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What You Should Know About Using CBD Before and After Surgery

Writer's picture: Vivek RoachthavilitVivek Roachthavilit

Disclaimer: This blog post is for informational purposes only. It does not constitute medical advice. Always consult with a healthcare professional before trying any new treatment, including CBD.


This blog is brought to you by Mellow Organic


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Should You Stop Using CBD Before and After Surgery?

If you’re one of the many people who use CBD for its potential benefits—such as pain relief, anxiety reduction, or nausea control—you might be wondering if it’s safe to continue using it before or after your surgery. The conversation around CBD and surgery is still evolving, and while it’s known for its therapeutic effects, research is still lacking on how CBD interacts with anesthesia and surgical outcomes. Here’s a closer look at what experts recommend and what you need to know.


Why You Might Need to Stop CBD Before Surgery

CBD, or cannabidiol, is a compound extracted from cannabis. It has become increasingly popular for managing various health issues like chronic pain, anxiety, and nausea. However, when it comes to surgery, many medical professionals recommend pausing its use, primarily due to a lack of solid evidence regarding its effects on surgical outcomes and anesthesia.


The primary concern is how CBD could potentially interact with anesthesia and other medications used during the procedure. While cannabis users may require higher doses of anesthesia, CBD’s specific impact on the surgical process remains under-researched.


What does the Research Say?

While comprehensive studies are still lacking, some recent research points to potential risks associated with cannabis use before surgery. A 2022 study found that individuals who used cannabis prior to their procedure experienced:

 

- Increased postoperative pain

- Higher opioid consumption

- More sleep disturbances

 

Although this research mainly focused on smoking cannabis, it raises important concerns about the effects of CBD and other cannabis products on the surgical process. If CBD interferes with pain management or recovery, it could lead to complications or prolong healing.


The Impact of Smoking Cannabis Before Surgery

If you smoke cannabis, there are additional risks to consider. The American Society of Anesthesiologists advises against smoking cannabis the day of surgery and recommends a waiting period of at least two hours after smoking before undergoing a procedure. Smoking cannabis can:


- Increase heart rate and blood pressure, putting additional strain on your body during surgery.

- Raise the risk of a heart attack or other cardiovascular complications during the procedure.

- Affect lung function, potentially complicating anesthesia administration.

For regular cannabis users, it’s even more important to adhere to these guidelines, as consistent smoking can lead to lasting changes in how your body responds to anesthesia.

 

Interactions Between CBD, Medications, and Anesthesia

Another concern is how CBD might interact with other medications you’re taking, especially those used during surgery. CBD is metabolized in the liver, where it interacts with enzymes that also break down prescription medications. As a result, CBD could affect the metabolism of other drugs, potentially increasing their potency or causing unwanted side effects.

 

For example, early research has suggested a possible interaction between CBD and blood-thinning medications like warfarin. If CBD amplifies the effects of warfarin, it could heighten the risk of excessive bleeding during surgery.

 

How Should You Stop Using CBD Before Surgery?

Given the lack of concrete data on CBD and surgery, many experts recommend stopping its use several days before your procedure. The American College of Surgeons suggests discontinuing all cannabis products at least 72 hours prior to surgery, allowing your body enough time to clear any trace of CBD from your system.

CBD has a half-life of around 27 to 35 hours, meaning that it takes about 4.5 to 7 days to be eliminated from your body. While it’s likely that CBD will no longer be active after this period, it’s better to play it safe by pausing its use in advance.


Should You Continue Using CBD After Surgery?

Once your surgery is complete, you may be hoping that CBD can help alleviate any pain or aid in recovery. While some people report positive effects, the research is still mixed. A 2024 study found no significant difference in surgical outcomes for people taking CBD post-surgery compared to those using a placebo. However, it’s possible that CBD could provide some degree of pain relief for certain individuals.

If you're considering using CBD after surgery, it’s important to be cautious, especially if you're taking other medications or pain relievers. Always consult with your healthcare provider before incorporating CBD into your post-operative care plan.


Frequently Asked Questions About CBD and Surgery

When should I tell my doctor about my CBD use?

 Be sure to disclose all cannabis use, including CBD, to your surgeon and anesthesiologist before your procedure. This information can help them adjust anesthesia and medication as needed for a safe surgical experience.


Can CBD make me feel sedated?

While CBD can induce relaxation, it generally doesn’t cause sedation. However, because we don’t fully understand its effects on surgery, it’s best to avoid using it right before a procedure.


Can CBD help with post-surgery recovery?

The evidence is still inconclusive when it comes to CBD’s effectiveness for acute post-surgery pain. Some individuals find it helpful, but it’s crucial to consult your doctor to determine whether it’s right for you.


Final Thoughts

While CBD offers many potential benefits, it’s important to approach its use with caution before and after surgery. The impact of CBD on surgical outcomes, anesthesia, and recovery remains poorly understood, and experts typically recommend pausing its use several days before surgery. Always consult your healthcare providers about your cannabis use to ensure that your surgery and recovery proceed smoothly.



 
 
 

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