CBD

Cannabidiol Cbd Oil You Can Trust

CBD has proven to be an exciting addition to health products with stores and pharmacies actively stocking and recommending it in various forms from oil to capsules and even chocolate.

CBD or cannabidiol is the newest and biggest player to emerge in the search for an alternative remedy to various health issues. And, as far as the research on it is concerned, it may be the most promising yet.

Here at Syosset Pharmacy, we are advocates for trying out alternatives to known health remedies as long as they comply with the industry safety and efficacy standards. However, we know that most people have misconceptions and reservations about its use. This is why we take on the responsibility of offering our very CBD Education and giving as much information as possible to our patients and to anyone who is thinking of trying this out. A wide range of Pharmacist-Recommended CBD products is also available at our pharmacy.

Take part in the discussion! Join our Pharmacy CBD Discussion Group here. You may also request for more information by filling out our form here.

What is CBD Used For?

CBD is one of more than 100 compounds found in the cannabis plant. These compounds are known as cannabinoids and they interact with cell receptors to make up the endocannabinoid system. This is a recently discovered system of a network of cannabis receptors that play an integral part in many psychological functions like sleep, pain, and mood. Researchers think that its main purpose is to help keep our bodies in homeostasis.

Value

Although the CBD oil itself can be manufactured synthetically, it is most easily and often harvested from industrial hemp. A member of the cannabis family, industrial hemp contains high amounts of CBD and lower amounts of THC. In the U.S., there are two primary categories of hemp-extracted CBD oil products available: crystalline isolate and full spectrum (whole plant CBD).

MY CBD JOURNAL

Whether you are new to CBD or a long time user, MY CBD JOURNAL was created by a pharmacist to help his patients get the most out of using CBD.

Opioid-Exit Strategy Using CBD - Patient Guide

• Adding cannabinoids, such as CBD, reduces opioid use by at least 60%, a decrease in side effects, an overall improved quality of life.

• 80% of patients feel cannabinoids relieve their pain better than opioids.

• A survey of 2,897 revealed that 97% of opioid users reported that they

“strongly agreed/agreed” that cannabinoids reduced their opioid use.

WHAT IS CBD?


CBD is short for cannabidiol and it is one of more than 100 compounds found in the cannabis  plant. These compounds are known as cannabinoids and they interact with cell receptors to make up the endocannabinoid system. This is a recently discovered system of a network of cannabis receptors that play an integral part in many psychological functions like sleep, pain, and mood. Researchers think that its main purpose is to help keep our bodies in homeostasis. Another widely known cannabinoid is tetrahydrocannabinol (THC). This is the compound  responsible for the majority of psychological effects.


But unlike THC, CBD does not induce intoxication or get you “high.”  CBD has proven to be an exciting addition to health products with stores and pharmacies actively stocking and recommending it in various forms from oil to capsules and even chocolate.  Although the CBD oil itself can be manufactured synthetically, it is most easily and often harvested from industrial hemp. A member of the cannabis family, industrial hemp contains high amounts of CBD and lower amounts of THC. In the U.S., there are two primary categories of hemp-extracted CBD oil products available: crystalline isolate and full spectrum (whole plant CBD). 


Determining what CBD product and dosage will work for you can get confusing very quickly. This is why it is essential to have a conversation with your pharmacist to find out what product will be the right one for you. 

DO I NEED A PRESCRIPTION FOR CBD?


The simplest answer is “no”. You can walk into any pharmacy that carries CBD and purchase it  without a prescription so long as the product you are buying has less than 0.3% THC in it. This was made possible with the passing of the 2018 Farm Bill Act. 


The more complicated answer is, “it depends.” I say that because there is a higher strength,  purer version of CBD called Epidiolex that has been approved for certain types of seizures. This  product made by Greenwich Biosciences is prescription only and only available thru certain specialty pharmacies. 

WILL CBD MAKE ME FEEL “HIGH”?


This is a very common question with a lot of people worried that CBD will interfere with their daily activities and the ability to function effectively. It’s a fact that CBD will not make you feel “high” (or stoned, faded or any other term you care to use) like THC does. CBD is 100% non-psychoactive meaning it does not negatively affect your mind or mental processes. It’s a bit confusing because although CBD and THC come from the cannabis plant, they are both structurally different and interacts with the cannabinoid receptor differently. 


