10 Nov Dr. Jon Cartu Reports – Health care industry braces for fallout from increased marijuana …
“We still lack a lot of research on the use of (marijuana)” and the active ingredient THC (tetrahydrocannabinol) and CBD (cannabidiol),” said Mohammed Arsiwala, M.D., president of the medical society. “The use of (marijuana) CBD (oils and in edibles) has come into a lot of favor with individuals with chronic pain. We have significant concerns with adolescents and pregnant women because of other risk factors.”
Arsiwala said doctors believe there needs to be more discussion on the health effects of marijuana and the differences between hemp-based CBD oils and edibles and marijuana-based CBD products that contain high or uncertain levels of THC.
“We should be talking and researching the long-term health effects. We haven’t done that yet,” he said.
Joel Kahn, M.D., a cardiologist in Bingham Farms at the Kahn Center for Cardiac Longevity, said there is widespread confusion about the effects of hemp CBD products and marijuana CBD products.
Hemp-based CBD oils and similar products hit the market in Michigan about the same time the state approved recreational use in 2018. The U.S. government approved hemp use in December as part of the federal farm bill. Hemp-based CBD oil products can be purchased at most grocery stores, pharmacies and some gas stations, Kahn said.
“Further study is needed (on marijuana-based products). There can be an increase in heart rate from using CBD products containing THC,” Kahn said. “Users should be concerned about the quality of the products they are using, but shouldn’t be concerned if it is hemp.”
Both hemp and marijuana are derived from the cannabis sativa plant. Hemp is the female plant and has no THC, or just trace amounts. Marijuana is the male plant that has seeds and flowers and can contain as much as a 30 percent concentration of THC. Another difference is hemp is legal under federal law and marijuana is still illegal.
Kahn said people shouldn’t confuse buying hemp CBD products at health food stores and buying CBD products at a regulated marijuana store or online.
“I am unconcerned about hemp oil and effects on the heart,” Kahn said. “It can be used for pain, sleep, stress and anxiety.”
But purchasing CBD oil in a medical marijuana clinic can pose risks for a variety of people with medical conditions, doctors said.
“If you walk into a medical marijuana clinic and buy (marijuana-based) CBD oil, you can also buy a range of THC mixture, low, medium or high, based on your recreational desire,” Kahn said.
Kahn said he doesn’t recommend people with heart conditions use marijuana in any form.
“Someone with a fragile cardiac status I would caution them to avoid (marijuana) because of the THC,” Kahn said. “Maybe try hemp-based products for sleep, anxiety, and buy lowest THC concentration.”