Meeting Notes from 2/10/20


Our speaker was a Nationally Certified Pharmacy Technician who is passionate about CBD Oil and discussed compound topicals as well. Justin was joined by two others and the owner of Medcap Pharmacy in Raleigh, NC (the only PCAB accredited in Raleigh).

-CBD is a cannabidiol, non psycho active and does not get you high. It is best derived from hemp. THC is psycho active.

-We don’t know much about how CBD works. But cell receptors in your body respond to “nourishing” CBD oil, so a variety of oils are used as transferring agents.

-Studies have shown CBD oil can help with pain relief, sleep, mood regulation, inflammation, anxiety, blood sugar control and more. But the FDA only recognizes seizure control so far.

-Hemp derived CBD is legal in all 50 states.

-Caution, you can get a false-positive with CBD oil, so tell your doctor in advance if you are taking it.

-Look at “full spectrum” vs “broad spectrum”. Broad spectrum lacks THC, but full spectrum will contain .3% THC of total volume (any more is illegal). Full spectrum is recommended.

-Note that hemp oil is not the same thing as CBD oil. Hemp oil lacks cannabidiol and is found in the hemp seed whereas CBD oil is derived from the hemp flower (preferred).

-Be sure the seller can provide a Certificate of Analysis for the CBD oils they sell.

-Pain cream compounds are also available. Be sure the pharmacy is PCAB Accredited:

https://www.achc.org/pcab-accredited-providers.html 

Q: Does it take time to build up in your system:

A: Depends on the individual, but does take time. Justin recommends sub-Lingual (under the tongue) which gives some immediate benefit. Dosing is different patient to patient.

Q: CBD help with numbness in feet?

A: A topical salve has helped this.

Q: Prescription needed?

A: Not for CBD Oil

Q: What happens if you are on blood thinners?

A: Speak to whomever is proscribing the blood thinner for you first.

Q: What else might be in the ingredients of a topical?

A: You might find peppermint, menthol and fats for binding.

Q: What kind of fats?

A: Coconut oil, Medium Chain Triglycerides work well. Must be a readily absorbable fat.

Q: Drug interactions – when does the risk outweigh the benefit?

A: Best to consult with your physician, but CBD is generally safe.

Q: Doctors not always allowed to give an opinion?

A: Kind of a grey area for doctors, but there are physicians in Raleigh that recommend Medcap Pharmacy for advice.

Q: Noticed that no claims given that poly neuropathy is helped by CBD…

A: Medcap makes no claims – they treat and work with doctors for best outcomes. We’re in the “wild, wild west” of CBD and hemp oil and more studies will come on line, but for now it’s largely positive but anecdotal.

Q: Is there a “starter dosage” and what about cost?

A: Start most with 5mg dosage and 10mg per ML. Lasts about 30-days. Costs around $50.

Q: Ever heard of “Pure Hemp”?

A: Lots of manufacturers of hemp and CBD oils. A good sign is a seller who can provide a Certificate of Analysis

Q: Salve or cream that is topically applied?

A: We have a salve as well as a lotion as well as a topical roll on. New products come out all the pride.

Medcap uses Ananda brand: https://anandahemp.com/collections/cbd-oils 

Q: Taking a low dose of Belbuca. They do a drug test which came positive and was told stop taking CBD. https://www.belbuca.com/ 

A: There are numerous reports that CBD can trigger a positive on a drug test. You need to always treat CBD as if it’s going to show up on a test (even salves). Don’t push it or your doctor could drop you.

Q: Are doctors different about what they will allow or tolerate?

A: Absolutely. If the test gives percentages you might be ok, but a, “yes-no” result could be problematic.

Q: Are there cardiac side effects?

A: Haven’t seen that, but more tests are coming out every day.

Q: Can white blood cell counts be decreased by CBD? Saw something online.

A: Haven’t seen studies to that effect. Something to watch for.

Q: Best time to take for sleep?

A: 30-minutes before bedtime. If that doesn’t work, try during dinner to aid absorption.

