Principal investigator Richard Belanger, of Laval University, says he’s surprised by the number of young cannabis users and says it points to the need for more information for doctors and patients. (VERONIQUE COTE / SUPPLIED PHOTO)

Half of pediatricians surveyed say their young patients have used cannabis

About half of pediatric doctors surveyed about cannabis say they’ve encountered a young patient who had used marijuana for a medical reason.

About half of pediatric doctors surveyed about cannabis say they’ve encountered a young patient who had used marijuana for a medical reason.

The questionnaire for the Canadian Paediatric Surveillance Program found 419 of 835 respondents had a patient who had used either authorized or unauthorized cannabis for some sort of medical relief.

The one-time study did not detail how many cases involved unauthorized use, the nature of the condition being treated nor the ages of the patients. But principal investigator Richard Belanger says he’s surprised by the number of young cannabis users and says it points to the need for more information for doctors, parents and patients.

The Quebec City pediatrician, also a professor at Laval University, notes that more than a third of respondents — or 316 doctors — said they had been asked by a parent or adolescent patient to prescribe cannabis.

Only 34 doctors said they had done so, with many expressing reservations about efficacy, impacts to developing young brains, and concerns about abuse and dependence.

The one-time survey was conducted in the spring of 2017 as part of the surveillance program’s larger look at a host of hot-button issues including Lyme disease, Zika virus and eating disorders.

Belanger says researchers were surprised by how many kids and adolescents appeared to be turning to medical marijuana: “We thought it was less than that.”

“We really want to make clear that cannabis is not only an adult issue, either for recreational but (also) medical purposes,” Belanger said of the findings.

“Sometimes when we look at treatment we tend to forget kids and it should not be the case.”

Related: BC Cannabis stores to start with 150 strains available

Related: From marijuana beer to pot cookies, Canadian companies creating cannabis edibles

He suspected younger kids received authorized use for conditions including refractory seizures, cerebral palsy, and chronic pain, while adolescents were more likely to be unauthorized users and to treat other conditions “such as sleep problems or anxiety.”

Belanger says the higher-than-expected usage could also be because the doctors surveyed generally treat kids with chronic and severe conditions that may require alternative treatments, and because most respondents came from urban and academic centres more likely to handle severe cases.

The survey response rate was also just 31 per cent, which “may under or over represent the knowledge and/or experiences of Canadian pediatricians,” said the study, released Thursday.

Still, the findings raise questions about how impending legalization of recreational marijuana could impact unauthorized medical use.

“We’re a bit anxious regarding that,” said Belanger, pointing to ”mixed perspectives” among doctors.

“From a pediatric perspective there’s seldom reason to authorize cannabis and maybe seizure is one of them but still, there’s no clear, no big evidence regarding that.”

The survey found a clear majority of respondents had no knowledge or minimal knowledge on why cannabis might be prescribed for a child or youth and what products and dosages may be authorized.

“Paradoxically, they have a fairly positive view regarding cannabis use for medical purposes for certain conditions, despite the lack of solid scientific evidence regarding its safety and efficacy,” said the survey, noting that could be due to difficult cases with limited therapeutic options.

Although medical marijuana has been legal since 2001, many questions remain, says Belanger: “It’s a burning issue.”

“There’s a large space for the (Canadian Paediatric Society) or any other association or authorities to give more information on what are the clear facts regarding the possible benefits and the likely adverse events that can be related to medical use of cannabis.”

Belanger notes the data was gathered prior to the publication of a pivotal study evaluating the use of cannabidiol (CBD) to treat epilepsy among children with Dravet syndrome reported in the New England Journal of Medicine in the spring of 2017.

Still, he bemoans a dearth of material to offer guidance. While more studies are underway, he says they mostly look at CBD and its effects on seizures and severe conditions.

“There are still problematic issues of studying cannabis with kids,” notes Belanger. “I won’t counsel anyone from entering a study exposing someone to cannabis if they don’t have severe conditions…. On the contrary, in the adult field there are many more studies regarding cannabis either for pain related to arthritis, pain related to fibromyalgia, or spasticity regarding multiple sclerosis.”

In the meantime, many parents and adolescents are asking for cannabis prescriptions.

“I think that everyone right now is aware that cannabis is not a simple thing,” said Belanger.

“When someone starts using cannabis for a long period of time at an early age, it’s probably at that time that the greater impact is likely. But at the same time, if your kids have seizures several times a day, what’s the worse issue? It’s kind of a tricky question for parents.”

Cassandra Szklarski, The Canadian Press

Like us on Facebook and follow us on Twitter.

Just Posted

Trail bus line readies to takeover Kelowna run

Silver City Stage Lines must have a booking site up by Sept. 30; two vehicles activated by Oct. 26

More burning prohibitions rescinded in southeast B.C.

Category 2 and 3 fires will be permitted in Southeast Fire Centre as of 1p.m. on Wednesday.

Municipal spending outpaces population growth 4-fold in B.C.: report

Canadian Federation of Independent Business has released its annual operational spending report

Cops For Kids’ southeast B.C. tour rolls on

Annual RCMP fundraiser will see 34 cyclists ride 1,000 kilometres raising funds

B.C. parents leery of HPV cervical cancer vaccine

Provincial registration uptake among lowest in Canada

Live bear cam: Let the fishing begin

Watch bears in Alaska’s Katmai National Park catch their dinner live.

Trudeau urges leaders to follow Nelson Mandela’s example at UN tribute

Peace summit in New York marks 100th birthday of former South African president

Senate seats filled in B.C., Saskatchewan

Canada’s newest senators are the first woman to lead the RCMP and a Cree Metis businessman

Newfoundland’s popular ‘merb’ys’ calendar is back

The calendar of burly, bearded mermen posing against scenic backdrops for charity returns

Cap rent increases at inflation rate, B.C. task force recommends

MLAs say drop annual increase that would allow 4.5% rise next year

School, church, old mining site make Heritage BC’s first ‘watch list’

The list includes sites in need of protection to maintain B.C.’s culture and history

Yowza! Twerk, emoji and facepalm are added to Scrabble dictionary, OK?

Merriam-Webster has announced 300 new words have been added to the spelling game

LGBTQ activists, allies in Victoria counter anti-SOGI protest with rally of their own

Lower Mainland activists plan to protest SOGI on legislature lawn, Sept. 29

Cities make power play for new fiscal order with eye to 2019 federal election

Trudeau ordered Champagne to talk with provinces and territories about ways to “address the timeliness of the flow of funds” to projects.

Most Read