A patient may designate a person as a caregiver and that person has the responsibility for the immediate care and safety of the patient; to assist the patient with obtaining or using medicinal cannabis or to act in the best interest of the patient. A receiver appointed for a person by the Court, under the Mental Health Act Cap. 45, or where relevant a guardian in accordance with the provisions of the Mental Health Act, shall be deemed to be the caregiver of a person to who the Act applies.

A parent or legal guardian of a patient who is a minor shall be deemed to be the caregiver for that minor, unless that parent or legal guardian designates another person, or a person is designated by an order of the Court.

Everyone's response to cannabis differs and can vary from one time to the next.

Like any other drug, cannabis can:

• Impair your ability to drive safely or operate heavy equipment
• It can cause drowsiness, slow reaction times, lower your ability to pay attention and impair coordination
• Affect your mental capacity
• Impair your concentration, memory and decision-making, and can impact your ability to perform well on the job or at school.[1]
• Cause euphoria (a high) it can also cause anxiety or panic.[2]
• In rare cases, cannabis can trigger a psychotic episode (not knowing what is real, experiencing paranoia, having disorganized thoughts and, in some cases, hallucinating).[3]

[1] [2] [3] World Health Organization (WHO). The health and social effects of nonmedical cannabis use.

There are two major concerns regarding smoking medicinal cannabis.

Firstly, smoking is a particularly harmful way of taking medicinal cannabis, mainly because it poses comparable risks for bronchitis and lung cancer, as is the smoking of cigarettes. Smoking medicinal cannabis is not permitted by local or international Health authorities.

Secondly, approved medicines used in Barbados are produced under strict conditions to ensure efficacy and safety. It is important that medical doctors know that medicines have been tested and are standardized by dose and therapeutic response. This means doctors can monitor the effects of the drug and doses can be adjusted according to a patient’s needs.

It is understood that smoked cannabis will not be prescribed in Barbados because smoked plant products will not satisfy governmental requirements.

The Barbados Medicinal Cannabis Licensing Authority (BMCLA) is the sole regulator, that is mandated to create and position the local medicinal cannabis industry as a global centre of excellence in training, certification, research and development and to provide a high quality, accessible and advanced patient-centric environment to qualifying individuals.

The BMCLA also ensures that the safety of the public and consumers of medicinal cannabis and its by-products are adequately protected, by appropriately regulating the importation, sale, distribution, possession, purchase, manufacture, cultivation, transportation and exportation of medicinal cannabis.

Some people use medicinal cannabis for their health problems. Deciding if medicinal cannabis is appropriate to treat your symptoms is best done in discussion with your doctor.Research so far has suggested that cannabinoid therapy is promising for the treatment of a number of different conditions.

A person designated as a caregiver under this Act shall obtain from a medical practitioner a certificate that states that the caregiver is not dependent on a controlled drug.