Q: Why do doctor’s intrusively test for THC?

A: They want to know if something else is skewing their prescription effectiveness.

Q: Caution: Even traces of THC can go in your record and even if it’s ok with your doctor, and transferring of records could be read differently by other doctors.

Q: Balms & Drops has eliminated use of 450mg of Lyrica for this user (Balm is a lotion). Uses KOI CBD – 10 drops in AM, 5mg in PM. https://koicbd.com/ 

Q: Uses Emu oil as a transdermal vector oil – works better than plant based. Asked about Certificate of Analysis.

A: Emu oil has some wonderful properties overall. And COA’s can be tricky – be sure the product has been third party tested.

A: Dosing – you can start with small doses. And it is possible to lose effectiveness with over dosing.

Q: Does CBD oil just work for pain, or does it help with numbness and stinging?

A: Some topicals can help with numbness.

QUESTIONS?: You may contact: https://raleigh.medicap.com/or contact Justin at Medicap.raleigh@gmail.com 

Next Up: Jay’s experiences with Dr Brannagan in NY: https://www.columbiadoctors.org/thomas-h-brannagan-iii-md 

Jay Selman enjoys this group because it informs on what to do and what not to do. In the “what not to do” category, Jay learned his insurance would not pay for Dr Brannagan ($850 out of pocket) because Brannigan was out of network. Took all day to learn he would have to activate (w/ United Healthcare) a thing called “Passport.” Eventually, United said you’re good to go, but Brannagan’s office said “no your not.” Finally Jay discovered Brannagan was NOT in network, so Jay didn’t see Brannagan. He is okay for the Mayo Clinic and is working on going there.

Barlow visited Brannagan and felt they wanted him as just a research patient – Jay might’ve dodged a bullet. Advice – don’t let an out of state medical center do you research! You do it! 

Pamelia: It might’ve even been a case of “bait and switch.”

Bruce recommends NIH, which is free and helped him! : https://www.nih.gov/ 

Next meeting: March 9  

Our speaker was a Nationally Certified Pharmacy Technician who is passionate about CBD Oil and discussed compound topicals as well. Justin was joined by two others and the owner of Medcap Pharmacy in Raleigh, NC (the only PCAB accredited in Raleigh).

-CBD is a cannabidiol, non psycho active and does not get you high. It is best derived from hemp. THC is psycho active.

-We don’t know much about how CBD works. But cell receptors in your body respond to “nourishing” CBD oil, so a variety of oils are used as transferring agents.

-Studies have shown CBD oil can help with pain relief, sleep, mood regulation, inflammation, anxiety, blood sugar control and more. But the FDA only recognizes seizure control so far.

-Hemp derived CBD is legal in all 50 states.

-Caution, you can get a false-positive with CBD oil, so tell your doctor in advance if you are taking it.

-Look at “full spectrum” vs “broad spectrum”. Broad spectrum lacks THC, but full spectrum will contain .3% THC of total volume (any more is illegal). Full spectrum is recommended.

-Note that hemp oil is not the same thing as CBD oil. Hemp oil lacks cannabidiol and is found in the hemp seed whereas CBD oil is derived from the hemp flower (preferred).

-Be sure the seller can provide a Certificate of Analysis for the CBD oils they sell.

-Pain cream compounds are also available. Be sure the pharmacy is PCAB Accredited:

https://www.achc.org/pcab-accredited-providers.html 

Q: Does it take time to build up in your system:

A: Depends on the individual, but does take time. Justin recommends sub-Lingual (under the tongue) which gives some immediate benefit. Dosing is different patient to patient.

Q: CBD help with numbness in feet?

A: A topical salve has helped this.

Q: Prescription needed?

A: Not for CBD Oil

Q: What happens if you are on blood thinners?

A: Speak to whomever is proscribing the blood thinner for you first.

Q: What else might be in the ingredients of a topical?

A: You might find peppermint, menthol and fats for binding.

Q: What kind of fats?

