Post-Tribune

Some CBD products can set off alarms on drug tests

- By Joe Graedon, M.S., and Teresa Graedon, Ph.D. In their column, Joe and Teresa Graedon answer letters from readers. Send questions to them via www. peoplespha­rmacy.com.

Q: In my state, marijuana use is illegal. I started using CBD products to treat nerve pain after a shingles attack.

I’m not sure that it worked all that well, but the CBD helped me get through until a neurologis­t could figure out a treatment program.

The problem is that I tested positive for marijuana even though I was only using CBD. How could that happen?

A: CBD is short for cannabidio­l, a compound found in Cannabis sativa, the Latin name for marijuana. CBD does not make people high like another marijuana compound, tetrahydro­cannabinol (THC).

Despite this, some CBD products may contain enough THC or other cannabinoi­ds to set off alarms on a drug test. It’s impossible to say whether this is due to inherent biological variabilit­y in the source plants or contaminat­ion during processing.

In theory, CBD has nothing to do with THC. But as Yogi Berra has been quoted: “In theory, there is no difference between practice and theory. In practice, there is.”

Q: About a month ago, someone wrote to you that Neosporin cleared up their toenail fungus in short order. I’ve been on prescripti­on ciclopirox for three years without results.

I tried Neosporin ointment for a month and got absolutely no help. You need to fully investigat­e these claims by people. If they don’t work, print a retraction!

A: We understand your frustratio­n, but even the most powerful Food and Drug Administra­tionapprov­ed prescripti­on drugs to treat nail fungus don’t work all the time. And they usually take up to a year for a complete cure.

So-called nail fungus is not always caused by a fungal infection. A study published in the Journal of the American Podiatric Medical Associatio­n (March 1, 2021) revealed that many cases are mixtures of bacteria and fungi, and a minority is caused by fungus alone.

Topical medicines like ciclopirox have a cure rate of less than 12% after almost a year. That’s not very impressive. The reader who got good results with Neosporin used it on the recommenda­tion of a podiatrist who had tested the nails. Those nails were infected with bacteria.

Q. I read your article about a cat sickened by Voltaren gel.

The owner was using this topical NSAID to treat her sore thumbs and wrists. Cats groom themselves by licking their fur. I suspect that

the major factor in its kidney damage was this oral ingestion. Are there other products that cat owners should be careful about?

A: Thank you for reminding us how vulnerable animals can be to some human medication­s. Another compound of concern is the topical hair growth product called minoxidil (Rogaine). A report in the Journal of the American Animal Hospital Associatio­n (September-October 2021) described 87 cases of poisoning in cats and dogs. Cats licked the owners’ skin or pillowcase. Dogs more often found a container rummaging through the trash.

This product can make both dogs and cats quite ill, and 13% of the cats died. People who allow their pets in bed must be especially careful to avoid exposing their pets to topical medication­s. The residue left on a pillow from hair products can be toxic.

 ?? DREAMSTIME ?? CBD does not make people high like another cannabis compound, tetrahydro­cannabinol, or THC.
DREAMSTIME CBD does not make people high like another cannabis compound, tetrahydro­cannabinol, or THC.

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