Veterinary Cannabis & Legalities

DISCLAIMER: Veterinary cannabis is still a very fresh and constantly changing/developing aspect of veterinary medicine. If you ever have questions/concerns, or want to discuss the potential of adding CBD/cannabis to your pet’s medicine protocol and/or treatment plan we always stress to have an open and honest dialog with your veterinarian/specialist! We do not support nor condone veterinary cannabis but simply answering a question that a “President” Bifford supporter e-mailed us earlier in the week. We remove all responsibility for any effects (both positive & negative) that your pet may endure by trying veterinary cannabis!

Cannabis has important interactions with pharmaceutical drugs! If not managed carefully and properly, those interactions have the potential to be dangerous! Working together YOU and YOUR veterinarian can ensure that all medications & supplements work synergistically to reduce side effects and improve overall outcome while meeting your goals for your pet.

Your veterinarian should recommend periodic examination and laboratory evaluation (of both blood & urine) of your pet to ensure that all aspects of the treatment plan are supporting the positive goals that you and your veterinarian have established. We STRESS to have diagnostics accomplished PRIOR to starting veterinary cannabis as CBD has been noted to increase some liver enzymes, and at this time we do not know the significance of these changes. Regular monitoring and diagnostics are also an important part of caring for your pet!

Be aware that the “trial & error” period can take time and may need periodic changes and re-evaluation.

  1. As veterinarians, they are NOT authorized to prescribe any Schedule 1 drugs — including marijuana (products that contain more than 0.3% THC) or other types of cannabis. Since the DEA authorized cannabis as a scheduled 1 drug NO veterinarian can prescribe these products. Pet parents nee to choose a quality product and MUST have accurate information about the amount of THC and other cannabinoids it contains.
  2. With the passage of the 2018 Farm Bill, there is a clear distinction between marijuana (containing >0.3% THC) and hemp (containing <0.3% THC) types of cannabis & veterinarians may have more flexibility when working with hemp-based products. However, there still remain state-specific and even clinic-specific restrictions that the veterinary health care team and you as the pet parent must navigate together.
  3. Cannabis products derived from either hemp or marijuana (in certain states) may be legally obtained by a pet parent in accordance with their state and local laws.
  4. Once purchased, a cannabis product may be administered to an animal by a pet parent — that is YOUR right to decide as your pet’s guardian.
  5. Once you, as the pet parent, have decided to investigate the use of cannabis in your pet, you can then start the conversation with your veterinary health care team to seek guidance and education on product safety as well as administration and monitoring plans.

Starting The Conversation

  1. Make sure to mention the use of cannabis products when asked about your pet’s medical history and/or supplements. This may be something that you mention to the receptionist when first making the appointment or to the staff when checking in. Knowing if cannabis is being used at home helps the veterinarian make important decisions about other medications, supplements & treatment plans.
  2. Ask to work with a veterinarian/veterinary health care team that is “cannabis-knowledgeable”. Not every veterinarian is trained in cannabis topics or is comfortable providing guidance about the use of cannabis in your pet. To make sure that you’re working with the right veterinarian — just ask!
  3. If you already started your pet on a cannabis product prior to your clinic appointment, keep a journal that tracks trends such as appetite, sleep habits & energy levels. This journal can be extremely useful in identifying subtle trends, both positive & negative, associated with the use of cannabis in your pet.

What To Bring To The Appointment

  1. The cannabis product with as much original packaging as possible! The package label can provide essential information about product source and manufacturing, active & inactive ingredients and concentration or strength of the product. Since cannabis laws vary from state to state, make sure to ask your veterinary clinic if you should bring pictures of the packaging instead of the ACTUAL packaging material!
  2. A list of ALL medications & supplements currently being administered to your pet. The list should include all herbal supplements, over-the-counter medications and any special diets. DON’T FORGET about flea/tick & heartworm prevention!
  3. A list of goals for cannabis use. Take some time prior to the appointment to think about why you want to utilize cannabis in your pet- what are your short and long term goals for your pet that you hope to accomplish using cannabis?
  4. Journal — consider bringing pictures and/or videos in addition to your written journal to help explain symptoms observed at home that may not be evident during the appointment.

