Cannabidiol has drawn everybody’s attention when parents have discovered that the cannabis plant can significantly reduce epileptic seizures in children. Since then, CBD has become outstandingly popular; It won’t be an exaggeration if we say that cannabidiol has now more of a spotlight than THC, its intoxicating counterpart. Now widely available through online vendors and at health stores near you, CBD is taking the world by storm.
OK, so CBD oil won't get you high, turn you into a drug addict, or give you the munchies, so why is everyone talking about it? If THC is the Beyoncé of cannabinoids, then CBD is the Adele: Both you and your grandma will love it. CBD is just as talented as THC but safe for the whole family. CBD oil can provide amazing health benefits naturally, and there is a growing body of research to support it.
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!
San Diego restaurateur Beau Schmitt uses CBD gummies to treat his anxiety. He takes two to three gummies in the morning and then again before bed to help him sleep. “I take gummies (vs oils or vaping) because dosing is consistent, they’re convenient, and I don’t look “druggy” while conducting business or interacting with our staff,” he tells Healthline.
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.
Anxiety subtypes: While the literature confers therapeutic efficacy of CBD for anxiety disorders, it doesn’t mention whether CBD may be more effective for certain subtypes of anxiety compared to others. Although most types of anxiety share commonalities, not all are the same nor exhibit the same underlying neural abnormalities. Therefore, it is logical to assume that CBD may provide greater benefit to those diagnosed with one type of anxiety (e.g. social phobia) than another (e.g. OCD).
While CBD predominantly has acute anxiolytic effects, some species discrepancies are apparent. In addition, effects may be contingent on prior stress and vary according to brain region. A notable contrast between CBD and other agents that target the eCB system, including THC, direct CB1R agonists and FAAH inhibitors, is a lack of anxiogenic effects at a higher dose. Further receptor-specific studies may elucidate the receptor specific basis of this distinct dose response profile. Further studies are also required to establish the efficacy of CBD when administered in chronic dosing, as relatively few relevant studies exist, with mixed results, including both anxiolytic and anxiogenic outcomes.
Relevant studies in animal models are summarized in chronological order in Table Table1.1. CBD has been studied in a wide range of animal models of general anxiety, including the elevated plus maze (EPM), the Vogel-conflict test (VCT), and the elevated T maze (ETM). See Table Table11 for the anxiolytic effect specific to each paradigm. Initial studies of CBD in these models showed conflicting results: high (100 mg/kg) doses were ineffective, while low (10 mg/kg) doses were anxiolytic [59, 60]. When tested over a wide range of doses in further studies, the anxiolytic effects of CBD presented a bell-shaped dose–response curve, with anxiolytic effects observed at moderate but not higher doses [61, 90]. All further studies of acute systemic CBD without prior stress showed anxiolytic effects or no effect [62, 65], the latter study involving intracerebroventricular rather than the intraperitoneal route. No anxiogenic effects of acute systemic CBD dosing in models of general anxiety have yet been reported. As yet, few studies have examined chronic dosing effects of CBD in models of generalized anxiety. Campos et al.  showed that in rat, CBD treatment for 21 days attenuated inhibitory avoidance acquisition . Long et al.  showed that, in mouse, CBD produced moderate anxiolytic effects in some paradigms, with no effects in others.
During the study, 50 participants with PTSD coexisting with alcohol use disorder will be given either 400 milligrams of CBD daily, or a placebo. The goal is to see if the participants who take CBD end up drinking less and whether this leads to an improvement in PTSD symptoms. The participants will be given a pharmaceutical-grade CBD, which is more reliable in strength and purity than the supplements that are currently available for sale to the public.
McGuire doesn’t advise buying CBD products. You need to differentiate, he says, between the extremely high doses of pharmaceutical-grade pure CBD that participants in the handful of successful studies were given and the dietary supplements available over the counter or online. “These may contain quite small amounts of CBD that might not have large enough concentrations to have any effects,” he says. “It’s the difference between a nutraceutical and a pharmaceutical.” These supplements aren’t allowed to make claims of any effects. “If you’re making creams or sports drinks with CBD, you can say anything you like as long as you don’t say it will do such and such,” he says.
Cross-sectional studies have found a direct correlation between more severe PTSD symptomatology and increased motivation to use cannabis for coping purposes, especially among patients with difficulties in emotional regulation or stress tolerance. When using cannabis treatment, military veterans with PTSD reported reduced anxiety and insomnia and improved coping ability. (5)
Further testing found what the world now knows: This compound is the plant’s principal active ingredient, its mind-altering essence—the stuff that makes you high. Mechoulam, along with a colleague, had discovered tetrahydrocannabinol (THC). He and his team also elucidated the chemical structure of cannabidiol (CBD), another key ingredient in marijuana, one that has many potential medical uses but no psychoactive effect on humans.
The first product I tried was Plus CBD Oil Drops ($42; pluscbdoil.com). One serving—about half a dropper—contains 5mg. "Taking drops has the benefit of sublingual absorption, which means you're going to feel it a little faster than a pill, maybe in 15 or 30 minutes," says Shunney. I did feel sleepy about 45 minutes after taking it (the last time I checked my phone) but I'm pretty sure I was still awake a while longer. I did sleep soundly, with some groggy effects when I woke up. The next two nights, I doubled my dosage (to 10mg) but I didn't fall asleep any faster.
A review published in 2017 in the journal Frontiers in Pharmacology described how CBD may work to protect the hippocampus — the part of the brain responsible for several important functions, such as learning, memory and navigation — during times of stress, and may also help prevent brain-cell destruction that results from schizophrenia. Another 2017 review published in the journal Annals of Palliative Medicine summarized a handful of studies that suggest cannabis oils containing THC or CBD, or both, may help with chronic pain management, but the mechanism is unclear.
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