Cbd oil vs medical marijuana
Unlike medical cannabis, residents in states with legalized recreational marijuana do not need to prove they suffer from a qualifying medical condition — or any medical condition at all! But more on that in a minute…. The short answer comes down to what the product is used for and the laws of the state in which the plant is used. In Florida, Senate Bill 8A defines marijuana as:.
Cannabis Oil vs. Hemp Oil
This episode features Bonnie Briggs, director of Medi-Span product management for Wolters Kluwer Clinical Drug Information, discussing how morphine equivalent dosing standards and new decision support technology can help professionals screen, spot, and prevent opioid overutilization. Listen to podcast. Watch webinar.
Helping your smart decisions become brilliant: Our solution is built on the decades of experience of our three trusted application lines:. For healthcare professionals recently, it seems like nearly every patient, customer at the pharmacy counter, and friend of your mother's has questions about the same thing.
CBD oils are increasing in popularity and availability. The increasing legalization of medical and recreational marijuana and the growing availability of these products are drawing interest from patients who are looking for new avenues of pain management and relief from a variety of other ailments. These trending products contain cannabidiol, or CBD. In December , the Farm Bill removed hemp from the Controlled Substances Act, which effectively legalized CBD by legalizing on federal basis cannabis plants and derivatives containing 0.
However, the Food and Drug Administration FDA retains its authority to regulate cannabis or cannabis-derived products, even if products are classified as hemp. The FDA has scheduled a public hearing on cannabis and cannabis-derived products for May 31, Consumers should be advised to use caution when purchasing and using over-the-counter CBD products which have not been evaluated by the FDA. These products may contain contaminants, or more or less CBD than indicated on the label, which could be particularly dangerous for children.
In addition, THC was detected in 18 of 84 products, which could not only lead to adverse effects, but could also lead to legal consequences depending on the quantity of THC, as products containing more than 0.
Pharmacists are challenged to practice in a time of rapidly changing state and local laws surrounding cannabinoids, which in many cases differ from federal law. You need to know where you stand in your particular region of practice. The following states have legalized medical and recreational marijuana :. The following states have legalized medical marijuana :. The following states have laws specifically addressing cannabidiol CBD :.
While state CBD laws vary, in general they make it legal for prescribers to recommend CBD oils for certain conditions such as epilepsy, cancer, and multiple sclerosis. Individual state laws may limit the allowable THC content in CBD oil, permit clinical research, and they may or may not make provisions for legal sale or purchase of CBD.
Pharmacists are increasingly fielding questions from patients and other healthcare practitioners regarding cannabis and CBD products. Unfortunately, pharmacists receive little to no guidance regarding CBD and cannabinoids during their education and training. Pharmacists should look to their state laws surrounding cannabinoids and pharmacy practice for guidance regarding the legal status of cannabinoids in their practice setting.
For more information about the scientific and medical status of cannabinoids, pharmacists should seek out continuing education programs.
They can be found in several sources, including Rx Consultant and The University of Connecticut School of Pharmacy, which recently released a free program.
Of course, clinical trials and studies published in peer-reviewed journals will provide the most trustworthy and scientific information. While many websites with information about cannabinoids exist, practitioners should evaluate them cautiously. Information provided on these sites may not be scientific in nature and are frequently sourced by advocacy groups, which either support or oppose increased access to cannabinoids — more often backing them.
To help ensure medication safety, it is always best for healthcare providers, especially pharmacists, to be aware of all the medications, supplements, and herbs a patient is taking. In states where medical marijuana is legal, patients may or may not obtain marijuana from a dispensary.
In other states, the method to obtain medical marijuana is not specified. In still other cases, some states such as Minnesota may require a pharmacist to be involved in the dispensing process , although dispensing does not occur in a pharmacy. Unless they are already aware their patients are using an FDA-approved cannabinoid product, or obtaining topical CBD oils sold over-the-counter by a pharmacy, pharmacists should take steps to elicit a complete medication history from patients, including use of cannabinoids.
Because cannabinoids can interact with other medications a patient may be taking, it is important for pharmacists to ask about cannabinoid use, either medicinal or recreational, in a non-judgmental manner. It is essential for pharmacists to establish a trusting relationship with patients to provide accurate advice about safe treatment.
In addition to a non-judgmental, complete medication history, pharmacists and clinicians should to take into account the potential comparative efficacy, medication safety issues, and precautions with these treatments, as with any others.
Medical marijuana and CBD oils have multiple proposed indications, although not all have been well studied. Products that have been FDA-approved have the strongest evidence supporting them, as they have been found to be safe and effective in clinical trials. The FDA has approved cannabinoid-derived products either synthetic or cannabidiol for the following indications:.
The Cochrane Database of Systematic Reviews contains reviews of cannabinoids for the following indications:. While the majority of the systematic reviews found insufficient evidence supporting the use of cannabinoids for these indications, evidence suggesting a benefit was found for:. A systematic review published in the Journal of the American Medical Association evaluated cannabinoids for the following indications:.
