For most people with epilepsy, diagnosis sets off a gauntlet of trial-and-error attempts to find the right medication. The process is tortuous, with seizures alternately dying down and flaring up while side effects— fatigue, nausea, liver damage, and more—develop without warning. This is partly due to the fact that “epilepsy” is actually a broad category that includes a number of distinct seizure disorders. About 30 medications approved by the U.S. Food and Drug Administration are currently used to treat these conditions, and when a person first begins having seizures, there is often much tinkering with combinations and dosages. I spent years battling side effects like vomiting, dizziness, drowsiness, and severe headaches, which were alleviated only by yet another prescription medication. Parents who endure enough sleepless nights caring for a sick child can become desperate for a cure.
When I first learned about CBD oil, I'll admit I was a bit skeptical. My mind immediately turned to weed and the unnerving experiences I'd had with heightened anxiety in college. For me, a person who's already predisposed to overthinking, marijuana, no matter what the form, would typically put my mind into overdrive and result in a common yet dreaded side effect: paranoia.
Yet even those who believe in this power recognize that CBD medicine remains largely unexplored: Treatments are not systematized, many products are not standardized or tested, and patients (or their parents) are generally left to figure out dosing on their own. While some suppliers and dispensaries test the CBD and THC levels of their products, many do not. “We really need more research, and more evidence,” Kogan says. “This has to be done scientifically.”
It was the seizures that tipped Penny off that something wasn’t right with Harper after she and her husband Dustin brought her home from the hospital as a newborn. Several months later, having tried a battery of epilepsy medications and still without a diagnosis, Penny and Dustin flew to Boston with Harper to see an expert in infant seizures. It was there they first heard of CDKL5. “This is the point where life changed significantly,” Penny said, “because now we had this diagnosis. You know, this abnormality in our family that we cannot fix.”
A survey led by the McGill University Health Centre in Canada revealed that cannabis use results in an improvement in non-cancer pain, sleep, and the mood patterns. In the same survey, it also revealed that ‘high’ and dry mouth were the most commonly reported side effects. People who suffer from cancer also turn to cannabis-related options, including therapeutic grade CBD oil, when the pain of chemotherapy or the disease itself becomes unbearable.

I tested positive during an ER visit in a state that is unfriendly toward CBD oil. I was taking the highest strength product from a major brand, the one made by the brothers. I’m over 40 and weigh around 250 pounds, and I don’t use anything else that contains THC or CBD. I was shocked it showed up in the test and more shocked by how I was treated by the ER staff after the results of the test.


The ACMPR requires that all Licensed Producers display total levels of potential THC and CBD on their product labels. Total potential THC is the total amount of THC available when all THCa (tetrahydrocannabinolic acid) is decarboxylated. Total potential CBD is the total of CBD available when all the CBDa (Cannabidiolic acid) is decarboxylated. Learn more about decarboxylation here.
Shots is the online channel for health stories from the NPR Science Desk. We report on news that can make a difference for your health and show how policy shapes our health choices. Look to Shots for the latest on research and medical treatments, as well as the business side of health. Your hosts are Scott Hensley and Carmel Wroth. You can reach the Shots team via our contact form.

Several studies assessed CBD using contextual fear conditioning. Briefly, this paradigm involves pairing a neutral context, the conditioned stimulus (CS), with an aversive unconditioned stimulus (US), a mild foot shock. After repeated pairings, the subject learns that the CS predicts the US, and subsequent CS presentation elicits freezing and other physiological responses. Systemic administration of CBD prior to CS re-exposure reduced conditioned cardiovascular responses [63], an effect reproduced by microinjection of CBD into the BNST, and partially mediated by 5-HT1AR activation [79]. Similarly, CBD in the prelimbic cortex reduced conditioned freezing [70], an effect prevented by 5-HT1AR blockade [87]. By contrast, CBD microinjection in the infralimbic cortex enhanced conditioned freezing [70]. Finally, El Batsh et al. [80] reported that repeated CBD doses over 21 days, that is chronic as opposed to acute treatment, facilitated conditioned freezing. In this study, CBD was administered prior to conditioning rather than prior to re-exposure as in acute studies, thus further directly comparable studies are required.


