Friday, April 8, 2016

Modern Alchemical Pharmacies on the Horizon

I recently spoke with a lecturer at a prominent California Pharmacy school.
He remains enthusiastic about the role and reimbursement possibilities for pharmacists to their training and expertise in drug therapy management.
Physicians send patients to physical therapists for physical therapy so it is logical to send diagnosed but difficult to treat cases to medication management therapists-- pharmacists.
I am not convinced having spent thousands of dollars over the years to be the first pharmacist on the block to provide emergency contraception, administer vaccines and offer health screening.  My experience is that all the training and collaborative agreements are first met with considerable resistance and then eventually became mandatory non reimbursed services-- more work with less time to do it.
Our conversation got interesting when discussing the current research in Schedule I and illicit drugs to treat the epidemic of PTSD and depression-- whether in veterans returning from war or citizens surviving a fast paced materialist culture.  The use of Ayahausca and Ibogaine for depression and addiction are also following the trajectory of medical marijuana as a viable but illegal form of treatment.
If the Federal government reclassifies Marijuana from Schedule I to Schedule II then under current law State Boards of Pharmacy would regulate it as medication is to be sold in licensed pharmacies by registered pharmacists.  It will be an interesting transition as there is so much art and expertise in edibles and vaporizing.  It is specialty practice.
How then might MDMA, Ibogaine, Ketamine, Ayahuasca following similar recognition of effectiveness be dispensed.  The importance of education to use medication safely takes a huge leap especially with respect to the importance of setting and intention with use.  Might the modern medicine man resume the skills of the traditional alchemist and herbalist?