Taking CBD to help manage post-operative pain is safe to do, just be sure to check any contraindications with other medicines you are already taking post… Individuals scheduled for surgery should always disclose their CBD or cannabis use to the surgeon & anesthesiologist who would handle the procedure. Learn more. Thinking of using CBD to manage anxiety prior to surgery? Get the facts on what the research suggests.
What You Need to Know about Taking CBD and Surgery
Cannabidiol (CBD) is widely taken mainly for its anti-anxiety and anti-inflammatory properties. In fact, many people even take it as a daily supplement in order to prevent disease.
But can you take it if you have upcoming surgery? The answer isn’t a clear yes or no, so let’s take a deep dive into the specifics so you’re armed with knowledge to make an informed decision. There’s much more to surgery than we think we know, so read on.
Talk To Your Doctor First
The most important first step you must do if you have upcoming surgery is to disclose to your doctor, surgeon, and anesthesiologist that you are taking CBD. Hopefully, you’re working with medical professionals that are already educated about CBD, and regardless of what they tell you, it’s best that you should follow their advice.
Disclosing your cannabis and CBD usage before surgery to a doctor is extremely important because it will have an impact on the overall surgery as well as their recovery plan for you.
You should also keep in mind that for safety, a great deal of supplements and medications, CBD and Vitamin D included, should be discontinued at least 48 hours prior to surgery. The presence of CBD in the blood can cause it to thin, which is why medical professionals always tell patients to discontinue it before surgery. This is even more important if you are already taking blood-thinning medication.
The reason behind this is that blood thinners can cause bleeding time and would healing to be prolonged during and after surgery. Additionally, though while we know CBD and cannabis are safe on their own, there can be contraindications when combined with other kinds of medications including anesthesia.
It’s understandable that you may want to medicate with CBD to help manage the anxiety before a surgery. So while it is safe to take it beforehand, it’s always best to discontinue CBD and all other medications at least 2 days, or even longer if you can. You can assume that CBD will be safe to use until you are told to discontinue other normal food, beverages, and medications by your surgeon.
Increased Anesthesia and Opioid Levels
Studies show that cannabis consumers required more anesthesia and opioids compared to nonusers, during surgery.
One study in particular found that using cannabis prior to surgery caused pain levels to increase. “There is some evidence that cannabis may be beneficial for chronic and nerve pain. However, early research suggests that this is not the case for acute pain such as for surgery of a broken leg,” explains lead author Dr. Ian Holmen. The study found that subjects who used cannabis before they went into surgery reported higher pain levels and needed more opioids as well as anesthesia.
“This study shows that it is important for patients to tell their physician anesthesiologist if they have used cannabis products prior to surgery to ensure they receive the best anesthesia and pain control possible, including the use of non-opioid alternatives,” says Holmen.
Though the results aren’t necessarily fatal, disclosure of your use is still important. “We want to know if there might be a need for more anesthesia,” Holmen says. “The last thing we want to do is to be under-dosing if someone is going to have an increased requirement. The more information we have, the more we can react and monitor to keep a patient safe during a procedure.”
Remember that your anesthesiologist is legally obliged to give you the best possible care for your surgery. If they recommend that you stop consuming cannabis or CBD beforehand, this is only for your safety and well-being. They will absolutely not allow surgery if you are intoxicated, including high from cannabis; in some occasions they may even have to postpone
Post Operation: Benefits of CBD
Once you come out of surgery, it’s normal to experience pain in the areas that were worked on during the surgery. That’s why at the end of a surgical procedure, doctors will provide you with some kind of prescription medication to help speed up recovery and mitigate pain CBD contains powerful anti-inflammatory properties, which is why it’s the go-to medication for many who need to manage pain, post-surgery included.
Taking CBD to help manage post-operative pain is safe to do, just be sure to check any contraindications with other medicines you are already taking post op. CBD taken in a variety of ways can help manage secondary symptoms of post-surgery pain including headaches, arthritis, muscle pains, and more. It also does a terrific job at relieving muscle and joint pain while improving sleep, which is necessary to helping you recover well after surgery.