This safe and carefully tested CBD for Pets Blend by Herbal Renewals is the ideal food supplement for your four-legged friend. Created using high-quality hemp oil and coconut oil, you can feel confident that you’re giving your pet the very best. Simply calculate the recommended serving size by your pet’s weight and add a few drops to their food, twice daily.
You can tell that NuLeaf Naturals don’t take half measures when it comes to manufacturing their oil; its amber-gold color and clean consistency are indicative of high quality. When it comes to the effects for sleep and insomnia, NuLeaf Naturals provides fast relief from stress, pain, and anxiety – all of which contribute to sleep deprivation. It takes a couple of minutes to experience the therapeutic benefits of CBD oil, and the effects last between 1 and 5 hours, depending on the dosage.
It is one thing to not be able to fall asleep, but it is something entirely different when you fall asleep, but get woken up by your own erratic breathing. People who suffer from sleep apnea experience repeated awakenings because the soft tissue in their breathing airway relaxes at night it causes a blockage, resulting in interrupted breathing from a couple of seconds up to a couple of minutes.
If you have been diagnosed with an anxiety disorder and/or are dealing with significant stress, have you tested CBD oil as an intervention?  Assuming you have tried CBD oil, share your experience in the comments section below.  To help others get a better understanding of your situation, include details such as: type of anxiety you have (e.g. social phobia), the dosage of CBD you took, and how effective it was for attenuating your anxiety (on a scale of 1 to 10).
In Colorado, chronic pain is by far the number one qualifying condition for a medical marijuana card. Chronic main manifests in several different ways. A broken ankle that never fully recovered, arthritis, migraines, and so on — all of these reasons may contribute to pain in the body and be keeping you up at night. CBD is diverse, complex, and incredibly efficient. CBD has anti-inflammatory properties, so it will find the pain, decrease inflammation, and provide relief.

The arrival of Epidiolex is unlikely to erase the unregulated CBD market, however. For one, Epidiolex has been studied only in connection with a small number of epileptic conditions. If and when Epidiolex makes its way to drug stores, it will be approved only for the treatment of Dravet Syndrome and Lennox-Gastaut Syndrome, two rare forms of catastrophic epilepsy. People like me, with comparatively mild Janz Syndrome, and people like Harper, with extremely rare conditions like CDKL5, may still be out of luck.
James Joliat, a 35-year-old video producer in Denver, has long experienced muscle and joint pain—mostly related to sports injuries. He says he started looking at natural remedies as an alternative to the prescription patches and pills his doctor recommended. After experimenting with homemade rubs infused with plant compounds—stuff like arnica and turmeric—he eventually stumbled onto topical cannabidiol (CBD) rubs.
Following cloning of the endogenous receptor for THC, namely the CB1R, endogenous CB1R ligands, or “endocannabinoids” (eCBs) were discovered, namely anandamide (AEA) and 2-arachidonoylglycerol (reviewed in [22]). The CB1R is an inhibitory Gi/o protein-coupled receptor that is mainly localized to nerve terminals, and is expressed on both γ-aminobutryic acid-ergic and glutamatergic neurons. eCBs are fatty acid derivatives that are synthesized on demand in response to neuronal depolarization and Ca2+ influx, via cleavage of membrane phospholipids. The primary mechanism by which eCBs regulate synaptic function is retrograde signaling, wherein eCBs produced by depolarization of the postsynaptic neuron activate presynaptic CB1Rs, leading to inhibition of neurotransmitter release [23]. The “eCB system” includes AEA and 2-arachidonoylglycerol; their respective degradative enzymes fatty acid amide hydroxylase (FAAH) and monoacylglycerol lipase; the CB1R and related CB2 receptor (the latter expressed mainly in the periphery); as well as several other receptors activated by eCBs, including the TRPV1 receptor, peroxisome proliferator-activated receptor-γ, and G protein-coupled 55 receptor, which functionally interact with CB1R signaling (reviewed in [21, 24]). Interactions with the TRPV1 receptor, in particular, appear to be critical in regulating the extent to which eCB release leads to inhibition or facilitation of presynaptic neurotransmitter release [25]. The TRPV1 receptor is a postsynaptic cation channel that underlies sensation of noxious heat in the periphery, with capsacin (hot chili) as an exogenous ligand. TRPV1 receptors are also expressed in the brain, including the amygdala, periaqueductal grey, hippocampus, and other areas [26, 27].
May this letter find you and your loved ones happy and healthy for without you I would not be in such an improved state of physical health? It is not often I get to put pencil to paper for not only could I not concentrate due to opiate pharmaceuticals (couldn't express oneself due to lack of cognitive thinking) but the pain, inability to get comfortable due to lymphodemia and anxiety from stress (from lack of cash flow for food, bills, medicines plus the high expense of bandages & ointments) have prevented me from making contact but ....still after this prolonged period of time, I feel it necessary to write personally to mention just how dramatically you changed the world my two children and I live in. My sister Casey Lee Smith, arrived 6 months ago from the USA to run my household and it is through "Phoenix Tears" website she was able to make contact with you and learn all about the many wondrous benefits of medicinal Cannabis oil. When the treatment arrived, I was overwhelmed for I am a single Mother and your generosity brought tears to my eyes (even now it is hard to fight tears as I write) It has been rough to say the least. Feeling helpless, overly tired and frustrated by the lack of qualified physicians in my local town. I became depressed. My ex-husband felt he should prepare the kids for my untimely death. The location of my cancer spread throughout my left quadrant into my lymph and into the brain. I became bed ridden and lost hope. I will lose my house shortly but now i know it won't be my life. So, "THANK YOU" for the gracious gift and know you are loved! Sending love to you forever and always.

