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Veterans Affairs committee I think it's been said: Don't let what you don't know today keep you from doing what you do know today. We do know that there's a safe and effective way of prescribing these products. While we might not have every issue identified, we know there's a way of prescribing it and moni
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee I agree with you. I think you can monitor people once you have prescribed it. Distance is an issue with some of the veterans. They have decided not to live in metropolitan areas—and I completely understand their choice—but I think you can use various technologies to monitor the
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee When we have looked at the literature published so far—and I haven't looked at the literature that has just come out on sleep and anxiety—the evidence we have seen would be moderate for certain conditions and weak for others. Over time, I think part of the challenge is going to b
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee I've been the medical director at the clinic since 2012. My practice has been around pain for 14 years now, mostly chronic pain. I can tell you it's very rare today for a patient to come looking for opioids. The most common drug they're looking for is cannabis. There has been a t
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee Do you want to go first?
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee Go ahead, Tony, if you want.
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee I'm not sure who's working with whom, but I do know that there are various initiatives today to look at different delivery models. The folks from Tilray can probably address that better than me. I am aware of the initiatives. I'm just not closely tied to it.
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee There's moderate evidence of benefit in spasticity disorders and patients with MS. There's moderate evidence in chronic pain. There's weak evidence in anxiety, as well as sleep disorders. In educating people on prescribing, we have to be concerned that there are some red flags wh
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee As I think I laid out, we have some challenges today. Part of that is the lack of knowledge among those who are prescribing it and also the lack of research towards understanding what works well. That was the reason we started our data registry: because we wanted to collect infor
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias
Veterans Affairs committee Mr. Chairman, good afternoon honourable members of the Standing Committee on Veterans Affairs addressing the issue of cannabis use among veterans and its effect on their well-being. My name is Dr. Ramesh Zacharias. I am an assistant clinical professor in the department of anaest
February 25th, 2019Committee meeting
Dr. Ramesh Zacharias