Speaking of sleep, getting some shut-eye can be especially difficult after surgery when you have bandages, stitches, wounds, and casts. And in order to get that deep, restful, healing sleep that you need, CBD does the job.
CBD is a known antibiotic, which means that it can help enhance the healing process by getting rid of any microorganisms that may enter the body during recovery. Your immunity is much lower than usual after surgery, and this is another aspect where CBD can help post op.
How to Consume CBD
The most effective ways to consume CBD are through tinctures, oils, and edibles. These forms are known to be more potent and deliver fast-acting, long-lasting pain relief. CBD is safe and there is no chance that you can take too much for it to be risky, however, if it’s your first time consuming CBD, always start with a low dose.
As always, it’s important to consult your doctor if you want to include CBD in post-operative care. Though it is considered a neutral supplement, CBD can still interact with other kinds of medications.
CBD Oil Before Surgery – August 2022
Is CBD Oil Safe and Beneficial to Take Before Surgery?
Individuals scheduled for surgery should always disclose their CBD or cannabis use to the surgeon and anesthesiologist who would handle the procedure.
Also, patients should ask the presiding surgical doctor if they should be ingesting any cannabinoid at all, and take that advice seriously.
CBD for Anxiety
Some people may be interested in using CBD to manage anxiety before surgery. This interest is understandable since the compound has been shown to possess anti-anxiety characteristics that might benefit those who are anxious about an upcoming operation.
A study published in the Journal of Psychopharmacology found that CBD decreases anxiety levels in individuals with a social anxiety disorder (SAD) with results indicating that, relative to placebo, CBD was associated with significantly decreased subjective anxiety (1 ) .
In the said study, the brain scans showed that CBD regulates chemical uptake and blood flow in the brain.
CBD can help people with anxiety disorders by impacting the CB1 cannabinoid receptors in the brain and modifying the signaling process of serotonin (the “feel-good” chemical) receptors.
However, note that taking CBD too close to a surgery schedule could pose risks, especially since many doctors still do not quite understand the full effects of CBD oil.
CBD vs Anticoagulants
Individuals on any anticoagulant (blood thinner) medication should altogether avoid taking CBD or any cannabis-related product long before going to surgery.
Blood coagulation studies show that CBD showed mild anticoagulating effects (2 ) . Research indicates that CBD can potentially exacerbate bleeding after surgery and slow down wound healing, especially for those who suffer from any clotting disorder.
Whenever one takes CBD or any medicine, it passes through the digestive system to the liver, where an enzymatic pathway, called the cytochrome P450 (CYP450) family of enzymes, metabolizes or breaks down the substance ingested.
Liver enzymes CYP450 process about 60% of all medications, including blood thinners, like warfarin. When used with blood thinners, CBD may decrease how quickly the liver breaks down some medications.
In theory, taking CBD, along with some pharmaceuticals that are broken down by the liver, may increase the concentration and side effects of the drug (3 ) .
A 2017 study showed that CBD is broken down further via the same liver pathways as most prescription anticoagulants (4 ) .
This metabolism is dose-dependent but can affect the potency of the drug. Therefore, those who are taking prescription blood thinners should always consult with their doctor before starting a CBD regimen.
Patients should insist on regular blood checks, as CBD and cannabis can decrease the degradation of the drugs (such as warfarin) in their body, and doses should be adjusted accordingly.
Taking CBD in conjunction with anticoagulants can cause serious complications that may put an individual’s health or life at risk.
CBD vs Anesthetic Risk
Anesthetic risk has many variables and is often related to one’s unique medical issues and specific surgery.
Individuals who use cannabis products do so in many ways, forms and amounts. Thus, CBD’s effect on the body is difficult to predict when combined with a wide variety of anesthetic agents and techniques.
Currently, there is not enough evidence to say that cannabis alone increases one’s anesthetic risk when stopped at an appropriate time.
Still, it is recommended that one abstains from cannabis use as long as possible before surgery.