It was actually a bad bout of jet lag after a trip to California that inspired me to finally test out the CBD oil (I'll admit that my weed-based reservations kept me from trying it for the first few months). Knowing that the oil had also helped people with sleep issues, I squeezed one full dropper of the Everyday Plus oil onto my tongue, per the instructions, and waited.

"The data supporting efficacy and dosing are specific to one product: Epidiolex," Bonn-Miller says. "That's not necessarily translatable to 'Joe Bob's CBD Blend.'" A CBD extract you buy online or in a dispensary will almost certainly have less CBD in it, he explains, and will contain other cannabinoids—meaning that it will work differently and will need to be dosed differently. "This is not to say that 'Joe Bob's CBD Blend' definitely isn't going to be effective for pediatric epilepsy, but it means that we need to study it before we know."
Stephanie, generally, I have patients take 20 to 150mg a day for sleep +/- anxiety. Start low and go slow. Know the dosages of your product. Usually 2/3 to 3/4 of the daily dose is 1-2 hours before bedtime, and the other portion is upon waking (to improve wakefulness during the day). Other factors such as stress, hormone replacement, other meds & medical conditions, etc. play a role along with individual differences. I own a compounding pharmacy, so we see a lot of unique needs. I can't give more specific advice in this forum, but there is help!

Hi Tiffany, sorry to hear what you are going through. Anxiety is nasty and I know what you are going through. In regards to CBD, it can definitely help, but there are so many factors that it’s hard to tell which brand will work best for you. It depends on your genetics, general health, DNA and tolerance.It won’t get you drugged up, thats for sure. There are two options, either you see a specialist in the field who can recommend the best dosage for you, or its a matter of trial and error. You can try, if it works then great, if it doesn’t so stop. I can tell you that it helped me, thats for sure.
Has anyone done the math? How much could 40mg of CBD cost/night? How much would 160mg cost? The problem is the recommended dose and doses available on the market do not jive. Why the discrepancy between dose recommended by researchers and dose available in the products? Will higher CBD oils be available in the future? For me, right now it would cost $90 to get to sleep on CBD. Totally unrealistic.
Here’s the thing, though—CBD oil isn’t just helpful for people with epilepsy. Turns out the oil is highly anti-inflammatory, and according to a 2013 review published in the British Journal of Clinical Pharmacology it’s also beneficial for treating anxiety, depression, neurodegenerative disorders like dementia, and even has anti-tumoral properties. Sounds like the ultimate superfood, right? I decided to give this magic oil a whirl and see if I noticed a difference in my mood, anxiety, and stress levels.
Hey Linda. Sorry to hear you are struggling with sleep. I know how frustrating this can be. As I’m not a medical professional, I cannot give you advice on dosage for CBD. The Mayo Clinic used to have a dosage guidelines page but they have since taken it down. The dosage they had listed which could potentially help with sleep was 40 mg to 160 mg of CBD. I recommend you let your prescribing physician know you are using CBD alongside the Lunesta.
Another major reason people reported not being able to get to sleep, or maintain substantial sleep, was due to chronic pain. Many who suffer from insomnia say that they cannot find enough relief from pain to manage to get to sleep or at least to remain asleep through the night. A rodent study submitted to the European Journal of Pain noted a significant drop in inflammation and signs of pain in rats with arthritis after they received topical treatment of CBD for sleep.
Hemp oil has never been as popular as other marijuana products. With little to no THC, CBD-rich strains of cannabis don’t deliver the pleasant buzz recreational users seek out in marijuana. In the 1970s, however, scientists found that cannabidiol was effective in reducing seizures. The brain’s endocannabinoid system contains receptors that respond to CBD, producing anticonvulsant effects. Being plant-derived and native to the brain’s own chemistry, CBD is therefore one of the most natural options for seizure treatment available today. Still, not many people took interest in CBD until 2013, when a CNN documentary special, Weed, hosted by the network’s chief medical correspondent, Dr. Sanjay Gupta, highlighted CBD’s effectiveness in combating seizures. Since then, demand for hemp oil products has exploded.
