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.
Although some studies have demonstrated the potential effect of CBD on sleep behavior, research about the effects of CBD on the slow wave sleep (SWS) of humans with regular sleep is still lacking. The impact of CBD on sleep, possible side-effects or the advantages of lack of them, including objective measures through polysomnography, has not yet been investigated. Thus, the objective of the present study was to assess the effect of the acute administration of an anxiolytic dose (300 mg, Zuardi et al., 1993, 2017) of CBD on sleep in healthy volunteers by means of cognitive and subjective measures and polysomnography exams.

All of this makes CBD remarkably difficult for even the most dedicated health care providers to manage safely. Dr. Kelly Knupp, an associate professor of pediatrics and neurology at the University of Colorado, and the director of the Dravet Syndrome program at Children’s Hospital Colorado, said families of epileptic children have tried to bring CBD oils to the hospital for testing. “They’re just concerned that they don’t know exactly who’s growing [the hemp],” Knupp said. “They know it’s not being regulated.” But because CBD is a Schedule I controlled substance, high-tech, regulated laboratories, like those at the University of Colorado, can’t accept, store, or test CBD oils, lest they risk prosecution. “There is no such lab that can take that product,” Knupp said, which leaves any testing up to the unregulated testing centers that cater to the cannabis industry.
After months of visiting doctors and sitting through tests like a human lab rat, it was determined that there was a slight anomaly in the anatomy of my temporal lobe—the part of the brain that controls hearing, speech, and auditory comprehension—which explains why every time I have a seizure, I suddenly don’t understand the English language. Epilepsy can’t be cured, so the only course of action available for me was to take a medication every day for the rest of my life. My neurologist prescribed a few different anti-convulsant medications, but they all made me feel tired, depressed, slow, and unlike myself—until finally, I found one that was slightly better than the rest.
“DEA will continue to support sound and scientific research that promotes legitimate therapeutic uses for FDA-approved constituent components of cannabis, consistent with federal law,” acting DEA administrator Uttam Dhillon said in a press release. “DEA is committed to continuing to work with our federal partners to seek ways to make the process for research more efficient and effective.”
Even without changes at the federal level, there are steps that states could take on their own to make the CBD market safer. States with broad marijuana legality or CBD-only measures could mandate the calibration and regulation of testing labs, and use them to conduct safety testing. They could fund research into the benefits, dosing, and drug interactions of CBD through their public university systems. Medical boards could redouble efforts to educate physicians in what research exists regarding medical marijuana in all its incarnations, so that doctors are prepared to prescribe and manage these medications as they become available.
For the study, researchers recruited 8 volunteers and administered the following: THC (0.5 mg/kg), CBD (1 mg/kg), CBD/THC mix OR Valium (10 mg) or placebo (serving as controls).  The volunteers each received the combinations in an order different from the others.  Researchers were able to verify that CBD inhibited anxiety as induced by THC, but physiological data revealed it was not a result of direct THC inhibition.
Relevant studies are summarized in Table ​Table2.2. The anxiolytic effects of CBD in humans were first demonstrated in the context of reversing the anxiogenic effects of THC. CBD reduced THC-induced anxiety when administered simultaneously with this agent, but had no effect on baseline anxiety when administered alone [99, 100]. Further studies using higher doses supported a lack of anxiolytic effects at baseline [101, 107]. By contrast, CBD potently reduces experimentally induced anxiety or fear. CBD reduced anxiety associated with a simulated public speaking test in healthy subjects, and in subjects with SAD, showing a comparable efficacy to ipsapirone (a 5-HT1AR agonist) or diazepam [98, 105]. CBD also reduced the presumed anticipatory anxiety associated with undergoing a single-photon emission computed tomography (SPECT) imaging procedure, in both healthy and SAD subjects [102, 104]. Finally, CBD enhanced extinction of fear memories in healthy volunteers: specifically, inhaled CBD administered prior to or after extinction training in a contextual fear conditioning paradigm led to a trend-level enhancement in the reduction of skin conductance response during reinstatement, and a significant reduction in expectancy (of shock) ratings during reinstatement [106].