It included 79 trials evaluating 6, patients and found moderate-quality evidence supporting the use of cannabinoids for chronic pain and spasticity. Common adverse reactions to cannabinoids include:. Serious adverse effects associated cannabinoid products, particularly those containing high concentrations of THC, include:. Cannabinoids are metabolized by the cytochrome P enzyme system, and thus can participate in many drug-drug interactions.
Thus, depending on the type of cannabinoid a patient is using, drug-drug interactions may occur if the patient is taking another drug that inhibits or induces one of the metabolizing enzymes for that cannabinoid, or has additive pharmacodynamic effects. In addition, smoking marijuana appears to induce CYP1A2. While it is unclear whether this enzyme induction is due to cannabinoids or smoking itself, drug-drug interactions may occur if a patient is also taking a drug metabolized by CYP1A2.
Limited evidence suggests cannabinoids likely do not have a clinically significant inhibitory effect on CYP enzymes. Some evidence does suggest cannabinoids may reduce opioid requirements for analgesia, although it is not conclusive. A systematic review evaluating the effect of cannabinoids to reduce opioid requirements for analgesia found some lower quality studies suggesting a reduction in opioid requirements during co-administration with cannabinoids, but higher quality studies failed to confirm an opioid-sparing effect.
It is possible that cannabinoids improve analgesia and reduce opioid requirements, but it may also be possible that patients decrease their use of opioids in combination with cannabinoids due to adverse effects.
Another study conducted in Australia did not find an opioid-sparing effect of cannabinoids, instead finding that patients who used cannabis in combination with opioids for analgesia experienced greater pain severity, greater interference of pain with daily activities, and higher levels of anxiety. A study of Medicare Part D claims found patients in states that allowed medical cannabis filled significantly fewer doses of opioids compared to states without legal medical cannabis.
This effect was strongest in states that provided medical cannabis through dispensaries, where opioid prescribing decreased In states where medical cannabis was accessible only through home cultivation, opioid prescribing decreased less, by 6.
Studies of opioid overdose deaths have found decreased rates of overdose death after legalization of cannabis in Colorado and throughout the United States. In another study of the United States from , states allowing access to medical cannabis had a Pharmacists need to stay current on health and safety issues and indications regarding medical marijuana and CBD oil in order to help answer the increasing number of patient and colleague questions and facilitate non-judgmental discussions around safe cannabinoid use.
Nina M. Targeted cancer therapies, also called precision medicine or personalized medicine, involve tailoring therapy to the specific genetic variants present in a tumor. We Are Nurses. COVID is bringing out the best in us. When you became a nurse, you As news about COVID changes every day and the world awaits the distant promise of a vaccine, healthcare workers are now focused on the daily realities of tre All rights reserved.
What's Trending? Morphine Equivalents: Safety in Standardizing Numbers This episode features Bonnie Briggs, director of Medi-Span product management for Wolters Kluwer Clinical Drug Information, discussing how morphine equivalent dosing standards and new decision support technology can help professionals screen, spot, and prevent opioid overutilization.
Webinars Register for an upcoming session or view previously recorded sessions. Company About Us Careers Partners. Tuesday, May 21, CBD oil. Currently, there are four FDA approved cannabinoids: Epidiolex is a branded formulation of purified cannabidiol that is indicated for the treatment of seizures associated with Lennox-Gastaut syndrome or Dravet syndrome in patients aged at least 2 years Marinol and Syndros are both branded formulations of dronabinol, a synthetic cannabinoid, and are approved for use in anorexia and weight loss due to AIDS and for chemotherapy-induced nausea and vomiting Cesamet is branded formulation of nabilone, a synthetic cannabinoid similar to THC, and is approved for refractory chemotherapy-induced nausea and vomiting Consumers should be advised to use caution when purchasing and using over-the-counter CBD products which have not been evaluated by the FDA.
Medical Marijuana and CBD — Location Matters Pharmacists are challenged to practice in a time of rapidly changing state and local laws surrounding cannabinoids, which in many cases differ from federal law.
The Role of the Pharmacist Pharmacists are increasingly fielding questions from patients and other healthcare practitioners regarding cannabis and CBD products. Indications and ADRs It is essential for pharmacists to establish a trusting relationship with patients to provide accurate advice about safe treatment. Common adverse reactions to cannabinoids include: Dizziness Dry mouth Fatigue Somnolence Euphoria Vomiting Disorientation Drowsiness Confusion Loss of balance Hallucination Serious adverse effects associated cannabinoid products, particularly those containing high concentrations of THC, include: Cannabinoid hyperemesis syndrome severe, cyclical nausea and vomiting Paranoia Psychosis Cannabinoids are metabolized by the cytochrome P enzyme system, and thus can participate in many drug-drug interactions.
