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Dr Sunny Nayee<\/p>\nA popular grime MC is promoting medical cannabis to his followers on social media, having released his own super-strength range with names such as Candyland, Frosted Pancakes and Gorilla Kush.<\/p>\n
Big Narstie, a London-born musician best known for the songs Mind Your Language and The BDL Skank, has set up a company called Big Narstie Medical, which has been sending patients to Integro Clinics, a cannabis clinic led by a senior NHS consultant.<\/p>\n
Until Friday, Big Narstie\u2019s website stated it was in a partnership with Integro Clinics \u2014 which specialises in medical cannabis treatment \u2014 but this reference was removed after contact by The Times.<\/p>\n
Integro said it had \u201cno relationship\u201d with Big Narstie and had never paid the rapper or his company any money but admitted it did prescribe his branded medical cannabis range based on \u201cclinical need\u201d.<\/p>\n
The clinic\u2019s medical director is Dr Sunny Nayee, a consultant in anaesthesia and pain medicine at Imperial College Healthcare NHS Trust.<\/p>\n
Dr Sunny Nayee<\/p>\n
Big Narstie, whose real name is Tyrone Lindo, has encouraged his social media followers to ask clinics to prescribe from his range of more than 15 branded medicinal cannabis plants. The plants, which are grown legally by companies in Europe, South Africa, North America and Jersey, are typically more potent than street skunk.<\/p>\n
Big Narstie\u2019s website says that patients with conditions such as depression and anxiety may be eligible for such medicines, although the Royal College of Psychiatrists says there is insufficient evidence to support treating mental health conditions with cannabis. It warns that such treatments may worsen disorders such as depression and psychosis.<\/p>\n
Dr Nayee, who trained at Cambridge University Medical School, said Integro does not routinely prescribe for mental health conditions and will not prescribe to anyone under the age of 21.<\/p>\n
Big Narstie, who has spoken publicly about his criminal past, set up Big Narstie Medical in 2023, later incorporating his company, Big Narstie Medical Ltd, in the Isle of Man.<\/p>\n
His website claims it is the \u201cfastest way to get medical cannabis\u201d with \u201c100% legal next day delivery\u201d. It features a video of Big Narstie on a visit to an overseas medical cannabis factory that legally grows 10,000 plants. During the video, he says: \u201cI feel buzzing just standing here surrounded [by these plants] and breathing in.\u201d<\/p>\n
Elsewhere on his website the MC, who has also presented his own chat show on Channel 4, talks about his experience with medical cannabis.<\/p>\n
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Big Narstie smoking marijuana Alamy<\/p>\n
He writes: \u201cComing from a Jamaican and Rastafarian heritage I\u2019ve been privileged to know the power of plant as a medicine for my whole life.\u201d<\/p>\n
He explains that he set up Big Narstie Medical to \u201chelp people access medical cannabis and provide the best quality medicine available\u201d.<\/p>\n
\u201cI was prescribed medical cannabis for neuropathic pain to the top of finger, sciatica and lower back pain. I\u2019d tried multiple licensed pain medicines like pregabalin and tramadol to try and treat this but the side effects were unbearable and made me feel like my mind was floating and couldn\u2019t s*** right.\u201d<\/p>\n
Big Narstie has 500,000 followers on Instagram and 250,000 on TikTok. The videos he posts to promote medical cannabis often use comedy to encourage sign-ups. In one he is seen singing opera to a warehouse of cannabis plants. In another, a young man wearing a fake comedy beard pretends to be his grandad and steals his cannabis medication.<\/p>\n
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A promotional video for Big Narstie Medical <\/p>\n
Integro previously worked with Grow Pharma to launch the Grow Access Project, which offers discounted access to medical cannabis to university students as well as NHS staff and military veterans. The scheme cited \u201cmental health issues among students\u201d as justification. However, the clinic says it quickly terminated the relationship because the patients being referred did not meet its criteria for prescribing.<\/p>\n
The company said its patients now came via self-referral, GPs and consultants.<\/p>\n
Integro, which was judged to be a good clinic by the Care Quality Commission in 2023, also offers an international traveller service for overseas visitors to the UK, including delivering cannabis medication to hotel rooms.<\/p>\n
Strict rules govern the advertising of prescription-only medicines. The Human Medicines Regulations 2012 prohibit direct-to-consumer advertising of prescription-only medicines. This prohibition covers celebrity and influencer endorsements, as well as social media content and brand partnerships.<\/p>\n
Cannabis industry figures believe these rules do not apply to their promotions because they are marketing the services of the clinic rather than the products themselves.<\/p>\n
However, campaigners are calling on regulators to examine the issue.<\/p>\n
Alexander Robinson, founder of the Oliver\u2019s Law campaign, which advocates for stricter regulation of medical cannabis, said: \u201cWhether Big Narstie Medical\u2019s Instagram activity constitutes advertising of a prescription medicine, rather than a clinical service, is precisely the kind of question the Medicines and Healthcare products Regulatory Agency, and other regulators should be answering publicly, and have not.\u201d<\/p>\n
He added: \u201cI am not aware of any other prescription medicine in the UK being marketed in this way. Imagine if a celebrity endorsed the opioid pills that have been so problematic in America this way?\u201d<\/p>\n
The approach taken by Big Narstie Medical has raised concerns that the rules around medical cannabis are being exploited to create a \u201cpseudo-recreational market\u201d. There are also fears that young people with mental health conditions could be led towards potentially inappropriate medicines.<\/p>\n