Navigating the Cannabidiol
(CBD) product landscape as a patient can be overwhelming. Fancy websites with glittery products hint
that by adding CBD to your health care regimen that YOU TOO could live the life of your dreams. All your pains will just go away and vitality
is yours for the taking. CBD is being marketed in everything from
hamburgers to pillows, and active wear to coffee. Everywhere, people are talking about the
wonders of CBD. When we listen carefully,
we hear consumers talking about www.foxnews.com/health/just-how-safe-are-cbd-products-experts-weigh-in and products that www.kmov.com/news/cbd-consumers-concerned-about-products-wit.... Patients
are also talking about www.projectcbd.org/medicine/cbd-drug-interactions/p450 they didn’t get warnings for and being misled
about potential negative consequences, like being dismissed from pain
management over a failed drug test. Patients
don’t have the luxury to think about supplements like CBD as nutrition. We have underlying issues and conditions that
these supplements can legitimately affect, especially when it comes to immune
system function. It is important that we
treat cannabidiol just like any other therapy and ask the same questions we would
has been an amazing tool and according to a blog.arthritis.org/news/patients-tell-us-cbd-use
, many with arthritis and autoimmune arthritis diseases
are trying it out. A statement by www.who.int/medicines/access/controlled-substances/Cannabidi...
found that CBD had no potential for abuse, a good
safety profile, and most adverse effects were from pharmaceutical interactions
and underlying conditions.
Unfortunately, those of us with Chronic illness and fighting terminal
illnesses fall into those last categories.
We are almost always on pharmaceuticals and have underlying conditions
or symptoms we need to accommodate. It
is up to us, the patient and consumer, to question claims being made, ask for
science, and check for interactions. Always
double check the information being given with a trusted member of your medical
and/or legal team.
because it interacts with receptor systems in our body’s cells. While this is important for a healthy person
to know, it becomes essential when someone is considering CBD to help with
chronic/terminal illnesses. A lot of
these interactions are desired, but people with chronic illnesses need to know
what to expect upfront. Knowing there is
a risk to mitigate, whether legal or medical, can make sure the patient has the
best chance for success. Here are some
common misleading marketing buzzwords that contribute to hype and general
misunderstanding. Marketing is designed
to make you feel safe about a product.
All products have hype, and the CBD industry is no different. Their products have some serious hype, and it
is our job to dig through it.
Here are the top 6 patient
picks as the “most confusing hype-lines”.
even from hemp and isolates, are not “legal in all 50”. Internationally, the same ambiguous situation
exists. Always check your local,
state/province, and federal/country laws before choosing a product. You
may find there are THC limits, local areas may have banned hemp CBD, or some
other complication exists. Most
CBD sales sites claim hemp CBD products are www.buscherlaw.com/state-hemp-legality, and will cite either the 2014 Farm Bill or the
2018 Farm Bill. The 2018 Farm Bill did
deschedule cannabinoids found in hemp, but it placed them under the FD&C
Act, giving the FDA full regulatory authority.
The FDA classifies all cannabinoids as “www.fda.gov/media/112426/download
”, which makes them not so legal when introduced into
commerce. Just as before the Farm Bills,
hemp and hemp CBD is subject to state legality.
This has created a very ambiguous legal framework that no patient could
really understand to comply with. Add
this governmental nonsense to the constant hums of CBD marketers trying to
practice law and it becomes next to impossible to follow along. Websites and hemp traders will sing about the
federal deschedule but forget to mention that many areas still consider hemp
CBD and CBD isolate to be illegal. For
example, check out this statement from atg.sd.gov/OurOffice/Media/pressreleasesdetail.aspx,
“Current South Dakota law makes industrial hemp illegal and all
forms of CBD oil illegal. The only exception is the prescription drug
Epidiolex which was recognized by this year’s legislature as a controlled
substance under SB 22. Governor Kristi Noem signed that bill into
law on February 19, 2019, with an emergency clause, therefore having the law go
into effect immediately.
This action leaves any other use or possession
of CBD oil as a violation of state law.”
Always check with the local
authorities to see if CBD is legal in your area. Legalities are complex and “legal” doesn’t
always mean “legal”.
2. You will often hear phrases like “FDA
Compliant” or “FDA Approved”. The only
FDA approved CBD product is Epidiolex. If the product is marketed www.fda.gov/consumers/consumer-updates/it-really-fda-approved, walk away.
