Questions about Ohio’s Medical Marijuana Control Program

To report an adverse reaction to medical marijuana, or for any other questions about the Program, please contact the Ohio Medical Marijuana Control Program Toll-Free Helpline at:

1-833-4OH-MMCP (1-833-464-6627)

To contact the appropriate agency regarding Ohio's Medical Marijuana Control Program, please use the contact form located online at:

www.medicalmarijuana.ohio.gov/contactus

Limitations on the right to possess and use marijuana

One Day Supply
A patient and a patient's caregiver(s) may collectively purchase no less than a whole day unit at a single time. A whole day unit shall equal the amounts for each authorized form of medical marijuana as listed below:

• Plant Material = 2.83g

• Transdermal patch, lotion, cream, or ointment = Up to 295mg of THC

• Oil, tincture, capsule, or edible for oral administration = Up to 110mg of THC

• Oil for vaporization = Up to 590mg of THC

Ninety Day Supply
A patient and the patient's caregiver(s) may collectively purchase no more than a ninety-day supply in accordance with the two forty-five-day fill period process established in rule 3796:7-2-04 of the Administrative Code. Ninety whole day units, aggregated across forms purchased, shall constitute a ninety-day supply of medical marijuana. A patient or caregiver may not purchase more whole day units of medical marijuana than days remaining in their fill periods as set forth in rule 3796:7-2-04 of the Administrative Code. A ninety-day supply is defined by form as follows:

• Plant Material = 9oz or 254.7g

• Transdermal patch, lotion, cream, or ointment = 26.55g of THC

• Oil, tincture, capsule, or edible for oral administration = 9.9g of THC

• Oil for vaporization = 53.1g of THC

Ninety Day Supply (Terminal Illness)
A patient who is diagnosed with a terminal illness and the paTent's caregiver(s) may collectively purchase no more than a ninety- day supply in accordance with the two forty-five-day fill period process established in rule 3796:7-2-04 of the Administrative Code. Ninety whole day units, aggregated across forms purchased, shall constitute a ninety-day supply of medical marijuana. A patient or caregiver may not purchase more whole day units of medical marijuana than days remaining in their fill periods as set forth in rule 3796:7-2-04 of the Administrative Code. A ninety-day supply for patients diagnosed with a terminal illness is defined by form as follows:

• Plant Material = 10oz or 283.5g

• Transdermal patch, lotion, cream, or ointment = 29.5g of THC

• Oil, tincture, capsule, or edible for oral administration = 11g of THC

• Oil for vaporization = 59g of THC

Safe techniques for the proper use of medical marijuana

When using medical marijuana and associated paraphernalia, it's important to prioritize safety and follow proper techniques. Here are some guidelines to consider:

Follow dosage instructions.
Consult with your recommending physician to determine the appropriate dosage and method of administration for your medical marijuana. It's crucial to adhere to their instructions and not exceed the prescribed or recommended amount.

Choose a safe environment.
Select a comfortable and secure environment for using medical marijuana. Ensure that the area is free from hazards and distractions that could potentially lead to accidents or injuries.

Store securely.
Keep your medical marijuana products, including any paraphernalia, in a secure location that is out of reach of children and pets. Follow any specific storage instructions provided by the dispensary or manufacturer to maintain product quality and safety.

Responsible storage of paraphernalia.
If you use marijuana paraphernalia such as vaporizers, store them safely and keep them out of reach of children. Regularly clean and maintain your paraphernalia to ensure proper functioning and reduce the risk of microbial growth.

Inhalation techniques:

Smoking - Smoking of medical marijuana is not permitted per Ohio law.

Vaporizing - If using a vaporizer, follow the manufacturer's instructions for proper use, cleaning, and maintenance. Set the device to the appropriate temperature to avoid overheating the marijuana, which could produce potentially harmful byproducts.

Edible consumption techniques:

Start with low doses - If consuming marijuana through edibles, start with a low dose and gradually increase if necessary. Edibles take longer to take effect compared to inhalation methods, so allow sufficient time for the effects to be felt before consuming more.

Read labels - Read product labels carefully to understand the potency and recommended serving size of edible products. Pay attention to any allergens or potential cross-contamination warnings.

Topical consumption techniques:

Apply a small amount - Dispense a small amount of the medical marijuana topical onto your fingertips. Start with a conservative amount to gauge your body's response to the product. You can always apply more if needed.

Read labels - Carefully read and follow the instructions provided with the specific medical marijuana topical product you are using. Different topicals may have variations in concentration, application methods, and recommended dosages, so it's important to familiarize yourself with the product's guidelines.

Always consult with your recommending physician or healthcare provider for personalized guidance on proper usage techniques and safety precautions specific to your medical condition and the prescribed medical marijuana products.

