Very detailed and well researched article, thank you. I would like to highlight the possibility of using CBD suppositories as well, since the bioavailability of rectal administration can reportedly reach up to 70%, compared to 6% via oral ingestion or 30% when vaporized. I have even heard of people who produce their own suppositories or simply inject a mixture of CBD and organic edible oils with a syringe. Might not me the most pleasant option, but obviously very efficient.
Zuardi, A. W., Crippa, J. A., Hallak, J. E., Bhattacharyya, S., Atakan, Z., Martin-Santos, R., … & Guimarães, F. S. (2012). A critical review of the antipsychotic effects of cannabidiol: 30 years of a translational investigation [Abstract]. Current Pharmaceutical Design, 18(32), 5,131–5,140. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/22716160
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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.

Results indicated that CBD significantly reduced subjective measures of anxiety as evidenced by changes in VAMS scores.  Neuroimaging data revealed decreased ECD-tracer uptake when participants received the CBD compared to when they took the placebo.  Particularly, activity in the left amygdala-hippocampal complex and the left posterior cingulate gyrus decreased following CBD administration.


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.

In June 2018, following the FDA approval of Epidiolex for rare types of childhood epilepsy, Epidiolex was rescheduled as a Schedule V drug allowing its legal use as a pharmaceutical drug.[11] This change applies only to FDA-approved products containing no more than 0.1 percent THC.[63] This allows GW Pharma to sell Epidiolex, but it does not apply broadly and all other CBD-containing products remain Schedule I drugs.[63]


That's why it's being increasingly used as a sleep aid, she says. "The major reason why most people don't sleep is because they're stressed out, they're anxious, they can't shut their brain off," she explains. "What CBD does is calm down your body's stress response and bring those cortisol and adrenaline levels back to baseline." Science is scant, but what studies we do have back that up: CBD may increase the amount of time you sleep, according to an animal study published in the Journal of Psychopharmacology, and improve insomnia, research in the journal Current Psychiatry Reports found.


Cost is another consideration. Most CBD oils are sold in concentrations of 300 to 750 mg, although this may range from less than 100 mg to more than 2,000. A good indicator of price-point is the cost per milligram. Low-cost CBD oils usually fall between five and 10 cents per mg; mid-range prices are 11 to 15 cents per mg; and higher-end oils cost 16 cents per mg or higher. Given these varying per-milligram costs, a bottle of CBD oil may be priced anywhere from $10 or less to $150 or more.
The definitions of hemp and marijuana can get pretty confusing, but for basic purposes, marijuana contains high levels of THC, and hemp contains low levels of THC. The ratios of CBD to THC in hemp oil can vary, depending on the product and the specific plant the oil was extracted from. CBD oil, a concentrated version of the cannabidiol compound, is typically derived from hemp but can be extracted from marijuana as well. CBD oil products on the market have varying levels of CBD and THC. Many have little to no THC, while some contain small amounts.
One thing that I really really liked though, was that the effects seemed to last a long time. I have only taken the oil on four separate occasions now, and each time it’s seemed to last like 6-8 hours (or at least all evening). This makes sense too, because after doing a little reading up I found that the sublingual tinctures are much longer-lasting than CBD vape oils or e-juices.
Typically, pharmaceutical companies making cannabis-based medicines have sought to isolate individual compounds from the plant. But Mechoulam strongly suspects that in some cases those chemicals would work much better in concert with other compounds found in marijuana. He calls this the entourage effect, and it’s just one of the many cannabis mysteries that he says require further study.
Endocannabinoids (ECS), a group of endogenous cannabinoid receptors that play a key role in memory, mood, brain reward systems, drug addiction, and energy balance. They are also known as »the body’s own cannabinoid system«. Research shows the benefits of the ECS system in fighting depression, anxiety, increasing appetite, and creating feelings of well-being. CBD naturally acts on the ECS system’s signals to increase receptor function and flow. CBD, along with 2-Arachidonoylglycerol(2-AG), is involved in the regulation of appetite, immune system functions and pain management.
74. Deiana S, Watanabe A, Yamasaki Y. Plasma and brain pharmacokinetic profile of cannabidiol (CBD), cannabidivarine (CBDV), Delta(9)-tetrahydrocannabivarin (THCV) and cannabigerol (CBG) in rats and mice following oral and intraperitoneal administration and CBD action on obsessive-compulsive behaviour. Psychopharmacology (Berl) 2012;219:859–873. doi: 10.1007/s00213-011-2415-0. [PubMed] [Cross Ref]

No statistically significant differences were found between groups in the VAMS, STAI, Digit Symbol Substitution and Symbol Copying Tests, and PVT. In the analysis of the WAIS, the results in the Symbol Copying Tests showed no effects of drug (F1,24 = 2.46; p > 0.05) or order of administration (F1,24 = 0.44; p > 0.05), but the interaction between drug and order was significant (F1,24 = 4.9, p < 0.05). To check if this interaction could have potentially interfered with the results, we split the subjects, comparing the placebo and CBD groups separately in the two orders (first placebo or CBD). Again, there was no difference between groups in the two situations.


