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A6   U.S. NEWS
                   Wednesday 3 april 2019
            CBD is getting buzz, but does it work? And is it legal?




            By CARLA K. JOHNSON and                                                                                             North   Carolina.   Though
            CANDICE CHOI                                                                                                        cosmetics aren’t subject to
            Associated Press                                                                                                    premarket approval by the
            With  CBD  showing  up  ev-                                                                                         FDA,  they  could  run  afoul
            erywhere,  U.S.  regulators                                                                                         of regulations if they make
            announced  Tuesday  they                                                                                            specific health claims.
            are  exploring  ways  the                                                                                           Marijuana  itself  is  illegal
            marijuana  extract  could                                                                                           under  federal  law;  most
            be used legally in foods, di-                                                                                       states  that  have  legalized
            etary supplements and cos-                                                                                          it  allow  marijuana-infused
            metics.  The  U.S.  Food  and                                                                                       foods  and  candies,  called
            Drug  Administration  said  it                                                                                      edibles.
            will  hold  a  public  hearing                                                                                      ARE  CBD  LABELS  ACCU-
            May 31 to gather more in-                                                                                           RATE?
            formation  on  the  science,                                                                                        What  you  buy  may  con-
            manufacturing and sale of                                                                                           tain  much  less  CBD  than
            cannabis compounds such                                                                                             the label states — or much
            as CBD. In the meantime, it                                                                                         more. It may include more
            issued more warning letters                                                                                         THC  than  you  want  and  it
            to  companies  for  making                                                                                          may be contaminated with
            unapproved  health  claims                                                                                          mold  or  pesticides.  Ask  to
            about CBD products.                                                                                                 see testing reports.
            Products  containing  CBD                                                                                           A 2017 study in the Journal
            are  already  in  stores  and                                                                                       of  the  American  Medical
            sold  online,  so  it’s  easy                                                                                       Association  found  70%  of
            to  believe  there  must  be                                                                                        CBD  products  were  misla-
            something  special  about     In this Friday, Jan. 4, 2018 file photo, a worker adds CBD oil to a drink at a coffee shop in Fort   beled.  Researchers  used
            the  ingredient.  But  the   Lauderdale, Fla.                                                                       an independent lab to test
            claims  are  largely  unprov-                                                                      Associated Press   84  products  from  31  com-
            en and quality control stan-  sleep  and  keeps  you  fo-  pany  has  revised  some  of  how  that  would  be  man-  panies.
            dards don’t exist.           cused.                       wording  on  its  website  to  aged  without  oversight.  “You’re really flying by the
            WHAT IS CBD?                 Most  claims  are  based  on  try  to  address  the  FDA’s  And  there  are  questions  seat  of  your  pants  when
            CBD is one of more than 100  studies  in  rats,  mice  or  in  concerns.               about  overlap  if  multiple  you buy this stuff,” said au-
            compounds found in mari-     test tubes. Some human re-   PotNetwork  Holdings  Inc.  CBD products are used.        thor  Marcel  Bonn-Miller  of
            juana.  It’s  extracted  using  search has been done, but  of Fort Lauderdale, Florida,  IS IT LEGAL?               University of Pennsylvania.
            alcohol  or  carbon  dioxide  in small numbers of people.  did not immediately return  For  now,  the  agency  has  A product labeled as con-
            in  factories.  It’s  added  to  One  exception:  For  two  calls  and  emails  seeking  said CBD is not allowed as  taining  100  milligrams  of
            oils, mixed into creams and  rare  seizure  disorders,  the  comment  on  the  warning  an ingredient in food, drinks  CBD  may  only  have  5  mil-
            lotions and sold in candies  evidence  for  CBD  was  letters.                         or dietary supplements.      ligrams or it may have 200,
            and liquid drops.            strong enough to convince  Only drugs that have been  In  stating  its  position,  the  said  Bonn-Miller,  now  an
            Widely  sold  online,  CBD  the  FDA  to  approve  GW  reviewed  by  the  FDA  as  FDA  cited  a  provision  of  adviser for a company that
            now  is  going  mainstream  Pharmaceutical’s       drug  safe  and  effective  can  the  law  prohibiting  food  sells  CBD  and  other  can-
            with major retailers offering  Epidiolex, which contains a  make  claims  that  they  makers  from  using  active  nabis products. He did not
            salves  and  balms  for  the  purified form.              treat or prevent diseases or  drug  ingredients  or  those  work  in  the  industry  when
            skin. Prices range from $12  The  FDA  announced  Tues-   medical  conditions.  Many  still  undergoing  substantial  he did the research.
