篇名

藥用大麻合法化之爭議【月旦時論】   免費試閱

並列篇名

Legal Ambiguity of Medical Cannabis in Taiwan

作者
中文摘要

大麻在人類歷史上已有悠久的使用紀錄,至1930年代全球逐步將大麻列為非法物質後,近年來又興起了大麻合法化的浪潮,而大麻合法化之主要原因之一便是其醫療用途。在藥用大麻逐步於全球開放的此時,衛生福利部在2020年5月7日重申含有大麻二酚及四氫大麻酚之藥品可依病患需求申請使用,然這是否表示臺灣已開放藥用大麻?藥用大麻係指用於醫藥用途的大麻,亦即藥用大麻與娛樂用大麻的分野在於其目的上的差異,而非其本質上的不同。藥用大麻又可粗略分為「草本型藥用大麻」及「醫用大麻製劑」。衛生福利部所稱開放使用者應屬「醫用大麻製劑」,亦即Epidiolex、Marinol、Sativex及Syndros四款在他國上市之內含大麻素之藥品。本文從大麻使用歷史出發,同時比較韓國、泰國及美國加州之藥用大麻管制模式,梳理臺灣藥用大麻合法化之爭議。

英文摘要

Cannabis sativa has been used as a medicine since ancient times from India and China to North Africa and the Middle East. Increasingly, in the modern era countries are legalizing cannabis for medical and recreational use after a period of criminalization. Medical cannabinoids specifically the compounds the Tetrahydrocannabinol (THC) and Cannabidiol (CBD), can be administered in a variety of ways including tinctures, patches, sprays and more. This article review the legal status of medical cannabinoids in Taiwan. As of May 7th 2020 the Taiwan Food and Drug Administration (TFDA) announced that cannabinoids can be used medically, and that CBD specifically was never a controlled substance meaning but it must follow pharmaceutical laws. This announcement suggest that medical cannabis is de juri legal in Taiwan. However despite this announcement, the legal limit for THC content for any cannabis related products cannot exceed 10ppm which is 200 times lower than UN World Health Organization (WHO) standard of 0.2%. Currently, the only legal medical cannabis products in Taiwan are Epidiolex, Marinol, Sativex and Syndros. But it is effectively impossible for patients to access these medicines due to unclear application processes and legal ambiguity. Incongruencies between government announcements and policies make CBD importation impossible. This article advises the government to revise the THC content standard to match other countries so medical cannabinoids can become de facto legal.

起訖頁

112-123

出版單位
DOI

10.3966/241553062020120050010  複製DOI  DOI查詢

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