Want more information on this subject? Visit www.cannabismd.com

Veterinary Cannabis & CH Pets

DISCLAIMER: Veterinary cannabis is still a very fresh and constantly changing/developing aspect of veterinary medicine. If you ever have questions/concerns, or want to discuss the potential of adding CBD/cannabis to your pet’s medicine protocol and/or treatment plan we always stress to have an open and honest dialog with your veterinarian/specialist! We do not support nor condone veterinary cannabis but simply answering a question that a “President” Bifford supporter e-mailed us earlier in the week. We remove all responsibility for any effects (both positive & negative) that your pet may endure by trying veterinary cannabis!

Accessibility: Hemp and CBD-only products can be found in pet stores and online. Products with higher THC content can be found in a dispensary only. Make sure that you are familiar with and abide by ALL cannabis laws applicable in your area.

Manufacturer Reputation: Look for a company with high ethical standards that are open and honest about their manufacturing techniques, ingredients and resources.

The “entourage effect”: Products that utilize the 600+ compounds of the whole cannabis plan are safer and more therapeutic than those that utilize a single or few compounds.

Contaminant-Free: Look for products that are tested and confirmed to be free of contaminants such as pesticides and heavy metals as well as mold and bacteria.

Safe Extraction Technique: C02 and alcohol are the safest extraction techniques for the products used in animals. Other extraction methods may leave behind toxic residual chemicals in the product.

Tinctures (cannabis in liquid form): Tinctures are one of the safest & most accurate form of cannabis use in animals. The veterinary cannabis society recommends AGAINST the use of edibles (cookies, gummies, etc.,) made specifically for humans for use in animals.

Quality Ingredients: Animal tinctures should be formulated in a high-quality oil base and NOT alcohol. NOTE: alcohol is fine as an extraction method but NOT as a tincture base!

No Additives: Avoid products that have additives such as coloring, preservatives, or other herbs. Be especially careful to AVOID any product that contains xylitol which is extremely toxic to animals.

Ratio of CBD/THC: A combination of both CBD & THC has a greater therapeutic effect for most conditions than either one used alone. Work with your veterinarian to determine the right ratio for your pet & their condition(s).

Concentration: How many milligrams (mg) are in each drop or milliliter (ml)? Higher concentrations allow easier administration in bigger animals. Lower concentrations are safer for smaller animals because of their lower body weight.

Measured Dose: A marked dropper, syringe or easily calculated number of drops is required to provide accurate dosing.

Cautions: Although cannabis is remarkably safe, if your animal is taking other medications, please make sure to discuss your animal’s [potential] cannabis plan with your veterinarian. Do not use cannabis in immature or pregnant animals.

Go Slow: Always start with a low dose and slowly work up to your target dose. Gradually introduce any change in brand, CBD/THC ratio, or concentration. Re-evaluate your dosing if your animal’s health status changes.

Set Up For Success: Arrange the home environment so your animal feels safe & comfortable at ALL times. If an animal receives an inappropriate dose of cannabis, they may be overly sensitive to bright lights and loud sounds. ALWAYS contact your veterinarian if you feel your pet received an inappropriate dose!

Keep A Journal: Consider keeping a log of your animal’s cannabis dose and their reactions.

How CBD is thought to help dogs

Researchers are still learning CBD’s specific effects on dogs, but here’s how the compound is THOUGHT to work:

Dogs have an endocannabinoid system (ECS) just like humans.

The ECS is a network of cellular activators and receptors in the body that regulate physiological processes, including pain, mood, inflammation, stress & more.

CBD binds to and activates the vanilloid, adenosine & serotonin receptors in a dog’s ECS and helps to regulate pain perception, inflammation, temperature & more. It also boosts dopamine levels, helping to reduce anxiety & improve mood.