Reporting Adverse Reactions

To report an adverse reaction to medical marijuana please contact the Ohio Medical Marijuana Control Program Toll-Free Helpline at:

1-833-4OH-MMCP (1-833-464-6627)

Dangers associated with medical marijuana extractions

Consuming medical marijuana extractions can have potential risks and dangers, particularly if not used responsibly or under professional guidance. Here are some of the dangers associated with consuming medical marijuana extractions:

Increased potency.
Medical marijuana extractions are often concentrated forms of the plant's active compounds, such as THC (tetrahydrocannabinol) or CBD (cannabidiol). These extractions can have significantly higher potency compared to traditional methods of consumption, such as smoking or vaping the whole plant. The increased potency may lead to stronger psychoactive effects, impaired judgment, and increased risks of adverse reactions, especially for individuals with low tolerance or those new to using medical marijuana.

Overconsumption and accidental ingestion.
Due to the concentrated nature of medical marijuana extractions, it can be challenging to accurately measure doses and control the amount consumed. This increases the risk of overconsumption, which can result in unwanted side effects such as anxiety, paranoia, rapid heart rate, impaired coordination, or cognitive impairment. Accidental ingestion by children or Main Street Medical Cannabis | Patient & Caregiver Educational Materials | Page 6 of 14 pets is also a concern, as small amounts of highly concentrated extractions can have more profound effects on them and pose potential health risks.

Increased potency.
Medical marijuana extractions are often concentrated forms of the plant's active compounds, such as THC (tetrahydrocannabinol) or CBD (cannabidiol). These extractions can have significantly higher potency compared to traditional methods of consumption, such as smoking or vaping the whole plant. The increased potency may lead to stronger psychoactive effects, impaired judgment, and increased risks of adverse reactions, especially for individuals with low tolerance or those new to using medical marijuana.

Increased potency.
Medical marijuana extractions are often concentrated forms of the plant's active compounds, such as THC (tetrahydrocannabinol) or CBD (cannabidiol). These extractions can have significantly higher potency compared to traditional methods of consumption, such as smoking or vaping the whole plant. The increased potency may lead to stronger psychoactive effects, impaired judgment, and increased risks of adverse reactions, especially for individuals with low tolerance or those new to using medical marijuana.

Information regarding the signs & symptoms of substance abuse

Substance abuse, including marijuana use, can manifest through various signs and symptoms. Here are some of the key indicators related to tolerance, dependency, and withdrawal specifically associated with marijuana:

Tolerance

Over time, frequent marijuana use can lead to the development of tolerance. The individual may require larger amounts of the drug to achieve the same effects they once experienced with smaller doses. This tolerance can lead to increased consumption, as the desired effects become harder to achieve.

Dependency

Dependency occurs when the body becomes reliant on marijuana to function properly. Signs of dependency may include:

• Compulsive use: The individual finds it challenging to control or limit their marijuana use, often consuming it in larger quantities or for more extended periods than intended.

•  Neglecting responsibilities: They may start neglecting their obligations and responsibilities in favor of marijuana use, such as missing work or school, neglecting personal relationships, or failing to meet deadlines.

•  Increased tolerance: As mentioned earlier, tolerance develops, requiring higher doses of marijuana to achieve the desired effects.

•  Preoccupation with marijuana: Thoughts about using marijuana become constant, and the person may spend significant time and effort obtaining and using the drug, as well as recovering from its effects.

• Withdrawal symptoms: When attempting to quit or cut back on marijuana use, the individual experiences withdrawal symptoms.

Withdrawal

Withdrawal refers to the physical and psychological symptoms that arise when marijuana use is abruptly reduced or discontinued. Common marijuana withdrawal symptoms may include:

• Irritability and mood swings

• Anxiety and restlessness

• Insomnia or disturbed sleep

• Decreased appetite

• Headaches

• Sweating, chills, or fever

• Nausea or gastrointestinal issues

• Strong cravings for marijuana

It's important to note that the severity of these signs and symptoms can vary from person to person, depending on factors such as the duration and intensity of marijuana use, individual physiology, and psychological factors. If someone is experiencing these symptoms and is concerned about their marijuana use, seeking professional help from healthcare providers or addiction specialists is recommended.

