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Letter to Editor


Citation: Santos Garcia JB, Campos Kraychete D, Díaz Pérez de Valtolina E, Gerez Malof M, Gómez Arévalo G, Gillén Núñez MR, et al. GLEC Latin America Group: A New Initiative Established to Enhance the Management of Patients Who Need Drugs that Contain Cannabinoids in Latin America.
Lat Am J Clin Sci Med Technol. 2020 Sep;2:182-184.
Received: August 11th, 2020.
Accepted: August 13th, 2020.
Published: September 1st, 2020.
Views: 653
Downloads: 11
REFERENCES

1.Medical Cannabis for the Treatment of Chronic Pain: A Review of Clinical Effectiveness and Guidelines. Ottawa: CADTH; 2019 Jul. (CADTH rapid response report: summary with critical appraisal)


João Batista Santos Garciaa, b, c; Durval Campos Kraycheted; Elizabeth Díaz Pérez de Valtolinae; Montserrat Gerez-Malof; Gonzalo Gómez Arévalog; María del Rocío Guillén Núñezh; Argelia Lara-Solaresi; Anette Pier Garyj; María Antonieta Ricok; Claudio Waisburgl.
aFederación Latinoamericana de Asociaciones para el Estudio de Dolor, FEDELAT; bUniversidade Federal do Maranhão, São Luís, MA, Brazil; cHospital Universitário da Universidade Federal do Maranhão, São Luís, MA, Brazil; dDepartament of Anesthesiology and Surgery, Federal University of Bahia; eServicio de Medicina Paliativa y Tratamiento del Dolor, Instituto Nacional de Enfermedades Neoplásicas de Lima, Peru; fDepartamento de Neurofisiología Clínica, Departamento de Psiquiatría, Hospital Español de México, Mexico; gFarmacología, Escuela de Medicina, Universidad Favaloro, Unidad de Movimientos Anormales, Instituto de Neurociencias, Fundación Favaloro, Argentina; hMédica Clínica Alive, “Vive sin Dolor”, Clínica del Dolor, Instituto Nacional de Cancerología, Mexico; iDepartamento de Medicina del Dolor y Paliativa, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Mexico; jPsiquiatría y Depresión Postparto, Universidad Nacional Autónoma de México, Postpartum Support International, Mexico; kClínica Alemana, Universidad del Desarrollo, Santiago de Chile, Chile; lSOMA Neuroscience Instiute, Argentina.
Corresponding Author: , . Telephone number: ; e-mail: jbgarcia@uol.com.br

Dear Editor,

I wish to advise you of the formation of a new scientific advisory panel called GLEC (Grupo Latinoamericano de Expertos en Cannabinoides, Group of Cannabinoid Experts for the Latin American Region). The purpose of this group is to create a panel of experts who can guide their colleagues in the proper management of cannabinoid-derived drugs through different scientific and educational activities.

The initiative of the pharmaceutical industry formed the GLEC Latin America Group Panel and currently comprises eleven experts from Argentina, Brazil, Chile, Mexico, and Peru with different specialties such as Pain Management (Algology), Palliative Care, Neurology and Psychiatry (Table 1).

Table 1. GLEC LATAM Panel Members List
NameCountrySpecialty
Claudio WaisburgArgentinaNeurology

Gonzalo GómezArgentinaNeurology

Durval Campos KraycheteBrazilAnesthesiology and Pain Management

João Batista Santos GarciaBrazilPain Management and Palliative Care

Ma. Antonieta RicoChileAnesthesiology and Pain Management

Rocío Guillén NúñezMexicoAnesthesiology and Pain Management

Montserrat Gerez MaloMexicoPsychiatry

Anette Pier GaryMexicoPsychiatry

Elizabeth DíazPeruAnesthesiology and Pain Management

The panel met for the first time in Vancouver (August 26-27, 2019) and reviewed the published information related to the current uses of cannabinoids in the world. Likewise, the members analyzed the present situation of cannabinoids and the unmet needs in Latin America. After an intense discussion, the purpose and objectives of the group were established. Some of the agreements were to conduct clinical research related to the current statement of the use of medical cannabis in our countries; to investigate further and to generate publications regarding this topic.