Epidiolex is a prescription CBD tincture that is rarely prescribed for
Dravet Syndrome and Lennox-Gastaut Syndrome and is the only FDA Approved CBD
product. Also know that hemp CBD
manufacturers are still www.fda.gov/news-events/public-health-focus/fda-regulation-c... to come out with their regulations, and as
of this publication, they have not yet done so. (March 2020) “FDA Compliant”
can mean many things. Their farm may be
FDA compliant in some way, not necessarily relating to hemp. The packaging could be FDA compliant. This phrase does not imply the product is
approved by the FDA, or that the product is more trustworthy. Right now, any implied FDA stamp of approval
should raise eyebrows. Make sure the
company is clear about what they are being “compliant” about and whether it is
relevant to hemp.
3. In the United States, CBD (even isolate
use) is illegal in minors unless you participate in the state medical cannabis
program. Make sure you consult with a lawyer that specializes in
CPS cases before you make any decisions.
It seems so
contradictory that www.youtube.com/watch
use when you can purchase it in every corner store. Unfortunately, every state has a loophole
that allows them to investigate, and only a few states have taken steps to
protect families from CPS interference. If your state has a medical cannabis program, protect your
child and your family. We observed that
investigations involving parents who are actively on the state registry tend to
get their cases dropped. Unfortunately,
a lot of doctors and CBD companies are telling parents that they don’t need
medical cards to give their children hemp CBD or CBD isolate. Those parents are finding out the hard way. If a salesperson is forceful and insisting
that you don’t need a medical card, this is a red flag. For more information and
sources, check out this article Is It Legal to Give CBD to Children?
4. Watch carefully if you start hearing
phrases like, “You have an endocannabinoid system, so you need CBD.” Yes, you have an endocannabinoid system, and
yes, it could plausibly be deficient.
However, the www.projectcbd.org/science/cannabis-and-immune-system, and not something you just want to throw
stuff at. Right now, everything is
theory and pre-clinical and only the most popular theory (endocannabinoid
deficiency) is getting press time. There
could be other issues like over stimulation, receptor issues, and more at
play. Not every issue is going to be an
endocannabinoid deficiency, or specifically related to what CBD has to
offer. Research is finding new
endocannabinoids, new receptors, and new functions all the time. Chronic illness is hard on our body, and we
don’t have the extra leeway if we make a mistake. Be on the lookout for those implying that CBD
is something your body needs. This is a commonly used phrase with no real
meaning. Your body also has an opiate
receptor system. That doesn’t mean you need
opiates or insinuate opiates are “good for you”.
5. Be wary when someone implies CBD is safe
because it is from a plant. Always
check with a pharmacist to see if there are any important interactions you need
to be watching for. Make sure
you critically think about any blanket statements being made. As children growing up in the hills, we were
always told not to eat random berries in the woods because they could kill people. There were mushrooms we couldn’t eat, and
plants we had to take great care not to touch.
Trying to make someone believe an active chemical compound is safe
simply because it’s a plant is nothing more than a comfort zone marketing
ploy. The truth lies more in the
middle. Cannabis does have interactions
within the body. If it didn’t interact
with the body, patients wouldn’t be fighting so hard for access. Cannabis works on multiple receptor systems, www.projectcbd.org/how-to/cbd-drug-interactions, and can even cause some adverse
reactions. That is okay. Often these interactions in the body are how
we get relief, start healing, and can then talk to our doctors about lessening
the pharmaceuticals. I’d rather someone
be honest than to find out when liver ALTS measure 588. We watch for interactions and side effects
with every other active therapy, whether supplements or pharmaceutical. CBD and cannabis are no different.
6. Is CBD from hemp or CBD from “marijuana”
better? Guess what marijuana with a THC content at 0.3% or lower is? Hemp. Cannabidiol
the molecule is the same whether it comes from something someone calls “hemp”
or something called “marijuana”. The
only difference is going to be THC levels.
Most CBD extracts come from low-THC cannabis, or hemp. Whether an extract is effective depends on
how your body reacts to it, and what other things are in the extract keepitlegalcolorado.org/targeting-therapy not whether it was sourced from hemp or
“marijuana”. If your body responds
better to higher THC levels, then CBD from “marijuana” (or CBD with higher
levels of THC) would be better. If you
respond to low-THC CBD extracts, then hemp could be the way to go. The plants are all cannabis. Patients really should know what cannabinoids
and terpenes are in their products anyway.