“CBD coupled with stretching, icing, and foam rolling is a common treatment plan for tendonitis injuries about the knee, such as iliotibial band syndrome,” says Charles Bush-Joseph, M.D., a professor of orthopedics at Rush University Medical Center in Chicago. “Many patients like the fact that CBD is a natural substance. While specific research on the use of CBD in this instance is lacking, many believe that it helps prevent muscle and collagen breakdown.”
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.

Preliminary research indicates that cannabidiol may reduce adverse effects of THC, particularly those causing intoxication and sedation, but only at high doses.[24] Safety studies of cannabidiol showed it is well-tolerated, but may cause tiredness, diarrhea, or changes in appetite as common adverse effects.[25] Epidiolex documentation lists sleepiness, insomnia and poor quality sleep, decreased appetite, diarrhea, and fatigue.[3]


A research conducted by Ethan B Russo, GW Pharmaceuticals, WA, USA, suggests that CBD oil interacts with the protein cells in the body and sends chemical signals to your brain and immune system through a number of stimuli. This helps the cells positively respond to chronic pain. This oil is regularly suggested for people with inflammation and back pain because of its painkilling quality.
CBD oil can also be taken in a tincture which contains the oil itself, as well as a diluting agent such as alcohol or another oil base. Generally, tinctures have a lower amount of CBD per dose, but they can still be an effective means of obtaining relief from sleep disorders. For easy ingestion, simply drop the tincture directly on your tongue and allow it to dissolve prior to swallowing.
I have been a member around a year maybe less, but I just need to tell you how much I appreciate you all. I have 3 kids and husband and was crippled with my health problems and drugs from all the doctors, I had to take. I am so much better off today. I can now contribute to my family. I feel hope for the first time for a future with them. Thank you, God Bless You!

