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Lo que debe saber acerca del uso de cannabis, incluyendo CBD, mientras está embarazada o amamantando a su bebé

El cannabis y los productos derivados del cannabis están cada vez más accesibles, con nuevos y diferentes tipos de productos apareciendo continuamente. Estos productos plantean preguntas e inquietudes para muchos consumidores. Y si está embarazada o dando de lactar a su bebé, puede que tenga aún más preguntas en cuanto a si estos productos son seguros para usted.

La FDA advierte fuertemente en contra del uso de cannabidiol (CBD), tetrahidrocannabinol (THC), y la marihuana, de cualquier tipo, durante el embarazo o mientras está amamantando.

¿Qué es cannabis, marihuana, hachís, THC y CBD?

Cannabis es una planta de la familia Cannabaceae que contiene más de ochenta compuestos químicos biológicamente activos. Los compuestos más conocidos son el THC y el CBD. Un tipo de planta de cannabis es la marihuana, la cual contiene varios niveles de THC, el compuesto que proporciona la “onda” que a menudo se asocia con la marihuana. Otro tipo de planta de cannabis es el hachís. Las plantas de hachís contienen un nivel extremadamente bajo de THC. CBD, que no produce una “onda”, puede derivarse de la marihuana o el hachís.

Hoy día vemos productos que contienen CBD en todas partes. El CBD se puede encontrar en muchos productos diferentes, tales como medicamentos, alimentos, productos comercializados como suplementos dietéticos y cosméticos. Estos productos frecuentemente hacen promesas de salud cuestionables con respecto al CBD.

La FDA desea que usted sepa que pueden existir graves riesgos al usar productos de cannabis, incluyendo los que contienen CBD, si está embarazada o amamantando.

¿Qué sabemos con respecto a los efectos del uso de la marihuana durante el embarazo o mientras está amamantando a su bebé?

Existen muchos efectos de salud potencialmente negativos al usar marihuana y otros productos que contienen THC durante el embarazo o mientras se da de lactar a un bebé. De hecho, el Cirujano General de los EE.UU. recientemente les advirtió a los consumidores que el uso de marihuana durante el embarazo puede afectar el desarrollo del cerebro del feto, debido a que el THC puede entrar en el cerebro del feto de la corriente sanguínea de la madre. El Cirujano General también advirtió que la marihuana puede aumentar el riesgo de tener un bebé con bajo peso. La investigación también sugiere un aumento en riesgo de tener un nacimiento prematuro o potencialmente una muerte fetal .

Mientras está amamantando, es importante saber que la leche maternal puede tener THC por hasta seis días después del uso. Este THC puede afectar el desarrollo del cerebro del recién nacido y resultar en hiperactividad, un funcionamiento cognitivo pobre y otras consecuencias de largo plazo.
Además, el humo de la marihuana contiene muchos de los mismos componentes dañinos del humo de cigarrillo. No se debe fumar marihuana o productos de tabaco cerca de un recién nacido o niños.

¿Qué sabemos con respecto a los efectos del uso del CBD durante el embarazo o mientras está amamantando a su bebé?

No hay una investigación integral que haya estudiado los efectos del CBD sobre el feto en desarrollo, la mamá embarazada o el bebé amamantado. La FDA continua recopilando y estudiando los datos con respecto a los posibles efectos dañinos del CBD durante el embarazo y mientras está amamantando. Sin embargo, basado en lo que sabemos, existe un motivo importante de preocupación.

Altas dosis de CBD en animales de ensayo embarazados han resultado en problemas con el sistema reproductivo de fetos masculinos en desarrollo . Además, basado en lo que ya sabemos sobre el CBD, se espera que una porción del CBD será transferida al bebé a través de la leche materna.

También sabemos que existe la posibilidad de que los productos con CBD puedan estar contaminados con sustancias que pueden conllevar un riesgo al feto o el bebé amamantado, incluyendo THC. También hemos escuchado de informes en donde el CBD posiblemente contenía otros contaminantes, tales como pesticidas, metales pesados, bacteria y hongos); estamos investigando esos casos.

