Individuals scheduled for surgery should always disclose their CBD or cannabis use to the surgeon & anesthesiologist who would handle the procedure. Learn more. Dr. Jhonny Salomon takes us through the risks involved in vaping CBD to ensure his patients have safe and secure surgery.
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.
How does CBD affect your Cosmetic Procedure?
While some countries are opting for lenient ways for the recreational use of marijuana, consuming CBD before or after your cosmetic surgery can result in slowing down your healing time and deteriorate your surgical outcome. As a double board-certified surgeon in Plastic and Reconstructive Surgery, Dr. Jhonny Salomon takes us through the risks involved in vaping CBD to ensure his patients have safe and secure surgery.
What is CBD?
Cannabidiol (CBD) is the main extract of the marijuana plant, the second being tetrahydrocannabinol (THC, the psychoactive component of marijuana). Though it has gained popularity in recent times, this hemp plant derivative had records of therapeutic use that dates back to 2737 BC. CBD can cure problems like epilepsy, insomnia, and mental health disorders. As a physician, Dr. Salomon weighs the popularity vs research on health products, to eliminate the possible risks and follow a safe surgical procedure.
CBD photo from The Health Mania
Consuming CBD before Surgery
Consumed mostly in self-management of pain and anxiety, many patients consult if they can vape CBD before their surgical procedures or during it. CBD products should not be ingested by patients for a few days before and after surgery because of the anticoagulant effect that can put a patient’s life at risk with excess bleeding during and after surgery. Excess bleeding may then extend the surgery procedure to an unanticipated one to correct abundant bleeding, asymmetry, and tissue death post-surgery.
Dr. Salomon suggests patients drop taking herbal supplements, vitamin or nicotine to ensure that the patient does not face problems with anesthesia. Consuming CBD may also result in potent reactions with the enzymes in the liver that prevents the medication’s job. As the perfect dosing for CBD is undefined, proper precautions must be taken for a safe surgical procedure.
Be it cigarettes or weed, smoking any kind of drug before surgery can lead to respiratory distress, pneumonia risks and interference with anesthesia, leading to airway emergencies post-surgery. Marijuana also leads to poor scarring of your surgical sites. The best choice for consuming CBD is through edibles. Edibles can eliminate respiratory problems and lead the healing process smoothly. However, one is suggested not to ingest it past the allowed time before surgery.
Marijuana effects during Surgery
The usage of Marijuana during the surgical procedure can cause dramatic effects. While some patients tend to consume CBD in an attempt to relax, this idea can cause serious problems. Consuming CBD relaxes the blood vessels through a process called Vasodilation. Relaxing the body’s blood vessels can cause a failure in blood pressure and an increased heart rate. Additionally, the presence of carbon monoxide in Cannabis slows down the moment of oxygen flow in the body thereby, diminishing the healing process. Consuming CBD after surgery increases the time that’s taken to remove a patient from the ventilator.
Safest ways to consume CBD after surgery
The medical industry and CBD policy have a long way to go before any patient gets a weed prescription during his pre or post-surgical procedure. For those who are looking for weed to treat pain, it is recommended that you consider healthier ways of getting high. Choosing something like vaping can hamper the healing process. The healthier alternative for vaping can be edibles, oils, or tinctures.
Edibles come in various varieties and strengths. Concerning the pain you’re feeling, Dr. Salomon can recommend you the variations of strength that’s offered in a versatile palate.
Edibles can sometimes be pretty strong and the effects can be unpredictable. Instead of edibles, consumers can ingest tinctures in the form of food and drinks.
As Dr. Salomon suggests, it is always important to consult your surgeon before consuming Cannabis prior to and after surgery. This will help them to make necessary adjustments that will suit your body conditions. Dr. Jhonny Salomon is a renowned plastic surgeon in Florida who has taken a step towards safer surgical procedures.