Below is the minimum time a patient would be expected to stop before receiving an anesthetic, as suggested by the Royal Victoria Regional Health Centre of Canada (5 ) .
|Cannabidiol (CBD)||Cannabis (Marijuana)|
|Oral Dosing/Ingested: Stop 4 hours before surgery||Ingested: Stop 12 hours before surgery|
|Smoked/Vaporized: Stop 12 hours before surgery|
The attending anesthesiologist has a legal obligation to provide patients with the safest care possible during surgery.
However, there may be rare occasions when surgery is delayed, postponed, or canceled at the doctor’s discretion.
Still, under no circumstances shall anyone intoxicated (affected by any drug or alcohol) can receive an anesthetic for non-emergency surgery.
With CBD’s numerous purported therapeutic characteristics, there are several ways that it may benefit individuals in the days before surgery.
However, most experts would suggest avoiding CBD in the hours before a surgical procedure, the same time a doctor recommends avoiding other medications, beverages, and foods.
Thus, those who use CBD regularly or took any CBD in the days before surgery must inform their doctor and their anesthesiologist first.
On the other hand, those who are looking to try CBD for the first time must only do so after consulting with a doctor experienced in cannabis use.
CBD Oil Before Surgery: Is it safe? 5 minute breakdown (2022)
Is taking CBD oil before surgery a good idea? In this article, we outline what many surgery patients who use CBD want to know.
Even though the World Health Organization seems to support the widely accepted, positive safety status of cannabidiol, users of CBD products should still practice caution when using new wellness supplements, especially alongside other medications or treatments.
Because of the way that CBD interacts with some medications, it’s crucial that users take the time to look into how CBD products can affect other aspects of your wellness routine or required medical treatments. One of the most important considerations is the use of CBD oil before surgery.
If you’re wondering “Should I stop taking CBD oil before surgery?” you’re in the right place. Let’s take a look at what the research says, as well as some expert opinions, on how CBD may affect your pre-surgical routine.
CAN I TAKE CBD OIL BEFORE SURGERY?
Various studies have verified that CBD is safe, and CBD’s safety profile is generally well-rounded. Still, researchers are aware that cannabidiol interacts with multiple medications, which may complicate things when surgical anesthesia or other necessary medications become part of the picture.
So, can you take CBD before surgery?
Here’s what we know:
Many sources suggest that you shouldn’t take much of anything, including water, before surgery to prevent serious complications, like aspiration, increased risk of infection, increased heart rate, or sudden nausea and vomiting.
When you go in for a surgical procedure, you’ll often fill out a form or be verbally assessed regarding your use of opioids or other medications. That’s because certain medications can affect the anesthesia, in some cases making it totally ineffective.
Alternatively, frequent use of some medications may not render the anesthesia completely useless, but your anesthesiologist should know so that he or she can adjust your dose based on your tolerance.
Many sources suggest that CBD falls into line with these ideas. Dr. Perry Solomon, MD, suggests that CBD oil is safe to take in the days prior to scheduled surgery under certain conditions.
For instance, research shows that CBD may also have anti-coagulant effects, meaning it may do the same job as traditional blood thinners. According to Dr. Solomon, CBD may be okay to take before surgery as long as you aren’t taking other medications that may interact with CBD, like blood thinners.
However, Dr. Solomon also says that you should “observe the instructions by whoever calls you from the hospital regarding what time to stop eating and drinking fluids,” making sure you don’t take CBD after that time either.
In short, CBD may be safe to use up until you should discontinue other medications, food, and beverages. This is true for edible CBD items, like CBD Gummies, and other types of CBD products, like oils, capsules, or vaporizers.
Just like with opioid medications, you should inform your doctor and your anesthesiologist about your CBD use.
According to Dr. David Hepner, MD, MPH, this communication is crucial. He states in a Harvard Health publication that traditional cannabis use can alter the amount of anesthesia mediations needed during surgery by more than 300%.