Several complexities of the eCB system may impact upon the potential of CBD and other CB1R-activating agents to serve as anxiolytic drugs. First, CB1R agonists, including THC and AEA, have a biphasic effect: low doses are anxiolytic, but higher doses are ineffective or anxiogenic, in both preclinical models in and humans (reviewed in [33, 45]). This biphasic profile may stem from the capacity of CB1R agonists to also activate TRPV1 receptors when administered at a high, but not low dose, as demonstrated for AEA [46]. Activation of TRPV1 receptors is predominantly anxiogenic, and thus a critical balance of eCB levels, determining CB1 versus TRPV1 activation, is proposed to govern emotional behavior [27, 47]. CBD acts as a TRPV1 agonist at high concentrations, potentially by interfering with AEA inactivation [48]. In addition to dose-dependent activation of TRPV1 channels, the anxiogenic versus anxiolytic balance of CB1R agonists also depends on dynamic factors, including environmental stressors [33, 49].
Anxiety disorders are the most common mental health concern in the United States. An estimated 30 percent of adults in the United States (that's 66 million people) and an estimated 25 percent of teenagers and preteens are affected by anxiety. As a functional medicine practitioner, I see many people who struggle with anxiety and panic attacks, and from these statistics, it should be no surprise. But just because something is common doesn't make it normal. Fortunately, new insights into the cause of anxiety may help with the development of more effective treatment options.
Even if you live in a state where marijuana use is legal, the federal Drug Enforcement Administration still classifies the CBD extract as a Schedule 1 substance — the DEA's most restricted category. According to the agency, "Schedule I drugs, substances or chemicals are defined as drugs with no currently accepted medical use and a high potential for abuse."