Although delta-9-tetrahydrocannabinol (known as THC) is the primary psychoactive ingredient, other known compounds with biologic activity are cannabinol, cannabidiol, cannabichromene, cannabigerol, tetrahydrocannabivarin and delta-8-THC. Cannabidiol (CBD) is thought to have significant pain-relieving and anti-inflammatory activity without the psychoactive effect of delta-9-THC. (2)
Selective Serotonin Reuptake Inhibitors (SSRIs) like Celexa, Lexapro, and Zoloft, are primarily prescribed to treat depression. They work by preventing serotonin from being absorbed by the brain, increasing its availability. SSRIs are popular antidepressants that can be used long-term and are commonly prescribed to those who suffer from anxiety as well.
Pharmacists have since moved to metric measurements, with a drop being rounded to exactly 0.05 mL (50 μL, that is, 20 drops per milliliter) - https://en.wikipedia.org/wiki/Drop_(unit)1oz is 30 mL1000mg/30mL = 33.3 mg/mL CBD concentration20 drops * .05 mL/drop = 1mL10 drops * .05 mL/drop = .5mLyou take 33.3 mg in the morning and 16.65mg at nightI might suggest taking 50mg in the morning: 50mg / 33.3 mg/mL = 1.50 mL 30 dropstry it for a couple days and see how it helps

While we don’t normally think of anxiety as desirable, it’s actually a critical adaptive response that can help us cope with threats to our (or a loved one’s) safety and welfare. These responses help us recognize and avert potential threats; they can also help motivate us to take action to better our situation (work harder, pay bills, improve relationships, etc.). However, when we don’t manage these natural responses effectively, they can become maladaptive and impact our work and relationships. This can lead to clinically diagnosable anxiety-related disorders. We’ve all heard the saying, “stress kills.” It’s true!


Let's start with the most officially proven medical use of CBD. Earlier this year, the FDA approved the first-ever drug containing CBD, Epidiolex, to treat two rare forms of pediatric epilepsy. To get to that point, the drug's manufacturers had to do a whole lot of randomized, placebo-controlled trials on humans. They had to study how much children could take, what would happen in case of overdose, and any possible side effects that would occur.
However, I’m thinking that there may have been some sort of synergistic effect between the CBD and beer.  The combination of CBD plus beer worked extremely well for my anxiety – but obviously the beer is not a sustainable nor healthy long-term option.  Reflecting on the experience, it’s difficult to determine how well the CBD worked because I was exposed to a lot more anxiety than the first situation.
They may not look threatening, but their very presence here, in the confines of a major university lab, represents years of wrangling to win federal and university approval. Right now, Kane’s allowed to grow only hemp strains. The rest of his research material is cannabis DNA, which is supplied by Colorado growers who extract it using methods he’s taught them.
5-HT1A agonist: 5-HT1A is a subtype of the serotonin receptor, which is important because anxiety and depression can sometimes be treated with medications that target the serotonin system. This is why drug companies developed selective serotonin reuptake inhibitors (SSRIs) like Prozac and Zoloft. SSRIs work by blocking reabsorption of serotonin in the brain, which increases availability of serotonin in the synaptic space. This helps brain cells transmit more serotonin signals, which can reduce anxiety and boost mood in certain cases (although the full biological basis for this is more complicated and not fully understood).
According to the National Eczema Association, “Cannabinoids represent an exciting prospect for the future of AD therapy. With measurable anti-itch, anti-pain, anti-microbial and anti-inflammatory properties, the effect of cannabinoids in patients with AD has already begun to be demonstrated.” (10) Cannabinoids can be found in both cannabis oil and CBD oil.