Signs of Substance Abuse

The signs of substance abuse can vary depending on the substance being abused and the individual's unique circumstances. However, there are common signs and behaviors that may indicate a person is struggling with substance abuse. It's important to note that experiencing one or more of these signs does not automatically mean someone is abusing substances, but they can serve as a potential indicator. Here are some signs of substance abuse:

Physical Signs:

• Bloodshot or glassy eyes

• Dilated or constricted pupils

• Sudden weight loss or gain

• Changes in sleep patterns

• Poor personal hygiene and appearance

• Unusual smells on breath, body, or clothing 

Behavioral Signs:

• Changes in social activities and hobbies, withdrawal from previously enjoyed activities

• Increased secrecy and isolation from family and friends

• Neglecting responsibilities at work, school, or home

• Financial problems, borrowing or stealing money

• Legal issues related to substance use, such as arrests or driving under the influence

• Mood swings, irritability, or aggression

• Engaging in risky behaviors or taking part in dangerous activities under the influence

Psychological Signs:

• Sudden or unexplained changes in mood or personality

• Difficulty concentrating or decreased cognitive abilities

• Memory problems or blackouts

• Anxiety, depression, or other mental health issues

• Heightened sensitivity or defensiveness when asked about substance use

• Inability to control or stop substance use despite negative consequences

• Cravings and preoccupation with obtaining and using the substance

Relationship and Social Signs:

• Conflict and strained relationships with family, friends, and colleagues

• Loss of interest in maintaining healthy relationships

• Unreliable or unpredictable behavior

• Loss of trust from loved ones

• Socializing with a new group of friends who are known to use drugs or alcohol

It's important to approach these signs with care and compassion. If you suspect someone may be struggling with substance abuse, it is essential to encourage them to seek professional help and support. Treatment options and resources are available to assist individuals in overcoming substance abuse and achieving recovery.

Information about possible side effects & contraindications for medical marijuana

Medical marijuana, like any medication, can have side effects and contraindications. It's essential to consult with a healthcare professional or medical provider knowledgeable about medical marijuana to understand its potential effects and determine whether it is appropriate for your specific situation. Here are some possible side effects and contraindications to consider:

Side Effects:

• Psychoactive effects: Some individuals may experience psychological side effects, including euphoria, relaxation, anxiety, paranoia, or impaired memory and cognition.

• Physical effects: Medical marijuana can cause dizziness, drowsiness, dry mouth, increased heart rate, impaired coordination, and bloodshot eyes.

• Respiratory issues: Smoking or inhaling marijuana can lead to respiratory problems similar to smoking tobacco, such as coughing, bronchitis, or increased risk of lung infections.

• Increased appetite: Often referred to as the "munchies," medical marijuana can cause an increase in appetite and potential weight gain.

Impairment with Driving or Operating Machinery:

• Medical marijuana can impair motor skills, coordination, reaction time, and judgment, making it unsafe to drive or operate heavy machinery while under the influence.

• It's important to follow local laws and regulations regarding impaired driving, as many jurisdictions prohibit driving under the influence of marijuana, regardless of whether it is for medical or recreational use.

Caring for Children:

• Medical marijuana use, particularly when it involves psychoactive effects, can impair judgment, attention, and coordination, making it potentially unsafe to care for children while under the influence.

• It's crucial to prioritize the safety and well-being of children and ensure that their care is not compromised by impaired abilities.

Job Performance:

• Depending on the nature of the job, medical marijuana use may impact job performance, especially if it involves operating heavy machinery, making critical decisions, or performing tasks that require concentration, coordination, or alertness.

• Employers may have policies regarding drug use, including medical marijuana, which should be reviewed and considered.

It's vital to discuss these potential effects and contraindications with your recommending physician who can provide guidance based on your specific medical condition, overall health, and any other medications you may be taking. They can help you understand the risks, benefits, and appropriate use of medical marijuana in your particular situation.

Information on drug-to-drug interactions

Drug-to-drug interactions occur when two or more substances interact within the body, leading to changes in their effectiveness, safety, or both. These interactions can occur between prescription drugs, non-prescription drugs (over-the-counter medications), herbal supplements, and even alcohol. It's crucial to understand and be aware of these interactions as they can affect the efficacy and safety of medications or substances being used. Here is a general overview of drug-to-drug interactions:

Alcohol Interactions:

• Alcohol can interact with many medications and increase the risk of adverse effects or make certain medications less effective.

• Alcohol can enhance the sedative effects of drugs, such as opioids, benzodiazepines, or sleep aids, leading to increased drowsiness, impaired coordination, and reduced cognitive function.

• Alcohol can also interfere with the metabolism and absorption of certain medications, potentially altering their effectiveness or causing unexpected side effects.

Prescription Drug Interactions:

• Prescription drugs can interact with each other, leading to increased or decreased effectiveness, enhanced side effects, or the potential for toxicity.

• Drug interactions can occur when two or more medications share similar metabolic pathways or affect the same receptors in the body.

• Examples include interactions between certain antibiotics and oral contraceptives, which can reduce the effectiveness of the contraceptive, or interactions between certain antidepressants and monoamine oxidase inhibitors (MAOIs), which can cause a life-threatening condition known as serotonin syndrome.

Non-Prescription Drug Interactions:

• Non-prescription drugs, including over-the-counter medications, can also interact with prescription medications or other non-prescription drugs.

