CBD-olie bij kinderen

Klinische les
08-05-2019
Djoeke Wolff en Sijmen A. Reijneveld

Dames en Heren,

Het gebruik van olie met cannabidiol (CBD), ook wel CBD- of hennepolie genoemd, is in opkomst. De olie bevat chemische stoffen die zijn afgeleid van cannabis en is in Nederland vrij verkrijgbaar. Drogisterijen, natuurwinkels en webwinkels maken dan ook uitgebreid reclame voor CBD-olie, terwijl niet geheel duidelijk is wat de werking is en welke bijwerkingen of geneesmiddeleninteracties kunnen optreden. In dit artikel richten wij ons aan de hand van 2 casussen op het gebruik van CBD-olie bij kinderen.

Use of cannabidiol oil in children

The use of cannabidiol oil (CBD oil), a cannabis-derived chemical, is increasing. CBD oil is freely available in the Netherlands, but its composition and quality are not monitored. However, the alternative, pharmacist-prepared oil, is more expensive and difficult to acquire. Common reasons for CBD oil use in children include impulsive behaviour, itch, epilepsy, stress, pain and sleeping problems. However, evidence of its effectiveness is scarce and focuses primarily on the effectiveness of the oil in reducing epileptic seizures. Known side-effects are vomiting, diarrhoea, fever, sleepiness, and abnormal liver function test results. We advise medical professionals who encounter young patients who may potentially be using CBD oil, to discuss its questionable quality and potential side effects and interactions. If a patient presents with poorly-understood fever, diarrhoea, vomiting or drowsiness, then the side effects of CBD oil should be considered. Finally, CBD should be differentiated from delta-THC, a cannabis-derived chemical with a psychoactive effect, the use of which should be discouraged in children.

Conflict of interest and financial support: none declared.