Since April 1, 2024, several things have changed for the better for medical cannabis patients in Germany. The new regulations and access options represent an important step towards making medical cannabis care more efficient, safer, and accessible to more people. But how does one actually obtain medical cannabis, and what's involved?
What is medicinal cannabis and how does it work?
Medical cannabis is simply cannabis for patients that is approved for medical purposes. The cannabis plant contains a variety of cannabinoids – including the best-known active ingredients THC (tetrahydrocannabinol) and CBD (cannabidiol). While THC is primarily known for its psychoactive effects, CBD has calming and anti-inflammatory properties. In the correct dosage and combination, these substances can help in the treatment of various conditions, such as chronic pain, spasticity, epilepsy, or nausea resulting from chemotherapy.
How does one become a medical cannabis patient in Germany?
To become a medical cannabis patient in Germany, several steps are necessary. First, a doctor must determine the necessity of treatment. Medical cannabis is generally prescribed when conventional therapies are not sufficiently effective or cause severe side effects. The doctor will then issue a prescription, which can be filled at a pharmacy. It is also important to apply for reimbursement from your health insurance provider – especially in the case of chronic illnesses.
What has changed since April 1, 2024?
The new regulations, in effect since April 1, 2024, aim to facilitate access to medicinal cannabis while simultaneously improving supply. Here are the most important changes:
Expanded access for patients
One of the biggest changes concerns access. More doctors – including those outside of specialized facilities – are now authorized to prescribe medical cannabis. This means that patients no longer have to endure long waiting times or travel long distances to see specialists. This easier access allows more people to benefit from this form of therapy.
Simplified approval procedures – cannabis is no longer a narcotic
One of the most significant changes concerns the legal status of cannabis: Since April 1, 2024, cannabis is no longer classified as a narcotic. This not only facilitates access for patients but also has a positive impact on approval processes. Because cannabis is no longer subject to the strict narcotics law, patients and many doctors (see next paragraph) no longer have to submit complex applications to obtain reimbursement from health insurance companies. This significantly reduces processing time and ensures that patients can access their medication more quickly. Furthermore, bureaucratic hurdles are being removed, making the treatment of chronic illnesses with medicinal cannabis considerably simpler.
Certain doctors no longer need a permit.
In addition to general practitioners and anesthesiologists, internists (regardless of their subspecialty), neurologists, specialists in physical and rehabilitative medicine, psychiatry and psychotherapy, and gynecologists with a subspecialty in gynecological oncology will no longer require prior authorization from health insurance companies. Physicians in other specialties can also prescribe cannabis without prior authorization if they have acquired a specific additional qualification, such as geriatrics or palliative medicine. All other specialists may still only prescribe cannabis-based medications if the health insurance company has granted prior authorization.
Increased product safety through stricter quality controls
Product safety has also been improved. New guidelines mandate stricter quality controls for medicinal cannabis. This means that the products are now tested even more rigorously for purity and active ingredient concentration, guaranteeing patients consistent quality and efficacy. This is a significant advancement for patients who rely on accurate dosing.
Greater transparency for patients
Thanks to new legal regulations, patients now receive more comprehensive information about prescribed cannabis products. This includes detailed information on the ingredients and instructions for use. The "track and trace" system used by suppliers also makes it possible to trace the exact path of the cannabis product – from the plant to the pharmacy.
Medical cannabis and telemedicine – The path to a prescription from a distance
Since the relaxation of legal regulations, patients in Germany can access medical cannabis more easily than before via telemedicine . This means that a doctor can conduct a diagnosis and treatment via an online consultation , without the patient having to visit a doctor's office. This is a significant advantage, especially for people with limited mobility or those living in rural areas. The entire process, from consultation to prescription, can be handled digitally, which considerably facilitates access to medical cannabis.
Advantages of telemedicine:
- Access from anywhere : Patients can conveniently receive medical advice from home without having to travel long distances. This saves time and is particularly practical for people living in remote areas.
- Time efficiency : In many cases, waiting times can be reduced because appointments are scheduled more flexibly and are often available more quickly.
- Discretion : For many patients, anonymous access to a doctor is particularly important, as the topic of cannabis can still be associated with prejudice. Telemedicine offers a discreet alternative in this regard.
- Alternative to the black market : Every gram taken away from the black market is a good gram.
Disadvantages of telemedicine:
- Lack of personal contact : Remote treatment can reduce the feeling of trust and security for some patients.
- Limited examination options : Physical examinations are not possible in telemedicine. The doctor must rely on the patient's statements and medical records, which can be challenging in more complex diagnoses.
- Dubious business practices : Unfortunately, the burgeoning cannabis and telemedicine industry also includes less reputable providers. Some platforms promise quick access to medicinal cannabis but rely on excessive automation and questionable medical practices. Patients should always ensure they are treated by certified physicians and that the quality of advice is not compromised for the sake of quick prescriptions. It is crucial to choose providers who prioritize patient well-being and medical care over speed.
Overall, telemedicine offers a modern, flexible way to access medical cannabis – with the right professional medical guidance, it can be a practical solution for many patients.
What are the benefits of medical cannabis for patients?
Medical cannabis offers patients an alternative treatment option, especially when conventional medications are ineffective or have severe side effects. Here are some of the benefits:
- Pain relief : Many patients report a significant reduction in chronic pain through the use of medicinal cannabis.
- Anti-inflammatory properties : Cannabis has been shown to have anti-inflammatory properties, which can help with conditions such as arthritis or multiple sclerosis.
- Improving quality of life : Particularly in serious illnesses such as cancer or neurological disorders, medical cannabis can improve general well-being and alleviate symptoms such as nausea or sleep disturbances.
Conclusion: Medical cannabis – More options for patients
The changes effective April 1st represent a significant step forward for medical cannabis care. With expanded access rights, improved controls, and simplified bureaucratic processes, more patients can now benefit from the advantages of medicinal cannabis. However, patients should always seek comprehensive advice to determine the right treatment method and ensure that the therapy is individually tailored.
We at Marry Jane started cultivating medical cannabis this year and look forward to helping countless patients from 2025 onwards. Do you have any questions? Contact us – we're happy to help!
Stay informed and healthy, your Marry Jane Team.
All statements without guarantee.
Note on language usage:
For the sake of readability, we have chosen not to use gender-inclusive language in our texts. However, all genders are always addressed equally. At Marry Jane, we place great value on inclusion and equality – everyone is welcome here, regardless of gender, identity, or origin.
