Cannabis Users’ Questions as the COVID-19 Pandemic Progressed

As the COVID-19 pandemic evolved, so did your questions. Today, our Founder and CEO Katherine Golden, RN, shares some of the most common types of cannabis and hemp CBD questions the hotline received over the past few months. Katherine also talks about why the questions that she and other Leaf nurses are currently receiving gives her hope as we all adapt to changing circumstances brought about by COVID-19.

When COVID-19 first came to Colorado, there were still many, many unknowns with the virus. Guidance at the national, state and local levels seemed to be changing on a daily basis.

At Leaf411, we immediately sprung into action to do all we could to support both our community members and the cannabis industry as a whole.

Old-fashioned red telephone handsets representing busy COVID-19 hotlines.

After hearing that many health hotlines were being overwhelmed with questions about coronavirus, we expanded our hotline’s scope to respond to general questions about coronavirus. We also took cues based on caller questions and developed marijuana dispensary preparedness plans and resources, which are discussed below.

Portable credit card machine held in a gloved hand, showing precautions marijuana dispensaries take to keep customers and employees safe.

The First Round of Cannabis Consumer Questions: Product Safety

On our hotline, we began receiving questions focused on callers’ immediate concerns around access and product safety. Colorado and other states with legal cannabis designated cannabis as essential which ensured access; however, one big question remained: How do I know my product is safe?

CBD hemp consumers and legal marijuana consumers were worried about potential virus exposure via product packaging. They also had many questions about how to ensure product manufacturers, in-person and online retailers, and legal marijuana dispensaries were safely handling products prior to sale.

In response, we provided the latest information based on Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) guidance, translating those recommendations to the cannabis space.

We also developed preparedness plans and resources for both our supporting members and other non-member dispensaries.

Colorful cannabis edible gummies stacked next to a cannabis leaf.

Changing Cannabis Questions: Concerns about CBD and COVID-19

Legal marijuana dispensaries and CBD hemp sellers did a good job developing safety plans for both their employees and customers, often going above and beyond state mandates for essential businesses. Once customers became familiar with the new protocols, their concerns about product and packaging safety subsided.

However, as everyone’s understanding of COVID-19 continued to grow, research emerged that nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen could worsen COVID-19 symptoms. This issue is still being discussed and debated in the clinical research community. Like many things with COVID-19, we are still very much in the learning phase.

As research on NSAIDS and COVID-19 began circulating in the news, we started fielding calls on the hotline from people who use CBD for its anti-inflammatory properties. Many people have success using CBD to manage symptoms related to osteoarthritis and inflammatory pain. Did they need to change course to reduce their risk of developing serious coronavirus symptoms?

On the Leaf411 hotline, our guidance is always driven by both the research and the unique needs of each caller, so we can’t give a one-size-fits-all answer here. 

However, this resource may help, if you have general questions about cannabis and COVID-19. 

Also, our fully-licensed Leaf nurses are available to answer your specific questions at no cost to you at 844-LEAF411 (844-532-3411).

Clinician wearing PPE holds up a chest x-ray, looking closely for signs of COVID-19 infection.

Cannabis and Lung Health During the Coronavirus Pandemic

COVID-19 is a respiratory virus primarily affecting the lungs. When the virus began to spread, we anticipated that many cannabis users would switch over to non-inhaled products—things like edibles or tinctures.

The reality has been more complicated than that. It’s true that sales figures for edibles (which include tinctures) are strong. However, flower (bud) also remains very popular.

Some industry experts think this is because cannabis flower is the equivalent of a comfort food. Most peoples’ first cannabis experiences were smoking flower, and in times of uncertainty people go back to what they know and trust.

Other people are moving forward with trying new cannabis consumption methods. On the Leaf411 hotline, we’ve heard from people who are navigating the switch from smokable to ingested cannabis products.

It can be difficult to figure out how much to start with, when changing from a flower product containing about 25% THC to an edible with 10 mg THC per piece. Add on to that the fact that inhaled THC enters your bloodstream more quickly while edible products pass through the digestive system and are changed by your metabolic practices. This means using flower versus edible can be very different in how quickly it hits, how long it lasts, and how intensely effects are felt.

Close-up of hand holding joint offering it to another person, with the other person’s hand up declining, choosing other cannabis consumption methods instead.

Cannabis Consumption Methods: Questions About Moving from Flower to Edibles

The switch from smokable to edible cannabis products isn’t as straightforward as you’d think, even for experienced cannabis users. The calls we’ve received on the hotline underscore the importance of understanding product dosing, and starting low and going slow when switching to edibles and tinctures.

In one case, we received a call from someone who assumed that an entire cannabis-infused chocolate bar equaled one dose. In fact, each square of the cannabis chocolate bar was a separate dose!

It’s an easy mistake to make, considering that grocery store candy bars count as a single serving. Unfortunately, in this caller’s case, their mistake meant that they used more cannabis than intended. While this isn’t life-threatening, it can result in a negative experience.

Due to social distancing practices, you may not be able to chat with your budtender about different products like you did in the past.

At Leaf411, we can help! Our cannabis-trained, fully licensed registered nurses know how flower and edibles differ in timing and dosing. Whether you’re planning an online dispensary order, or just returned home with a new product, we can with any questions you have at our free hotline: 844-LEAF411 (844-532-3411). We’re also available via online chat. Look for the chat feature on the bottom of our website home page.

Young African-American man wearing a casual denim shirt and a surgical mask, with hands outstretched in asking gesture.

Our Latest Cannabis Hotline Questions: A Return to Routine Health Concerns

The COVID-19 virus will be a presence in our world for the foreseeable future. The latest calls to our Leaf411 hotline reflect this new reality. The anxiety and fear are still there, but it’s no longer an emergent issue demanding all of our attention. This shift in focus is an encouraging sign, showing that people are finding balance and perspective despite challenging times.

People are shifting their focus back to ongoing health concerns, and medical facilities are opening back up for routine care and elective procedures. (It’s important to note that “elective” includes a wide range of procedures, including joint replacements, biopsies, and even some cancer treatments!) 

As people return to routine care and undergo elective procedures, we’re hearing more questions about cannabis as an alternative for managing health conditions. We’re also getting questions about using cannabis both prior to and after surgery.

Of course, you’ll always want to share your medical history, including cannabis use, with your doctor prior to any surgery or medical treatment. You should also talk with your primary provider ahead of time about your goal to use cannabis as an alternative to opioids following surgery.

If you need help with talking points or research to share with your provider, give us a call at 844-LEAF411 (844-532-3411). Our Leaf nurses understand the clinical research supporting cannabis and can help you find the right resources and research to share with your doctor.

The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.