            to $150 an ounce at high-    day  it  has  sent  warning  CBD  producers  attempt  research.  But  the  agency  “I wouldn’t trust any of it un-
            end shops.                   letters  to  three  companies  to sidestep the issue by us-  doesn’t have the resources  til  I  knew  independently  it
            CBD  often  comes  from  a  marketing  products  with  ing  only  vague  language  to police all the CBD prod-      was safe,” Bonn-Miller said.
            cannabis  plant  known  as  what  outgoing  Commis-       about  general  health  and  ucts that are already avail-  WHAT’S AHEAD?
            hemp,  which  is  defined  sioner Scott Gottlieb called  well-being.                   able,  said  Marc  Scheine-  CBD  research  is  planned
            by the U.S. government as  “egregious,     over-the-line  ANY SIDE EFFECTS?            son, a former FDA official.  or  underway  for  cancer,
            having less than 0.3% THC.  claims”  for  CBD’s  effects  Scant  research  means  not  “They’re  not  going  to  pull  autism,  diabetic  neuropa-
            That’s  important  because  on    cancer,    Alzheimer’s  much  is  known  about  side  a  thousand  products  from  thy,  fibromyalgia,  chronic
            THC is what causes marijua-  disease,  fibromyalgia  and  effects either. In epilepsy re-  the market,” he said.    pain,  alcoholism  with  PTSD
            na’s mind-altering effect.   drug addiction. Among the  search,  CBD  changed  the  The  FDA’s  authority  is  over  and psychiatric conditions.
            CBD  doesn’t  get  people  cited examples: “CBD suc-      way  the  body  processed  interstate  commerce,  and  Results  will  take  years,  but
            high,  although  it  may  be  cessfully  stopped  cancer  other  drugs.  That  suggests  local  officials  have  taken  some  people  aren’t  wait-
            calming.  Keep  in  mind  cells” in cervical cancer.      CBD  could  interact  with  differing  approaches.  In  ing.
            some  CBD  products  may  Gottlieb  said  the  agency  medications in ways we still  New York, Los Angeles and  “They  are  vulnerable  and
            contain  THC,  whether  or  “won’t tolerate this kind of  don’t know about.            elsewhere,   officials   are  really  hoping  to  feel  bet-
            not the label says so.       deceptive  marketing  to  The  most  common  side  warning  eateries  to  stop  ter,”  said  Karen  Hande,
            People  drug  tested  for  vulnerable patients.”          effects  of  the  CBD  drug  selling it in food and drinks.  a  nurse  practitioner  at
            work,  addiction  programs  Dr. Young Lee, CEO of Ad-     Epidiolex  include  sleepi-  Maine passed a law allow-    Vanderbilt-Ingram  Cancer
            or because they take pre-    vanced Spine and Pain LLC  ness,  decreased  appetite,  ing  it  in  foods  and  other  Center in Nashville.
            scription   opioids   should  (doing  business  as  Relie-  diarrhea,  increases  in  liver  products in the state.  She  became  an  expert  in
            take  note:  CBD  products  vus), said his company had  enzymes,  exhaustion,  rash  Skin  creams  and  cosmet-     CBD  because  so  many  of
            have caused people to fail  taken down its website af-    and  infections.  FDA’s  Got-  ics  may  be  on  safer  foot-  her  cancer  patients  were
            urine drug screens.          ter receiving an FDA warn-   tlieb  noted  Tuesday  the  ing  with  the  FDA,  but  that  trying it. She tells them the
            IS IT A MIRACLE CURE?        ing letter.                  potential for liver injury and  too remains uncertain, said  evidence  isn’t  enough  to
            If  you  believe  the  hype,  C.J.  Montgomery  of  Nutra  other risks can be handled  Camille  Gourdet  of  RTI  In-  back the claims, but “they
            CBD  treats  pain,  relieves  Pure  LLC  of  Vancouver,  with  medical  supervision  ternational,  a  nonprofit  re-  want to believe something
            anxiety and both helps you  Washington, said the com-     but  less  is  known  about  search  institute  in  Durham,  is going to work.”q
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