If you feel sleepy, drowsy or dizzy, you should never drive vehicles, use machines or participate in dangerous activities. If your doctor prescribes medicine containing THC to you, the doctor should inform you about the effects on your ability to drive, and in this connection the doctor can issue a so called driving ban. This is due to the fact that this type of medicine has different impact on the individual patients. Even if you do not have a driving ban, you should always consult your doctor, if you are unsure whether you are able to drive at vehicle in a completely safe manner.
The Danish Road Traffic Act provides the regulation for driving a vehicle. It states when it is illegal to drive a vehicle under the influence substances, such as THC, in your blood.
Yes There have been conducted many high-quality clinical and scientific studies of the effects and side effects of cannabis. However, the existing evidence-based knowledge about medicinal use of cannabis is limited – especially for the long-term effects. This is both true in Denmark and abroad. Evidence is not specific for the individual countries. The results from scientific studies are published in English in international journals and are shared across scientific environments and authorities in the different countries.
There are three reasons why it could be dangerous:
Firstly, you can never be sure of the THC and CBD content. The strength could be way to powerful and therefore pose a risk for serious side effects.
Secondly, side effects are seen at “real” doses, and they might require medical supervision and possibly intervention.
Thirdly, there are no supervision of illegal medicine, and there are many examples of illegal medicine being manufactured under unhygienic conditions and for not only containing the listed ingredients. For people with a disease, it is especially dangerous to take unknown substances as neither the doctor nor the patient can predict how the unknown substances will affect the disease and other medicine. In the worst case, it could result in a worsening of your disease.
The Danish Medicines Agency is not familiar with other EU countries who consider oils with CBD as a dietary supplement. Their assessment is that most of the products which are imported as cannabis oils, THC oils or CBD oils that most likely are illegal in the countries from which they are sold. They are manufactured and sold without any control – and therefore it is impossible to know what they actually contain.
No. The information about the 0.2% is not correct, despite the numerous claims on the internet. It is not legal to purchase or sell cannabis oil containing THC in ordinary stores and web shops. Only pharmacies are allowed to sell medicine containing THC – and they can only be sold to patients with a personal prescription from a doctor.
THC is an active substance extracted from the cannabis plant. The substance is classified as a narcotic and are regulated by the Danish drug laws. It is not legal to purchase or sell THC in ordinary stores and web shops in Denmark.
CBD is an active substance extracted from the cannabis plant. Products containing CBD can be medicine if they have an effect on the body. It is not legal to sell medicine without a permit from the Danish Medicines Agency. The Danish Medicines Agency have concluded that many CBD oils are medicine, and it is therefore not legal to sell them in ordinary stores and web shops.
Only pharmacies are allowed to sell medicine containing THC and CBD – and they can only be sold to patients with a prescription from a doctor. Furthermore, it is our experience that the illegal CBD oils contain THC – despite the clear indication on the bottle that is does not.
It is also illegal to buy and possess medicine with THC, unless you have a personal prescription for the specific medicine, and it has been purchased at a pharmacy.
No. Only pharmacies are allowed to sell medicine based on cannabis. And they can only sell it to patients with a prescription from a doctor.
Unfortunately, there are web shops who say that they do have a permit to sell cannabis oil in Denmark. This is not true. There are no existing permits to sell cannabis oils from ordinary stores or web shops. Please also note that there is an extensive market for non-regulated cannabis products. They are often manufactured from industrial hemp, and at best, they have no effect, and at worst, they are unpredictable.
Doctors can apply for a Compassionate Use Permit for the pharmaceuticals Marinol and Nabilone from the Danish Medicines Agency. The Compassionate Use Permit a scheme which allow doctors to prescribe medicine that are not sold in Denmark. The manufacturers behind Marinol and Nabilone have not applied for permits from the Danish Medicines Agency to sell their products in Denmark. If doctors wish to prescribe Marinol or Nabilone to specific patients, they should apply for a Compassionate Use Permit from the Danish Medicines Agency, so it can be obtained in another country.
Certain pharmacies, including Glostrup Apotek, prepare magistral pharmaceuticals. Magistral pharmaceuticals are pharmaceuticals that are prepared in a pharmacy for the individual patients after being prescribed by a doctor. As the medicine is not approved be the Danish Medicines Agency, the prescribing doctor assumes full responsibility. The medicine is therefore not tested for effects and side effects to the same extent as medicine that has been approved.
Basically, someone has to apply to get their cannabis product approved as a pharmaceutical product. In other words, a company with the permission to produce pharmaceuticals should develop a cannabis product and then apply to get the products approved for the Danish market.