CBD also blocks GPR55 signaling, which decreases cancer cell reproduction.

CBD can help improve:

  • Allergies
  • Anxiety & Fear
  • Appetite Loss & Digestive Problems
  • Arthritis, Joint & Mobility Issues
  • Cancer & Tumors
  • Skin Issues
  • Seizures & Epilepsy
  • Inflammation
  • Glaucoma
  • Spasms

Want more information on this subject? Visit www.cannabismd.com

Common Veterinary Anesthetic Medications Chart

DISCLAIMER: These are COMMON medications/adverse reactions to veterinary anesthetic medications, just like humans, pets also can have a variety of symptoms/reactions that are not listed or documented.

If you have any questions or concerns always speak to your veterinarian about the kinds of medications utilized and the potential side effects that may occur.

Anesthetic/Analgesic DrugCommon Adverse Effects
Dexmedetomidine Medetomidine XylazineBradycardiaCardiac Output ReductionHypertension/HypotensionVasoconstriction
NSAIDs SteroidsBleeding DisorderDiarrhea/VomitingGastrointestinal UlcerationLethargyRenal/Liver Failure
Diazepam MidazolamMinimal Cardiorespiratory EffectsParadoxical Excitement of Patients
Halothane Isofurane SevofuraneDecreased Cardiac OutputDecreased Myocardial Contractility Hypothermia/HyperthermiaMay result in hypotensionVasodilation
Diazepam/Ketamine Propofol Tiletamine/ZolazepamCyanosisOccasional Muscle Twitches/SeizuresProfuse Salivation/Airway SecretionsRespiratory Depression Transient TachycardiaVasodilation
Bupivacaine Lidocaine MepivacaineBradycardiaHyperthermia in some animals; hypothermia more likelyCardiac ArrestHypotensionSeizure
Buprenorphine Butorphanol Fentanyl Hydromorphone MorphineBradycardiaMydriasis/MiosisRespiratory Depression (hypoventilation, apnea)Vomiting

Life + 18 without PAROLE

By Mike Lowry, Mr. Lowry has been in veterinary practice for “life plus 18” years. In this column, he shares his experiences opinions.

Please remember this when you are speaking to your veterinarian/technician/veterinary support staff and most importantly remember to appreciate and thank them!

Every time you say vets are money-grubbing or “too expensive” or
just in it for the money,

Every time you decline ALL diagnostics, yet demand to know “what’s
wrong with my pet”,

Every time a social function or other completely inappropriate place you
find out that someone is a veterinarian [or veterinary technician, support
staff!] you ask him/her for free advice for your animal,

Every time you feel justified posting a sh!tty practice or vet review when
everything was done according to the standard of care but your pet died anyway,

Every time YOUR lack of preventive care resulted in your pet’s early death,
yet you blame the veterinarian,

Every time she gets in early and stays late and works an 80-hour week
because your pet that had been ill for several days suddenly becomes an
emergency at 5pm on a Friday, and you demand to be seen, claiming these
heartless vets wont treat your baby,

Every time someone complains about the cost of veterinary care, comparing human medicine and insurance subsidies to pet ownership,

Every time someone doesn’t pay their bill and thinks they are entitled not
to because pet ownership is their “right”,

Every time someone walks in to a clinic and threatens to “sue your ass if
you make one mistake with my baby”,

Every time a graduate vet looks at the hundreds of thousands of dollars in
crippling debt and listens to clients driving Mercedes and BMW’s complain about the cost of a spay using good anesthetic care and adequate pain management,

Every time – YOU are part of the problem.

The problem is suicide in veterinarians. Most of us went to veterinary
school because we care. We have a calling to care, but there is a dark and
expensive cost to compassion.

Think before you act or speak!

 

 

[Source: Facebook – Dierenarts Maya Herman with Danyel Galvin, June 13, 2017]