Chicago Tribune (Sunday)

How can parents prevent kids from ingesting edibles?

- Dr. Kevin Osterhoudt American Academy of Pediatrics Dr. Kevin Osterhoudt serves on the AAP Council on Injury, Violence, and Poison Prevention. He is an attending physician in the Emergency Department and Medical Director of The Poison Control Center at Ch

Q: Marijuana is legal in our state, and I want to be sure my kids don’t take any edibles. What are the best ways to prevent that?

A: Marijuana (cannabis) is now legal for medical and recreation­al use in many U.S. states. That means the availabili­ty of tempting treats that contain tetrahydro­cannabinol (THC), the psychoacti­ve ingredient in marijuana, is on the rise. Unfortunat­ely, so is the accidental THC poisoning risk these products pose to kids who can get hold of them.

Marijuana can be dangerous in all forms for children and adolescent­s, both in the short term and the long term. That’s why it’s important for parents to understand how much THC is in edible products and how THC is absorbed in the body. Parents also need to know how to keep kids safe.

Edible marijuana products often look just like regular sweet treats. Some popular THC-infused products include gummies, chocolate bars, lollipops, brownies and cookies.

Despite their ordinary appearance, just one pot cookie or candy bar can contain several times the recommende­d adult dose of THC. Anyone who eats an entire THC edible — especially a child — can experience overdose effects such as: Intoxicati­on Altered perception Anxiety

Panic

Paranoia Dizziness Weakness Slurred speech

Poor coordinati­on Excessive sleepiness Apnea (not breathing for 10 seconds or longer)

Heart problems

For teens, regular marijuana use can impair memory and concentrat­ion and may interfere with learning. Regular use of marijuana is also linked to psychologi­cal problems and poorer lung health. Even using marijuana one time can alter motor control, coordinati­on and judgment, which can contribute to unintentio­nal deaths and injuries.

Edible THC products take longer than smoked marijuana to have an effect. An edible typically takes effect about 30 to 60 minutes after being eaten and digested.

Someone experiment­ing with THC edibles might not feel the effects as quickly as expected.

They might ingest large amounts to try to get high. This leads to overdosing.

THC food products often closely resemble popular brand name candy and snacks. The packaging may be nearly identical, with the name slightly changed (think KeefKat or Pot Tart).

Some states now require products that contain marijuana to have clear labeling with standardiz­ed serving sizes and THC content. Some states require child-proof packaging.

But a study published in

JAMA Pediatrics looked at unintentio­nal exposures to marijuana in Colorado and found that packaging regulation­s like these aren’t enough to keep kids safe.

Accidental THC poisoning cases in children under age 9 continued to increase after Colorado legalized marijuana use, even with packaging regulation­s. Edible THC products were involved in more than half the cases.

If your child eats a marijuana edible by accident, try to find out what and how much they ate. Look at the edible’s wrapper to see how much THC it contains. Call the free poison control hotline — 1-800-222-1222 — as soon as possible for fast help. If your child’s symptoms seem severe, call 911 or go to an emergency room right away.

Talk to your kids about the potential harm of marijuana (particular­ly edibles) to their developing minds and bodies and help them to make health decisions for themselves.

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