Profile of judicialized cannabis
Analyzing technical notes
DOI:
https://doi.org/10.1590/Keywords:
Health judicialization, Medicinal Cannabis, Brazil, Pharmacovigilance, Medical diagnosticsAbstract
The study aimed to analyze the profile of requests for medicinal cannabis-based products within the Technical Notes (TNs) of the e-NatJus platform. Conducted as a descriptive documentary research, it utilized secondary data from the platform, covering TNs published from 2018 to August 31, 2023. Among the 672 identified TNs, a substantial number, 83 % (n=558), presented unfavorable opinions. The applicants, predominantly male (53.12 %), spanned various age groups from newborns to the elderly. Geographically, requests were distributed across 23 states in Brazil, with Rio Grande do Sul being the most representative (19.6 %). Diagnostic confirmation relied on medical reports, and prevalent diagnoses included "unspecified speech or language development disorder" (CID F80.9) and "epilepsy" (CID G40), accounting for 19.34 % and 18.6 % of TNs, respectively. The findings offer a comprehensive view of the judicialization of health concerning medicinal cannabis in Brazil. In light of divergent results for similar therapeutic goals, the study emphasizes the necessity for clinical guidelines and robust scientific research to ascertain the effectiveness and safety of cannabis-based medications. Clear guidelines are crucial to ensure the effective and safe use of medicinal cannabis in the judicial context.
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Almeida NA de, Domingues ML de P, Baldoni AO, Rios DRA. Notas técnicas para judicialização de anticoagulantes orais diretos: uma avaliação do perfil. Med (Ribeirão Preto). 2022 Jul 6;55(2).
Araújo LC de, Moita MP, Silva LCC da, Mesquita KO de, Vasconcelos FJL de, Dias MS de A. Judicialização do acesso a medicamentos no Brasil: revisão integrativa da literatura. Sanare - Rev Polít Públicas. 2021 Jul 2;20(1).
Castillo-Arellano J, Canseco-Alba A, Cutler SJ, León F. The polypharmacological effects of cannabidiol. Molecules [Internet]. 2023 Apr 1 [cited 2023 May 14];28(7):3271. Available from: https://eds.s.ebscohost.com/eds/detail/detail?vid=11&sid=53284171-b32e-4dbe-ab98-a16c6f4acf32%40redis&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#anchor=AN0163042257-17&AN=163042257&db=a9h
Dutra E de L, Oliveira EA, Santos ER dos. O direito à saúde e a judicialização da cannabis [Internet]. JusBrasil. 2021 [cited 2023 Sep 18]. Available from: https://www.jusbrasil.com.br/artigos/o-direito-a-saude-e-a-judicializacao-da-cannabis/1227852799
» https://www.jusbrasil.com.br/artigos/o-direito-a-saude-e-a-judicializacao-da-cannabis/1227852799
Faria PH. Jus.com.br | Jus Navigandi - Tudo de Direito e Justiça [Internet]. Doenças raras e medicamentos de alto custo: Um desafio para a efetivação do direito à saúde; 11 mar 2021 [cited 2023 Sep 13]. Disponível em: https://jus.com.br/artigos/89080/doencas-raras-e-medicamentos-de-alto-custo-um-desafio-para-a-efetivacao-do-direito-a-saude
Ferreira H. Resolução CNJ no 238 de 06/09/2016 – CGJ-ES [Internet]. 2016 [cited 2023 Sep 18]. Available from: http://www.tjes.jus.br/corregedoria/2016/09/14/resolucao-cnj-no-238-de-06092016/
» http://www.tjes.jus.br/corregedoria/2016/09/14/resolucao-cnj-no-238-de-06092016/
Freitas BC de, Fonseca EP da, Queluz D de P. A judicialização da saúde nos sistemas público e privado de saúde: uma revisão sistemática. Interface - Comun Saúde Educ. 2020;24:17.
Machado R. Judicialização na saúde: novos processos aumentam 19% em 2022 [Internet]. Futuro da Saúde. 2023 [cited 2023 Sep 13]. Available from: https://futurodasaude.com.br/aumento-judicializacao-na-saude
» https://futurodasaude.com.br/aumento-judicializacao-na-saude
Marinho PP. Judicialização da saúde e o fornecimento de medicamentos experimentais pelo SUS [Internet]. www.teses.usp.br. 2020 [cited 2023 Sep 13]. Available from: https://www.teses.usp.br/teses/disponiveis/2/2134/tde-02052021-205116/pt-br.php
» https://www.teses.usp.br/teses/disponiveis/2/2134/tde-02052021-205116/pt-br.php
Mazurkiewicz-Bełdzińska M, Zawadzka M. Use of cannabidiol in the treatment of epilepsy. Neurol Neurochir Pol. 2022 Feb 28;56(1):14–20.
Ministério da Saúde [Internet]. bvsms.saude.gov.br. [cited 2023 Sep 13]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2009/prt2981_26_11_2009_rep.html
» https://bvsms.saude.gov.br/bvs/saudelegis/gm/2009/prt2981_26_11_2009_rep.html
Prati-Donaduzzi. Our story - Prati-Donaduzzi - Indústria Farmacêutica [Internet]. Pratidonaduzzi.com.br. 2018 [cited 2023 Sep 13]. Available from: https://www.pratidonaduzzi.com.br/en/institucional-en/ourstory
» https://www.pratidonaduzzi.com.br/en/institucional-en/ourstory
Sampaio MF. O potencial terapêutico neurológico dos componente da Cannabis sativa. Braz J Surg Clin Res [Internet]. 2021 [cited 2023 Sep 12];34:52-60. Available from: https://www.mastereditora.com.br/periodico/20210304_112037.pdf
» https://www.mastereditora.com.br/periodico/20210304_112037.pdf
Souza AB, Silva CD, Oliveira EF. Impact of legislation on healthcare judicialization. Rev Bras Saude Publica. 2020;47(2):e00234521.
Tribunal de Justiça do Estado do Ceará. Manual Técnico do Processo Judicial Eletrônico – PJe. Fortaleza, CE: Tribunal de Justiça do Estado do Ceará; 2020. Disponível em: https://www.tjce.jus.br/wp-content/uploads/2020/03/manual_tecnico.pdf .
» https://www.tjce.jus.br/wp-content/uploads/2020/03/manual_tecnico.pdf
Villas Bôas GK, Rezende MA. Discussão sobre o acesso aos medicamentos derivados da Cannabis à luz da inovação em saúde no Brasil. Rev Fitos. 2020 Aug 20;14(2):259–84.
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