If you have been diagnosed with epilepsy or a seizure disorder, you can qualify for medical marijuana in Texas. Epilepsy was the first qualifying condition under the Texas Compassionate Use Program, and it still leads the list. Zen Cannabis Clinic evaluates epilepsy patients and their families entirely by telemedicine, for a $150 flat fee that is refunded if you do not qualify.

Medical marijuana for epilepsy and seizures in Texas
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Epilepsy and Seizures We Evaluate by Telemedicine Across Texas

Seizures are waves of abnormal electrical activity in the brain. Billions of neurons communicate through electrical impulses, and during a seizure that electrical activity becomes excessive. You may pass out, move or behave strangely. Most seizures last only seconds or minutes. Epilepsy is the condition that causes recurrent seizures, and your description of them is what Dr. Najafi works from.

Dr. Najafi certifies adults with epilepsy and seizures across the state, and children through a parent or legal guardian registered as their caregiver. The whole evaluation happens by video from home. That matters when a seizure disorder means you cannot drive. Patients join from every corner of Texas.

Your Seizure Types, From Tonic-Clonic Seizures to Focal Seizures, Reviewed by Dr. Najafi

The evaluation starts with your seizure types. Tonic-clonic seizures, once called grand mal, bring loss of consciousness, muscle rigidity and then jerking convulsions. Focal seizures begin in one area of the brain and may cause shaking in one part of the body. Absence seizures, a form of generalized seizures, can make a person stop responding and stare for a few seconds.

Dr. Najafi asks about each one:

  • Your seizure frequency and the date of your most recent seizure
  • Whether an aura comes first
  • How long confusion or post-ictal fatigue lasts afterwards
  • Triggers you have noticed, such as missed sleep or a missed dose

Bring a family member who has seen your seizures if you can. Their account often fills gaps in your own seizure history.

Recurrent Seizures From Epilepsy Syndromes, Stroke or Traumatic Brain Injury: All Are Eligible

Seizures may come from a genetic disorder, a central nervous system infection, a stroke or head trauma. In Texas the cause does not change eligibility. A documented diagnosis of epilepsy or a seizure disorder is the qualifying condition, so epilepsy syndromes, post-traumatic epilepsy and unprovoked seizures with no known cause all meet it.

Some patients carry two diagnoses. Seizures after a head injury overlap with our evaluations for medical cannabis for traumatic brain injury, which became its own qualifying condition in 2025.

Your unique seizure history deserves a physician who listens and takes every detail seriously

Is a Seizure Disorder a Qualifying Condition in Texas?

Yes. Section 169.003 of the Texas Occupations Code names “epilepsy” and “a seizure disorder” as the first two conditions for which a physician may prescribe low-THC cannabis. The diagnosis is one requirement of three. You must be a permanent Texas resident, and the registered physician must decide that the risk of low-THC cannabis is reasonable in light of the potential benefit for you.

From Senate Bill 339 to House Bill 46: How Intractable Epilepsy Stopped Being a Requirement

In 2015 Governor Greg Abbott signed Senate Bill 339, the Texas Compassionate Use Act. The Texas Department of State Health Services records that it allowed low-THC cannabis only for intractable epilepsy, meaning seizures that approved drugs had failed to control. A second physician also had to concur.

House Bill 3703 changed both rules in 2019. The committee bill text strikes the word “intractable” and the second-physician requirement. Since then any diagnosed epilepsy or seizure disorder can qualify, drug-resistant or not.

House Bill 46, effective September 1, 2025, kept epilepsy on the list and changed how prescriptions work. According to the House committee bill analysis, each prescription covers a 90 day supply with up to four refills.

What the Texas Occupations Code Covers, and Why Texas Issues No Medical Marijuana Card

Chapter 169 of the Texas Occupations Code decides which diagnoses qualify and how much a physician may prescribe. HB 46 set the limit at 10 milligrams of THC per dose and one gram per package. The Texas Department of Public Safety runs the Compassionate Use Registry of Texas, where every prescription lives.

Texas does not issue a physical medical marijuana card. Once you are approved, Dr. Najafi enters your prescription into CURT, and a licensed dispensing organization checks it there before filling it.

Check Whether You Qualify Under the Texas Compassionate Use Program

Your evaluation is free if you do not qualify. One video visit with Dr. Najafi gives you a clear answer either way.

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Cannabis for Epilepsy: How Dr. Najafi Weighs the Evidence for You

Cannabis for epilepsy has better evidence than most uses of medical cannabis, and narrower evidence than many websites suggest. A literature review on epilepsy and cannabis notes that about one-third of patients with epilepsy have seizures resistant to antiepileptic medications. Research on cannabinoids grew out of that refractory epilepsy group.

During your consultation, Dr. Najafi takes the time to understand your seizure history, previous treatments, and personal experiences with managing epilepsy. He considers your symptoms and treatment goals alongside available medical research to assess whether medical cannabis may be an appropriate option for you.

Low-THC Cannabis and the Seizure Threshold: How We Choose Your THC and CBD Ratio

Finding the right balance of THC and CBD is an important consideration when evaluating medical cannabis for epilepsy. During your consultation, Dr. Najafi reviews your seizure history, current medications, and previous treatment experiences to determine whether medical cannabis may be suitable for you. A scoping review of cannabis and seizures highlights the importance of understanding these risks, particularly for people living with epilepsy.

