College Connection Summer 2019 | Page 8

college connection POLICY EDUCATING CLIENTS ABOUT CBD, CANNABIS FOR PETS there are, educate the client about these risks, recommend necessary monitoring, and make adjustments to other drug doses as needed. continued from the front page Utilizing informational posters and info boards in your waiting and exam rooms can help make your clients feel more comfortable broaching the subject. (Posters are available through the CAVCM) Once your clients inform you that they are using (or planning to use) a cannabis-based therapy, the next step is to provide the necessary Harm Reduction Education. • Side effects; counsel clients on potential side effects, how to minimize these effects, and when to seek emergency veterinary care (particularly with those products containing THC). • Monitoring recommendations - this can include both at-home monitoring with the use of a log-book, as well as recommendations for in-clinic re- evaluations and monitoring laboratory work, where appropriate. • Sharing of Research/published studies - including the type of product, dosage used, species and condition studied. However, one should also caution clients about the limitations in extrapolating that data to other products, species, and conditions. • Exploring their reason for use; always ensure that you understand why your client is choosing to use cannabis. Understanding their motivation can help ensure that you have provided other treatment options and that they are not discontinuing other vital therapy without veterinary oversight. Harm Reduction Education (HRE) HRE should be implemented any time you become aware of client-initiated treatment. It is used to provide education to those clients that already are, or are considering the use of cannabis for their pet. HRE encompasses many facets, and should always be included in your medical documentation. Common topics include: • Current legal status of cannabis for pets; there are currently no cannabis drug products approved by Health Canada for animal use, and those sold through the black market are not regulated to ensure good production practices, laboratory analysis, or accurate labeling. • Type of product they are using (including the source, cannabinoid profile, terpene content, and concentration). • Reading the Label; ensure both you and the client understand what is in the product, and the dose that is being given. • Assessing the client’s treatment plan; a veterinarian should be able to assess the client’s product and dosing plan and be prepared to intervene if they are concerned it could pose a risk to their patient. • Drug interactions; ensure that there are no potential drug interactions and if The CVO and other provincial regulatory bodies are continuing to work towards a better understanding of this uniquely classified substance so that they can develop guidance that helps veterinarians to best serve the public while remaining compliant within the current legal framework. The CAVCM will continue to provide support to veterinarians as required and continues to work on behalf of the profession to provide veterinarians with the ability to legally authorize cannabis use for medical purposes. For more information, please visit www.cavcm. com. College Connection is the official publication of the College of Veterinarians of Ontario, informing members on regulatory issues, with the expectation that members will govern themselves accordingly. College Connection is charged with the responsibility of providing comprehensive, accurate and defensible information. Instilling public confidence in veterinary regulation. College of Veterinarians of Ontario 2106 Gordon Street Guelph, Ontario N1L 1G6 Added information from the CVO A recent discussion with Health Canada clarified for the CVO that federal rules under the Cannabis Act do not prohibit a veterinarian from advising clients on the use of legally available recreational cannabis for their pets. These products do not make health claims, are not considered drugs, and are legally obtained by adult Canadian consumers. If a veterinarian chooses to advise a client on a legal product marketed through the authorized recreational cannabis retail stream, they are accountable for that professional advice. This advice can include harm reduction education. They should weigh the evidence on cannabis against other available treatment options and practice within the scope of their clinical competency. They must have a veterinarian-client-patient relationship (VCPR) and obtain informed client consent. They must also be available in the case of adverse reactions or failure of the treatment. To understand their responsibilities, further guidance for veterinarians is provided on the CVO website. Phone: (519) 824-5600 Toll-free: 1-800-424-2856 Fax: (519) 824-6497 Toll-free fax: 1-888-662-9479 [email protected] www.cvo.org Editor: Jan Robinson  Assistant to the Editor: Kim Huson Publication mail agreement number: 40583010 www.cvo.org