Cannabis e-prescription: All information at a glance

Cannabis Pflanze

Medical cannabis has come a long way in Germany since its legalization in 2017. Originally surrounded by controversy and skepticism, cannabis has established itself as an important treatment option for numerous patients suffering from chronic pain, severe neurological disorders and other serious illnesses. This introduction provides an overview of the development and current situation of medical cannabis in Germany.

Historical overview and current status

Medical cannabis was legalized in Germany in March 2017, which marked a turning point in the medical treatment of many patients. Before this legislation, access to cannabis for therapeutic purposes was highly restricted and only possible under exceptional circumstances. Since legalization, however, the landscape has changed significantly: doctors of various specialties are now allowed to prescribe cannabis if they believe that other treatment methods are not sufficiently effective or lead to severe side effects. The patients who benefit from this change often suffer from severe chronic pain, multiple sclerosis, severe spasticity or the side effects of chemotherapy. The demand for medical cannabis has steadily increased since then, reflecting public acceptance and understanding of cannabis' therapeutic potential.

Basics of the e-prescription

The e-prescription is a digital version of the traditional paper prescription that offers a secure and efficient way to manage prescriptions. The e-prescription has been gradually introduced in Germany since 2020 and is expected to be used nationwide by the end of 2022. For medical cannabis, the e-prescription means that doctors can create a prescription electronically and send it directly to a pharmacy. Patients benefit from this system through simplified processing and increased data security, as all information is transmitted in encrypted form. In addition, the e-prescription enables quick and uncomplicated communication between doctor, patient and pharmacy, which is particularly important to meet the needs of chronically ill patients.

How to get a cannabis e-prescription

Obtaining a cannabis e-prescription in Germany is a strictly regulated process that ensures that only qualified patients have access to medical cannabis. This section will walk you through the different steps, from choosing the right doctor to picking up your medicine from the pharmacy.

Doctors authorized to prescribe cannabis

Not every doctor can prescribe cannabis for medical purposes. Doctors who are allowed to do so must be registered in Germany and usually have completed special training on the effects and use of medical cannabis. Specialists who often prescribe cannabis include pain therapists, neurologists, oncologists and palliative care specialists. If you think cannabis could be a suitable treatment for your condition, you should first speak to your GP, who may be able to refer you to a specialist.

Medical consultation process

The first step to obtaining a cannabis e-prescription is a detailed medical consultation. During this consultation, your doctor will evaluate your medical history, current symptoms and previous treatments. This is important to determine whether cannabis could be a safe and effective option for you. The doctor will also discuss potential risks and side effects, as well as answer your questions about cannabis treatment. It is crucial that you are open and honest during this consultation so that the doctor can make an informed decision.

The issuing and transmission of the e-prescription

If your doctor decides that cannabis is the right treatment for you, they will issue an e-prescription. This is done through a secure, digital system that is directly connected to pharmacies. The doctor enters all the necessary information, including your personal details, the specific cannabis products and the dosage. Once completed, the prescription is sent electronically to your chosen pharmacy. This process reduces errors and ensures that you receive exactly the medicine that was prescribed.

Obtaining from the pharmacy

After the e-prescription has been sent to your pharmacy, you can collect your medical cannabis treatment from there. When you first collect it, the pharmacist may provide additional information on how to use and store the cannabis correctly. It is important that you follow all instructions carefully and ask the pharmacist for clarification if anything is unclear. Medical cannabis is stored and dispensed under strict conditions to ensure quality and safety.

By understanding this process, you can better prepare and ensure your treatment is as effective and safe as possible.

Areas of use for cannabis on prescription

Cannabis is increasingly recognized in the medical world as a valuable therapeutic agent that can provide relief for a wide range of conditions and illnesses. This section will explore the various medical uses of cannabis and explain how it works and the benefits it offers.

Treatable conditions and diseases

Cannabis is often used to treat chronic pain, particularly in patients who do not respond to conventional painkillers or who experience unwanted side effects. Other common indications include neurological disorders such as multiple sclerosis and epilepsy, where cannabis can help reduce muscle spasms, pain and, in some cases, the frequency of seizures. Cannabis is also used in oncology to relieve side effects of chemotherapy such as nausea and loss of appetite. There are also positive reports of the use of cannabis in mental health conditions such as major depression and post-traumatic stress disorder, although research in this area is still in its infancy.

Mechanisms and benefits of cannabis in medicine

Cannabis contains several active ingredients, including tetrahydrocannabinol (THC) and cannabidiol (CBD). These cannabinoids interact with the body's endocannabinoid system, which plays a key role in regulating pain, mood, appetite, and other physiological processes. Through this interaction, cannabis can effectively relieve symptoms and improve quality of life.

One of the greatest benefits of medical cannabis is its ability to provide an alternative treatment option for patients who do not respond to or cannot tolerate conventional medications. Additionally, cannabis offers the advantage of having a lower rate of serious side effects compared to many conventional medications, especially when used long-term. The potential for addiction is also significantly lower compared to opioids, which are often used to treat pain.

The use of cannabis in medicine opens up many promising perspectives, but it is important that treatment is carried out under medical supervision and based on an accurate diagnosis and individual patient needs. Through further research and clinical studies, the understanding of the diverse uses and mechanisms of cannabis is constantly being expanded, which could lead to even more targeted and effective use in the future.

Legal framework for cannabis in Germany

The legal situation surrounding cannabis in Germany is complex, especially when it comes to medical use. Here we discuss the legal provisions that govern the medical use of cannabis, as well as important guidelines for carrying cannabis medication for patients.

