How Australia's medical cannabis prescribing system works in practice

By late 2019, over 28,000 medical cannabis prescribing approvals had been issued in Australia, mostly for chronic pain and anxiety, with more than 100 products available but many doctors remaining cautious about prescribing.

Arnold, Jonathon C et al.·Australian prescriber·2020·Moderate EvidenceReview
RTHC-02394ReviewModerate Evidence2020RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Review
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

More than 100 cannabis products are available in Australia, mostly oral preparations (oils) or capsules containing THC or CBD. By end of 2019, over 28,000 approvals had been issued involving 1,400+ doctors, mostly GPs. Over 70,000 approvals were projected for 2020. Most prescriptions are for chronic non-cancer pain, anxiety, cancer-related symptoms, epilepsy, and neurological disorders. Supply chain problems can delay dispensing.

Key Numbers

Over 100 products available. 28,000+ approvals by end 2019. 1,400+ prescribing doctors. 70,000+ projected by end 2020. Most approvals for chronic non-cancer pain, anxiety, cancer symptoms, epilepsy.

How They Did This

Clinical review of Australia's medical cannabis prescribing framework, covering access schemes, available products, evidence for indications, and practical prescribing considerations.

Why This Research Matters

Australia's system provides a model for regulated medical cannabis access that other countries may follow, with lessons about what works and what challenges remain.

The Bigger Picture

The rapid growth from 0 to 28,000+ approvals in just 3 years shows strong demand, but the cautious stance of many doctors highlights the gap between patient interest and clinical confidence.

What This Study Doesn't Tell Us

Australian system may not apply to other regulatory contexts. Evidence supporting some common indications (e.g., chronic pain, anxiety) is limited. No outcome data on whether prescriptions are effective.

Questions This Raises

  • ?Are patients getting good outcomes from these prescriptions?
  • ?Would more clinical education increase prescribing confidence among cautious doctors?

Trust & Context

Key Stat:
28,000+ prescribing approvals by end of 2019
Evidence Grade:
Practical clinical review based on regulatory data and available evidence.
Study Age:
2020 review.
Original Title:
Prescribing medicinal cannabis.
Published In:
Australian prescriber, 43(5), 152-159 (2020)
Database ID:
RTHC-02394

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

Summarizes existing research on a topic.

What do these levels mean? →

Frequently Asked Questions

How do you get medical cannabis in Australia?

Doctors can prescribe via the Special Access Scheme-B (online application, approval in 24-48 hours) or Authorized Prescriber Scheme. Most products are oral preparations (oils) or capsules.

What is medical cannabis prescribed for in Australia?

The most common indications are chronic non-cancer pain, anxiety, cancer-related symptoms, epilepsy, and other neurological disorders.

Read More on RethinkTHC

Cite This Study

RTHC-02394·https://rethinkthc.com/research/RTHC-02394

APA

Arnold, Jonathon C; Nation, Tamara; McGregor, Iain S. (2020). Prescribing medicinal cannabis.. Australian prescriber, 43(5), 152-159. https://doi.org/10.18773/austprescr.2020.052

MLA

Arnold, Jonathon C, et al. "Prescribing medicinal cannabis.." Australian prescriber, 2020. https://doi.org/10.18773/austprescr.2020.052

RethinkTHC

RethinkTHC Research Database. "Prescribing medicinal cannabis." RTHC-02394. Retrieved from https://rethinkthc.com/research/arnold-2020-prescribing-medicinal-cannabis

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.