As a group, we decided to write five articles in the coming months, including several topics focused on the Latin American reality. Some of them will deal with the certification process in the quality of Good Manufacturing Practices of the cannabinoids products in this region; other articles will analyze the results of a survey we will perform and submit in different medical societies. The results of such an investigation will measure the use and prescription trends in daily practice. We will also be working on a review article exclusively for Latin America on the reality in the use of cannabinoids and the regulatory approval processes, among other topics.

Most of the few published studies in international indexed magazines of cannabis in Latin America are related to the regulatory and legal aspects, but not to clinical experience. Thus, following the example of our Canadian colleagues1, we consider conducting a Latin American consensus about cannabis use in some diseases such as pain.

We have identified that there is a lot of informal communication regarding medical cannabis for both healthcare practitioners and patients, which creates misconceptions about the use of these drugs. Likewise, we recognize that most healthcare professionals in Latin America have inadequate knowledge about the advantages and disadvantages of medications derived from cannabinoids and that they have no experience in its use. The use of drugs containing cannabinoids has spread in recent years as a result of research and favorable results in various diseases such as chronic pain, refractory epilepsy, multiple sclerosis, nausea, vomiting, etc.

Then, due to the expansion of the use of cannabinoids as a new therapeutically option, we consider that it is crucial to properly guide both doctors and patients in the correct use of these drugs. Therefore, the group agreed on the aim of continuing medical education activities for healthcare practitioners and patients as a priority. Regarding medical education, we planned to create a robust online medical education program with free access with specific guidelines and information for general practitioners, different medical specialties such as pain specialists, neurologists, palliative care, etc., and other online training programs for patients. We will seek that the courses for the physicians have an endorsement from different medical societies.

The GLEC Latin America Group panel members are applying their knowledge and experience to highlight and address the unmet medical needs associated with the treatment of patients with chronic pain, refractory epilepsy, among other diseases. Their objectives are to overcome obstacles and to improve the practices and outcomes in the region.

This is the beginning of a new era regarding the drugs containing cannabinoids, and GLEC Latin America Group aims to be the leading part in generating and orienting the correct use of this treatment option.

The next GLEC meeting will take place soon this year. We plan to replicate this kind of meeting with local experts in our countries; meanwhile, articles and practical materials are being developed and will be disseminated at a regional level.


CONFLICT OF INTEREST

GLEC Latin America Group is supported by an educational grant from Tilray International/Latin America.

The GLEC Latin America Group Panel: María del Rocío Guillén Nuñez, Argelia Lara-Solares, Durval Campos Kraychete, María Antonieta Rico, João Batista Santos Garcia, Carlos Juri, Anette Pier Gary, Claudio Waisburg, Elizabeth Díaz, Gonzalo Gómez Arevalo, Montserrat Gérez Malo.


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Latin American Journal of Clinical Sciences and Medical Technology,
Continuous Publication    Responsible Editor: Gilberto Castañeda Hernández    Reservation of Exclusive Use Rights: 04-2019-062013242000-203; ISSN: 2683-2291; both granted by Instituto Nacional del Derecho de Autor.    Responsible for the last update of this issue, Web Master Hunahpú Velázquez Martínez.
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All Rights Reserved® 2019

Latin American Journal of Clinical Sciences and Medical Technology,
Continuous Publication    Responsible Editor: Gilberto Castañeda Hernández    Reservation of Exclusive Use Rights: 04-2019-062013242000-203; ISSN: 2683-2291; both granted by Instituto Nacional del Derecho de Autor.    Responsible for the last update of this issue, Web Master Hunahpú Velázquez Martínez.
Calle Profesor Miguel Serrano #8, Col. Del Valle, Alcaldía Benito Juárez, CP 03100, Ciudad de México, México. Telephone number: 55 5405 1396    Last modified on August 28th, 2026.

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