Cannabis sativa, a species of the Cannabis genus of flowering plants, is one of the most frequently used illicit recreational substances in Western culture. The 2 major phyto- cannabinoid constituents with central nervous system activity are THC, responsible for the euphoric and mind-altering effects, and CBD, which lacks these psychoactive effects. Preclinical and clinical studies show CBD possesses a wide range of therapeutic properties, including antipsychotic, analgesic, neuroprotective, anticonvulsant, antiemetic, antioxidant, anti-inflammatory, antiarthritic, and antineoplastic properties (see [11, 12, 16–19] for reviews). A review of potential side effects in humans found that CBD was well tolerated across a wide dose range, up to 1500 mg/day (orally), with no reported psychomotor slowing, negative mood effects, or vital sign abnormalities noted [20].
Dosage: It is relatively difficult to determine the optimal dosage of CBD for anxiety. CBD is thought to have an extremely low bioavailability when administered orally as a standalone agent.  The standard dosage used in research is around 600 mg for anxiolytic effects, but this is in an oral format which has a bioavailability of around 6%.  Perhaps even higher dosages and/or cofactors are necessary to improve oral absorption. (Source: www.mdpi.com/1424-8247/5/5/529/pdf).
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.
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.
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My husband has RSD and we are considering CBD oil -= I would ask at Hempmed because the spray won't have enough in it. Our dgt';s friend has ovarian cancer and it is shrinking her tumors but the spray would never have been enough. I would get CBD oil and check with Hempmeds to see what they suggest. It isn't cheap but it does work. LOW dose Naltrexone about 4.5 mg is very helpful for RSD and is usually used for getting people off of drugs but is working on turning off the glial cells that surround the nerve that is causing the nerve to scream in pain. We are also using PeaPure that is out of the Netherlands and we are seeing a response, even though small. His other leg touched the painful leg without causing more severe pain. That is progress. We also are using Poison Ivy Cream through Meadowlake Farms that has helped the burning surface pain. Change your diet and get rid of Gluten and Sugar, anything that causes inflammation. This is to allow your own body to work. Absolutely do not use any pain killers as it will turn up your pain. all the Hydrocodone, etc causes neural inflammation and so it will keep cascading higher your pain. Hope this is helpful. Mary

Unknown long-term: The long-term effects of cannabidiol aren’t well understood. In just the past few years, the substance has received more mainstream attention and is increasing in popularity.  As more scientific studies support its safety and efficacy as a treatment for medical conditions, more data will be gathered from long-term users.  As of now, we aren’t sure whether there could be any detrimental long-term effects of cannabidiol – especially when used by minors.
Designs: To accurately know whether CBD is an effective intervention for anxiety disorders, robust designs should be implemented in research. In other words, study designs should be placebo-controlled, double-blinded, randomized, and preferably with large sample sizes.  Unfortunately, a majority of the published literature investigating the anxiolytic potential of CBD utilizes suboptimal designs, has limited numbers of participants, or both.

According to a growing body of research, CBD may play a role in the growth of new brain cells, a process known as neurogenesis. CBD is also widely recognized as having anti-oxidant and anti-inflammatory abilities, which make CBD a promising therapy for a wide range of conditions, from neurological disorders to autoimmune diseases to chronic pain and depression.
CBD oil capsules can be taken along with any other vitamin or supplement as part of your daily regimen. One thing to be aware of, though, is that CBD oil capsules will take longer for your body to fully digest and absorb, so the effects will take longer to kick in. If you’re taking CBD oil capsules to help you sleep, you’ll need to take them well in advance of going to bed so that your body has enough time to process them.
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.
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.

Both Bonn-Miller and Ward stress that it's up to the consumer to be well-educated about the material they're purchasing and the research that's out there. "The companies that are creating [cannabis oils] are offering lots of claims about its use that are not necessarily substantiated by any research," Bonn-Miller said. So "I think there needs to be, from a consumer standpoint, a lot of vigilance," he added.

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