You will find certain products available for sale with THC but this shouldn’t cause an alarm. Such products contain only trace amounts of THC (less than 0.3%) and not enough to make you feel high. This combination of high CBD content and extremely low levels of THC is also what makes the products derived from hemp plants non-psychoactive.

WHAT’S THE DIFFERENCE BETWEEN HEMP AND MARIJUANA?


We can’t talk about CBD without talking about the difference between hemp and marijuana. Both are strains of the same plant with differences in their concentration of CBD, growth pattern, effects on the body, legality, and uses. 


The concentration of CBD: Hemp has a higher CBD content than marijuana. It (hemp) has a  long history of being used for both industrial and medicinal purposes.


  • Growth pattern: It is unusual for hemp plants to produce flowers all thanks to several years of  constant crossbreeding to weed out any undesired psychoactive effect common with cannabis. While in the field, hemp tends to grow faster, taller, and hardier than cannabis plants and may require a controlled growing conditions before producing the desired results.
  • Effects on the body: Hemp plants contain no more than 0.3% of THC and thus, does not elicit psychoactive effects. They are safe for consumption and do not show up in drug tests. The marijuana plant has an approximate THC concentration of 30%.
  • Legality: Due to the high concentration of THC in the marijuana plant, their use is illegal in several parts of the world. Hemp was recently removed from the list of illegal substances listed under the Controlled substance act of 1970 and Agricultural Improvement Act of 2018 thus legalizing all hemp products with not more than 0.3% THC as safe for public usage. 

WILL I FAIL A DRUG TEST?


No. According to Quest Diagnostics Director of Science and Technology, Barry Sample, CBD likely won’t show up on a drug test: “If the product contains only CBD and has had the THC removed, then an individual being tested would not be expected to test positive for marijuana or marijuana metabolite.” In other words, marijuana drug tests screen for THC, not CBD. 


Furthermore, if you are using a full spectrum CBD product that contains 0.3% THC or lower, unless you are using a huge amount at one time it most likely won’t show up on a drug test  either. According to the Substance Abuse and Mental Health Services Administration (SAMHSA),  the recommended cutoff level of THC is 50 ng/mL to pass a drug test. Most hemp oil or CBD products are usually sold with much lower levels of THC (compared to marijuana), so most CBD consumers won’t have trouble passing a drug test. 


If you want to make certain that you don’t have a chance that THC shows up in a drug test talk  to a pharmacist who can recommend a product that is THC-free. Check that by requesting a COA (certificate of analysis) from the company to make certain that the product for a fact has no THC. 

WILL CBD INTERACT WITH MY OTHER MEDICATIONS?


This is one of the most important questions to ask your pharmacist. If you are a new customer to the pharmacy be sure to bring a list of all your current medications to have the pharmacist review before using any CBD product. CBD does affect enzymes in the liver that processes certain types of medications. For example, if you are taking a medication where maintaining a certain blood level is critical – such as anti-seizure, anti-viral, or blood thinning medications – talk to your pharmacist for further guidance. 


At low doses of CBD, less than 150mg total per day, it is unlikely that significant drug-herb interactions will occur. Furthermore, there are no absolute contraindications to the use of CBD,  rather monitoring is required if you are on certain prescription drugs alongside CBD. 

WHAT IS THE RIGHT DOSAGE FOR ME?


Dosage is everything and it’s one of the biggest problems the industry has faced since its inception. At the time of compiling this write-up, the FDA is yet to release an official statement concerning the Recommended Daily Intake (RDI) of CBD products. I tell my patients to start “low and slow” with a steady increase every day in dosage until you achieve the effect you want. Everybody is different and the range is wide but research suggests a starter dose of 1-6mg of CBD for every 10 pounds of body weight. For instance, an individual weighing 100 lb is expected to start with around 10mg of CBD per day. Start with a low dose for about three evenings and see how your body responds before you increase. 


Furthermore, the key when it comes to CBD is that taking more doesn’t always equal better. The perfect CBD dosage for you will ultimately be determined by a careful consideration of your body mass index, medical conditions (if any) and severity of disease if it is being used as a treatment option. 

DOES CBD CAUSE ANY SIDE EFFECTS?


Although many people have great success with CBD and experience no side effects, there are some people that are more sensitive to CBD than others. Some of the more common adverse side effects are: drowsiness or dizziness, headaches, and stomach upset. 