Legal regulations on medical use

Since the legalization of medical cannabis in 2017 through the "Cannabis as Medicine" law, the conditions for its prescription and use have been clearly defined. Doctors in Germany are allowed to prescribe cannabis for medical purposes if they believe that no comparable alternative treatment is available or previous treatments have not produced the desired results. The prescription itself is limited to certain, serious illnesses and requires an accurate diagnosis and regular monitoring of the patient.

Medical cannabis is only dispensed by pharmacies, which must keep detailed records of each dispensing. This procedure is not only intended to prevent the misuse of prescription cannabis, but also to ensure that patients receive the correct dosage and instructions on how to use it.

Important information about carrying cannabis medication

It is important for patients who have been prescribed medical cannabis to know how and under what conditions they are allowed to carry their medication. Patients must always carry the e-prescription or proof of prescription when transporting cannabis medication in public. This serves as protection against legal problems in case they are checked by the authorities.

In addition, patients should be aware that carrying cannabis across national borders, even within the EU, is subject to strict international drug laws. Before travelling, it is therefore always advisable to check whether the destination country allows medical cannabis and what specific documents may be required to avoid problems upon entry.

The legal framework for cannabis in Germany is intended to ensure access and safety for patients who need cannabis for medical reasons, but also to prevent abuse and maintain public order. Patients and doctors must always keep themselves informed about the current laws and regulations in order to act within the framework of legality.

Cost coverage and prices for medical cannabis

Medical cannabis can be an effective treatment for many serious illnesses, but the cost is often a major hurdle for patients. This section explains the average cost and what influences it, as well as the modalities of reimbursement by health insurance companies in Germany.

Average costs and price factors

The cost of medical cannabis in Germany can vary significantly depending on the product type, dosage and manufacturer. On average, prices for cannabis flowers range between 10 and 25 euros per gram. The cost of extracts and other processed products can be higher. Factors that affect the price include the quality of the plant, the production process, import fees (as a large proportion of the medical cannabis available in Germany is imported) and pharmacy margins. Dosage also plays a significant role, as patients with more severe conditions or higher dosage will naturally have higher monthly costs.

Billing with health insurance companies

In Germany, the costs of medical cannabis can be covered by statutory health insurance companies under certain conditions. The patient needs approval from their health insurance company, which often requires a detailed justification from the treating doctor as to why alternative treatment options are not suitable. Approval is usually time-limited and must be renewed regularly. Privately insured people have different conditions depending on their tariff and insurance, and it is worth clarifying the details with the insurance company. It is important to note that the application processes can be time-consuming and rejection is not uncommon, which is why good documentation and communication between doctor and patient are crucial.

Data protection when using e-prescriptions

With the introduction of e-prescriptions in Germany, data protection and security of patient information are in focus. This section explains how personal data is protected when e-prescriptions are used.

How your data is protected

The security and protection of personal data is guaranteed when using e-prescriptions through strict data protection laws. All digital transactions, including the issuing and transmission of e-prescriptions, are encrypted to protect the data from unauthorized access. In addition, the data is only transmitted via secure, certified networks between doctors, pharmacies and health insurance companies. Patients have the right to receive information about the data stored about them and can have it corrected if necessary. Pharmacies and doctor's offices hold regular training courses to educate staff about data protection regulations and to ensure that they are adhered to. Access to patient data is strictly regulated and limited to people who are directly involved in care and administration.

Conclusion and recommendations for those affected

The possibility of using medical cannabis offers many patients new hope for relief from their symptoms. This section summarizes the key points and provides recommendations on how sufferers should approach the process to achieve the best results.

Tips on how to start the conversation with the doctor

Starting the conversation about medical cannabis with your doctor can be intimidating, especially if you're unsure about how it will be received. Here are some tips to start the conversation:

  1. Preparation : Know the legal and medical uses of cannabis beforehand. Know your own medical history well and be prepared to explain it.

  2. Openness : Be honest with your doctor about your previous treatments and why you think cannabis might help. Openly discuss any concerns you may have.

  3. Documentation : Bring medical records, previous diagnoses and treatment plans. This will give the doctor a complete overview of your health situation.

  4. Ask questions : Ask specific questions about how cannabis might help with your specific symptoms and what possible side effects are.

  5. Active participation : Be actively involved in the decision-making process. Your doctor can present options, but your preferences and concerns should also be taken into account.

Importance of well-informed and safe treatment

The decision to use medical cannabis should not be taken lightly. A well-informed and safe treatment is crucial to achieving positive results:

  • Informed decision : Understand all aspects of treatment, including legal, medical and financial. Know the potential risks and benefits.

  • Monitoring : Regular monitoring by your doctor is necessary to ensure that the treatment is working as expected and to detect side effects in a timely manner.

  • Compliance with regulations : Strictly adhere to your doctor's dosage and usage instructions and follow all legal guidelines, especially when transporting cannabis.

  • Support network : Consider connecting with support groups or other patients who use cannabis medicinally. This can provide additional moral support and practical advice.

The use of medical cannabis can be a valuable treatment option when done responsibly and under careful medical supervision. Patients should utilize all available information and work closely with their healthcare providers to achieve the best possible outcomes.


Lara Berger, M.Sc., specialist author

Meet Lara Berger , our hemp edibles expert at THC Friends. With a solid background in botany and a focus on sustainable, health-promoting foods, Lara brings a wealth of knowledge and passion for hemp products to the team. Discover with Lara how hemp foods can contribute to a healthier and more sustainable lifestyle. Read more about Lara and her work here.

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