The CBD Living Water was my favorite as it just was like drinking bottled water and was immediately available in my system. Within a few minutes of drinking one serving, my anxiety began reducing. It was so benign that I thought perhaps it was just my own thoughts that were calming me down–my belief that it would help. So, I bought the CBD tincture as kind of a test to see if I reacted the same. The next time I was having withdrawal anxiety I used the CBD Tincture. I didn't realize at that time that it can take up to 2+ hours to have effect when you take the tincture, but that was actually good for my test purposes. My anxiety continued for another hour until slowly the tincture began taking effect. I decided then that the CBD Living Water worked best for my anxiety.
Hash oil is consumed usually by smoking, ingestion, or vaporization.[10] Smoking or vaporizing hash oil is known colloquially as "dabbing",[10] from the English verb to daub (Dutch dabben, French dauber), "to smear with something adhesive".[16] Dabbing devices include special kinds of water pipes ("oil rigs"), and vaporizers similar in design to electronic cigarettes.[10] Oil rigs include a glass water pipe and a hollow tube (called a "nail"), with an indentation on the side which is sometimes covered with a dome.[10] The pipe is often heated with a blowtorch rather than a cigarette lighter.[10]
Based on logical examinations on the subject, in 2011 a gathering of specialists directed an investigation that reformed the considerations about CBD and anxiety. They took ten individuals with social anxiety who had never had any treatment for this issue and separated them into two gatherings. One gathering was given 400mg of CBD and the other fake treatment. The outcomes demonstrated that the individuals who had gotten the CBD oil had effectively enhanced their anxiety side effects contrasted with the phony treatment.
Cannabidiol is insoluble in water but soluble in organic solvents such as pentane. At room temperature, it is a colorless crystalline solid.[42] In strongly basic media and the presence of air, it is oxidized to a quinone.[43] Under acidic conditions it cyclizes to THC.[44] The synthesis of cannabidiol has been accomplished by several research groups.[45][46][47]
People who smoke cannabis often smoke it to get high and for its calming qualities, using cannabis specifically cultivated for very high amounts of THC content. Strains such as skunk are bred to contain as much of the psychoactive compound as possible, with THC levels increasing dramatically over the last few decades due to the popularity of THC’s effects for recreational users.
Anxiolytic effects of CBD in models of generalized anxiety have been linked to specific receptor mechanisms and brain regions. The midbrain dorsal periaqueductal gray (DPAG) is integral to anxiety, orchestrating autonomic and behavioral responses to threat [91], and DPAG stimulation in humans produces feelings of intense distress and dread [92]. Microinjection of CBD into the DPAG produced anxiolytic effects in the EPM, VGC, and ETM that were partially mediated by activation of 5-HT1ARs but not by CB1Rs [65, 68]. The bed nucleus of the stria terminalis (BNST) serves as a principal output structure of the amygdaloid complex to coordinate sustained fear responses, relevant to anxiety [93]. Anxiolytic effects of CBD in the EPM and VCT occurred upon microinjection into the BNST, where they depended on 5-HT1AR activation [79], and also upon microinjection into the central nucleus of the amygdala [78]. In the prelimbic cortex, which drives expression of fear responses via connections with the amygdala [94], CBD had more complex effects: in unstressed rats, CBD was anxiogenic in the EPM, partially via 5-HT1AR receptor activation; however, following acute restraint stress, CBD was anxiolytic [87]. Finally, the anxiolytic effects of systemic CBD partially depended on GABAA receptor activation in the EPM model but not in the VCT model [61, 62].
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.
Cannabidiol (CBD), a Cannabis sativa constituent, is a pharmacologically broad-spectrum drug that in recent years has drawn increasing interest as a treatment for a range of neuropsychiatric disorders. The purpose of the current review is to determine CBD’s potential as a treatment for anxiety-related disorders, by assessing evidence from preclinical, human experimental, clinical, and epidemiological studies. We found that existing preclinical evidence strongly supports CBD as a treatment for generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive–compulsive disorder, and post-traumatic stress disorder when administered acutely; however, few studies have investigated chronic CBD dosing. Likewise, evidence from human studies supports an anxiolytic role of CBD, but is currently limited to acute dosing, also with few studies in clinical populations. Overall, current evidence indicates CBD has considerable potential as a treatment for multiple anxiety disorders, with need for further study of chronic and therapeutic effects in relevant clinical populations.
Over the years, cannabis oil has been used as an effective treatment for anxiety and depression. Furthermore, it is constantly being researched by scientists. In fact, CBD effects on anxiety is currently considered to be one of the most intriguing and well-funded areas of modern cannabis research; if progress continues in the way that it has over the last several years, then it is very possible that we will develop highly effective ways in which oils for anxiety (and depression) can be used as an effective therapy.
Anti-inflammatory: Many individuals with neuropsychiatric disorders have severe inflammation, particularly neuroinflammation. Neuroinflammation is associated with many causative underpinnings including: air pollution, brain injuries, viruses, and even standard aging.  This increase in inflammation can lead to glial cell and cytokine abnormalities, each of which could contribute to anxiety disorders.  CBD has been shown to reduce neuroinflammation, which in turn may directly improve anxiety, as well as cognitive function and mood.
Everything you need to know about marijuana (cannabis) Marijuana, or cannabis, is the most commonly used illicit drug in the world. It alters the mood and affects nearly every organ in the body. With at least 120 active compounds, marijuana may have health benefits as well as risks. We describe these, addiction, and withdrawal. Learn more about cannabis here. Read now

Cannabidiol (CBD) is a phytocannabinoid constituent of Cannabis sativa that lacks the psychoactive effects of ∆9-tetrahydrocannabinol (THC). CBD has broad therapeutic properties across a range of neuropsychiatric disorders, stemming from diverse central nervous system actions [11, 12]. In recent years, CBD has attracted increasing interest as a potential anxiolytic treatment [13–15]. The purpose of this review is to assess evidence from current preclinical, clinical, and epidemiological studies pertaining to the potential risks and benefits of CBD as a treatment for anxiety disorders.
However, the 2014 federal farm bill allowed for “research” cultivation and marketing of industrial hemp if those activities aren’t in violation of state laws. Only four states—Idaho, North Dakota, Nebraska, and Kansas—have strict no-CBD laws. Since 2014, there has been little to no federal enforcement against commercial hemp products. The upshot: Functionally, hemp-derived CBD products are safe for interstate commerce.
He emphasises that the company’s products are “whole-plant extracts that include a variety of phytochemicals, not just CBD. These beneficial compounds include a range of phytocannabinoids, terpenes and flavonoids that work together.” This isn’t necessarily seen as a positive by researchers, with McGuire saying: “They muddy the water.” However, Sativex is also a plant extract containing other cannabinoids and substances. David Potter, chief botanist at GW Pharmaceuticals, which makes the drug, says the evidence at the time the drug was developed “suggested there was a synergy between these active ingredients”.
A research conducted by Ethan B Russo, GW Pharmaceuticals, WA, USA, suggests that CBD oil interacts with the protein cells in the body and sends chemical signals to your brain and immune system through a number of stimuli. This helps the cells positively respond to chronic pain. This oil is regularly suggested for people with inflammation and back pain because of its painkilling quality.
All this means that scientists can still only obtain marijuana-derived CBD from farms licensed by the National Institute on Drug Abuse (which until this year meant only one farm owned by the University of Mississippi). As for whether you should have a preference for CBD that comes from hemp, marijuana, or a pure synthetically produced version, there are some theories that THC—and even the smell and taste of cannabis—might make CBD more effective, but Bonn-Miller says these ideas have yet to be proven.

