Pediatric Medical Cannabis: Guide for Parents

The FDA has not approved cannabis for pediatric use. The FDA has approved one cannabis drug, Epidiolex, for seizures in patients 2 years and older with Lennox-Gastaut syndrome, Dravet syndrome, or tuberous sclerosis complex. Other pediatric cannabis use is off-label and lacks evidence from randomized controlled trials.

is medical cannabis safe for children

FDA-Approved Cannabis Product for Children

Epidiolex contains cannabidiol (CBD). It does not contain THC in amounts that cause intoxication. FDA approved it in 2018. The drug reduced seizure frequency in trials. Doses start at 2.5 mg/kg per day, divided twice daily. Doctors may increase to 10 mg/kg per day.

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Evidence for Other Conditions

A 2017 review by the National Academies of Sciences, Engineering, and Medicine found limited evidence that cannabis reduces seizures in children with epilepsy. Evidence for autism, anxiety, or chronic pain is lacking. Most studies lack control groups.

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Risks and Side Effects

THC can affect brain development. It can impair memory, learning, and attention. Side effects of Epidiolex include sleepiness, sedation, liver enzyme increases, and diarrhea. Cannabis can interact with other medications. Dependence is possible. CBD can cause liver damage.

State Laws for Pediatric Cannabis

Some U.S. states allow minors to use cannabis with a doctor's recommendation and consent from a parent. The age and conditions vary by state. The federal government classifies cannabis as a Schedule I drug. This creates a conflict with state law. Check your state's program before giving cannabis to a child.

Role of a Doctor

A doctor must evaluate the child's condition. They can discuss options approved by the FDA. For off-label use, they follow state rules. Do not give cannabis to a child without oversight from a doctor. Monitor side effects. Report side effects to the FDA MedWatch program.

Common Questions

Does CBD cause harm in children?

CBD can have side effects. It can cause liver damage in some patients. It can interact with other drugs. Epidiolex is the only CBD product approved by the FDA for children.

What dosage is used?

Dosage depends on the product and condition. Epidiolex dosing starts at 2.5 mg/kg per day. Doctors adjust based on response and tolerance.

Can my child get cannabis in my state?

Check your state's medical cannabis program. Some states allow minors. Requirements include a doctor's certification and a parent or guardian as caregiver.