TMCC - Follow Up Consultation Notes

Patient: Angela Gobin Created on: 09 May 2021

Last Update: 09 May 2021 Created by: Dr Sunny Nayee (Pain)

Angela Gobin
08/12/197310 Cornwell Crescent, Bedlington NE22 5AP

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Forum Way Cramlington

Forum Way, Cramlington

ID Checked Yes

The patient has read and Yes

understood the informed
consent document emailed to
them with their appointment
link/con rmation

If a Carer/Parent or Guardian
is present please specify
details and relationship to the
patient

Patients Symptoms - e cacy Better

of change

Was this appointment booked No

to provide more evidence
post rejection at Initial
Consultation?
Current CBMP Prescribed NOIDECS T20:C4 (Indica) Flower 10g (previously called MVA), NOIDECS
T20:C4 (Sativa) Flower 10g (previously called MOD), NOIDECS / CMC T10:C10
(Hybrid) Flower 10g

Twenty 21 Formulary

If only ower prescribed - Encouraged OTC

does patient have a
background CBD oil on board?

Dosage 0.2g prn max 1g daily +0.1 to 0.3mls tds prn max

Frequency

Has the patient experienced No

any sides e ects?

If yes, please describe

Any new medical treatment No

from GP/hospital?

New prescribed medications

Continue with previous Yes (continue to next steps

prescription?

Patient is stable and can be Yes

followed up by TMCC GP if
script remains the same

Interaction with medications

Patient CAN understand the Yes

information relevant to MC

Patient CAN retain Yes

information relevant to MC

Patient CAN weigh up the Yes

information needed to make
decision
Patient CAN communicate the Yes
decision

Has mental capacity? Has mental capacity

I have explained that prescription of medical cannabis;

Is suitable when licensed Yes

medications are not useful
but have been tried

I have taken into account Yes

National Guidelines (NICE,
RCP, BPNA, MCCS)

Is used as a LAST resort to try Yes

to improve symptoms and
quality of life

May NOT be e ective + CAN Yes

cause physical / mental /
cognitive side e ects

Patient should not drive when Yes

taking medical cannabis due
to potential sedation (THC
products)

Patient should not drink Yes

alcohol and take prescribed
medication

Patient should not operate Yes

machinery when taking
medical cannabis due to
potential sedation (THC
products)

Patient needs to CHECK when Yes

travelling and bring
prescription or proof
Patient CANNOT take other / Yes
recreational cannabis
products unless speci cally
advised to do so

Patient SHOULD NOT become Yes

pregnant whilst on medical
cannabis (please seek
contraceptive advice)

I have explained that medical
cannabis may cause these side
e ects
Disorientation / Drowsiness / Dizziness / Confusion / Imbalance, Euphoria /
Hallucinations / Anxiety or Paranoia / Depression, Nausea / Diarrhoea / Dry
mouth, SPECIAL PRECAUTIONS:, Tachycardia = notify GP + us / call 999 if very
fast or unwell, High BP = regular check up by GP + notify us, Lower threshold
for angina = notify GP + us / call 999, Any symptoms of stroke = call 999

Next Steps Patient to be prescribed new medicine (Doctor to complete new prescription
details)

CBMP Prescribed - Oil NOIDECS T10 : C15

CBMP Prescribed - Flower NOIDECS T20:C4 (Indica) Flower 10g (previously called MVA)

Twenty 21 Formulary

If only ower prescribed - Encouraged OTC

does patient have a
background CBD oil on board?

Dosage 0.2g prn max 1g daily +0.1 to 0.3mls tds prn max

Frequency

Plan of Action/Follow up out of the three owers only found the mva helpful - so plan
1. 60g mva
2. background noidecs t10 c 15 oil
happy for gp to follow up

Prescription to be sent to Yes

Dispensary Green

If No, which pharmacy is the

prescription being sent to?