Germany Medical Cannabis Nine Realms

Medical Cannabis Prescription In Germany: Guide

Author: Jans Beloglazovs

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Time: 7 min

Introduction

Germany's recent cannabis reform has sparked a wave of change, especially when it comes to medical cannabis prescriptions. The new legislation, which took effect on April 1, 2024, has reshaped the landscape for patients seeking cannabis-based treatments.


But what does this mean for those seeking a cannabis prescription in Germany? Let's explore how this transformative shift is impacting patients, doctors, and the broader healthcare system.


The dawn of a new era for cannabis prescriptions in Germany has arrived, bringing a mix of excitement and uncertainty. For years, patients faced hurdles in accessing medical cannabis. Now, with the implementation of the Cannabis Act (Cannabisgesetz, CanG), we're seeing a seismic shift in how cannabis is perceived and prescribed in the medical field.


Gone are the days when cannabis was solely viewed through the lens of recreational use or stigma. Today, it's increasingly recognized as a viable treatment option for various conditions. But with this recognition comes a host of new regulations and processes that both patients and healthcare providers must navigate.

The New Landscape of Medical Cannabis in Germany

The Cannabis Act has ushered in significant changes to the medical cannabis framework in Germany. One of the most impactful alterations is the reclassification of cannabis as a non-narcotic substance. This shift alone has dramatically streamlined the prescription process.


Previously, doctors had to jump through numerous hoops to prescribe cannabis, including using special narcotics prescription forms. Now, the process mirrors that of prescribing any other medication. This change not only simplifies things for doctors but also reduces the stigma patients might feel when seeking cannabis-based treatments.

Medical Cannabis Nine Realms Germany

Simplified Prescription Process

Under the new regulations, getting a cannabis prescription in Germany has become more straightforward. Doctors can now prescribe cannabis using standard prescription forms, eliminating the need for the cumbersome narcotics prescription process. This change is expected to make doctors more willing to consider cannabis as a treatment option, potentially expanding access for patients who could benefit from it.

Increased Accessibility for Patients

With the simplified prescription process, patients are likely to find it easier to access medical cannabis. The removal of medical cannabis from the narcotics list means that pharmacies no longer need to follow the strict storage and documentation requirements previously associated with cannabis products. This could lead to more pharmacies stocking cannabis medications, improving availability for patients.

Customer Holding Medical Cannabis Nine Realms

Impact on Patient Care and Treatment Options

The evolving landscape of cannabis prescriptions in Germany is having a profound impact on patient care. With easier access and reduced stigma, more patients are exploring cannabis as a treatment option for various conditions.

Expanded Treatment Possibilities

Medical cannabis is being considered for an increasingly wide range of conditions. While it's not a cure-all, many patients find relief from symptoms related to:


  • Chronic pain
  • Multiple sclerosis
  • Epilepsy
  • Nausea and vomiting associated with chemotherapy
  • Anxiety and PTSD

As research continues and more doctors become comfortable prescribing medical cannabis, we may see its use expand to other areas of medicine. Doctors may prescribe medical cannabis for conditions such as:


  • Glaucoma
  • Parkinson's Disease
  • Crohn's Disease

 as more research becomes available and the social clubs associated with medical cannabis become more prevalent.

Patient Education and Empowerment

With the changing regulations, there's a growing need for patient education. Understanding the potential benefits and risks of medical cannabis is crucial for patients to make informed decisions about their health care.


A recent survey revealed that over 90% of Germans are aware of the legal availability of medical cannabis. This high level of awareness is a positive sign, but it also highlights the importance of ensuring that accurate information is readily available to patients and the general public. As the German government continues to iron out the rules governing cannabis use, patients will have to rely on reputable sources to make informed decisions about medical cannabis.

Female Smoking Medical Nine Realms Joint

"That is not a drug. It's a leaf."

Arnold Schwarzenegger

Challenges and Considerations

While the new regulations have brought many positive changes to cannabis prescriptions in Germany, they've also introduced new challenges and considerations for patients, healthcare providers, and regulators. For example, the cultivation of cannabis for personal use remains illegal in Germany, making it challenging for patients to access affordable medical cannabis. This is where cultivation associations and cannabis social clubs come in. These organizations can help to bridge the gap by providing patients with access to safe and affordable medical cannabis.

Driving and THC Limits

nine realms customer driving a car

One of the most pressing issues is the establishment of THC blood concentration limits for driving. The Cannabis Act required an expert group to propose a value for THC blood concentration at which driving is no longer considered safe. In March 2024, the expert group stated that a THC level of 3.5 nanograms per milliliter in blood presents a risk comparable to driving with a blood alcohol level of 0.2 per mille. This finding is now being incorporated into the Road Traffic Act (StraÃenverkehrsgesetz, StVG).


