The Therapeutic Goods Administration (TGA) rubber stamped more than 16,000 Special Access Scheme applications in January as medicinal cannabis prescription numbers got off to a strong start in 2025.

The figure – 16,218 – was 53% higher than last January and was bettered by only three months in 2024. Applications were submitted by 855 prescribers, down from 872 in January 2024.

Pastilles accounted for 13.6% of the Special Access Scheme approvals in January

The number of prescriptions for pastilles, or gummies, continued to accelerate, with the dosage form accounting for nearly 14% of the market, up from 4.8% of the 2024 total.

Flower was the most prescribed dosage form in January, responsible for 42% of approvals (6,800), followed by oral solutions with 33.5% (5,430 approvals).

In keeping with recent trends, category five medicine, which contains more than 98% THC, continued to grow its share of the market, rising to 55%, up from the 53% of the 2024 total.

Doctors received approvals for 2,790 category 3 products (17%), with category one, CBD-dominant prescriptions, accounting for 16% (2,640).

The conditions for which medicinal cannabis was most prescribed also followed historical trends.

Chronic pain topped the list (41.5%), followed by anxiety (34.3%), sleep disorders, including insomnia (12.6%), ADHD (2.2%) and PTSD (2.1%).

Victoria again led the way in terms of the Special Access Scheme as doctors in the state generated 46% of approvals, ahead of Queensland with 33.6% and New South Wales on close to 17%.

Steve has reported for a number of consumer and B2B titles over a journalism career spanning more than three decades. He is a regulator contributor to health journal, The Medical Republic, writing on...

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