But it’s Guzmán’s brain tumor research that has captured headlines—and the interest of pharmaceutical companies. Through his years of research he has ascertained that a combination of THC, CBD, and temozolomide (a moderately successful conventional drug) works best in treating brain tumors in mice. A cocktail composed of these three compounds appears to attack brain cancer cells in multiple ways, preventing their spread but also triggering them, in effect, to commit suicide.
Reflecting the next morning, I was most surprised by the fact that I never felt "high" in any way—there was never a moment of It's kicking in; I can feel it now like with pain medications or even anti-anxiety drugs. Considering it takes time, consistency, and the right dosage to experience the full effect, I continued taking the oil once a day for the next six days. Here's what went down.
From their small town in southwestern Maine, Meagan and her husband, Ken, took Addy to Boston to consult with neurologists. These epileptic seizures, they concluded, were the result of a congenital brain malformation called schizencephaly. One of the hemispheres of Addy’s brain had not developed fully in utero, leaving an abnormal cleft. She also had a related condition called optic nerve hypoplasia, which caused her eyes to wander—and which, further tests revealed, made her all but blind. By summer Addy was having 20 to 30 seizures a day. Then 100 a day. Then 300. “Everything was misfiring all at once,” says Meagan. “We were afraid we were going to lose her.”
The interesting thing about CBD and sleep is that in small to medium doses, CBD is mildly alerting – stimulating the same receptors as caffeine. However, several patients with insomnia report that consuming CBD oil (in tincture or extract form) a few hours before bed leads to a great night’s sleep. So why do the anecdotal results contradict the reported medical studies? 
My trouble falling asleep has never been a major problem. But when I recently learned that nearly 60 percent of people taking cannabidiol—better known as CBD, one of the over 80 compounds found in the marijuana plant—are doing it to help with sleep, I was intrigued. (That stat's according to a survey conducted by Brightfield Group and HelloMD, an online community that brings doctors and cannabis patients together.)
The review of evidence documented an anxiolytic-like effect of CBD in both healthy volunteers and animal models.  What’s more, CBD significantly reduced feelings of anxiety among those diagnosed with social anxiety disorder (SAD).  Although the specific anxiolytic mechanisms of CBD aren’t fully elucidated, researchers recommend additional trials of CBD for panic disorder, OCD, social phobia, and PTSD.
Cannabidiol also works with anxiety by boosting our own endocannabinoid levels, meaning that we can naturally produce more of the things inside of us that put us in a good mood without needing extra things like CBD. Another interesting side effect of CBD with anxiety is that CBD actually boosts our own natural production of endocannabinoids such as anandamide.
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 study published in 1993 by Zuardi et al. attempted to elucidate the effects of ipsapirone and cannabidiol among humans exposed to an experimental anxiety task.  For the study, researchers recruited 40 healthy volunteers that were assigned to a simulated public speaking (SPS) test – designed to mimic the effects of public speaking.  The 40 participants were divided into 4 groups of 10 – each of which was assigned randomly to receive: CBD (300 mg), Valium (10 mg), ipsapirone (5 mg), or a placebo.
Hi Dr. Kevin. Thanks for your question. I have seen people react differently to CBD. For some, yes it can help them relax and sleep. For others, it can make them feel more energetic. And yes, unfortunately for some it may increase their anxiety. For those people, CBD would not be a good fit. You made a good observation about the possibility this has to do with the terpenes involved. There are some theories about that but I have no definitive knowledge on that being the cause.
No, hemp oil is not the same as cannabis oil. All-natural hemp oil is obtained by cold pressing of hemp seeds whereas cannabis oil is obtained by separating the resins from cannabis flowers. Their uses and chemical composition are quite different. Cannabis oil is much higher in THC (tetrahydrocannabinol) content, which has certain effects, whereas hemp oil tends to be higher in CBD (cannabidiol) levels.
"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."
Cannabidiol can be taken into the body in multiple different ways, including by inhalation of cannabis smoke or vapor, as an aerosol spray into the cheek, and by mouth. It may be supplied as an oil containing only CBD as the active ingredient (no added THC or terpenes), a full-plant CBD-dominant hemp extract oil, capsules, dried cannabis, or as a prescription liquid solution.[1][3]
“This is a really powerful compound,” says Mikhail Kogan, the medical director of the George Washington University Center for Integrative Medicine. “I’ve seen it work for a lot of my patients.” He prescribes high-CBD strains of cannabis regularly for such illnesses as epilepsy, post-traumatic stress disorder, anxiety, autoimmune disorders, autism and insomnia.
CBD E-Liquid/Vape Cartridges: Vaping is excellent for people looking for an immediate response, as inhalation is the fastest way to deliver CBDs to your brain and body. To use vape simply exhale gently the air from your lungs then inhale through the mouthpiece slowly for 3 seconds. Then fill your lungs the rest of the way with additional breath and hold for a few seconds, exhaling when ready. There are pre-filled, cost-effective vape pens and cartridges available as well as more expensive vaporizers that you can refill with CBD-infused e-liquid.
Great Article on CBD – Did you learn anything about how the efficacy of the CBC is affected by the source species? e.g. Cannabis vs Hemp. Also, Sativa vs. Indica. All of the referenced studies just state CBC, do you know what is the typical source of CBD used in these type of studies? CBC oil from Hemp is readily and cheaply available on the internet from many companies, however I have read that the efficacy of Hemp derived CBD is less than from Cannabis. Any thoughts? Thanks!
Hey Dave. I just noticed that as well. Thanks for bringing it to my attention. Most of the information I’ve read on using CBD for sleep generally says that “higher” doses work best for sleep and insomnia. The Mayo Clinic’s site use to say to try a dose from 40 – 160 mg of CBD. This range is indeed higher than a typical serving size of CBD, which is more in the range of 10 – 20 mg. Let me know if you have any questions please.
Landis expects prices to come down 10 to 20 percent over the next few years. The biggest reason is that hemp cultivation is likely to dramatically increase. Senate Majority Leader Mitch McConnell is among the farm-state legislators who are pushing for hemp to be legalized at the federal level. McConnell’s state, Kentucky, is already one of the leading hemp producers. CBD manufacturers’ raw material expenses will drop significantly once enough farmers figure out how to profitably grow hemp, says PurePower CEO McLaughlin.
You may be familiar with a concept called the entourage effect. The entourage effect states that cannabinoids work better together than they do alone. In essence, CBD is more effective when combined with other cannabinoids like CBG, CBN, THC, and so on than it is in isolation. The terms “full-spectrum” and “whole-plant” are alluding to this concept. Biologically, a person gets high by having THC bind to CB1 receptors in the brain. CBD also binds to CB1 receptors in the brain and has been shown to actually counteract some of the effects of getting high by blocking the activation of THC in CB1 receptors. CBD changes the shape of the receptor so that there is less room for THC to bind to. CBD has even been shown to decrease the heightened heart rate that you feel from getting high. Therefore CBD can even have an impact on the anxiety that comes from the psychoactive effects of THC.

