CBD was first discovered in the 1940s by Roger Adams, the former head of the chemistry department at University of Illinois at Champaign-Urbana. In his research, Adams isolated CBD from hemp but couldn’t determine what exactly he’d found. In addition to CBD, Adams also synthesized analogs of THC and another cannabinoid, showing their relationship to CBD.
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.
It's also safe to take up to 1,500 milligrams of CBD, according to a study published in Neurotherapeutics, which means there's not much risk—and maybe a fair amount to gain—in dosing yourself before bed. So over the course of two weeks, I experimented with four different kinds of CBD to see how it would affect my sleep. I took each one at the same time each night and each type for three nights. Here's what went down:
Formatting: When smoked, the bioavailability of cannabidiol is around 31% – indicating that only about one-third of an actual dose is being absorbed. Researchers should attempt to determine whether alternative CBD formats such as intranasal or transdermal CBD exhibit superior bioavailability to oral preparations. Preliminary evidence suggests that intranasal bioavailability may reach 46%. (Source: http://www.ncbi.nlm.nih.gov/pubmed/20545522).
In the United States, cannabidiol is a Schedule I drug under the Controlled Substances Act. This means that production, distribution, and possession of CBD is illegal under federal law. In addition, in 2016 the Drug Enforcement Administration added "marijuana extracts" to the list of Schedule I drugs, which it defined as "an extract containing one or more cannabinoids that has been derived from any plant of the genus Cannabis, other than the separated resin (whether crude or purified) obtained from the plant." Previously, CBD had simply been considered "marijuana", which is a Schedule I drug.
Acute “as needed” administration: Though studies haven’t examined the effects of chronic CBD administration in humans, most have documented the effects of acute administration. Acute administration is associated with a significant anxiolytic effect (as compared to a placebo). Unlike medications such as SSRIs, CBD provides fast-acting (nearly instantaneous) anxiety relief and doesn’t require daily administration for weeks/months to attenuate symptoms.
A syrup is also absorbed sublingually, and I took Shunney's advice of swishing CBD Living's Sleep Aid ($26; cbdlivingwater.com) around my mouth for a minute before swallowing to promote absorption. One tablespoon contains 15mg of CBD plus 2mg of melatonin, and the cherry flavor tasted like Nyquil, which I kind of liked. Again, I could feel the effects of the CBD working through my system after about 40 minutes or so, but I didn't think I actually fell completely asleep any early than the other nights. (Related: Will Melatonin Really Help You Sleep Better?)
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.
Also mention the specific source from which you attained your CBD (e.g. the company), how you administered it (e.g. orally, sublingually, vaporization, etc.), whether you noticed any unwanted side effects, and whether you use other medications and/or supplements along with it. Understand that CBD appears effective and safe when used for anxiety, but warrants further investigation – especially when used long-term and/or chronically. When used on a situational basis, a single oral dose of 600 mg appears to significantly decrease symptoms of anxiety.
A study published by Blessing et al. (2015) evaluated the therapeutic efficacy of cannabidiol in the treatment of anxiety disorders. Researchers compiled and assessed evidence from preclinical, experimental, clinical, and epidemiological publications. This report concluded that preclinical evidence supports the usage of CBD as a potential intervention for anxiety disorders.
Cannabis oils and CBD oils are not the same thing. So what is CBD oil? Cannabidiol (CBD) oil has a high concentration of cannabidiol, while cannabis oil contains both CBD and THC. CBD oil is created by extracting CBD from either the cannabis or hemp plant and then diluting it with a carrier oil like coconut or hemp seed oil. CBD does not produce a euphoric “high” or psychoactive effect because it doesn’t affect the same receptors as THC.
Bergamaschi, M. M., Queiroz, R. H. C., Chagas, M. H. N., de Oliveira, D. C. G., De Martinis, B. S., Kapczinski, F., . . . Crippa, J. A. S. (2011, February 9). Cannabidiol reduces the anxiety induced by simulated public speaking in treatment-naive social phobia patients. Neuropsychopharmacology, 36(6), 1219-1226. Retrieved from http://www.nature.com/npp/journal/v36/n6/full/npp20116a.html?foxtrotcallback=true
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From this study we can conclude that the acute effects of THC (e.g. increased anxiety) are unfavorable. Evidence suggests that CBD appears well-tolerated and safe, with no adverse physiological reactions compared to a placebo. However, since the physiological effects of CBD (600 mg) were of no statistically significant difference from the placebo, it is unclear if CBD elicits any therapeutic effect – even at a seemingly reasonable dose.
Bonn-Miller also explained that it's imperative to exhaust the traditional and established front-line treatments that are available before seeking out these products. "CBD is not really a first-line treatment for anything," he said. "You don’t want situations where somebody says, 'I have cancer I'm going to forgo chemotherapy because I read something about CBD or THC helping with cancer.'" That's not a good idea, Bonn-Miller said. "Not only is the science not there, but you may end up worse off."
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