CBD is well tolerated in humans with doses up to 600 mg not resulting in psychotic symptoms (15). In the few small placebo-controlled studies performed, no significant CNS effects were noted. Oral CBD undergoes extensive first-pass metabolism via CYP3A4, with a bioavailability of 6%. Following single doses in humans, the half-life of CBD when taken orally is about 1 to 2 days.1 In vitro studies have shown that CBD is a potent inhibitor of multiple CYP isozymes, including CYP 2C and CYP3A (16, 17). Whether these in vitro observations are relevant at plasma concentrations likely to be seen in patients is unclear. In addition, given its metabolism via CYP3A4, clinical trials of CBD in patients receiving enzyme-inducing AEDs, such as carbamazepine or phenytoin, will require detailed pharmacokinetic studies.
THC does typically come with a long list of health benefits, but the clinical use of this cannabis compound is often limited by its unwanted psychoactive side effects in people. For this reason, interest in non-intoxicating phytocannabinoids, such as CBD, has substantially increased in recent years. In fact, CBD is being used in conjunction with THC for more favorable effects.
Scott Shannon, MD, assistant clinical professor at the University of Colorado, recently sifted through patient charts from his four-doctor practice to document CBD’s effects on anxiety. His study, as yet unpublished, found “a fairly rapid decrease in anxiety scores that appears to persist for months,” he says. But he says he can’t discount a placebo effect, especially since “there’s a lot of hype right now.”
To make matters more confusing, nine states (including California, Washington, and Colorado) let residents buy cannabis-based products with or without THC. Nearly two dozen other “medical marijuana states” allow the sale of cannabis, including capsules, tinctures, and other items containing CBD or THC, at licensed dispensaries to people whose doctors have certified that they have an approved condition (the list varies by state but includes chronic pain, PTSD, cancer, autism, Crohn’s disease, and multiple sclerosis). Sixteen more states legalized CBD for certain diseases.
And then I woke up on the concrete, a worried crowd gathered around me. “You had a seizure,” my friend said gently as I blinked my eyes, trying to process this new information. I remember it was warm that night because I was wearing a sundress, and when I finally regained consciousness my first worry was that my dress flew up and everyone could see my underwear.
This is extremely important news for me. As an extreme migraine sufferer with an average of 15 days a month or more, since using CBD I haven’t had any headaches at all. The 4 days I did have them last week was because I didn’t have or take any CBD oil for the last 2 weeks. So while taking it I have been headache free. I’ve been suffering headaches for 29 years and have had every test known to mankind, every migraine and cluster headache drug etc. My last treatments were 30 Botox injections every 3 months for the last year. Where it cut them down in intensity and frequency, Hemp Worx 500 CBD virtually stopped them dead in their tracks. I can’t recommend it enough. CBD did what Mass Gen. Hospital and 3 other hospitals couldn’t do. The stuff worx!
According to one board-certified dermatologist who specializes in cannabinoids in skin care and treatment, Jeanette Jacknin, as recently published in the Strategist, the way CBD interacts with the endocannabinoid system, helps the skin look more “radiant and youthful” slowing down the signs of aging. Furthermore, its anti-inflammatory actions and interactions with the body can help decrease the effects of acne, eczema and psoriasis. (15)
Generally speaking, ingesting CBD oils using a dropper is typically the easiest way to stay in control of exactly how much you are taking. Plus, pure CBD oil will not contain additives that come with side effects. Remember, when you are using CBD oil or any kind of cannabis product, you must read the product label to determine the best dose for you.
Deciding to use CBD oil as a natural therapy is one thing – figuring out which brand to use, what strength/concentration to use, and how much CBD to actually take is another thing altogether. Plus, with all of the products out there to choose from and their confusing mL/mg labels, it can be a nightmare trying to determine which one is best for you, or which one you should be taking for your specific condition.
Then there is the matter of which part of the plant is used. THC tends to be more concentrated in the leaves of the plant, while CBD in its stem and seeds. It should be noted that these aspects are relative. Some degree of agreement exists that for the purest CBD, the stalk of a hemp plant (varieties of cannabis generally grown for fiber manufacturing, low in THC), or much less often the seeds. Taking into account the fact that CBD supplements are usually in an oil form, one may fathom the origins of the nearly ubiquitous hemp oil dietary supplements.
Researchers found that CBD helps with a multitude of health issues. These include anxiety, epilepsy/seizure, colitis, psychotic disorders, stroke rehabilitation, PTSD, liver injury and pain relief. The first CBD-based drug Epidiolex approved by the FDA was introduced to the market this year. It is used as a treatment for Lennox-Gastaut syndrome and Dravet syndrome.
CBD oil has numerous healing properties and has been connected to assisting with a diverse number of health problems. From migraines to anxiety and stress CBD oil is gaining popularity among medical patients. Only now is CBD oil coming into the light and thanks to this miraculous plant there are many ways you can use CBD oil, depending on what you want relief from!
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.
The statements made regarding these products have not been evaluated by the Food and Drug Administration. The efficacy of these products has not been confirmed by FDA-approved research. These products are not intended to diagnose, treat, cure or prevent any disease. All information presented here is not meant as a substitute for or alternative to information from health care practitioners. Please consult your health care professional about potential interactions or other possible complications before using any product.
I have read about studies from Europe (not very specific I know) that suggest CBD might work better for some people if combined with some level of THC. Also, the getting high part can be helpful, although not for everybody, of course. A second point – I don’t hear very much about CBD eliminating or almost eliminating pain for people with severe pain. Helpful, but, so far at least, it doesn’t seem that CBDs can replace opioids or substantially reduce pain for all chronic pain patients. Maybe someday.
That leaves those touting CBD’s effectiveness pointing primarily to research in mice and petri dishes. There, CBD (sometimes combined with small amounts of THC) has shown promise for helping pain, neurological conditions like anxiety and PTSD, and the immune system—and therefore potentially arthritis, diabetes, multiple sclerosis, cancer, and more.
Tinctures – Typically tinctures are small glass or plastic “dropper” bottles that have cannabidiol oil mixed with a preserving solution such as alcohol. Tinctures were very a very common way to ingest botanical oils prior to the industrial revolution and are experiencing a resurgence in popularity as more people are looking for natural remedies. Tinctures with droppers allow you to put a few drops in your tea, under your tongue, or to bake the oil directly into your food.