Though it's derived from marijuana, CBD doesn't contain any psychoactive elements like pot. "What CBD does is help balance our endocannabinoid system, the main job of which is to keep our body in homeostasis," says Aimée Gould Shunney, a licensed naturopathic doctor at Santa Cruz Integrative Medicine. In addition to affecting the receptors in our brain that impact our stress response, mood, inflammation, and pain, Shunney says, "it also prevents our major endocannabinoid, which is called anandamide, from being broken down—and when we have plenty of our own endocannabinoids circulating, not only are we not going to respond as much to a stress, but we're going to return to baseline faster, so it's like a recovery system." (Related: The Best Health and Wellness CBD Products) 


Most acutely, the discomfort and stiffness I’d felt for months from a meniscus tear (confirmed by MRI) went away. The occasional twinges I had been getting on runs stopped. More significantly, what had been the tear’s near-constant presence in daily life, such as when getting up from sitting, has disappeared. For now I’ve postponed surgery on the tear. It’s impossible to know if CBD was the key factor in any of these changes. Still, at the end of the month I decided to keep taking CBD daily.
As a consumer, you can look at the manufacturer's website to see whether they batch-test their products, or ask them directly. You could also send a sample of your CBD oil to a testing facility yourself, something Bonn-Miller says he would do if he were trying to treat someone with a severe issue such as epilepsy. Testing can also determine whether the product contains pesticides, heavy metals, or other toxins.
Research has shown that administration of cannabidiol actually inhibits agonist effects at the CB1/CB2 receptor sites.  Although the effects of CB1 inverse agonism aren’t fully elucidated, many speculate that CB2 inverse agonism may contribute to cannabidiol’s anti-inflammatory effects.  Due to the fact that neuroinflammation is associated with anxiety disorders, we could hypothesize that a decrease in inflammation may yield anxiolytic responses in a subset of CBD users.
CBD has also been shown to enhance extinction of contextually conditioned fear responses. Extinction training involves repeated CS exposure in the absence of the US, leading to the formation of a new memory that inhibits fear responses and a decline in freezing over subsequent training sessions. Systemic CBD administration immediately before training markedly enhanced extinction, and this effect depended on CB1R activation, without involvement of TRPV1 receptors [65]. Further studies showed CB1Rs in the infralimbic cortex may be involved in this effect [82].
Opioid receptor modulator: Another possible mechanism by which CBD may alleviate symptoms of anxiety is through allosteric modulation of mu-opioid receptor (MOR) and delta-opioid receptor (DOR) sites.  Though it is known that allosteric modulation of the MOR and DOR is capable of reducing anxiety, it isn’t fully understood how.  Some speculate that MOR and DOR sites affect GABAergic and dopaminergic neurotransmission.
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.
Of course, the easiest solution, advocates say, is for the federal government to legalize cannabis completely. If cannabis were legalized—the whole plant and all its extracts, no confusing singling-out of specific compounds or anatomical features—then U.S. drug companies would be able to carefully cultivate and research its medicinal properties, and submit their findings to regulatory bodies like the FDA for trials and approval.

"It's important to know that the research in this area is in its infancy, partly because we haven't really understood much about CBD until relatively recently," said Marcel Bonn-Miller, an adjunct assistant professor at the University of Pennsylvania Perelman School of Medicine. He pointed out that the classification of marijuana as a Schedule 1 drug by the DEA makes it difficult to get material to use in laboratory studies. Schedule 1 drugs have a high potential for abuse, according to the DEA, and are illegal under federal law.

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