Advice beads for CBD

Addressing patient concerns about cannabidiol may be key to patient satisfaction.

The popularity of cannabidiol (CBD) is on the rise, but many patients still have questions and concerns: is it legal? Will I fail a drug test? What is the right product for my specific situation? Read on for 10 pearls of advice pharmacists can provide to give patients peace of mind wading through CBD waters.

1. Discuss the factors that can lead to a positive doping test.

Failing a drug test can have far-reaching consequences. Discuss with patients whether the product is full-spectrum, broad isolate, or isolate, and the levels of THC, if any, contained in the product. Frequency of use can also impact drug test results, so be sure to review how the product should be dosed.1

2. Ask about substance use and lifestyle when discussing dosage.

Using ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) can enhance CBD activity.2 Methamphetamines and other ADHD drugs of similar pharmacological quality may require a larger dose because methamphetamine impairs the receptors used for CBD.

3. Stay educated.

Keep up to date with the latest CBD research or consider taking a continuing education course.3 Many companies that manufacture CBD products have a variety of educational blogs, videos, and other materials to educate pharmacists and pharmacy staff.

4. Create an environment where patients feel comfortable disclosing CBD use.

Fostering an open environment increases the likelihood of obtaining a complete and accurate patient medication history and reduces the likelihood of negative health outcomes due to the interaction of CBD with other medications or lifestyle factors .4

5. Discuss expectations.

Patients who have exceptional results are often the biggest supporters of CBD, but not all patients will experience the exceptional. Although CBD can be used to treat a variety of conditions, the effectiveness of CBD is not the same for all.5

6. Determine what condition the patient will use CBD to treat.

Not all forms of CBD will help effectively in all conditions. Creams and lotions work better for dermatological issues, while a tincture may work better for mental health needs.6

7. Encourage a “start low and go slow” approach to dosing.

Patients will probably want to maximize the effect at first, but more CBD doesn’t always equate to better results. Discuss the concept of optimal dosage and explain that a dose beyond the optimal range for a person will actually result in reduced effectiveness.2

8. Learn about your state’s CBD laws.

Patients may wonder if their use of CBD could lead to legal issues.

9. Know which products (if any) contain delta 8.

Delta 8 is a THC-containing substance found in hemp, colloquially referred to as “weed light.”seven Because it is derived from hemp, delta 8 products exist in a legal gray area. Some states, such as Illinois, Kentucky, North Dakota, Oregon, and Vermont, have laws specifically addressing the legality of products with delta 8.

10. Serve as a source of knowledge for parents looking to use CBD for their children.

The use of CBD in children is not as common as in adults.8 Some parents may want to turn to CBD to address issues such as hyperactivity, anxiety, or sleep issues. But because research on the pediatric use of CBD remains limited, pharmacists can be a valuable source of accurate information about CBD and its pediatric uses.


  1. Does CBD show up in a drug test? [Yes, it can] Reference. Ananda Professional. Published February 4, 2022. Accessed August 18, 2022.
  2. How much CBD to take [10 step dosage guide]. Reference. Ananda Professional. Published February 4, 2022. Accessed August 18, 2022.
  3. Faast L. Selling CBD in pharmacies. Press articles. Published September 22, 2021. Accessed August 18, 2022.
  4. Bemben NM. CBD Oil and Medical Marijuana: Pharmacists need to know the strengths. Reference. Wolters Kluwer. Published May 19, 2019. Accessed August 18, 2022.
  5. Cesrine L, Peachman RR. 6 tips for safe use of CBD. Press article. consumer reports. Published September 7, 2018. Accessed August 18, 2022.
  6. Grinspoon P. Cannabidiol (CBD): 2what we know and what we don’t know. Press articles. Harvard Health. Published September 24, 2021. Accessed August 18, 2022.
  7. Is CBD oil legal in 2022? [+ Delta-8 THC]. Reference. Ananda Professional. Published February 4, 2022. Accessed August 22, 2022.
  8. Hester M. Review of the use of CBD in pediatrics. Press article. Contemporary Pediatrics. Published March 11, 2022. Accessed August 18, 2022.

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