That is why the ratio matters more than the product name. Dr. Najafi works through it with you in steps:

  1. Choose a CBD and THC ratio that fits your seizure history and current medications.
  2. Pick a form, such as a sublingual tincture, a capsule or one of the inhaled cannabis products now approved in Texas.
  3. Begin with a low starting amount and adjust by slow titration.
  4. Track every change in a seizure diary and report it to Dr. Najafi by phone or text.

Medical Marijuana for Seizures Alongside Your Neurologist’s Anti-Seizure Medications

The right treatment for seizures depends on the cause. An infection is treated directly. Repeated seizures usually need anti-seizure medications, and when two or more fail, a neurologist may consider surgery, vagus nerve stimulation or the ketogenic diet. Medical marijuana for seizures sits beside those options.

Dr. Najafi never changes or stops an anti-seizure medication. That decision belongs to the clinician who prescribed it. You should speak with your neurologist before taking medical marijuana.

Seizure Control Stays With Your Seizure Action Plan and Rescue Medication

Cannabis is not an emergency treatment. If your neurologist prescribed a rescue medication for clusters or a prolonged seizure, it stays exactly where it is. So does your seizure action plan. A seizure that will not stop can become status epilepticus, which is a medical emergency.

Dr. Najafi emphasizes the importance of maintaining a clear plan for managing seizure emergencies, regardless of whether medical cannabis becomes part of your care. He can also address questions about the role and limitations of medical cannabis, helping you understand what to expect if you qualify for treatment.

Book a Video Visit With a Board-Certified Physician

Book a convenient video consultation with Dr. Najafi, a board-certified physician, to discuss your seizure history, explore medical cannabis options, and determine your eligibility for treatment.

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CBD for Seizures by Prescription: How Your Evaluation Works

CBD for seizures from a store shelf and CBD prescribed through the program are different products. A prescription from a registered physician opens access to regulated, lab-tested low-THC cannabis from licensed dispensing organizations. The certification fee is $150 for the year, refunded in full if you do not qualify. Refill requests are free. Video visits run on a HIPAA-compliant telehealth platform.

From Seizure Diary to CURT Registry Entry: What Happens in Your Visit

Most consultations follow the same path:

  1. Book online or call (214) 646-2936. Gather your seizure diary, medication list, medical records and any EEG or MRI reports.
  2. Meet Dr. Najafi by video. He reviews your medical history, treatment history and current dosage of each medicine.
  3. Get a clear answer. If you qualify, he enters your prescription into CURT the same day.
  4. Fill it at a licensed dispensary. Some dispensing organizations offer delivery; others offer pickup.
  5. Stay in touch. Direct follow-up with Dr. Najafi covers refills and dose questions.

Missing paperwork should not stop you from booking. If an employer, HR team or probation officer needs proof of your status, Dr. Najafi provides a free verification letter.

Why Epilepsy Patients Choose Zen Cannabis Clinic’s Telemedicine Care

High-volume certification clinics often pass patients between whichever provider is free that day. At Zen Cannabis Clinic, the physician who evaluates you is the one who answers the phone later. For a seizure disorder, where every medication change needs a careful eye, that continuity of care is the point.

Medical Cannabis Care From One Board-Certified Physician

Dr. Sina Najafi is board-certified in Internal Medicine and in Hospice and Palliative Medicine. He completed his fellowship at Cleveland Clinic and practices palliative care at Baylor Scott & White Health. He is not a neurologist and does not replace yours. He brings a palliative physician’s habit of careful dosing and plain explanations, and he stays reachable by text, call or email after certification.

Your neurologist manages your seizures. Dr. Najafi manages your cannabis prescription, and he talks to you directly.

Schedule Your Cannabis for Seizures Consultation

Take the next step toward exploring medical cannabis for seizure management. Schedule a consultation with Dr. Najafi to discuss your condition, ask questions, and find out whether you qualify for medical cannabis treatment.

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Medical Marijuana for Epilepsy: Questions Texas Patients Ask

Do I need intractable seizures or drug-resistant epilepsy to qualify?

No. That rule ended in 2019. Treatment-resistant epilepsy is no longer the bar; any diagnosed epilepsy or seizure disorder meets the condition. Whether a prescription makes sense for well-controlled seizures is a separate medical question, and the evaluation answers it.

Are delta-8 and hemp products the same as a lab-tested prescription?

No. Delta-8 and hemp-derived CBD products sold in stores sit outside the Compassionate Use Program. They are not dosed or tested to prescription standards, and they can still interact with seizure medications. Seizures are not a condition to experiment with unsupervised.

What does a cannabis evaluation for seizure disorders cost?

The evaluation costs $150, with no membership fee and free refill requests. If you do not qualify, you are not charged; the fee is refunded. Texas charges no state card fee. See our $150 flat-fee pricing for details; we accept debit and credit cards, not insurance.

Is medical cannabis still federally prohibited (scheduled I controlled substance)?

No, in April 2026, pursuant to President Trump’s Executive Order and an order issued by Acting U.S. Attorney General Todd Blanche, the U.S. Department of Justice rescheduled state-licensed medical marijuana from Schedule I to Schedule III under the Controlled Substances Act, recognizing its medical use under applicable federal law.

Is THCA flower still legal in Texas?

No, after new restrictions went into effect, total THC limits have effectively wiped-out legal sales of THCA flower; there are lawsuits challenging these regulations. The only smokable products are vapes dispensed under Compassionate Use Program.