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.
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]
If you are suffering from pain which is preventing you from having a good nights sleep, then CBD Essence may be the solution. CBD essence has quite a unique extraction process which involves state-of-the-art technology and high-grade hemp that goes through some of the most rigorous testing. This allows them to produce a product that is rich in hemp extract, and contains several key ingredients found in the Cannabis plant.

The oil may be further refined by 1) alkali washing, or removing the heavy aromatic carboxylic acids with antibiotic properties, which may cause heartburn, gallbladder and pancreas irritation, and resistance to hemp antibiotics; 2) conversion of CBD to THC. Process 1) consists of dissolving the oil in a nonpolar solvent such as petroleum ether, repeatedly washing (saponifying) with a base such as sodium carbonate solution until the yellow residue disappears from the watery phase, decanting, and washing with water to remove the base and the saponified components (and evaporating the solvents). This process reduces the oil yield, but the resulting oil is less acidic, easier digestible and much more potent (almost pure THC). Process 2) consists of dissolving the oil in a suitable solvent such as absolute ethanol containing 0.05% hydrochloric acid, and boiling the mixture for 2 hours.[19]
The nervous system’s endocannabinoid system is not well understood. But it’s thought to play a role in regulating pain, sleep, mood, memory, appetite, and other cognitive and physical processes. Because CBD is able to mimic the actions of some natural brain chemicals, its potential therapeutic benefits are wide-ranging but—at this point—nebulous. “We know that cannabidiol modulates the endocannabinoid system, but we don’t know how it works,” Szaflarski says. That said, there are theories.
My favorite thing about it is how incredibly mild it is – like I said, the effects just kind of slowly ooze their way in without you even really noticing. Also, I love how seemingly long-lasting the effects are. I’ve read that some people prefer vaping over taking the oil drops because they say vaping is more potent, but I also understand that the effects of vaping are much shorter lived.

Linda – you are right. Each oil helps with a different condition. Also the potency level will determine the effectiveness of the oil. And of course you have the state of your condition. You’re best bet would be to contact the company that you’re interested in purchasing from and ask them which oil will work best for you. They will probably ask you a whole range of questions. Try purekana, they are pretty responsive
One study comparing the effects of THC and CBD even found that, while THC increased anxiety by activating the neurotransmitters involved in the "fight or flight" response, CBD actually repressed autonomic arousal—or the nervous system response associated with sudden increases in heart rate or respiration. In other words, CBD is ideal for people looking to relax and unwind—not get out of their minds.
“THC products are more for the psychoactive effect, which may not be for everyone,” the Steamboat Springs, Colorado, resident says. “CBD use is for more health-minded people.” Collins says CBD products “are a big part of my daily routine,” and credits them with boosting his energy levels, speeding his recovery from long trail runs, and improving his sleep.
Increased anxiety: Rodents administered cannabidiol daily for 14 days exhibited anxiogenic behaviors. In other words, the cannabidiol may increase anxiety when used too regularly.  Although this effect cannot be confirmed in humans, it is logical to assume that a person’s neurophysiology will adapt to the effects of CBD when used regularly, possibly blunting its efficacy.
Anxiety-related disorders affect a huge segment of our population—40 million adults (18%) in the United States age 18 and older. In response, Big Pharma has developed numerous drugs to treat anxiety-related disorders, from selective serotonin reuptake inhibitors (SSRIs) like Prozac and Zoloft to tranquilizers (the most popular class being benzodiazepines such as Valium and Xanax).
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.

Given what you know about CBD already, you likely won’t be surprised to learn that it does not work like typical sleep medications do. In fact, some studies have shown it to actually be mildly alerting, and even to activate some of the same receptors that caffeine does. With this in mind, how can it possibly work to promote a healthy night’s sleep?


