australia dosing diary for medical cannabis use...the following section in this booklet is a dosing...
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AUSTRALIADosing Diary for Medical Cannabis Use
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This dosing diary is intended for patients who have been prescribed a product from the LGP Classic range of medical cannabis in Australia. This may be useful to share atfollow-up appointments with your doctor. Information provided in this document does not replace professional advice from your doctor. Please also read the Consumer Medicine Information leaflet which is supplied inside the box of all Little Green Pharma products.
02 DOSING GUIDE
04 YOUR DAILY DOSING DIARY GENERAL OVERVIEW
05 YOUR DAILY DOSING DIARY
19 GENERAL NOTES
20 RESOURCES
TABLE OF CONTENTS
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2 3
Dosing Guide‘start low, go slow’
Dosing remains highly individualised. The TGA recommends a start low and go slow approach in line with international guidelines. The aim is to reach a dose where benefits are maximised and adverse effects minimised. The rate and speed of dose adjustment will depend on the individual response. Please fill in the dosing template below with input from your treating practitioner.
The TGA recommends a ‘start low, go slow’1 approach to dosing, in line with international guidelines.2-4 Please fill in the dosing template below with input from your practitioner.
The following section in this booklet is a Dosing Diary which can be used to keep track of your symptoms and mood before and after using medical cannabis. This can be useful to share in future doctor appointments.
1. Therapeutics Goods Administration, ‘Guidance for the use of medicinal cannabis in Australia, Overview’, Australian Government, Department of Health, Therapeutic Goods Administration, 2017, https:// www.tga.gov.au/sites/default/files/guidance-use-medicinal-cannabisaustralia overview.pdf (accessed April 2020).
2. Abramovici, H., ‘Information for Health Care Professionals: Cannabis (marihuana, marijuana) and the cannabinoids’, Health Canada, 2013, https://www. canada.ca/en/health-canada/services/drugs-medication/cannabis/information-medical-practitioners/information-health-care-professionals-cannabis-cannabinoids.html (accessed 17 January 2019).
3. Landschaft, Y., ‘The Green Book: The Official Guide to Clinical Care in Medical Cannabis’, Israeli Ministry of Health, 2017, https://www.xn--4dbcyzi5a. com/en/2018/01/medical-cannabis-official-israeli-clinical-guide/ (accessed 28 January 2019).
4. Nederlandse Associatie voor legale Cannabis en haar Stoffen als Medicatie, ‘The Dutch Medicinal Cannabis Program: Indications for medicinal cannabis use’, The Office of Medical Cannabis, 2008, http://www.ncsm.nl/english/information-for-patients/when-to-use-it-indications (accessed 12 November 2018).
REFERENCES
Dosing Template (start low, go slow)114 Day TemplateThis does not replace a patient
treatment monitoring plan from a medical practitioner
DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7
Morning mL mL mL mL mL mL mL
Evening mL mL mL mL mL mL mL
DAY 8 DAY 9 DAY 10 DAY 11 DAY 12 DAY 13 DAY 14
Morning mL mL mL mL mL mL mL
Evening mL mL mL mL mL mL mL
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5
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
4
Your Daily Dosing Diary General Overview
Date: / /
Patient Name:
Condition(s):
Indicate your symptom(s) score by adding number 1 (mild) to 10 (severe) for when you start your daily dosing diary and again after 14 days.
DAY 1 DAY 14
SYMPTOM 1:
SYMPTOM 2:
SYMPTOM 3:
SYMPTOM 4:
-
6 7
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
-
8 9
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
-
10 11
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
-
12 13
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
-
14 15
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
-
16 17
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
-
18 1919
General Notes
20: 5
THC Dominant
10: 10
THC/CBD Balance
1 :20
CBD Dominant
CBD
CBD 50 or 1:100
Product
Additional comments: Unwanted effects? Unexpected benefits?
Your Daily Dosing DiaryPatient Name: Date: / /
Dose consumed
mL
mL
mL
mL
AM
AM
PM
PM
Time of use Comments (e.g. effects on symptoms)
The scale is from 1 to 10 with 10 indicating the best health you can imagine and 1 indicating the worst health you can imagine.
Thinking of your overall health, please indicate below how you are feeling today?
1 2 3 4 5 6 7 8 9 10
Return to page 4 ‘General Overview’ and complete your symptom(s) score for day 14.
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Website littlegreenpharma.com
Email [email protected]
Phone 1300 703 999
20
Resources
Dosing Diary To obtain further copies of this Dosing Diary, please visit:littlegreenpharma.com/patient-focused/dosing-diary
Medical cannabis education & resources: Visit littlegreenpharma.com and greenchoices.com.au for more information on medical cannabis.
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This is an unregistered medicine manufactured to medical grade standards.Little Green Pharma Ltd. ABN 44 615 586 215.Date of preparation: June 2020.
LGP_30062020 V2
Website littlegreenpharma.com
Email [email protected]
Phone 1300 703 999