Although CBD oil is legal in most U.S. states and is widely accessible to purchase it’s important to understand the potential risks and dangers of CBD Oil. CBD Safe for Patients with Bleeding Complications? As cannabis becoming socially and worldwide acceptable, many cannabinoids draw attention to the health benefits they’re providing. The
Understanding the Risks of CBD Oil
CBD is short for cannabidiol, a chemical which is extracted from the hemp plant and then diluted with a carrier oil like coconut or hemp seed oil. While both CBD and marijuana are derived from the cannabis plant, CBD does not contain enough tetrahydrocannabinol (THC) to produce mind-altering effects. Hemp contains 0.3% or less THC, while marijuana contains higher than 0.3% THC.
CBD interacts with the body’s endocannabinoid system (ECS), which helps regulate the immune system, appetite, sleep, mood, digestion, inflammation, pain, motor control, temperature regulation, reproduction, and memory.
The FDA and CBD oil
Although CBD oil is legal in most states within the U.S. and can be purchased at your local drug/health food stores, smoke shops, and gas stations, only one CBD product has been reviewed by the Food and Drug Administration (FDA) for safety. That drug, Epidiolex, is a purified form of CBD that was approved by the FDA in 2018 for the treatment of certain seizure disorders. During their review of Epidiolex, the FDA did identify an increased risk of liver injury from the product but determined the risk could be managed provided the drug was taken under medical supervision.
Other than Epidiolex, the FDA warns that no CBD products have undergone a strict evaluation process to determine if they are “safe and effective to treat a particular disease, what the proper dosage is, how they could interact with other drugs or foods, or whether they have dangerous side effects or other safety concerns.”
The FDA also warns that testing of some CBD products has revealed the presence of contaminants like pesticides and heavy metals, and that some did not contain the levels of CBD claimed.
It is illegal for companies to promote their CBD products as a cure, treatment, or prevention of any specific disease or condition. Companies that make such claims are sent a warning letter from the FDA.
Why do people use CBD oil?
Although there have yet to be any large-scale human studies on CBD, there is scientific evidence that the oil may relieve pain, reduce anxiety and depression, reduce side-effects of cancer treatment, reduce epileptic seizures, and lower blood pressure, as well as deliver anti-inflammatory and other beneficial effects.
The Mayo Clinic reports that while CBD is usually well-tolerated, it can cause such side effects as dry mouth, diarrhea, reduced appetite, drowsiness and fatigue. Some users have also reported experiencing nausea and irritability.
Potential risks with CBD oil
Harvard Health Publishing says two of the biggest concerns with CBD use are:
- CBD can increase the levels of other medications in the body the same way grapefruit juice does.
- CBD is sold as a supplement and not required to undergo the same stringent testing as FDA-approved medications.
Agreeing with the FDA, Harvard warns the lack of regulation means consumers can’t be certain what is contained in the product and whether the dose is accurately stated.
While some CBD providers submit their products for independent lab testing, other providers do not and have no verifiable way of proving what is contained within their oil. Since the industry is largely unregulated currently, consumers often have little insight into what the products contain unless they are able to access the results.
And because a large segment of the U.S. population takes one or more prescribed and/or over the counter medications while also taking CBD oil, many are at increased risk of a dangerous interaction. A study published in JAMA Internal Medicine found that due to concurrent use of prescription medications and dietary supplements in 2011, “15% of older adults [are] potentially at risk for a major drug-drug interaction.” This estimated risk had increased from 8.4% in 2005.
Drug interactions not only impact the efficacy of a medication, but they can also cause harmful side effects. Many drugs and toxins are broken down in the body by a vital enzyme called CYP3A4, mostly found in the liver, allowing them to be eliminated by the body. Grapefruit has been found to interfere with the metabolization process, allowing the drug to build up in the body, which can be dangerous.
CBD appears to have a similar effect, which is quite concerning, as approximately 60% of medications on the market interact with CYP3A4 enzymes. Check the FDA website for information about which drugs don’t interact well with grapefruit. And always consult your healthcare provider, prior to using CBD, for medical advice specific to your needs.
Risks of CBD when used with other medications
Research indicates that CBD can interact with medications including:
- Blood Thinners: A study published in the journal Epilepsy and Behavior Case Reportsfound a “clinically significant interaction between pharmaceutical grade cannabidiol (Epidiolex®) and warfarin, one of the most widely used oral anticoagulants.” If CBD disrupts the metabolization of a blood thinner like warfarin, the build-up of drug levels in the body could result in dangerous bleeding. It’s important that patients prescribed Epidiolex are carefully monitored by health professionals.
- Epilepsy Drugs: Even though the FDA approved the CBD drug Epidiolex to treat certain forms of epileptic seizures, incorrect doses can result in more aggressive seizures. This drug should only be used under close medical supervision.
- Chemotherapy Drugs: As with most drugs, chemo drugs are manufactured considering the likely rate of metabolization. If CBD slows down that rate, concentrations of the drug can build up in the body which could result in toxicity.
Other research has also linked CBD to interactions with:
- Antidepressants and Anti-anxiety Medications
- Cold or Flu Medications
- Blood Pressure Medications (Beta Blockers)
Always consult a doctor if you’re taking any of the medications above to understand their interaction risks.
The FDA continues to advise the public to be cautious about using CBD until more scientific research supports its efficacy and safety.
