Gloss and Vickrey conducted a Cochrane systematic review of the use of CBD in the treatment of epilepsy (11). Their methodology included only those trials that were randomized and controlled and excluded case series, case reports, and expert opinion. They were able to identify only 4 randomized controlled studies reported in the literature, and they included a letter to the editor and an abstract. The total number of subjects enrolled in these studies was 48 (11–14). While only four studies and a letter to the editor were in the actual analysis, the authors included a complete reference listing of all articles reviewed for inclusion.
All safe and reputable CBD oil brands make third-party lab reports readily available on their website or upon request. These reports detail the results of product testing by an accredited third-party laboratory that specializes in cannabis testing. They give you great insight into which cannabinoids and terpenes are in the product and whether it passed tests for heavy metals, pesticides, and other potentially dangerous ingredients.
At this time, there does seem to be a growing body of basic pharmacologic data suggesting there may be a role for CBD, especially in the treatment of refractory epilepsy. However, given the lack of well-controlled trials, we must also ask if we are getting ahead of ourselves. Clearly, this is an emotionally and politically charged issue. If this were any other uninvestigated pharmaceutical compound, would we feel as compelled to make the agent widely available before statistically valid class 1 evidence was available for review? Until data from well-designed clinical trials are available and reliable, and standardized CBD products that are produced using GMP are available, caution must be exercised in any consideration of using CBD for the treatment of epilepsy. In the meantime, based upon promising preliminary data, further clinical research should be wholeheartedly pursued.
You can thin the CBD with terpenes, encapsulate it in dextrin, drive the terpenes off with heat, and use the now water-soluble CBD in water with an ultrasonic fogger/oil-diffuser. It won’t precipitate, but the level of solubility is pretty low even with encapsulation, think 100mg per 200ml. The evaporation rate of those units is somewhere like 50ml/hour, which works out to .83mg of CBD being vaporized a minute, or .14mg every 10 seconds. That’s a miniscule rate.
At the top of our ranking is Portland-based Lazarus Naturals, which has honed a reputation for high-quality, affordable CBD. Their consciously crafted CBD is sourced from organic, Oregon-grown hemp which the company controls from seed to sale. With low prices, a robust assistance program, free shipping, and a 30-day, no questions asked return policy, you really can’t go wrong with Lazarus Naturals.