Currently, the only official, FDA-approved use of CBD is as a component in a drug named Epidiolex, which will be used to treat severe forms of epilepsy in children and adults, and which will be, Carson hopes, available to patients by the end of the year. Carson says he developed an interest in CBD because parents of kids with epilepsy came to him having read about CBD’s potential benefits on the internet. “There’s lots of data now that I think really supports that CBD helps for epilepsy,” particularly in reducing the frequency of seizures, he says. Anecdotally, he noticed that the same parents reported another potential benefit associated with CBD: reduced anxiety. “I got the sense that some children did get benefits in terms of anxiety, and I think that’s where I wonder if for example CBD in coffee could potentially be helpful,” he says.
The amount of CBD needed to produce significant effects varies by condition, according to both Blessing and Carson. “In clinical trials for schizophrenia they would give 800 milligrams,” says Blessing. “In our clinical trial to treat PTSD, we are giving 600 mg per day.” In the clinical trial for Epidiolex, Carson says, the clinicians administered 10 milligrams per kilogram the subject weighed — meaning a person who weighs 50 kilograms (or 110 pounds) would be given 500 milligrams of CBD.
There are a few ways to get CBD into your body. The most common, used in both clinical trials and consumer products, is via an oil in which CBD, which is naturally soluble in fat, has been dissolved. CBD oil can be taken orally, inhaled as a vape, or applied topically. Topical application is supposed to work sort of the way Icy Hot does, affecting a local muscle area specifically to reduce aches and pains, but the other methods produce full-brain and -body effects.
Cannabis has been used medicinally for centuries, as a sleep aid, a pain and nausea reducer, to relieve anxiety and other mood problems. In the mid-1960s, scientists identified the first cannabinoid. Since then, scientists have gone on to identify more than 80 individual cannabinoids and continue to investigate them for their potential symptom-relieving and disease-fighting abilities.
So far, I’ve found that in order to feel a marked improvement in pain relief, I need a high dose of CBD (which I have yet to determine due to the unavailability and expense). However, I have found that (edible) THC has allowed me to fall asleep faster and longer compared to prescriptions such as Ambian. It also gives me a feeling of well-being. I went from only sleeping 2-3 nights a week for no more than 4 hrs per sleep, to sleeping 8 hrs per night. This alone is worth using cannabis. As you know, lack of sleep can seriously impact your pain level.
The discussion on the legal status of CBD revolves mainly around the question: is it a medicine or a natural food supplement? The main difference is that medicinal drugs are considered unsafe until proven safe, whereas food supplements are considered safe until proven otherwise. As a result, the central question becomes whether or not CBD is safe for consumers (children, elderly, patients) in large and unregulated quantities. Although there is only limited knowledge about the long-term effects of chronic use, or about drug-drug interactions between CBD and other medications , human studies have indicated that CBD is very well tolerated even up to a daily dose of 1,500 mg . Indeed, a recent World Health Organization (WHO) review concluded that “to date, there is no evidence of recreational use of CBD or any public health-related problems associated with the use of pure CBD” . However, the risks to be assessed about CBD products may not have much to do with the pure compound CBD itself, but more with the unknown composition and quality of the products offered. In particular, we should be looking into the presence of contaminants in these concentrated extracts, and into incorrect or even misleading labels for the cannabinoid content of products.
CBD exists at the confluence of three huge consumer trends. The first is the herbal supplement boom, a $49 billion-a-year industry that has seen rapid expansion since about 2010. The second is the rise of the anxiety economy, in which all sorts of products, from fidget spinners to weighted blankets, are pitched as reducers of the mild panic of everyday life. And the third is the near-overnight creation of a legitimate cannabis industry, thanks to the spread of marijuana legalization.
As a healthcare professional I have realized over the years that most physicians and our healthcare system in general are all set up to focus almost entirely on symptoms and the disease state as a problem to treat, not prevent unfortunately. The training that most physicians receive is almost completely pharmacologicaly focused and consequently they treat patients almost as if they are a car to be fixed rather than as a living breathing being.
^ Jump up to: a b Resstel LB, Tavares RF, Lisboa SF, Joca SR, Corrêa FM, Guimarães FS (January 2009). "5-HT1A receptors are involved in the cannabidiol-induced attenuation of behavioural and cardiovascular responses to acute restraint stress in rats". British Journal of Pharmacology. 156 (1): 181–8. doi:10.1111/j.1476-5381.2008.00046.x. PMC 2697769. PMID 19133999.
The few CBD studies out there give us limited information, and hardly any about recreational CBD use. One study gave people different amounts of ingested CBD (100, 300, and 900 mg), as well as, for comparison, a placebo and Klonopin; those people then had to give a public speech, an action associated with high levels of anxiety in the broad populace. Neither 100 mg nor 900 mg, nor the placebo, had any effect. The 300 mg dose, though, did have a measurable calming effect on heart rate, blood pressure, and anxiety. (The Klonopin also worked.)
An excellent example is the use of CBD (and also THC) products for the self-medicating of cancer, with the intention of fully curing it . This is based on an increasing body of preclinical evidence showing cannabinoids to be capable, under some conditions, of inhibiting the development of cancer cells in vitro or in vivo by various mechanisms of action, including induction of apoptosis, inhibition of angiogenesis, and arresting the cell cycle . This is certainly exciting news, and research is ongoing around the world, but there is no solid clinical evidence yet to support that cannabinoids – whether natural or synthetic – can effectively and safely treat cancer in actual humans . In fact, there are indications that certain types of cancer may even accelerate when exposed to cannabinoids . This becomes problematic when patients choose to refuse chemotherapy treatment because they firmly believe in the rumored curative properties of cannabinoids. As a result, recommendation of cannabinoids for treating cancer should be done with great care, and with distinction as to the type of cancer being treated .
Though clinical and anecdotal evidence suggests CBD’s benefits in managing different conditions, it became most famous for treating a rare and debilitating form of pediatric epilepsy. Dravet’s Syndrome is notoriously resistant to current approved treatment methods. Sufferers are plagued by seizures, often up to hundreds a day, that worsen as they age and can be life-threatening. Currently, treatment methods include having the child wear an eyepatch, specialized diets, and brain surgery, but all have mixed success rates.
As an alternative health regimen, CBD holds particular appeal to women, said Gretchen Lidicker, the health editor of Mindbodygreen, a wellness website based in New York, and the author of “CBD Oil Everyday Secrets.” Noting the preponderance of female-run CBD businesses, Ms. Lidicker, 26, said that it is “no surprise that women are leading the CBD movement.”
Our reviews also include the ingredients and a description of the scent and texture of each CBD topical. We tried to remain neutral in our descriptions of each product, since each consumer’s experience is subjective. These are all high-quality CBD creams, balms and salves, but you may find you prefer one scent over another. You might love or hate menthol. Some people prefer a light texture, while other buyers are looking for CBD topicals to use in a massage.
Research suggests that CBD may exert some of its pharmacological action through its inhibition of fatty acid amide hydrolase (FAAH), which may in turn increase the levels of endocannabinoids, such as anandamide, produced by the body. It has also been speculated that some of the metabolites of CBD have pharmacological effects that contribute to the biological activity of CBD.
Our Editor’s Pick is the tincture from CBDistillery. This tincture is available in five strengths ranging from 250mg to 5,000mg, which accommodates a wide range of THC preferences, as well as 15 and 30 milliliter containers. The tincture has a price-point that is slightly below average, making it a good option for value seekers. The tincture, which is non-flavored, routinely undergoes third-party testing to ensure safety and high quality; the testing results are available on CBDistillery’s product pages.