Turning Point of Tampa’s goal is to always provide a safe environment and a solid foundation in 12-Step recovery, in tandem with quality individual therapy and groups. We have been offering Licensed Residential Treatment for Addiction, Eating Disorders and Dual Diagnosis in Tampa since 1987. If you need help or know someone who does, please contact our admissions department at 813-882-3003, 800-397-3006 or [email protected]
CBD Safe for Patients with Bleeding Complications?
As cannabis becoming socially and worldwide acceptable, many cannabinoids draw attention to the health benefits they’re providing. The production of industrial hemp is increasing from year to year. This plant of the future, thanks to its wide range of activities bring positive interest around the world.
Previous research shows that CBD oil can be successfully used in the treatment of many diseases. Thanks to the beneficial effect of CBD oil, it is possible to reduce pain, inflammation, as well as other symptoms of various diseases.
Cannabidiol (CBD) is the most important phytocannabinoid or the second most common cannabinoid in various plant-derived drugs. Recently, the interest in the therapeutic potential of CBD is rapidly growing, as it does not cause psychotropic effects or other side effects. It is well-tolerated, even in high doses.
Nonetheless, there are some doubts about CBD treatment for bleeding disorders. You should be aware of the risks and the benefits of using CBD if you have a bleeding complication. This article explains the possible effect and safety of using CBD for this condition.
What Is a Bleeding Complication?
When you get cut, you start to bleed because you got injured. Your body contains blood clotting factors that will stop your bleeding. If the blood does not clot normally, you may have problems with uncontrolled bleeding. In this situation, you are missing a factor of coagulation. This is very important, especially after a surgery or injury. You can inherit it, or develop it during your life. Signs may include:
- Easy bruising;
- Heavy menstrual periods;
- Unusual bleeding.
Bleeding disorders include haemophilia, von Willebrand diseases, coagulation diseases, clotting factor deficiencies, and many others.
CBD for Bleeding Disorders
CBD can not cure bleeding disorders. It may help to alleviate the common symptoms such as pain, inflammation, vomiting, and nausea. In one study , in 2011, CBD helps in treating both nausea and vomiting caused by treatments. Also, the treatment medication can lead to addiction, which is why CBD is a better option. It is not addictive, because it doesn’t contain the psychoactive compound (THC).
However, in regular treatment, you should be aware of the possible risk and side effects. In clinical practice , given current doses of medication may increase the risk of a bleeding complication.
CBD can help in treating the signs and symptoms of these conditions. Various benefits include:
- A pain reliever;
- Relieve the symptoms of internal bleeding;
- Prevent having nausea and vomiting;
- Relieve headaches, etc.
CBD Acts as Blood Thinner
CBD may act as a blood thinner (anticoagulant), which means can help to reduce the formation of blood clots. When you take it together with other anticoagulants such as Coumadin (Warfarin), it may contribute to additional blood thinning. Like all medicines, warfarin has many common serious adverse effects , such as significant bleeding. In this case, CBD is a better alternative, because it has minimal to no side effects.
CBD affects platelets (important for blood coagulation) by suppressing their production. Thus, it can potentially increase the bleeding. So, it appears that CBD may thin the blood and you should use it with caution. Especially, if you are struggling with a bleeding disorder like haemophilia and other coagulation conditions.
Is CBD Safe for People with Bleeding Disorders?
In general, CBD in clinical trials showed significant results for many conditions and proved to be safe. The dosage and route of administration depend on the severity of your current condition. For treating some diseases, using only a single dosage of CBD showed a positive effect.
If you suffer from a bleeding disorder, you should be very careful when taking CBD. CBD may additionally thin your blood, which can lead to serious bleeding and problems. Excessive bleeding can be life-threatening. Because CBD does not have strong anticoagulants effects, it cannot replace the traditional treatments for bleeding disorders. Bellow is a great example to explain more about CBD safety for these disorders.
Treating Hemophilia A with CBD
Hemophilia A is a genetic bleeding disorder where your blood doesn’t clot normally without medication. If you have haemophilia A, you may experience spontaneous bleeding, both external and internal. Because CBD is not an option when talking about curing, you should use it for your signs and symptoms. It is a possible and the best solution because it can alleviate the symptoms. Other painkillers may be dangerous, and that’s why there is a limitation with the treatment for this disorder.
The common side effects from the treatment are pain, nausea, vomiting, headache and fever. CBD may efficiently fill the gap in symptoms management. To relieve the pain, it binds to the pain receptors in the nervous system in the brain.
Possible Side Effects of CBD in Bleeding Conditions
Because traditional medications may cause severe side effects, may also impact the effects. Once you stopped taking them, there is a possibility to start bleeding again.
Like many medicines, CBD may have some possible side effects. Even though they are mild and rare, we should mention they may occur in some people. The most common is excessive bleeding due to the ability to encourage blood flow. Other side effects may include:
- Increased appetite;
- Dry mouth;
- Insomnia, etc.
However, to avoid these symptoms you should consult with your doctor about the right dosage and combination of medications. You should always start with a smaller dosage of CBD and increased it over time if needed.
CBD is a potential solution for managing symptoms of bleeding disorders. Keep in mind that you should use CBD in the right way, dosage and find a good CBD seller for the best quality product. For that purpose, you should consult your doctor, especially if you are suffering from one of the ailments mentioned above. If you live in California, you can contact dispensaries that provide weed delivery in San Francisco to quickly enjoy the warm fragrances of canna tea.
CBD shows very promising results in easing the symptoms due to its anti-inflammatory properties. If you have bleeding disorders or history in your family, see a professional before starting with it. Apart from the usual treatments, using CBD as a natural supplement will have many benefits to your health in general.