  • Tiredness: A natural sleep remedy, CBD oil may incite feelings of drowsiness. Feelings of tiredness could last for two to six hours, depending on the method of consumption.
  • Dizziness: CBD oil may cause a minor drop in blood pressure, resulting in an initial feeling of dizziness or lightheadedness.
  • Diarrhea: Diarrhea has been reported as a side effect accompanying high levels of CBD oil. This could be due to either the CBD or the carrier oil that is used. To avoid diarrhea, users are advised to try a different brand, lower their dosage, or choose a different method of taking it.
  • Headache: This is one of the more common side effects I see when people first try CBD. If you experience headaches when you use CBD, I recommend stopping the use for a day or lowering the dosage by half and see if the headache returns. Remember, when using CBD for the first time you should start “low and slow.”

HOW DO YOU TAKE IT?


There is an ever-expanding variety of CBD products being introduced to the marketplace every day. This variety means that you not only have a wide range of products to choose from but also a choice as to how to take them. Different products can be taken in a variety of ways, including topical application, oral ingestion, sublingual (under the tongue), and inhalation. 


The ideal method for taking CBD will be determined by your personal preferences and health goals. Again, a conversation with your pharmacist and what your health goals are can help you decide on the best way for you to use CBD. 

DOES PRICE MATTER WHEN BUYING CBD?


When it comes to CBD oil, cheaper is most certainly not always better. The production of quality CBD oil is capital intensive with the costs being reflected in high quality CBD products available for purchase. Certain extraction processes like CO2 is extremely delicate requiring the use of complex equipment and technical knowledge to achieve CBD oil that is free from toxic residue like butane, propane and ethanol. 


Our Rasasvada Botanics brand here at the pharmacy is processed only using CO2 extraction. To ensure they are potent, pure and safe they are also third-party tested, which always increases the cost of the final product. Talk to your pharmacist for a recommendation to make sure you are buying a quality product that fits your budget. 


Here are additional reasons why higher-quality CBD oil from companies like Rasavada Botanics cost more: 


  • Organically grown 
  • Higher concentrations of CBD 
  • Grown in the United States 
  • Company is following rules/laws 
  • Made from high-quality, full-spectrum extract, so other beneficial compounds are present 

HOW DO I CHOOSE A CBD PRODUCT?


As discussed above before opting to buy any CBD product make sure it has been tested by a third party lab for the “three P’s” (potency, purity, and pesticides). These factors are what determines the quality and safety of CBD products. This information should be readily available on the product label or website. Rasasvada Botanics has a QR code on it’s labels that link to a Certificate of Analysis Lookup Tool on their website. If you are having difficulty finding this information you can always call or email customer support. 


  • Potency: This deals with the final concentration of CBD in the product. The concentration of the CBD product tends to determine the level of activity displayed by the CBD products. Make sure the CBD you choose to purchase contains as much CBD as will be required for your dosage. The higher the CBD concentration of a product, the lower its dosage.
  • Purity: The purity of CBD products can come in the form of broad spectrum, pure isolate, and full-spectrum CBD products. While full spectrum CBD products contain terpenes, essential oils, CBD, and THC mixed in varying proportions, broad-spectrum CBD contains CBD, terpenes, essential oils but not THC. CBD products labeled as Pure CBD isolates contain 100% CBD products.
  • Pesticides and other contaminants: CBD may contain contaminants like pesticides which can be toxic to the body. It is highly recommended that you avoid taking CBD products extracted with toxic solvents like hexane, propane, and BHO. Only utilize CBD products extracted with CO2 as this is the cleanest form of CBD products. 

WHERE SHOULD I BUY CBD?


It is highly recommended that you purchase CBD products from a health center or pharmacy. You should not buy it from a convenience store, gas station, or any number of retail outlets where you cannot get an expert’s opinion on brand quality, dosage, drug interactions, or how to manage side effects. Remember that only a doctor or pharmacist has the knowledge to properly counsel and help you decide what course of CBD therapy is right for you.

CONCLUSION

The research on CBD is ever expanding and studies are suggesting that it has tremendous health benefits as a natural alternative to the health and well- being of humans. And although the World Health Organization (WHO) has stated that, “naturally occurring CBD is safe and well tolerated in humans…”, those looking to use CBD should still talk to a pharmacist when choosing a product that is right for them.