• Common examples include interactions between non-prescription pain relievers (such as NSAIDs) and blood-thinning medications (such as warfarin), which can increase the risk of bleeding.

Supplement Interactions:

• Herbal supplements, vitamins, and other dietary supplements can interact with medications.

• Some supplements can affect drug metabolism, leading to either increased or decreased drug levels in the body.

• St. John's wort, for example, is known to interact with numerous medications, including antidepressants, birth control pills, and anticoagulants.

It's important to note that drug interactions can vary depending on the specific medications or substances involved, as well as individual factors such as age, overall health, and genetics. To ensure safe and effective use of medications or substances, it is recommended to consult with a healthcare professional, pharmacist, or other qualified healthcare providers. They can review your medication regimen, including any non-prescription drugs or supplements, and provide personalized guidance based on your specific needs and potential interactions.

Guidelines for contacting the recommending physician if side effects or contraindications occur

If you experience side effects or contraindications from a medication or treatment recommended by a physician, it is important to reach out to them for guidance and support. Here are some guidelines to consider when contacting your recommending physician:

•  Document your symptoms: Before contacting your physician, make notes about the specific side effects or contraindications you have experienced. Be as detailed as possible, noting the severity, duration, and any other relevant information. This will help you communicate your concerns clearly and accurately.

•  Contact the appropriate channel: Follow the recommended communication channel provided by the physician's office or healthcare facility. This may involve calling their office directly, sending an email, or using a patient portal if available. If the side effects or contraindications are severe or urgent, you may need to consider contacting emergency services or going to the nearest emergency department.

•  Provide necessary information: When contacting your physician, be prepared to provide essential information such as your name, date of birth, and any relevant medical history. It is also crucial to share the details of the medication or treatment you are currently using, including the dosage, frequency, and duration.

•  Describe your symptoms: Clearly describe the side effects or contraindications you are experiencing. Explain when they started, how they have affected you, and if there have been any changes in their intensity or frequency. Mention any actions you have taken to alleviate the symptoms or any other medications you are currently using.

•  Ask for guidance: Express your concerns and request guidance from your physician. Ask about the potential cause of the side effects or contraindications, whether they are expected or unusual, and what steps you should take next. Inquire about alternative treatment options or adjustments that can be made to your current regimen.

• Follow their recommendations: Your physician may provide instructions on how to manage the side effects or contraindications. Follow their recommendations carefully, including any changes in dosage, timing, or discontinuation of the medication or treatment. If necessary, schedule a follow-up appointment to monitor your progress and make any necessary adjustments to your healthcare plan.

Remember, effective communication with your physician is key to receiving appropriate care and addressing any concerns or complications that may arise. They are there to support you and provide guidance through your treatment journey.

Opportunities to participate in substance abuse programs

There are various opportunities available for individuals to participate in substance abuse programs, offering support, education, and treatment for those struggling with substance abuse. Here are some common avenues for participation:

Inpatient or Residential Treatment Programs

These programs provide a structured and supportive environment for individuals to receive intensive treatment and support for substance abuse. They typically involve residing at a treatment facility for a designated period, ranging from a few weeks to several months, depending on the program. Inpatient programs often offer a range of therapies, counseling, and support groups tailored to the individual's needs.

Outpatient Treatment Programs

Outpatient programs allow individuals to receive treatment and support while living at home or in the community. These programs offer flexibility for those who may have work, school, or family commitments. Outpatient treatment may involve counseling sessions, group therapy, educational programs, and access to community resources. It can be an effective option for those with less severe substance abuse issues or as a step-down after completing inpatient treatment.

Support Groups

Support groups like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) provide a supportive and understanding community of individuals in recovery. These groups follow a 12-step program and offer regular meetings where participants can share their experiences, find support, and work through their addiction journey with others facing similar challenges. Support groups are often available in various communities and can be an ongoing source of encouragement and guidance.

Counseling and Therapy

Seeking individual counseling or therapy with a trained addiction specialist or mental health professional can be highly beneficial for addressing substance abuse issues. These sessions can provide a safe space to explore underlying causes of addiction, develop coping strategies, and learn skills for relapse prevention.

Community-Based Programs

Many communities offer substance abuse programs and resources through local health departments, community centers, or nonprofit organizations. These programs may include educational workshops, prevention initiatives, counseling services, and referrals to treatment facilities. It's important to research and consider the specific programs available in your area, as availability and offerings may vary. Healthcare professionals, mental health providers, and addiction specialists can provide valuable guidance and help connect you to appropriate substance abuse programs based on your individual needs and circumstances.

According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 51 substance abuse treatment centers in the Columbus area. Researchers from Help.org developed five core metrics to determine the quality of each treatment center. These metrics cover key aspects such as cost, treatment approaches, and rehab services provided. Below is contact information for the best local programs according to Help.org: