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Tag: Pain

Pain Pill Abuse Higher in Adolescent CBD Oil Users

Adolescent users of cannabidiol (CBD) oil are far more likely to engage in risk-taking behaviors ― such as illegally taking prescription pain medications ― than peers who don’t use CBD, new research indicates.

The study, which included data on 200 youths aged 12 to 23 years, also suggests that 4 in 10 use CBD oil products. Users also reported experiencing increased anxiety over the prior 6 months, but the researchers couldn’t pinpoint whether CBD oil, which is marketed for anxiety relief, might contribute to participants’ anxiety levels.



Nicole Cumbo

“A lot of kids don’t talk to their clinicians about CBD” use, said study author Nicole Cumbo, BS, a third-year medical student at Penn State Milton S. Hershey Medical Center in Hershey, Pennsylvania.

“It’s important to ask kids if they’re using CBD, along with vaping and marijuana use, because it could be causing them more problems than it helps,” Cumbo told Medscape Medical News. “Monitoring for dangerous behaviors in their social history is important. Since we were able to see a correlation between risk-taking behaviors, we should ask kids about risk-taking behaviors as well.”

Touted as a panacea for conditions ranging from insomnia to muscle aches to low mood and more, CBD oil products have become ubiquitous across the United States, Cumbo noted. “Even if you go to a gas station, you see it,” she said. “It’s growing prevalence is apparent, but we weren’t sure what we’d see in our pediatric population.”

Cumbo and colleagues administered questionnaires to adolescents who presented for medical care to a level 1 pediatric trauma center/emergency department affiliated with a children’s hospital in central Pennsylvania. The questionnaire asked about demographics, risk-taking behaviors, and use of CBD oil products. The survey also asked participants about clinical symptoms experienced over the prior 6 months, along with their views on the perceived benefits of using CBD oil.

The average age of the participants was 17.6 years, and 63% were female. Forty percent reported CBD oil use. Compared to nonusers, among those who used CBD oil, there was significantly greater use of prescription medications without a prescription (19% vs 6%; P = .002), as well as greater use of cigarettes (40% vs 8%; P < .0001), chewing tobacco (18% vs 1%; P < .0001), and cigars (30% vs 3%; P < .0001).

No significant differences were found between CBD users and nonusers in symptoms such as chest pain, racing heart, difficulty breathing/cough, dizziness, abdominal discomfort, nausea/vomiting, headache, tremors, sleep disturbances, or dehydration over the prior 6 months.

However, those who used CBD were more likely to report experiencing an increase in anxiety over the prior 6 months (66% vs 47%; P = .009).

Regarding their perceived beliefs about CBD oil, 69% said it is “safer than other drugs,” 33% said it’s “just for fun,” and 48% said it can “help treat my medical illness.” Participants reported that myths about CBD oil include the notions that it’s a gateway drug and that it’s addictive.

“I think there’s a disconnect in

‘Extreme Pain, but Also Extreme Joy’

Unlike Brown, Almodovar did not have the unmedicated birth she had hoped for. She labored for 17 hours at Perez’s birthing center, but the baby wasn’t progressing. Eventually, she decided to go to the hospital.

Panicked, she and her husband raced to the entrance and accidentally left their hospital bag in the car.

But once she was there, she said, “I felt really safe.”

After getting an epidural, “I felt calm and I felt at peace,” Almodovar said. “I was not worried about Covid at all, I just didn’t even think about it.”

She pushed for eight hours, but the baby, while not in distress, was not descending. The nurses told Almodovar that she could either keep pushing or choose to have a cesarean section. Eventually, Almodovar opted for the surgery and delivered a healthy girl.

Now, three months later, her scar is a little sore, but she’s otherwise feeling well. She said she doesn’t have any regrets about having gone to the hospital, and has found some solace in having retained control over her birth plan.

Another mother, Jes Anderson, had also tried to do an unmedicated birth, but was similarly transferred to the hospital after her labor didn’t progress. Her midwife, Drucker, had hospital admission privileges and continued to assist Anderson, who received an epidural and pushed for six more hours before delivering her first child, a boy.

“I never wanted to go to the hospital, but I’m grateful it was there,” said Anderson, who labored for a total of 31 hours.

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