Cannabinoids and Opioids Some evidence does suggest cannabinoids may reduce opioid requirements for analgesia, although it is not conclusive. You may also like: Blog Post. Blog Post. Follow Us. Subscribe to Our Emails Interested in receiving our monthly newsletter and special promotions?
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Both come from a cannabis plant and both have therapeutic effects. However, CBD oil and medical marijuana are strikingly different. Psychoactive effects. The. CBD doesn't cause that high. Instead, it's thought to work with other elements in the body linked to feelings of well-being. Medical.
With so much misinformation on the internet about CBD oil, one of the most common questions we get from consumers is asking what the difference is between CBD from marijuana vs CBD oil from hemp. To the untrained eye, there may not appear to be any difference between CBD from marijuana vs CBD oil from hemp, but there are actually quite a few notable distinctions between the two. At Medical Marijuana, Inc.
Tetrahydrocannabinol THC and cannabidiol CBD are the two primary cannabinoids that occur naturally in the Cannabis sativa plant, most commonly known as cannabis. Both of these substances interact with the cannabinoid receptors found in the human body and brain, but they differed dramatically in their effects.
Compared to whole plant CBD -rich cannabis, industrial hemp grown for fiber or seed is typically low in cannabinoid content. If you live in a state where medical marijuana is legal and available, look for CBD products made from cannabis. Cannabis has been an ally of humankind since before the written word, providing fiber for cordage and cloth, seeds for nutrition, and roots, leaves and flowers for ritual and healing.
What Is the Difference Between THC and CBD?
This episode features Bonnie Briggs, director of Medi-Span product management for Wolters Kluwer Clinical Drug Information, discussing how morphine equivalent dosing standards and new decision support technology can help professionals screen, spot, and prevent opioid overutilization. Listen to podcast. Watch webinar. Helping your smart decisions become brilliant: Our solution is built on the decades of experience of our three trusted application lines:. For healthcare professionals recently, it seems like nearly every patient, customer at the pharmacy counter, and friend of your mother's has questions about the same thing. CBD oils are increasing in popularity and availability.
A comparison of CBD and THC
As the legal use of marijuana and other cannabis products grows, consumers are becoming more curious about their options. CBD can be extracted from hemp or from marijuana. Hemp plants are cannabis plants that contain less than 0. CBD is sold in the form of gels, gummies, oils, supplements, extracts, and more. THC is the main psychoactive compound in marijuana that gives the high sensation. It can be consumed by smoking marijuana. Read on to learn more about these compounds. A slight difference in how the atoms are arranged accounts for the differing effects on your body. This allows them to interact with your cannabinoid receptors. The interaction affects the release of neurotransmitters in your brain.
Once cannabis became recognized and even recommended as a medical remedy for certain ailments, it opened up the world of weed to a whole new group of people. As a result, people who may benefit from the possible therapeutic effects of cannabis-derived products are suddenly trying to learn the lingo.
Cannabidiol, or CBD, and deltatetrahydrocannabinol, or THC, are two of many different cannabinoids present in marijuana. When in the body, CBD and THC interact with cannabinoid receptors to help treat or limit the effects of various conditions. There are hundreds of cannabinoid receptors throughout the human body that cause specific physiological effects. Potential uses of these cannabinoids include treating the following:.
CBD vs. THC: What’s the Difference?
We've updated our Privacy Policy to make it clearer how we use your personal data. We use cookies to provide you with a better experience, read our Cookie Policy. Article Sep 02, by Nicole Gleichmann. Over the last couple of years, CBD has hit the mainstream. You hear about from your health-savvy friends, the nightly news, and in magazine ads. This is in stark contrast to marijuana-based products. Unless you reside in a state where recreational or medical marijuana is legal, you are still unable to buy, sell, or possess anything derived from marijuana legally. Even if you live in a state with legal cannabis, you still must go to a licensed dispensary to access it. Why are hemp and marijuana treated in such different ways? With such an obvious distinction between marijuana and hemp, many people mistakenly assume that they are separate species.
CBD Oil and Medical Marijuana: Pharmacists Need to Know the High Points
Share your location to get the most relevant content and products around you. Leafly keeps personal information safe, secure, and anonymous. By accessing this site, you accept the Terms of Use and Privacy Policy. We use cookies to enable essential features of our site and to help personalize your experience. Learn more about our use of cookies in our Cookie Policy and Privacy Policy. You can unsubscribe from Leafly email messages anytime. Cannabis consumers have long prized potency a high THC content as one of the main factors that makes a particular strain more desirable. Though traditional demand for THC has caused an oversaturation of high-potency products, many consumers are starting to prefer less intense products that are lower in THC and higher in the non-intoxicating compound called CBD cannabidiol. It also addresses one of the most common reasons people choose to use CBD—pain management. By binding to cannabinoid receptors, it will keep THC from activating those receptors.
