Experts usually recommend not using CBD as well as other cannabis products right away prior to and after surgery. This advice is typically made due to a lack of research into the potential risks of surgery.
CBD is a chemical found in cannabis. (CBD) It is a potent chemical that is found in cannabis and is often used to treat:
- Pain
- nausea and vomiting
- Stress and anxiety
The study of the advantages and potential risks of CBD is in the initial stages. The only type of CBD that is FDA recognized is Epidiolex, which is used for treating seizures resulting from various rare epilepsy disorders.
Researchers are still studying the ways in which CBD and other cannabis-related products affect the outcomes of surgery. Certain research indicates that those who smoke cannabis might require more anesthesia than people who do not smoke cannabis prior to surgery. But, very little research has been conducted to study the effect of CBD on anesthesia.
Can the usage of CBD and cannabis be discontinued before surgery?
The majority of medical professionals recommend against the consumption of marijuana products within the days or hours before surgery due to the unknown influence on the outcomes of surgery as well as unidentified interactions with other drugs or anesthesia.
There isn’t much research specifically examining the ways in which CBD can affect surgical procedures. Researchers of a 2022 study conducted by Trusted Source discovered that those who took cannabis prior to their surgery experienced the following symptoms greater than those who didn’t:
- more severe scores of postoperative pain
- Greater use of opioids
- more sleep disturbances
Other cannabis products’ effects on surgical procedures
The majority of research currently investigating the effects of cannabis-related products on surgery has been focused on the use of cannabis for surgery; however, this subject is also unstudied.
It is recommended that the American Society of Anesthesiologists (ASA) recommends avoiding smoking cannabis days prior to surgery. They also suggest that surgeons wait for at least two hours after the patient has had their last cannabis use before beginning elective surgery. The recommendation is based on research that shows:
- Smoking cannabis can increase the heart’s rate as well as blood pressure for up to two hours. It may also increase the chance of having a surgery-related cardiac attack.
- Smoking on the same day outside of the two-hour period could carry the same risk but in a lesser degree than smoking in the space of two hours.
- Smoking before surgery could cause negative effects, particularly for those who smoke often.
The American Society of Regional Anesthesia and Pain Medication suggests that anesthesiologists test everyone for cannabis use prior to surgery.
CBD, medicine, and anesthesia interactions
Researchers are still studying the possibility that CBD is able to interact with different medicines and whether these interactions can influence the operation. CBD is mostly broken down in the liver by enzymes CYP3A4 and CYP2C19. CBD may interact with other drugs that affect the functioning of these enzymes.
Very early, low-quality research conducted by a Trusted Source suggests a possible interaction with CBD or THC and the blood thinner warfarin. Warfarin’s effects are increased. could place you at a greater risk of bleeding that is severe bleeding.
How can one determine when to cease using CBD before surgery?
There is no consensus regarding the need not to take CBD prior to surgery, and when you must quit taking CBD. To ensure your safety, many experts suggest stopping CBD several days before surgery.
The American College of Surgeons suggests stopping the use of cannabis for 72 hours prior to surgery.
The AASA suggests avoiding abruptly stopping CBD-containing drugs like Epidiolex prior to surgery if it is being employed to manage seizures.
Its half-life of CBD is approximately between 27 and 35 hours, which means that half of the drug is removed from your body during this time frame. The drug is typically removed from your body after 5 to 4 half-lives, according to Trusted Source. For CB, D, it would correspond roughly to 4.5 or 7.3 days.
The levels of CBD in your blood over this point would be very low and unlikely to cause problems with surgery.
How do you avoid CBD following the procedure?
It’s not clear if it’s best to stay clear of CBD after surgery, and how long it will take you to be away from it. If in doubt, it is always recommended to consult your surgeon regarding their suggestions.
Research has been mixed on the possibility that CBD could be a suitable pain reliever for those suffering from surgery.
In a brief 2024 study, titled Trusted source released in the Orthopaedic Journal of Sport Medicine, scientists observed that CBD consumed for 14 days following surgery did not have any effect on the outcomes of surgery compared to the placebo until one year after. Researchers concluded that CBD may be an effective alternative to reduce discomfort.
A task force called “Trusted Source,” established by the International Association for the Study of Pain, discovered that the current research doesn’t support the use of cannabis as pain pain-relieving agent. There is evidence that suggests it may be more effective in managing chronic pain than acute pain that results from surgery.
In 2023, in a report that was published by The Journal of Pain, researchers concluded that there’s no solid reason to believe CBD alleviates pain in a significant way; however, there a valid reasons to doubt its effectiveness and the efficacy of products sold in the market.
Common inquiries about CBD, Anesthesia, surgery, and CBD
Here are some commonly asked questions regarding CBD.
What should you tell the doctor you are seeing about CBD usage?
Before you undergo your procedure, it’s best to tell your anesthesiologist if you’ve had any cannabis-related products. Being aware that you’ve had a cannabis-related drink could influence the anesthesia decision of your doctor.
Does CBD cause you to feel sluggish?
CBD frequently triggers feelings of calm. While it can assist in calming you but it’s not a great idea to apply it prior to surgery unless you’ve carried out that examination, its safety prior to surgery.
Do you need to take CBD prior to the colonoscopy?
It is recommended to consult your physician prior to beginning to take CBD prior to undergoing a colonoscopy, so that they can assist you in determining if it’s safe to do so.
Is CBD beneficial following surgery?
A few people report that CBD can help them manage discomfort following surgery. It is still not clear that CBD can be a reliable pain-relieving medication following surgery.
Takeout
A small amount of research has been conducted to determine the dangers of CBD prior to and following surgery. It is recommended to inform your surgeon ahead of time whether you’re using any cannabis-related products, so that they can aid you in determining whether you’re doing it in a safe manner.
In theory, CBD may interact with medications, such as warfarin, which could cause surgical complications. Certain doctors are also concerned about the possibility that CBD products may be mislabeled or even contaminated.