American ASSOCIATION
of poison control centers


CANNABIDIOL (CBD)

Poison control centers have seen an increase across all ages for Cannabidiol (CBD) cases since 2014. Cannabidiol is a compound extracted from hemp or marijuana plants that typically does not get users “high.” CBD is different than tetrahydrocannabinol (THC), another compound in cannabis plants, that does cause users to get high or have serious side effects. As multiple states across the country legalize CBD, companies are now adding it to food, drinks, bath products, and other household goods.

However, there is growing concern with some of these products. For example, some products contain more CBD than what is on the label, more THC than labeled, or other chemical compounds/drug ingredients that are not listed at all. Consumers have no way of knowing whether the product is contaminated with other chemicals and drugs or labeled correctly. The FDA has issued several warning letters to companies marketing products that allegedly contain CBD. In addition, it is important to note that the U.S. Drug Enforcement Administration (DEA) classifies all products containing CBD that are not the FDA-approved Epidiolex as schedule I, the most restrictive category of the Controlled Substances Act.

As of November 30, 2020, poison control centers have managed 1,988 cases in 2020 related to cannabidiol.

FOR THE MEDIA:

Please cite this data as “National Poison Data System, American Association of Poison Control Centers.” Any and all print, digital, social, or visual media using this data must include the following: “You can reach your local poison control center by calling the Poison Help hotline: 1-800-222-1222. To save the number in your mobile phone, text POISON to 797979.” Email media@aapcc.org or call 703-894-1863 for more information, questions, or to submit request data.

 MOST-RECENT DATA

SAFETY TIPS:

  1. Be sure to store CBD products out of reach of children and call the Poison Help hotline at 1-800-222-1222 immediately if they come in contact.

  2. Never consume more than the recommended amount.

  3. Call the Poison Help hotline at 1-800-222-1222 immediately if you have any adverse reactions.


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Important notes about poison control center data

AAPCC maintains the National Poison Data System (NPDS) , the national database of information logged by the country’s regional poison control centers serving all 50 United States, Puerto Rico, the District of Columbia, and territories. Case records in this database are from self-reported calls: they reflect only information provided when the public or healthcare professionals report an actual or potential exposure to a substance, request information, or request educational materials. As such:
  • AAPCC is not able to completely verify the accuracy of every report made to member centers.
  • Additional exposures may go unreported to poison control centers and data referenced from the AAPCC should not be construed to represent the complete incidence of national exposures to any substance(s).
  • Poison control call volume about any given substance is influenced by the public’s awareness of the hazard or even the Poison Help hotline itself, which are heavily influenced by both social and traditional media coverage.
  • Poison control data are considered preliminary and are subject to change until the dataset for a given year has been locked.
  • AAPCC is continuously working to update the NPDS substance coding taxonomy to better serve the needs of AAPCC members and surveillance partners. As a result, substances may be reclassified within NPDS’ coding hierarchy, and case counts may change. This is particularly true for novel or emerging substances.

The term “exposure” means someone has had contact with the substance in some way; for example, ingested, inhaled, or absorbed a substance by the skin or eyes, etc. Exposures do not necessarily represent poisonings or overdoses.


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