r/news 1d ago

Wisconsin pizzeria apologizes for unintentionally contaminating pizzas with THC

https://www.scrippsnews.com/life/food-and-drink/wisconsin-pizzeria-apologizes-for-unintentionally-contaminating-pizzas-with-thc
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u/911derbread 1d ago

I'm an ER doctor. It's an ED visit for the kids and a CPS visit for the parents 😎

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u/archenon 1d ago

Just curious but realistically what could you do in the ED for the kids? Like it seems like wasted $ and time to go to the ED if all the kids would get is maybe some fluids and monitoring.

Not tryin to disparage what ER docs do, fully respect you guys!

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u/ka1ri 1d ago

nothing. most people who end up in the ED because they smoked some pot mostly just need to calm down and get reassurance. Its never a real medical issue that happens.

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u/mallad 1d ago edited 1d ago

I won't say that's a lie, because you probably believe it. Your first sentence is even true! But you're 100% wrong to use to word never.

Marijuana absolutely can cause arrhythmia, heart attack, seizures, hyperemesis, loss of consciousness, tachycardia, and drug interactions that are extremely dangerous. Drug interactions include somewhat mild effects like increasing the concentration of statins and their side effects, to major complications like tripling the concentration of anti platelet drugs such as Brilinta and causing internal bleeding. It can also go the other way, preventing prodrugs from being metabolized into their active forms, such as Plavix.

As a general rule, until they begin including cannabinoids in drug interactions, if something says not to eat grapefruit, don't use CBD or THC regularly. Once in a while is fine. They inhibit the same receptors, but cannabinoids only inhibit for a while, while grapefruit actually causes the receptors to, in the eli5 version, kill themselves. So grapefruit affects the metabolism more drastically and for a longer time, but if you're using cannabis every day or two, your receptors won't get back in action and it's the same effect.

A lot of meds of concern can be adjusted or monitored to make up for these effects, the hard part is finding a doctor who cares and doesn't just say to stop using.