own Med Policy guidance?

3. If allowed what are the storage conditions (automated dispensing machine?)

4.Is it only allowed as a self-administered product ( not stored onsite or administered by nursing)?

Thanks in advance for help with this odd issue.

DiAnthia Patrick, PharmD
Childrens National Hospital, Washington DC
dpatrick@childrensnational.org