I should preface this segment by documenting the specific type of CBD that I ingested.  I purchased the supplement BioCBD+, a product that received solid customer feedback online and appears to have high-quality manufacturing standards.  What’s more is that the product incorporates Hybrid-NanoEngineering technology which is thought to increase the bioavailability of orally administered CBD by 10-fold.


Multiple types of anxiety: A limitation associated with CBD research is that it hasn’t been tested extensively among patients with a specific diagnostic subtype of anxiety (e.g. generalized anxiety). That said, studies note that CBD is likely efficacious in treating symptoms of many different types of anxiety including: social phobia, PTSD, panic disorder, OCD, and generalized anxiety disorder.  Therefore, individuals may derive anxiolytic benefit from CBD – regardless of their specific type of anxiety.

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!
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.
To name just a few: Animal research and small-scale human studies have pointed to CBD's anti-anxiety and anti-inflammatory properties, NPR reports. A study is underway to see how CBD helps patients with PTSD and alcohol use disorder, and another is exploring how CBD might help curb drug cravings in people with opioid addiction. Cannabinoids like CBD may also be effective at treating cancer-related side effects, according to the National Institutes of Health.

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.
An animal study involving male Wistar rats conducted by Resstel et al. (2009) examined the effect of CBD on restraint stress (RS).  Previous research had demonstrated that the phytocannabinoid cannabidiol (CBD) yielded anxiolytic and antipsychotic properties in animal models.  For this reason, they investigated whether CBD facilitates adaptation to scenarios of inescapable stress and whether this response is mediated by 5-HT1A receptors.
Prescription medicine (Schedule 4) for therapeutic use containing 2 per cent (2.0%) or less of other cannabinoids commonly found in cannabis (such as ∆9-THC). A schedule 4 drug under the SUSMP is Prescription Only Medicine, or Prescription Animal Remedy – Substances, the use or supply of which should be by or on the order of persons permitted by State or Territory legislation to prescribe and should be available from a pharmacist on prescription.[71]
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.
Most CBD oils are available in round-number concentrations such as 250mg, 500mg, and 1,000mg. While these strengths accommodate many CBD users, they may not be sufficient for those with preferences that fall outside round numbers. NuLeaf Naturals offers a less conventional selection of concentrations: 240mg, 725mg, 1,450mg, 2,425mg, and 4,850mg. This range ensures that most users will find a strength that works for them.
CBD vaporizer oils can be used in a vaporizer of your choice. They offer a healthy way of inhaling your daily dose of the CBD supplement. Vaping is a very direct way of ingesting CBD oil. When you vape, the CBD enters the lungs and goes directly into the bloodstream, completely bypassing the digestive system. This method allows for greater bioavailability.
Hello Roy,We will attempt to help you as much as possible.As you know CBD is a new treatment option so there are almost no scientific studies and very few case studies available. However as a general rule the best thing to do is just to start.We say this because everyones body metabolizes CBD at different rates. So the best way to find the proper dosage for you is just to start. The good news is that feeling sleepy is about the only side effect of overdosing CBD, so experimentation is pretty safe.What we recommend on our site is to start with 25mg of CBD taken as often as you need it throughout the day. If you find this works stick with it. If you find you need more, or are having to take it too many times during the day, then take more such as 50mg with each serving.Which oil should you use that will ship to the UK? We have reviewed all the top CBD oil products and have found Endoca to be the best and most powerful oil on the market. If you are going to use CBD hemp oil we recommend using raw CBD oil. This is the most natural and has the highest amount of plant constituents present which increases effectiveness.The best oil to start with is Endoca Raw Hemp Oil 2000mg. If taking 50mg a day this tube will last you 40 days. If you are taking 200mg a day you will need to purchase 3 tubes per month.Read the full review here: https://cbdoilreview.org/endoca-raw-hemp-oil-2000mg/Buy the product here: https://cbdoilreview.org/product/endoca-raw-hemp-oil-2000mg/Endoca ships to the UK from their European headquarters so you are good to go there. If you have any other questions please contact us using the form below or give us a call, we are happy to help!

