Veterans face complex decisions on cannabis and CBD use

As cannabis and CBD gain acceptance across the United States, an increasing number of veterans are considering these products to alleviate conditions such as chronic pain, insomnia, anxiety, and post-traumatic stress disorder (PTSD). However, it is crucial for veterans to understand the legal, medical, and occupational implications before using these substances.

**Legal Landscape** Despite the legalization of marijuana for medical and recreational purposes in many states, it remains classified as a Schedule I Controlled Substance under federal law. The U.S. Department of Veterans Affairs (VA) emphasizes this point, stating that veterans must be aware of the potential consequences of cannabis use, even in states where it is legal. For instance, using marijuana can impact a veteran’s eligibility for VA services and affect federal employment. While CBD derived from hemp with less than 0.3% THC is federally legal, quality control issues can result in varying levels of THC in products, posing risks for unwary consumers.

**VA Policy on Cannabis Use** The VA has a clear policy: veterans will not lose their benefits solely for using marijuana. However, VA doctors are not permitted to prescribe or recommend cannabis. Veterans are encouraged to inform their VA healthcare providers about their cannabis or CBD use to ensure coordinated care, but this information may be documented in their medical records. It is important to remember that using controlled substances can interfere with treatment plans and eligibility for medical procedures.

**Employment Considerations** Veterans employed in federal positions or those holding security clearances should exercise caution. Testing positive for marijuana can lead to disqualification from security clearance or termination of employment, regardless of state laws. Additionally, some private sector jobs also conduct drug testing, and THC can remain detectable in the body for days or weeks. Furthermore, certain CBD products can trigger a positive drug test due to trace amounts of THC, particularly if they are unregulated or mislabeled.

**Research and Efficacy** Although many veterans report relief from symptoms using cannabis and CBD, scientific research has not definitively established their effectiveness. Studies examining cannabis for PTSD have produced mixed outcomes. For example, a VA report indicated no significant difference between cannabis and a placebo in reducing PTSD symptoms. Nevertheless, some veterans have reported improved sleep and pain management when traditional treatments have failed. Before resorting to cannabis, veterans should explore all fully legal options first.

**Product Safety** Unlike medications approved by the FDA, the majority of cannabis and CBD products undergo minimal safety testing. Contaminants such as pesticides and heavy metals may be present, especially in products sourced from unlicensed vendors. If veterans choose to use these products, they should buy from reputable dispensaries, request third-party lab reports, and start with low doses to gauge their body’s response. It is vital to communicate openly with healthcare providers about any adverse effects or interactions.

**Consulting Healthcare Providers** Veterans should maintain transparency with their healthcare professionals regarding cannabis use. Whether visiting a VA facility or a civilian doctor, discussing interest in or current use of cannabis or CBD helps identify potential interactions with existing medications and facilitates safer alternatives if necessary. Open communication fosters trust and leads to more effective treatment plans.

**Exploring Alternative Treatments** While cannabis might be appealing, it is not the only avenue for managing symptoms. Veterans should consider alternative therapies like mindfulness meditation, cognitive behavioral therapy, acupuncture, and group therapy. Such approaches can complement or even replace the need for cannabis, particularly when legal or occupational risks are present.

**Assessing the Risks** For veterans, the desire to explore cannabis can be tempting, especially after military restrictions. However, it is essential to prioritize safety and make well-informed choices. Engaging with medical professionals, mental health resources, and employers can clarify the potential impacts of cannabis use on personal and professional lives. Although cannabis and CBD may not be illegal for veterans, using them can jeopardize security clearances and employment.

Veterans must navigate the complexities of cannabis and CBD use with caution. By staying informed, prioritizing health and safety, and collaborating with knowledgeable healthcare providers, they can determine the best path for managing their physical and mental well-being.