{"id":85057,"date":"2026-06-29T14:05:51","date_gmt":"2026-06-29T14:05:51","guid":{"rendered":"https:\/\/www.cofb.org\/?p=85057"},"modified":"2026-07-01T14:08:01","modified_gmt":"2026-07-01T14:08:01","slug":"quina-es-la-realitat-actual-del-cannabis-medicinal-tema-central-duna-nova-tertulia-dactualitat","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2026\/06\/29\/quina-es-la-realitat-actual-del-cannabis-medicinal-tema-central-duna-nova-tertulia-dactualitat\/","title":{"rendered":"Quina \u00e9s la realitat actual del c\u00e0nnabis medicinal? Tema central d’una nova tert\u00falia d’actualitat"},"content":{"rendered":"\n

El passat 2 de juny, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB)<\/strong> va organitzar una nova tert\u00falia d\u2019actualitat \u201cC\u00e0nnabis medicinal: actualitat i realitat\u201d<\/strong>. La tert\u00falia, que va ser moderada i presentada per Josep Allu\u00e9<\/strong>, vocal de Plantes Medicinals del COFB, va anar a c\u00e0rrec de Jordi de Dalmases<\/strong>, farmac\u00e8utic i director t\u00e8cnic de Canamedics Lab SL; Guadalupe Ballesteros<\/strong>, farmac\u00e8utica especialista a l\u2019\u00e0rea de Farmacot\u00e8cnia del servei de Farm\u00e0cia de l\u2019Hospital Cl\u00ednic de Barcelona; i de Jordi P\u00e9rez<\/strong>, anestesi\u00f2leg, especialista en medicina del dolor, PhD, cap de secci\u00f3 Cl\u00ednica del Dolor de l\u2019Hospital Cl\u00ednic i professor associat de medicina a la Universitat de Barcelona.<\/p>\n\n\n\n

\"\"<\/a>
Josep Allu\u00e9 presentant la tert\u00falia d’actualitat sobre c\u00e0nnabis medicinal.<\/figcaption><\/figure>\n\n\n\n

Els objectius de la tert\u00falia d\u2019actualitat <\/strong>van ser donar a con\u00e8ixer la legislaci\u00f3 davant el c\u00e0nnabis medicinal<\/strong>, descriure el proc\u00e9s d\u2019obtenci\u00f3 de flor de c\u00e0nnabis<\/strong>, con\u00e8ixer el proc\u00e9s d\u2019elaboraci\u00f3 de la f\u00f3rmula magistral a farm\u00e0cia hospital\u00e0ria<\/strong>, presentar experi\u00e8ncies a altres pa\u00efsos<\/strong> i compartir les necessitats i usos del c\u00e0nnabis medicinal.<\/p>\n\n\n\n

Durant la presentaci\u00f3, Josep Allu\u00e9<\/strong> va destacar la rellev\u00e0ncia de la tert\u00falia d\u2019actualitat: \u201cDes del Col\u00b7legi<\/strong> fa uns anys que treballem el tema del c\u00e0nnabis medicinal i, avui, \u00e9s la primera vegada que un col\u00b7legi professional sanitari parla sobre c\u00e0nnabis medicinal, no nom\u00e9s a Catalunya sin\u00f3 a tota Espanya<\/strong>\u201d. Allu\u00e9 va emmarcar la jornada en el context del nou Reial decret 903\/2025<\/strong>, la nova normativa que regula l’\u00fas del c\u00e0nnabis medicinal a l’Estat, la qual restringeix la prescripci\u00f3 als metges especialistes i l’elaboraci\u00f3 i dispensaci\u00f3 als serveis de farm\u00e0cia hospital\u00e0ria<\/strong>.<\/p>\n\n\n\n

De la planta al medicament: el control de la flor medicinal<\/strong><\/h2>\n\n\n\n

En primer lloc, va intervenir Jordi de Dalmases<\/strong>, director t\u00e8cnic de Canamedics Labs SL, qui va aprofundir en la producci\u00f3 industrial de la flor medicinal de c\u00e0nnabis. <\/strong>Dalmases va explicar que \u201cla planta no \u00e9s nova; el que \u00e9s nou \u00e9s la capacitat de controlar-la farmac\u00e8uticament\u201d.<\/strong> En aquest sentit, el farmac\u00e8utic va destacar que el valor d’aquest producte farmac\u00e8utic no rau nom\u00e9s en les propietats bot\u00e0niques, sin\u00f3 en la capacitat de fabricar-lo sota control garantint qualitat, seguretat i consist\u00e8ncia<\/strong>.<\/p>\n\n\n\n

