Elisabeth Mack RN, MBA - Easy Day Medical Contributor
Elisabeth Mack RN, MBA - Easy Day Medical Contributor
Deciding to take CBD oil is a good move for your health, but what about your job? Unfortunately, prohibition and stigma still exist all around cannabis, including CBD. When people seek new employment, they often have to go through standard drug testing procedures that look for drugs of abuse. Some people have random, spot checks where they are subject to stringent testing anytime. For people who can have absolutely zero risk, I recommend abstaining from CBD oil because of the incredible stress of having a spot check on your livelihood go wrong. Let’s take a deeper look at the process and how to stay safe.
CBD comes from the Cannabis Sativa plant, and plants can be grown and bred for marijuana CBD which has greater than 0.3% THC, or for industrial hemp CBD, which has less than 0.3% THC. Since there are trace amounts of THC in hemp CBD, a high enough dose taken before a drug screen could yield a positive result for THC. Marijuana CBD will test positive for THC. It is sold in cannabis dispensaries and is regulated and tested by the state licensing programs to prove potency, purity, and that is it free from any contaminants.
Industrial hemp CBD is sold online or retail stores and is not regulated. Hemp CBD is self-policed, so testing for potency, purity, and contaminants needs to be done by the vendor who wants to do right by their customers. Every bottle of CBD on the market should be tested, but there are costs associated with testing, and some unscrupulous vendors will market items that have not been tested. People buying hemp CBD want the peace of mind that they can supplement for their health, and not be high. They also want to know that they will not fail a drug test.
Urine drug screens do not look for CBD, it is THC and its metabolites they seek. Most drug testing facilities follow the Substance Abuse and Mental Health Administration (SAMHSA) guidelines, and over 50 ng/ml THC detected will be a fail. These tests can be very sensitive and trigger false positives, which should be confirmed with serum blood testing if a job is threatened. Simple over the counter drugs like Motrin may even trigger a false alarm. Some sensitive people can test positive after heavy exposure in a poorly ventilated room where friends are smoking marijuana.
Risks exist, and people need to take measures to deal with them. Some people who know they will test positive for THC get a prescription from their doctor for Marinol, the synthetic THC that is used for chemotherapy induced nausea and vomiting. Some carry ‘fake urine’ to use instead of their own in case of spot checks. Some check their urine at home before testing to be sure they're clear, but those can be inaccurate. Understandable measures for those who use THC, but with CBD people don’t want to worry.
On the employer side, it is understandable how some adhere to the letter of the law because they have to satisfy federal rules. The 1988 Federal Drugfree Workplace Actmade it illegal to use drugs on the job so that others are not at risk. If your employer has federal contracts to protect, they cannot allow anyone to jeopardize those dollars of revenue. Until federal prohibition ends, and cannabis and the metabolites of THC are no longer a Schedule 1 drug, we are going to have to continue the anxious game of trying to stay clean. There is no test or concessions made for CBD only laws, because there’s no test for CBD without THC.
To put things in perspective, we need to look at the odds you risk when using industrial hemp CBD. According to Leafly, consumers of up to 2000mgs of hemp CBD at 0.3% could consume 6mgs of THC, which could tip the scale in 11-23% of tests. Regular doses of 25mgs per day would only put 0.075mg of THC in the body, which should be undetectable. A small dose of hemp CBD would cut your risk of a positive screen to 400-600 times less than cannabis CBD. If you're willing to take that risk, then hemp CBD may be worth an occasional worry because you could gain a better quality of life which would really maximize your bet.
So what are the options for using CBD and maintaining a clean urine drug screen? To clarify things further let’s re-examine the different kinds of CBD on the market.
Generally, hemp CBD should be safe to consume, have no intoxication, and not cause a positive urine drug screen for THC. As a clinician, I am not a fan of isolate because it takes more milligrams to work effectively, and those higher mgs can trigger side effects and drug interactions. If you’re worried about full spectrum oil, choose broad spectrum. When you think of the wellness benefits of hemp CBD; less anxiety, more focus, less stress, better sleep, less inflammation, and better moods, it makes sense to try and find one that works for you.
In closing, the value of taking CBD is always found in the highest quality medicine with the greatest assurance of purity. All CBD products should be tested, with a 3rd party COA – the certificate of analysis on every bottle of CBD you buy. Simply, if you can’t see their labs, you should not buy their product. This remains a very loose and unregulated market, but there are many vendors like Easy Day Hemp who publish COA’s with every batch as products are released. For those who want the most effective medicine or supplement, with the highest standards of care, insist on finding lab tested true products.
In health, Elisabeth
Easy Day Medical Contributor
Elisabeth Mack, RN, MBA founded Holistic Caring in 2016 as a concierge medical cannabis consultation service with clinical nurses helping educate, guide, and support patients with product choices, dosages, and timing. Integrating cannabis into a treatment plan for complex diseases takes time, knowledge and research that very few practitioners have. She bridges the gap between traditional and cannabis medicine.
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