SAFETY

SAFETY OF CANNABINOID MEDICINE

Overall, cannabis & cannabinoid medicine is very safe to use.  Not all cannabis and cannabis products are the same, and risks depend on the medication and the individual patient. 

IS IT SAFE TO START WITHOUT PHYSICIAN GUIDANCE?

Cannabinoid medicine is very safe to start on your own.  In general, for most patients, it is safe to start with CBD products during the day, and typically starting with 1-2 doses per day.  It is recommended to minimize THC exposure until evening to lower risk of medication.  If using THC product, do not drive or use machinery until 4 hours after inhalation, 6 hours after oral ingestion, or 8 hours after euphoric effects.  Follow the links below to see risks and recommendations to increase safety and minimize risk to patient. 

WHO SHOULD AVOID CANNABINOID MEDICINE?

  • Sensitivity to cannabinoid medicine - Excessive vomiting (Cannabis Hyperemesis Syndrome)

  • Age less than 18 without referral

  • Personal history of psychosis or family history of drug induced psychosis

  • Unstable heart (Arrythmias, uncontrolled hypotension / hypertension) or lung disease (asthma and / or COPD)

  • Cannabis Use Disorder

  • Pregnant / Breastfeeding - Current / Planning

WHO SHOULD BE CAUTIOUS CANNABINOID MEDICINE?

  • Substance Use Disorder / Cannabis Use Disorder

  • Severe Liver Disease: Digoxin / Warfarin Interactions

  • Severe Renal Disease

  • Age 18 - 25 with hx of psychosis or unstable schizophrenia / bipolar

WHAT IS THE DIFFERENCE BETWEEN THC & CBD?