You may be familiar with a concept called the entourage effect. The entourage effect states that cannabinoids work better together than they do alone. In essence, CBD is more effective when combined with other cannabinoids like CBG, CBN, THC, and so on than it is in isolation. The terms “full-spectrum” and “whole-plant” are alluding to this concept. Biologically, a person gets high by having THC bind to CB1 receptors in the brain. CBD also binds to CB1 receptors in the brain and has been shown to actually counteract some of the effects of getting high by blocking the activation of THC in CB1 receptors. CBD changes the shape of the receptor so that there is less room for THC to bind to. CBD has even been shown to decrease the heightened heart rate that you feel from getting high. Therefore CBD can even have an impact on the anxiety that comes from the psychoactive effects of THC.
CBD oil extracted from hemp — no matter how it’s consumed — works with the body’s ECS system to replenish cannabinoids and regulate homeostasis. The substance is also anti-anxiolytic, meaning it reduces feelings of anxiety — a common source of sleep problems in adults. For these reasons, hemp-based CBD oil can be highly beneficial for people with insomnia whether they struggle with sleep onset (falling asleep) or sleep maintenance (staying asleep). In addition to insomnia, CBD oil may lead to improvements for the following sleep disorders:
PPAR agonism: Agonism of PPARs (peroxisome proliferator activated receptors) may have a variety of benefits including: anticancer, neuroprotective (via removal of beta-amyloid plaques), and antipsychotic effects.  Cannabidiol bolsters PPAR-alpha signaling and simultaneously decreases inflammation.  Although PPAR agonism may not directly foster an anxiolytic effect, it cannot be ruled out as a potential synergistic contributor.

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.


The 44,000-square-foot building hulks across from a police station in an industrial part of Denver, along a gritty stretch of converted warehouses that’s come to be known as the Green Mile. There’s nothing to indicate the nature of the enterprise. The door buzzes open, and I’m met by the chief horticulturist of Mindful, one of the largest cannabis companies in the world. A druidlike 38-year-old with keen blue eyes, Phillip Hague wears fatigues, hiking boots, and the incredulous grin of someone who—through a confluence of events he never imagined possible—has found his exact life’s calling.
The American public is starting to see the light when it comes to CBD as a safe and effective treatment option for a long list of medical problems. While THC and similar oils have been used for their health benefits going back to the dawn of civilization (even before the Great Wall of China was built!), people are just recently rediscovering the profound positive impact these oils can have on treating ailments.
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It is known that a major problem of several medications used in the treatment of clinical anxiety and depression is their effect on sleep architecture. Benzodiazepines are an example, since despite the rapid onset of their anxiolytic action, these drugs may produce undesirable side effects such as the increase in non-REM stage 2 sleep and reduction of SWS (Borbély et al., 1985). Long-term use of benzodiazepines may also cause reduction of SWS, loss of efficacy in the treatment of insomnia, alterations in electroencephalogram results during sleep (Poyares et al., 2004) and cognitive dysfunction, even after drug discontinuation (Stewart, 2005).
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There are two types of cannabinoid receptors. CB1 receptors are located in the central and peripheral nervous system and are credited with creating homeostasis with health and disease. CB2 receptors are located in the immune system, gastrointestinal system, and the brain. In a 2001 study, researchers from Vanderbilt conducted a study on mice to search for CB1 receptors in the central amygdala — an area of the brain associated with anxiety and stress responses. They found the presence of receptors in the mouse brain and furthermore, discovered that when endocannabinoids interacted with them that the excitability of these brain cells decreased. Further studies are needed to prove this finding.
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.”
Third-party testing: Once a CBD oil is manufactured, CBD oil companies will often submit their products for third-party tests, which are conducted by non-company personnel to ensure the product is safe for public consumption and meets quality standards.CBD oils should always be accompanied with information about third-party tests; best practice is to avoid oils that do not supply these details.
I used to have really bad anxiety and would take CBD once or twice a week for anxiety attacks. I barely have any anxiety or depression anymore. CBD literally changed my life. I still have to mentally talk myself through stressful situations but CBD definitely takes the edge off. And don’t listen to your doctor which will dissuade you, he only wants to earn more money and doesn’t want to help you

It took him seven years and tens of millions of dollars to transform a raw plant into a mainstream medical drug. Perry Davidson is the creator of the Syqe Inhaler – a new technology that allows doctors and patients to precisely dose pharmaceutical quality ‘cannabis flos’ by inhalation. After all these years of hard work, according to Davidson ‘it is still something worthwhile waking up each morning for’. Read the full interview at:https://bit.ly/2x4uKXR ... See MoreSee Less

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