En relaci\u00f3 amb el naixement de la ind\u00fastria moderna del c\u00e0nnabis medicinal<\/strong>, Dalmases va indicar que els primers passos van tenir lloc l\u2019any 2001<\/strong> al Canad\u00e0<\/strong> i, m\u00e9s tard, entre els anys 2014 i 2018<\/strong>, alguns estats dels Estats Units d\u2019Am\u00e8rica (EUA)<\/strong> van legalitzar-ne l\u2019\u00fas medicinal. A Europa<\/strong>, els primers passos van tenir lloc en alguns pa\u00efsos, com Pa\u00efsos Baixos<\/strong>, amb les primeres regulacions d\u2019\u00fas m\u00e8dic l\u2019any 2010<\/strong>; o a Alemanya<\/strong>, on l\u2019any 2017<\/strong> van regular l\u2019\u00fas de productes de c\u00e0nnabis en el mercat medicinal i impulsar el principal mercat europeu. En l\u2019actualitat, m\u00e9s de 50 pa\u00efsos disposen d\u2019algun model regulat de c\u00e0nnabis medicinal<\/strong>, amb importants difer\u00e8ncies en acc\u00e9s, producci\u00f3 i dispensaci\u00f3. \u201cLa regulaci\u00f3 ha impulsat l\u2019acc\u00e9s terap\u00e8utic i el desenvolupament d\u2019una ind\u00fastria farmac\u00e8utica del c\u00e0nnabis\u201d<\/strong>, va confirmar.<\/p>\n\n\n\n

\"\"<\/a>
Jordi de Dalmases en un moment de la seva exposici\u00f3. <\/figcaption><\/figure>\n\n\n\n

A continuaci\u00f3, el farmac\u00e8utic va abordar alguns conceptes b\u00e0sics de la planta de c\u00e0nnabis<\/strong> pel que fa a la seva anatomia farmac\u00e8utica, complexitat qu\u00edmica i estandarditzaci\u00f3. Pel que fa a la producci\u00f3 industrial de la flor medicinal<\/strong>, va explicar que els principals objectius de l\u2019etapa agron\u00f2mica <\/strong>s\u00f3n l\u2019estandarditzaci\u00f3, la qualitat i la seguretat; i, en relaci\u00f3 amb els objectius de l\u2019etapa farmac\u00e8utica<\/strong> la reproductibilitat qu\u00edmica, l\u2019estabilitat del producte i el compliment regulatori.<\/p>\n\n\n\n

Per acabar, Jordi de Dalmases va apuntar que la flor medicinal de c\u00e0nnabis no \u00e9s necess\u00e0riament el final del proc\u00e9s<\/strong>, sin\u00f3 que es pot transformar en altres formes de dispensaci\u00f3 en extractes d’olis estandarditzats, c\u00e0psules, solucions sublinguals o esprais, pomades, gels t\u00f2pics o solucions orals<\/strong>.<\/p>\n\n\n\n

El c\u00e0nnabis medicinal des de la farm\u00e0cia hospital\u00e0ria<\/strong><\/h2>\n\n\n\n

Per la seva banda, Guadalupe Ballesteros<\/strong>, va aprofundir en el canvi de paradigma que suposa l\u2019aprovaci\u00f3 de la nova normativa a la farm\u00e0cia hospital\u00e0ria<\/strong>. A l\u2019inici de la seva exposici\u00f3, la farmac\u00e8utica va parlar del C\u00e0nnabis sativa<\/em><\/strong>, que \u00e9s una planta anual, dioica i origin\u00e0ria de l\u2019Him\u00e0laia<\/strong>. Pel que fa a la seva composici\u00f3 qu\u00edmica, va concretar que el THC t\u00e9 un efecte psicoactiu i el CBD \u00e9s un ansiol\u00edtic i relaxant i que \u201cla infloresc\u00e8ncia no fecundada cont\u00e9 la concentraci\u00f3 m\u00e9s gran de THC ubicats als tricomes glandulars\u201d.<\/strong><\/p>\n\n\n\n

\"Guadalupe<\/a>
Guadalupe Ballesteros durant la seva intervenci\u00f3. <\/figcaption><\/figure>\n\n\n\n

Seguidament, la farmac\u00e8utica va compartir quatre medicaments comercialitzats amb cannabinoides<\/strong>, tres d\u2019ells orals i un bucal, indicats per a l\u2019espasticitat per esclerosi m\u00faltiple<\/strong>, epil\u00e8psia<\/strong>, n\u00e0usees<\/strong> i v\u00f2mits associats a la quimioter\u00e0pia i per a l\u2019anor\u00e8xia i la p\u00e8rdua de pes associada al VIH<\/strong>. En aquest sentit, va detallar les diferents vies d\u2019administraci\u00f3 dels cannabinoides d\u2019us cl\u00ednic.<\/p>\n\n\n\n