A: Coconut oil, Medium Chain Triglycerides work well. Must be a readily absorbable fat.

Q: Drug interactions – when does the risk outweigh the benefit?

A: Best to consult with your physician, but CBD is generally safe.

Q: Doctors not always allowed to give an opinion?

A: Kind of a grey area for doctors, but there are physicians in Raleigh that recommend Medcap Pharmacy for advice.

Q: Noticed that no claims given that poly neuropathy is helped by CBD…

A: Medcap makes no claims – they treat and work with doctors for best outcomes. We’re in the “wild, wild west” of CBD and hemp oil and more studies will come on line, but for now it’s largely positive but anecdotal.

Q: Is there a “starter dosage” and what about cost?

A: Start most with 5mg dosage and 10mg per ML. Lasts about 30-days. Costs around $50.

Q: Ever heard of “Pure Hemp”?

A: Lots of manufacturers of hemp and CBD oils. A good sign is a seller who can provide a Certificate of Analysis

Q: Salve or cream that is topically applied?

A: We have a salve as well as a lotion as well as a topical roll on. New products come out all the time.

Medcap uses Ananda brand: https://anandahemp.com/collections/cbd-oils 

Q: Taking a low dose of Belbuca. They do a drug test which came positive and was told stop taking CBD. https://www.belbuca.com/ 

A: There are numerous reports that CBD can trigger a positive on a drug test. You need to always treat CBD as if it’s going to show up on a test (even salves). Don’t push it or your doctor could drop you.

Q: Are doctors different about what they will allow or tolerate?

A: Absolutely. If the test gives percentages you might be ok, but a, “yes-no” result could be problematic.

Q: Are there cardiac side effects?

A: Haven’t seen that, but more tests are coming out every day.

Q: Can white blood cell counts be decreased by CBD? Saw something online.

A: Haven’t seen studies to that effect. Something to watch for.

Q: Best time to take for sleep?

A: 30-minutes before bedtime. If that doesn’t work, try during dinner to aid absorption.

Q: Why do doctor’s intrusively test for THC?

A: They want to know if something else is skewing their prescription effectiveness.

Q: Caution: Even traces of THC can go in your record and even if it’s ok with your doctor, and transferring of records could be read differently by other doctors.

Q: Balms & Drops has eliminated use of 450mg of Lyrica for this user (Balm is a lotion). Uses KOI CBD – 10 drops in AM, 5mg in PM. https://koicbd.com/ 

Q: Uses Emu oil as a transdermal vector oil – works better than plant based. Asked about Certificate of Analysis.

A: Emu oil has some wonderful properties overall. And COA’s can be tricky – be sure the product has been third party tested.

A: Dosing – you can start with small doses. And it is possible to lose effectiveness with over dosing.

Q: Does CBD oil just work for pain, or does it help with numbness and stinging?

A: Some topicals can help with numbness.

QUESTIONS?: You may contact: https://raleigh.medicap.com/or contact Justin at Medicap.raleigh@gmail.com 

Next Up: Jay’s experiences with Dr Brannagan in NY: https://www.columbiadoctors.org/thomas-h-brannagan-iii-md 

Jay Selman enjoys this group because it informs on what to do and what not to do. In the “what not to do” category, Jay learned his insurance would not pay for Dr Brannagan ($850 out of pocket) because Brannagan was out of network. Took all day to learn he would have to activate (w/ United Healthcare) a thing called “Passport.” Eventually, United said you’re good to go, but Brannagan’s office said “no you're not.” Finally Jay discovered Brannagan was NOT in network, so Jay didn’t see Brannagan. He is okay for the Mayo Clinic and is working on going there.

Barlow visited Brannagan and felt they wanted him as just a research patient – Jay might’ve dodged a bullet. Advice – don’t let an out of state medical center do your research! You do it! 

Pamelia: It might’ve even been a case of “bait and switch.”

Bruce recommends NIH, which is free and helped him! : https://www.nih.gov/ 

Next meeting: March 9