Conditions · Washington

Does cachexia & wasting syndrome qualify in Washington?

Yes. The Washington Medical Cannabis Program lists Diseases causing nausea, vomiting, wasting, appetite loss, cramping, seizures, muscle spasms or spasticity not relieved by standard treatments as a qualifying condition. A Washington-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About cachexia & wasting syndrome

Severe, unintended loss of weight and muscle that comes with serious illnesses like cancer or HIV.

Limited evidence. There's limited evidence that cannabinoids increase appetite and reduce weight loss in HIV/AIDS.

Symptoms Washington patients most often hope to ease:

  • Poor appetite and feeling full quickly
  • Nausea that makes eating difficult
  • Ongoing loss of weight and muscle
  • Changes in taste or smell of food
  • Fatigue and low energy
Before you start. Dizziness, low blood pressure and sedation can raise the risk of falls in people who are already weak. People with weakened immune systems should avoid smoking cannabis because of a risk of lung infections from contaminated plant material.

Read more: medical marijuana for cachexia & wasting syndrome.

How to get certified in Washington

  1. Confirm you have one of Washington's listed qualifying conditions.
  2. Book an in-person visit with an MD, DO, ND, PA or ARNP willing to authorize medical cannabis (the state does not publish a provider list).
  3. Get the signed medical cannabis authorization form if the practitioner agrees cannabis may help.
  4. Optionally (required for minors), take the authorization and your ID to a medically endorsed cannabis store.
  5. Have a certified medical cannabis consultant enter you in the database and issue your recognition card for a minimum $1 fee.
  6. Shop tax-free for DOH-compliant products at endorsed stores using your recognition card.

Washington requires your first certification visit in person. Renewals can usually be done online.

Costs and timeline

  • State fee: $1 minimum for the recognition card (stores may charge more)
  • Card lasts: Up to 1 year for adults; up to 6 months for minors
  • Processing: Recognition card issued during the in-person store visit
  • Patient limit: With a recognition card: 3 oz usable cannabis, 48 oz solid infused, 216 oz liquid infused, 21 g concentrate, plus up to 8 oz (or 16 oz if authorized) from home grow
  • Home grow: 4 plants with an authorization only; 6 plants with a recognition card, up to 15 if the practitioner authorizes; 15 plants max per household
  • Recreational sales: Legal for adults 21+
  • First visit online: No — in person first

See the full Washington cost breakdown and Washington program overview.

Other qualifying conditions in Washington

Cachexia & wasting syndrome in nearby states

Frequently asked questions

Do I need medical records for cachexia & wasting syndrome?

Helpful records include: records confirming the underlying illness, such as a cancer, HIV or heart failure diagnosis; weight records over time showing unintended weight loss; notes from your oncologist, HIV specialist or dietitian about appetite and nutrition. Many patients are still evaluated on their history alone, and your Washington provider will tell you if more is needed.

How long does certification take in Washington?

The provider visit takes about 15 minutes. Recognition card issued during the in-person store visit.

Can I renew online in Washington?

In most cases, yes. Before the authorization expires, get a new one from your practitioner, which can be by telemedicine if the practitioner allows it, then renew the recognition card at an endorsed store. A designated provider can pick up the renewal card if an in-person visit would cause the patient severe hardship.

Sources

This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.

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