Although delta-9-tetrahydrocannabinol (known as THC) is the primary psychoactive ingredient, other known compounds with biologic activity are cannabinol, cannabidiol, cannabichromene, cannabigerol, tetrahydrocannabivarin and delta-8-THC. Cannabidiol (CBD) is thought to have significant pain-relieving and anti-inflammatory activity without the psychoactive effect of delta-9-THC. (2)
The powerful components of cannabis essential oil are used to protect the skin. It can be consumed both internally and applied externally to enhance the cannabis effect. It can stimulate the shedding of dead skin and faster re-growth of healthy, glowing skin. Cannabis sativa seed oil is also known for preventing wrinkles, signs of aging, and protecting against eczema and psoriasis.

The nervous system’s endocannabinoid system is not well understood. But it’s thought to play a role in regulating pain, sleep, mood, memory, appetite, and other cognitive and physical processes. Because CBD is able to mimic the actions of some natural brain chemicals, its potential therapeutic benefits are wide-ranging but—at this point—nebulous. “We know that cannabidiol modulates the endocannabinoid system, but we don’t know how it works,” Szaflarski says. That said, there are theories.

CBD is shorthand for cannabidiol, one of the more than 100 cannabinoids found in cannabis. CBD products are said to deliver their many claimed benefits by boosting the body’s endocannabinoid system, which is a system that “is a unique signaling pathway that controls the function of a variety of systems throughout the body, including the cardiovascular system,” says Nicholas DiPatrizio, Ph.D., a professor of biomedical sciences at the University of California, Riverside School of Medicine. (More on the endocannabinoid system later.)


Yet the DEA has stated unequivocally that it considers CBD to be illegal under the Controlled Substances Act. “CBD derived from the cannabis plant is controlled under Schedule I of the CSA because it is a naturally occurring constituent of marijuana,” Joseph Rannazzisi, the deputy assistant administrator of the DEA, told a congressional panel in June. “While there is ongoing research into a potential medical use of CBD, at this time, CBD has no currently accepted medical use in the USA.” Moreover, DEA spokesman Eduardo Chavez told the New Republic that Medical Marijuana, Inc.’s in-house opinion with regards to CBD has no merit. “The bottom line,” Chavez said, “is the oil is part of the marijuana plant, and the marijuana plant is currently a Schedule I controlled substance under federal law.”
A study published by de Mello Schier et al. (2014) reviewed the literature involving administration of CBD to animal models of anxiety.  The studies reviewed by researchers assessed animal performance with measures such as: forced swimming tests (FST), elevated plus mazes (EPM), and Vogel conflict tests (VCT).  In all cases, administration of CBD to animal models reduced anxiety and improved mood – as evidenced by behavioral performance.
CBD Oil with THC – This type of oil isn’t legal in all states, and has a different effect than pure CBD oil. Many people take marijuana for the effects of THC, as it helps them to battle different medical conditions. They believe that the two combined provide an enhanced experience that exceeds the beneficial properties of taking one over the other (i.e. just taking THC or CBD by themselves). It is important to note that THC can counter the benefits of CBD, and therefore correct dosing is essential.
For some reason, Monday morning doesn't seem full of the usual oh my goodness, there could be a disaster around every corner situations I normally conjure up in my mind. Maybe it's because it's sunny outside (always a bonus); maybe it's because my brain is fuzzy with phlegm; maybe it's because my nose piercing, fed up with endless nose-blowing, is pulsating in pain. Maybe it's the oil. Either way, I spend the afternoon praising the oil, wishing I could bathe in it. The phlegm may be causing me to lose it a little.

There were distinct changes in neural activation associated with the significant anxiolytic effects provided by CBD.  When compared to the placebo, administration of CBD significantly: increased ECD tracer uptake in the right posterior cingulate gyrus and decreased ECD tracer uptake in the left parahippocampal gyrus, hippocampus, and inferior temporal gyrus.  Researchers concluded that reductions in social anxiety from CBD are related to modulation of neural activity in the limbic and paralimbic regions.


THC is the primary psychoactive compound in marijuana and it is what people are searching for when they want a product that gives them a "high." Unlike THC, CBD isn't known to cause psychoactive effects, and is therefore attractive to those who want to avoid the high but who believe there are other benefits of CBD, said Sara Ward, a pharmacologist at Temple University in Philadelphia. [Healing Herb? Marijuana Could Treat These 5 Conditions]

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