Además, el CBD tiene riesgos conocidos para las personas en general. Basado en estudios clínicos en humanos, los riesgos pueden incluir los siguientes:

  • toxicidad hepática (daño)
  • somnolencia extrema
  • interacciones perjudiciales con otros medicamentos

La FDA está estudiando los efectos del uso del CBD desde diferentes perspectivas, tales como, (1) el uso de productos que contienen CBD, como alimentos, cosméticos o suplementos, a lo largo de la vida de una persona; y (2) los efectos de usar varios productos a la vez. Hay muchas preguntas sin contestar con respecto a la ciencia, la seguridad y la calidad de los productos que contienen CBD.

Queremos aprender más especialmente sobre los efectos del CBD durante el embarazo y mientras está amamantando, incluyendo, por ejemplo, si y hasta qué punto la presencia del CBD en la leche materna, durante el embarazo y mientras está amamantando, es perjudicial para el bebé amamantado o la producción de leche de la mamá.

¿Ha aprobado la FDA algún producto con CBD? ¿Tienen algún beneficio?

La FDA no ha aprobado ningún producto con CBD con la excepción de un medicamento recetado para tratar tipos poco comunes y graves de trastornos convulsivos en niños. Todavía no está claro si el CBD tiene algún otro beneficio.

Aparte de este medicamento recetado aprobado, los productos con CBD no han sido evaluados o aprobados por la FDA para uso como producto farmacológico. Esto significa que no sabemos:

  • si son seguros y efectivos para el tratamiento de alguna enfermedad en particular
  • cuál, si alguna, dosis se puede considerar segura
  • cómo pueden interactuar con otros medicamentos o alimentos
  • si tienen efectos secundarios perjudiciales o algún otro problema de seguridad

Los estudios clínicos que apoyaron la aprobación del único medicamento con CBD disponible identificaron riesgos relacionados con el uso de CBD, incluyendo la toxicidad hepática (daño), la somnolencia extrema y las interacciones perjudiciales con otros medicamentos.

¿Y qué de las semillas de hachís?

La FDA complete recientemente una evaluación (en inglés) de algunos ingredientes en las comidas derivados de las semillas de hachís, y no se formularon objeciones en cuanto al uso de estos ingredientes en alimentos. El THC y CBD se encuentran principalmente en las flores, hojas y tallos del hachís, y no en las semillas. Las semillas de hachís pueden adquirir una cantidad mínima de THC y CBD al tener contacto con las otras partes de la planta, pero estas cantidades son lo suficientemente bajas como para no plantear preocupaciones en ningún grupo, incluyendo madres embarazadas o que están amamantando a su bebé.

¿Qué debe recordar con respecto al uso de cannabis o los productos derivados del cannabis?

Si está pensando usar cannabis, o cualquier producto que contenga THC o CBD, usted debe tener en cuenta lo siguiente:

  • La FDA advierte fuertemente en contra del uso de CBD, THC, y la marihuana, de cualquier tipo, durante el embarazo o mientras está amamantando.
  • Aunque muchos de esto productos están a la venta, la FDA no ha aprobado el uso de estos productos, con la excepción de un medicamento recetado con CBD y dos medicamentos recetados que contienen dronabinol, una versión sintética de THC (que han sido aprobados para tratar ciertos efectos secundarios del VIH-SIDA o la quimioterapia). Estos tres medicamentos recetados tienen riesgos y efectos secundarios asociados.
  • Hable siempre con su médico, enfermera o farmacéutico antes de tomar cualquier medicina, vitaminas o hierbas medicinales mientras esté embarazada o amamantando a su bebé.

No se arriesgue o arriesgue a si bebé al usar productos de cannabis mientras está embarazada o amamantando a su bebé. Visite estos enlaces para aprender más sobre el cannabis, la marihuana, el CBD, y el THC, y sobre el uso de medicinas mientras está embarazada.

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