This new limit aims to protect occasional and moderate cannabis users from receiving positive THC tests while driving. However, it also raises questions about how medical cannabis patients who require regular doses will navigate these restrictions. For example, some patients may need to adjust their dosage or timing to ensure that their THC levels remain below the legal limit for driving. Additionally, there are concerns that the new limit could lead to an increase in the number of people driving under the influence of other drugs, such as alcohol or opioids, as they may perceive cannabis to be a safer alternative.

The new rule sets a limit for how much THC can be in a person’s blood while driving to keep roads safe, but it might make things harder for people who use medical cannabis regularly.

Legal and Regulatory Adjustments

The rapid changes in cannabis legislation have created a need for legal and regulatory adjustments. For instance, the state of Baden-Wurttemberg is now reviewing over 25,000 cases related to cannabis offenses. This massive undertaking highlights the far-reaching impacts of the new legislation on the legal system. The German government is also working on developing quality standards for medical cannabis products.

The Future of Cannabis Prescription Germany

As we look to the future, it's clear that the landscape of medical cannabis in Germany will continue to evolve. The current changes are just the beginning of what's likely to be a long-term shift in how cannabis is viewed and used in medical settings. There is also the potential for private cultivation of cannabis for medical purposes to be legalized in the future.

doctor singing cannabis prescription nice realms

Potential for Market Growth

With the easing of restrictions and increased acceptance of medical cannabis, we're likely to see significant growth in the German medical cannabis market. This could lead to more research, a wider variety of cannabis-based medications, and potentially lower costs for patients as the market becomes more competitive. The German government has also announced plans to launch pilot projects to explore the feasibility of establishing cannabis clubs in Germany.

Ongoing Research and Development

The changing legal landscape is expected to facilitate more research into the medical applications of cannabis. As our understanding of cannabinoids and their effects on the human body grows, we may see new and innovative treatments emerge. For example, researchers are currently investigating the potential of cannabis to treat conditions such as Alzheimer's disease, cancer, and chronic pain.

doctors researching cannabis lab nine realms

International Influence

Germany's approach to medical cannabis could have far-reaching effects beyond its borders. As one of the largest economies in Europe, Germany's policies often influence those of other EU countries. We may see other nations following suit in liberalizing their approach to medical cannabis. The European Commission has already indicated that it is open to considering changes to EU-wide cannabis laws.

Conclusion

The landscape of cannabis prescriptions in Germany is undergoing a significant transformation. The new legislation has opened doors for patients seeking alternative treatments while challenging healthcare providers and regulators to adapt quickly to these changes. As we move forward, it's clear that medical cannabis will play an increasingly important role in German healthcare.


While challenges remain, particularly around issues like driving regulations and market development, the overall trend is towards greater acceptance and integration of cannabis into mainstream medicine. For patients, this means:


  • More options
  • Easier access
  • Potentially better outcomes

For the medical community, it represents an opportunity to expand their therapeutic toolkit and offer more personalized care.


As research continues and experience grows, we can expect to see further refinements in how cannabis prescription Germany is managed and regulated. This ongoing evolution will undoubtedly bring both challenges and opportunities, but ultimately, it holds the promise of improving patient care and quality of life for many Germans suffering from chronic conditions.

"I think people need to be educated to the fact that marijuana is not a drug. Marijuana is an herb and a flower."

Willie Nelson

FAQs about Cannabis Prescription Germany

How do I get prescription drugs in Germany?

To get prescription drugs in Germany, including medical cannabis, you need to consult with a licensed physician. If they determine that cannabis is an appropriate treatment for your condition, they can now prescribe it using a standard prescription form. You can then fill this prescription at a pharmacy that stocks medical cannabis products.

Do you need a prescription for CBD in Germany?

CBD products derived from hemp with less than 0.2% THC are generally legal in Germany without a prescription. However, CBD products with higher THC content or those marketed for medical purposes may require a prescription. It's always best to consult with a healthcare professional or pharmacist for the most up-to-date information on specific CBD products.

Are cannabis gummies legal in Germany?

The legality of cannabis gummies in Germany depends on their THC content and intended use. Medical cannabis products, including edibles like gummies, may be legal with a proper prescription. However, recreational cannabis edibles remain illegal. The new Cannabis Act focuses primarily on dried cannabis flower and does not specifically address edible products for recreational use.

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Author: Jans Beloglazovs

Emerging from Europe's strict cannabis landscape, Jan has become a known figure in the European cannabis industry through vast experience in cannabusiness and a keen understanding of the shifting trends in Europe. Co-founding the Nine Realms cannabis brand, he leverages his expertise to advocate for progressive cannabis policies and educate a broad audience.