A number of difficulties exist in evaluating published data on CBD or marijuana use for epilepsy. The extremely limited published studies were small, poorly described, and not well designed. Contributing to the difficulty of interpreting published studies, CBD products are not produced under the guidance of good manufacturing practices (GMP) and are not subject to regulations governing labeling, purity, and reliability. In other words, currently, there is no guarantee of consistency between products, or even differing lots produced by the same manufacturer. Without independent testing (e.g. USP certification) of CBD products for content and purity, as well as bioavailability testing of specific products, uncertainty surrounds the use of available CBD products in routine clinical settings.
These reports suffered from a number of design flaws, including incomplete baseline quantification of baseline seizure frequency, indeterminate time periods for outcome determination and, in some cases, inadequate (or missing) statistical analysis—in general, a lack of sufficient detail to adequately evaluate and interpret the findings. Limitations aside, several studies did report that administration of adjunctive CBD did not result in meaningful changes in seizure frequency (11–13).
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Roger, I’m not 100% certain on this, but I’m pretty confident that the difference here (and what makes it legal for people to sell it on Amazon) is that they are ONLY selling Hemp derived CBD vs. Cannabis derived CBD. Hence the “hemp extract” which is why the Farm Bill passing was such a big deal. As far as I’m aware, you can get CBD from both cannabis and hemp, but the hemp is legal federally. The bigger problem that I see is how misleading all of the amazon products are though because of these amazon regulations. All of the bottles I’ve seen only show the amount of “Hemp seed extract” (ex-2,500 mg Hemp Oil Extract) which is just like buying 2,500 mg of orange juice when I’m looking for vitamin c!
Generalized pain, for instance, has dozens upon dozens of high profile research and clinical studies that have been carried out in universities and laboratories around the globe. One of the most well-publicized of these studies took place back in 2008, in which results determined that “cannabinoid analgesics (pain relievers) have generally been well tolerated in clinical trials … with acceptable adverse event profiles (meaning acceptable effectiveness for practical use).
Marcus, my husband is a 100% disabled vet with PTSD. He has tried a myriad of drugs through the VA all with questionable side affects. He would love to drop the drugs all together but that would cause many other problems. Can the CBD oil be used with meds he is on? Does he need to get permission from the psychiatrist at the VA and is there anything else I might need to consider before suggesting this to him? Thanks in advance!
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