Cannabis in Portugal - Knowledge, attitudes and training gaps of pharmacists and pharmaceutical sciences students

Main Article Content

Catarina Paiva https://orcid.org/0000-0002-1220-9720
Teresa Santos https://orcid.org/0009-0003-0031-363X
Aliete Cunha-Oliveira https://orcid.org/0000-0001-8399-8619
Inês Rosendo https://orcid.org/0000-0001-8838-6021
João-Rui Pita https://orcid.org/0000-0003-2851-337X

Keywords

Cannabis, Medical Marijuana, Pharmacists, Students, Pharmacy

Abstract

Background: In 2018, the Law on the Use of Cannabis for Medical Purposes was passed in Portugal. The pharmacist, between the doctor and the patient, plays a fundamental role in the effective and safe use of this therapy.This study fills a gap in understanding the knowledge and opinions of pharmacists and pharmaceutical science students on medicinal cannabis in Portugal. Objective: The aim is to analyse the knowledge and opinions of pharmacists and future pharmacists on medicinal cannabis in Portugal. Methods: A survey was drawn up, based on other surveys used in international studies, adapting it to the national reality. It was divided into three parts: I) social-demographic data; II) knowledge, stigma and attitudes and III) training. The observational, cross-sectional study included a sample of 429 pharmacists and 190 pharmaceutical science students. The survey was distributed between December 2022 and May 2023 using social media and mailing lists. Data was analysed using descriptive statistics (using the SPSS platform, version 28). Results: We received 619 answers, 429 from pharmacists and 190 from pharmaceutical science students. Exploring the opinions, the majority of pharmacists seem to be receptive to issues such as the legalisation of the cannabis plant for recreational purposes, while pharmaceutical science students agree with the legalisation of the plant for recreational purposes and most were in favour of self-cultivation for medical use. Both cohorts agree that they have little knowledge on medicinal cannabis and most of the respondents felt they needed training. Conclusion: Increasing and improving the level of knowledge of these health professionals and future health professionals through under and post-graduate training is essential if the pharmacists are to maintain the same quality of services that their patients have grown used to, also in the area of medical cannabis. Clinical cases, current legislation and drug dispensing can be starting points in both cases.

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References

1. Szyliowicz D, Hilsenrath, P. Medical Marijuana Knowledge and Attitudes: A Survey of the California Pharmacists Association. J
Prim Care Community Health. 2019;10:1-6.
2. Silva RF, Figueiredo EN. Legislação atual sobre cannabis medicinal na União Europeia: históricos, movimentos, tendências e
contratendências. Lições para o Brasil. Br JP. 2023; 6 Suppl2: S90–4.
3. Lei n.o 33/2018, Pub. L. No. Diário da República: 1a Série No137, 3241 (18 de Julho, 2018)
4. Amador-Fernández N, Gastelurrutia MÁ, García-Cárdenas V. Development of self-care in Spanish community pharmacies.
Explor Res ClinSoc Pharm. 2023;12:1-7.
5. Parihar V, Katz L, Siyam MA, Rogers A, Patterson L, Zacharias R. Mandatory pharmacist-led education session for patients
seeking medical cannabis. Pharmacy Practice. 2020;18(4):1–9.
6. Infarmed I.P. Canábis Medicinal – Evolução da Atividade; 2023.
7. Gardiner KM, Singleton JA, Sheridan J, Kyle GJ, Nissen LM. Health professional beliefs, knowledge, and concerns surrounding
medicinal cannabis – A systematic review. PLoS One. 2019;14(5):1-13.
8. Shulman H, Sewpersaud V, Thirlwell C. Evolving Global Perspectives of Pharmacists: Dispensing Medical Cannabis. Cannabis
Cannabinoid Res. 2022;7(2):126–134.
9. Reece S, Holle L, Mukherjee K. Survey of pharmacists’ knowledge of Connecticut’s medical cannabis program. Cannabis Cannabinoid Res. 2021;6(1):66–73.
10. Bazzari FH, Bazzari AH. Attitudes and Knowledge Regarding the Therapeutic Use of Cannabinoids among Community
Pharmacists: A Pilot Cross-Sectional Study in Amman, Jordan. Healthcare. 2023;11(5):1-11.
11. Bawa Z, Saini B, McCartney D., Bedoya-Pérez M, McLachlan AJ, McGregor I S. A cross-sectional survey exploring the knowledge, experiences and attitudes of Australian pharmacists toward medicinal cannabis.Int J Clin Pharm. 2023;45(2):375–386.
12. Sabmeethavorn Q, Bonomo YA, Hallinan CM. Pharmacists’ perceptions and experiences of medicinal cannabis dispensing: A
narrative review with a systematic approach. Int J Pharm Pract. 2022;30(3):204–214.
13. Hordowicz M, Klimkiewicz A, Jarosz J, Wysocka M, Jastrzębska M. Knowledge, attitudes, and prescribing patterns of cannabis
and cannabinoid-containing medicines among European healthcare workers: a systematic literature review. Drug and Alcohol
Dependence. 2021;221:1–14.
14. Jaffal LH, Lahoud N, Zein S, Awada S, Khachman D. Lebanese Pharmacists’ Knowledge and Attitude toward Cannabis Medical Use Legality. Dr.Sulaiman Al Habib Medical Journal. 2020;2(3):106-114.
15. Philpot LM, Ebbert JO, Hurt RT. A survey of the attitudes, beliefs and knowledge about medical cannabis among primary care providers. BMC FamPract. 2019;20(17):1–7.
16. Moeller KE, Woods B. Pharmacy students’ knowledge and attitudes regarding medical marijuana. Am J Pharm Educ.
2015;79(6):1-8.
17. Moeller KE, McGuire JM, Melton BL. A nationwide survey of pharmacy students’ knowledge and perceptions regarding medical cannabis. J Am Pharm Assoc. 2020;60:218–224.
18. Baltes-Flueckiger L, Steinauer R, Meyer M, Vogel M, Walter, M. Effects of cannabis regulation in Switzerland: Study protocol of a randomized controlled trial. Front Psychiatry. 2023 Mar 23: 1-11.
19. Ordem dos Farmacêuticos. (n.d.). Parecer da Ordem dos Farmacêuticos sobre os projetos de lei para legalização da canábis
para uso pessoal e recreativo.
20. Observatório Europeu da Droga e da Toxicodependência. Resultados do Inquérito Online Europeu sobre Drogas - Padrões de Consumo Portugal 2021. Serviço de Intervenção Nos Comportamentos Aditivos e Nas Dependências (SICAD). 2021;1–6.