Even though CBD alone may not cause the same resistance to anesthesia as THC, you still want your anesthesiologist to be prepared to increase your dose if needed. That means you should keep track of exactly how much CBD oil you take and when you take it so that you can give accurate information to the doctor.
Many people are interested in using CBD to manage anxiety prior to the surgery, but most research suggests that taking CBD too close to your surgery could pose risks, especially since many doctors don’t quite understand the full effects of CBD oil yet.
Of course, using CBD after surgery may be a different story, and may actually pose an even greater range of benefits than as a pre-operative supplement.
BENEFITS OF CBD OIL FOR POST-OPERATIVE RECOVERY
So what about taking CBD oil after surgery? After most surgical procedures, your doctor will send you home with some sort of prescription to help aid the recovery process and manage pain in the days after your surgery.
According to Dr. Solomon, CBD may help the recovery process as well. He suggests that a 1:1 CBD:THC tincture may even be an appropriate replacement for opioids to manage post-recovery pain.
CBD also has benefits when used on its own, and according to Dr. Solomon, “as an anti-inflammatory, it may even help with your wound healing.”
Research about the cannabinoid is limited. However, there is some evidence that suggests cannabidiol has many effects that may make it useful for managing post-operative discomfort and aiding recovery.
Like our expert suggested, cannabidiol has been linked to powerful anti-inflammatory effects, which is why many people use it for managing conditions like arthritis. CBD may help inhibit the inflammatory response by binding with certain neuroreceptors to prevent signals of inflammation from reaching the brain.
Research shows that it works in nearly the same way to help prevent pain signals from reaching the brain, too, which means CBD could be useful for managing pain after your surgery.
Different types of cannabidiol applications may help with these symptoms, and CBD topicals may be an effective option for managing postoperative recovery due to the way CBD interacts with the Endocannabinoid System in the skin.
The side effects of surgery vary depending on unique biological characteristics, medications you take, or the type of surgery you had. However, nausea, vomiting, and loss of appetite are common after many surgical procedures, especially in those who suffer from one of many chronic health conditions. Studies show that CBD is an effective treatment for regulating nausea and vomiting.
Fatigue, another common surgery side effect, may be managed with CBD oil, too. Studies show that cannabidiol has wake-promoting effects, and many people take CBD alongside their coffee to help boost their focus during the day.
Experts also suggest that in larger doses, cannabidiol may even work as a sort of sleep aid. Studies show that CBD may be useful for managing insomnia, especially if sleeplessness is caused by anxiety, inflammation, or pain. Alternatively, other cannabinoids (like CBN) have been linked to sleep benefits that may be useful.
Consult your Doctor about using CBD before surgery and/or after surgery. While your doctor may prescribe medication for any of your post-operative symptoms, many people turn to cannabidiol instead because of its low potential risks.
When compared to most prescription medications, especially narcotics like opioid medications, the side effects of CBD are considerably mild and rare.
For most people, CBD provides the right amount of post-operative relief from anxiety, inflammation, pain, and more, without the same adverse side effects of many prescription options.
TALK TO YOUR DOCTOR ABOUT USING CBD OIL BEFORE OR AFTER SURGERY
As you can see, there are several ways that cannabidiol may benefit you in the days before or after your surgery, but most experts would suggest avoiding CBD in the hours before a surgical procedure, the same time your doctor recommends avoiding other medications, beverages, and foods.
If you use CBD regularly, or took any CBD in the days prior to your surgery, be sure to inform your doctor and your anesthesiologist.
If you want to reap the many benefits of CBD after your surgery, there are multiple different ways to consume CBD that may work for you. Just be sure that you always talk about plans to change your wellness routine with your doctor, especially if you are going to use CBD products in place of any prescription medications.
If you’re interested in taking CBD before or after surgery, make sure you check out our article Common CBD Oil Side Effects and How to Avoid Them.
For premium CBD that fits seamlessly into your wellness routine, be sure to check out our in-house brand, Vida Optima.
Have you used CBD before or after surgery? Let us know how you used it and how it worked for you in the comments!