The company should submit documentation for the effects and side effect of the pharmaceutical, and be able to document that the pharmaceutical is produced under approved conditions. The purpose of the approval procedures are to ensure that the patients do not get medicine with no or dangerous effects.
The Danish Medicines Agency has approved one pharmaceutical with cannabis. The application came from the company GW Pharmaceuticals who wanted to get the pharmaceutical Sativex approved for the treatment of multiple sclerosis. The Danish Medicines Agency approved Sativex in 2011.
The Danish Medicines Agency can only evaluate and eventually approve more cannabis-based pharmaceuticals, if there are companies who apply to get the pharmaceuticals approved.
The Danish Medicines Agency cannot ask companies to apply for approval of medicine. The initiative has to come from a company. The Danish Medicines Agency has not rejected any applications for approval of pharmaceuticals with cannabis, but has informed several companies about the approval procedure.
Today, doctors have three options to prescribe medicine based on cannabis:
- The pharmaceutical Sativex is a mouth spray for the treatment of spasms in multiple sclerosis. Sativex contains cannabis extracts and is an approved pharmaceutical in Denmark. It can be prescribed by specialist neurologists to patients with multiple sclerosis.
- The pharmaceuticals Marinol and Nabilone contain synthetically produced cannabinoids. The manufacturers of Marinol and Nabilone have not applied for approval in Denmark. Doctors can apply for a Compassionate Use Permit for medicine that is not approved or sold in Denmark. Marinol and Nabilone can be imported from the USA and other countries if the Danish Medicines Agency approves a Danish doctors application for approval to prescribe it to specific patients.
- Doctors can prescribe magistral pharmaceuticals as for example capsules or oils with substances from cannabis. Magistral pharmaceuticals are pharmaceuticals that are prepared in a pharmacy for the individual patients after being prescribed by a doctor.
On the 8th of November, 2016, a political agreement was made regarding the establishment of a pilot programme with medicinal cannabis, which opens up for a 4th option for prescribing other types of cannabis products for medicinal use. The pilot programme will be running for 4 years from 2018.
Yes, if you have a prescription from a doctor, and the medicine is from a pharmacy.
You can see the rates for the services a Clinic Horsted here. The price for the products depends on the prescription for your specific condition, and we can help you with the application for
Medical cannabis and cannabis-based medicine have a positive effect on the following:
Pain and sleep: Pain, chronic pain, pain management, arthritis and osteoarthritis, spinal cord injury, pain in locomotive apparatus, fibromyalgia, sleep disorders, migraine
Digestion: Nausea, anorexia, abdominal diseases
Neurologic pain Disseminated sclerosis, dystonia, muscle spasms, epilepsy, nerve pain
Mood and behaviour: ADD/ADHD, post-traumatic stress, depression, anxiety
Disease side effects: Cancer, fatigue
Medicinal cannabis and cannabis-based medicine do not have an effect on alle pain conditions. They have a good effect on pain, sleeping disorders, mood and behaviour, digestive disorders and neurologic conditions Tina Horsted has treated approx. 1000 patients with cannabis-based products and medicinal cannabis, and 70% of all patients have seen an improvement.
If you use a spray or inhaler, you will get a pain relieving and muscle relaxing effect almost immediately.
Depending on the dose, the effect will last from 30 minutes to 4 hours.
- Use an inhaler/vaporizer
- Spray a solution in your mouth
- Eat it
- Smoke it
Cannabis-based medicine and medicinal cannabis are prescribed by you doctor who is responsible for correct dosage in relation to your pain relief to avoid over dosage and adverse drug reactions.
When taking cannabis-based medicine and medicinal cannabis you can get the feeling of pain relief and relaxation, fall asleep, feel dreamy and withdrawn, and just feel better generally. Depending on the pain condition and the prescribed type of medicinal cannabis or cannabis-based medicine, you can also get more hungry, alert, and filled with energy, be happier and get in a better mood.
It depends on your type of illness, which specific symptoms you have – and which type of cannabis-based medicine or medicinal cannabis you doctor prescribe to you. For exsample, if you have disseminated sclerosis, you will experience that your muscle spasms stop – and you will be able to rest and sleep.
Medicinal cannabis and cannabis-based medicine are good alternatives to pain relief. And there are few and harmless side effects.
The propaganda against cannabis in Denmark has been powerful and it originals from the fight against actual drug abuse. Try to think of the difference between 1-2 glasses of wine occasionally – and the actual alcoholism. And the risk of developing addiction to e.g. alcohol and nicotine are far greater the to medicinal cannabis and cannabis-based medicine. 9-20% develops an addiction to medicinal cannabis and cannabis-based medicine. The risk of addiction is 9% for cannabis, 18% for alcohol and 32% for opioids.