A l’hora d’analitzar el panorama europeu, Ballesteros va segmentar l\u2019acc\u00e9s al c\u00e0nnabis<\/strong> en nivells d\u2019acc\u00e9s: el primer nivell d\u2019acc\u00e9s alt<\/strong>, on l\u2019\u00fas del c\u00e0nnabis est\u00e0 integrat en la pr\u00e0ctica cl\u00ednica en pa\u00efsos com Alemanya o el Regne Unit<\/strong>; el segon nivell, d\u2019acc\u00e9s intermedi<\/strong>, l\u2019\u00fas cl\u00ednic \u00e9s existent, per\u00f2 limitat, com \u00e9s el cas d\u2019Espanya, Tx\u00e8quia, It\u00e0lia i Pol\u00f2nia<\/strong>; el tercer nivell d\u2019acc\u00e9s baix<\/strong>, el c\u00e0nnabis \u00e9s legal, per\u00f2 sense impacte real en els pacients a Fran\u00e7a, Su\u00e8cia, Bulg\u00e0ria i S\u00e8rbia<\/strong>; i, finalment, un quart nivell, on pa\u00efsos de l’Est <\/strong>com Alb\u00e0nia, B\u00f2snia o Kosovo<\/strong> mantenen el c\u00e0nnabis en la il\u00b7legalitat i no ofereixen cap mena d’acc\u00e9s sanitari<\/strong>. Concretament, a Espanya, va exposar el posicionament de l\u2019Ag\u00e8ncia Espanyola de Medicaments i Productes Sanitaris sobre els preparats estandarditzats de c\u00e0nnabis i el de la Sociedad Espa\u00f1ola de Farmacia Hospitalaria (SEFH).<\/p>\n\n\n\n

Prescripci\u00f3 m\u00e8dica del c\u00e0nnabis medicinal<\/strong><\/h2>\n\n\n\n

En darrer lloc, va intervenir el Dr. Jordi P\u00e9rez<\/strong> per abordar la prescripci\u00f3 m\u00e8dica del c\u00e0nnabis medicinal<\/strong>. \u201cEl sistema cannabinoide \u00e9s un sistema endogen, ja que tenim receptors, activadors interns i un sistema metab\u00f2lic. Funciona com un sistema de retroacci\u00f3, \u00e9s a dir, els endocannabinoides se sintetitzen a la neurona postsin\u00e0ptica, no a la presin\u00e0ptica, per\u00f2 hi actuen en aquesta darrera exercint una acci\u00f3 d\u2019inhibici\u00f3\u201d<\/strong>, va introduir el doctor.<\/p>\n\n\n\n

\u201cEn la via del dolor, el sistema endocannabinoide \u00e9s fonamental, per tant, no queda dubte que els endocannabinoides i els cannabinoides externs juguen un paper sobre com generem i sentim el dolor<\/strong>\u201d, va recordar P\u00e9rez.<\/p>\n\n\n\n

\"\"<\/a>
El doctor Jordi P\u00e9rez presentant la seva intervenci\u00f3 sobre la prescripci\u00f3 del c\u00e0nnabis medicinal. <\/figcaption><\/figure>\n\n\n\n

Tot seguit, el Dr. P\u00e9rez va analitzar l\u2019evid\u00e8ncia cient\u00edfica prenent com a refer\u00e8ncia el document de la National Academy of Sciences. Aquest document confirma existeixen proves s\u00f2lides sobre l\u2019efic\u00e0cia dels f\u00e0rmacs cannabinoides en patologies com l\u2019epil\u00e8psia infantil, l\u2019espasticitat en adults amb l\u2019esclerosi m\u00faltiple, dolor cr\u00f2nic i n\u00e0usees i v\u00f2mits per la quimioter\u00e0pia<\/strong>. En aquest sentit, va assenyalar que el Canad\u00e0 va ser dels primers pa\u00efsos a incloure els cannabinoides en els seus protocols, arran d\u2019estudis que han demostrat certa efectivitat en el dolor neurop\u00e0tic i en el dolor oncol\u00f2gic<\/strong>. Malgrat aquests aven\u00e7os, el doctor va matisar que no hi ha suficients evid\u00e8ncies com per a integrar-los en l\u2019abordatge del dolor cr\u00f2nic i que mai s\u00f3n la primera opci\u00f3 terap\u00e8utica i sovint no s\u00f3n l\u2019\u00fanica<\/strong>.<\/p>\n\n\n\n

Per altra banda, el doctor va matisar que, mentre el THC t\u00e9 efectes psicotr\u00f2pics, el CBD \u00e9s molt m\u00e9s segur, tot i que menys efica\u00e7. Finalment, va desglossar les diferents contraindicacions i precaucions a tenir en compte i va tancar la seva exposici\u00f3 assegurant que els cannabinoides no s\u00f3n productes letals, tot i que poden provocar efectes secundaris i complicacions<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"

El passat 2 de juny, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) va organitzar una nova tert\u00falia d\u2019actualitat \u201cC\u00e0nnabis medicinal: actualitat i realitat\u201d. La tert\u00falia, que va ser moderada i presentada per Josep Allu\u00e9, vocal de Plantes Medicinals del COFB, va anar a c\u00e0rrec de Jordi de Dalmases, farmac\u00e8utic i […]<\/p>\n","protected":false},"author":3,"featured_media":85060,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[23,57],"tags":[393,649,53,171,68,480,70,3589,140],"class_list":["post-85057","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-destacats","category-mon-collegial","tag-cannabis","tag-cannabis-medicinal","tag-farmaceutics","tag-farmaceutiques","tag-farmacia","tag-farmacia-hospitalaria","tag-formacio","tag-tertulia","tag-tertulia-dactualitat"],"yoast_head":"\nQuina \u00e9s la realitat actual del c\u00e0nnabis medicinal? 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