Do you have a medical marijuana card? I would suggest finding some indica edibles (they will have THC and maybe some CBD). Start with 7 to 10 mg’s of THC and slowly increase dosage on your next try if nothing happens. Whenever I have an indica strand edible, I sleep like a rock. Maybe even a separate dose of CBD could be beneficial to the THC edible. Everyone reacts different, so it’s best to start slow and gradually increase your dose until you find what works for you.
About one in ten Americans suffer from restless leg syndrome (RLS). This disorder is characterized by an overwhelming urge to move ones legs while at rest or trying to sleep. These urges are often unpleasant and can cause great discomfort and of course a lack of sleep. The cause of RLS is still unknown, but research suggests that it can be related to abnormalities in the central nervous system.
TRPV1 receptor: The TRPV1 (transient receptor potential cation channel subfamily V member 1) receptor is a “vanilloid receptor” associated mostly with the modulation of body temperature and nociception.  Cannabidiol is believed to act as a TRPV1 receptor agonist, thereby stimulating the receptor which may reduce sensations of pain and lower inflammation.  It is possible that the nociceptive effect associated with TRPV1 agonism also reduces anxiety.
In 31 states and the District of Columbia cannabis is legal for some medical uses, and a majority of Americans favor legalization for recreational use. Other countries are rethinking their relationship to pot too. In Uruguay and Canada the drug is legal. Portugal has decriminalized it. Israel and the Netherlands have medical marijuana programs, and in recent years numerous countries have liberalized possession laws.
In regard to cost, their products are not overpriced, but it will set you back just around $60, depending on the product and potency. One of the major advantages of Green Roads is that customers have stated numerous times that their product provides very quick results. To understand the exact product you need it would be best to browse their site, as all the information for each product is conveniently located there.
Acute vs. Chronic: Most studies have examined the acute effects of CBD rather than effects associated with chronic, ongoing administration. It is possible that acute administration may attenuate anxiety, but chronic administration may not.  Some individuals may become tolerant to the effects of CBD when administered chronically and/or may find that it worsens their anxiety.
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.

According to the National Eczema Association, “Cannabinoids represent an exciting prospect for the future of AD therapy. With measurable anti-itch, anti-pain, anti-microbial and anti-inflammatory properties, the effect of cannabinoids in patients with AD has already begun to be demonstrated.” (10) Cannabinoids can be found in both cannabis oil and CBD oil.
This figure, if accurate, is indeed a substantial number, especially when you take into account the different factors that may be behind this inability to get a decent sleep. If this number is reflective of a population that struggles with getting adequate amounts of sleep, it might suggest a strong need for a remedy that doesn’t mean over-prescribing pharmaceutical sedatives.

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.


Anxiety disorders are far more serious and can prevent you from maintaining a normal life. Some have said that anxiety is not a disease or illness, but rather a physiological, psychological-emotional state that occurs when we behave apprehensively. It turns into a disorder when the worry and the anxiety it creates interfere with your lifestyle. Ongoing anxiety can lead to numerous medical illnesses and even mental issues, if not dealt with.
Dr. Will Cole, leading functional-medicine expert, consults people around the world via webcam at www.drwillcole.com and locally in Pittsburgh. He specializes in clinically investigating underlying factors of chronic disease and customizing health programs for thyroid issues, autoimmune conditions, hormonal dysfunctions, digestive disorders, and brain problems.Dr. Cole was named one of the top 50 functional-medicine and integrative doctors in the nation and is the author of Ketotarian in which he melds the powerful benefits of the ketogenic and plant-based diets.
The scientific evidence for CBD's ability to quell anxiety, dampen psychosis, and lift the mood is patchy at the moment, although the National Institute on Drug Abuse is optimistic: "CBD has shown therapeutic efficacy in a range of animal models of anxiety and stress, reducing both behavioral and physiological (e.g., heart rate) measures of stress and anxiety."
Dr. Will Cole, leading functional-medicine expert, consults people around the world via webcam at www.drwillcole.com and locally in Pittsburgh. He specializes in clinically investigating underlying factors of chronic disease and customizing health programs for thyroid issues, autoimmune conditions, hormonal dysfunctions, digestive disorders, and brain problems.Dr. Cole was named one of the top 50 functional-medicine and integrative doctors in the nation and is the author of Ketotarian in which he melds the powerful benefits of the ketogenic and plant-based diets.
CBD oil 4% is a medium-strength, organic formulation. Now, you can supplement with the confidence of a king or queen! If you are already familiar with CBD and find you require a little more than what's offered by our 2.5% formulation, this is the CBD oil for you. CBD oil 4% is derived from EU hemp strains bred for a high CBD content. Natural, GMO-free, and non-psychoactive. Available now in convenient 10, 30 and 50ml dropper bottles.
Do you have a medical marijuana card? I would suggest finding some indica edibles (they will have THC and maybe some CBD). Start with 7 to 10 mg’s of THC and slowly increase dosage on your next try if nothing happens. Whenever I have an indica strand edible, I sleep like a rock. Maybe even a separate dose of CBD could be beneficial to the THC edible. Everyone reacts different, so it’s best to start slow and gradually increase your dose until you find what works for you.

A geneticist, Kane studies cannabis from a unique perspective—he probes its DNA. He’s an affable, outdoorsy guy with a bright face and eyes that wander and dart inquisitively when he talks. He has studied chocolate and for many years the sunflower, eventually mapping its genome, a sequence of more than three and a half billion nucleotides. Now he’s moved on to marijuana. Though its sequence is much shorter, roughly 800 million nucleotides, he considers it a far more intriguing plant.
Vaping can be complicated, intimidating, and expensive, but with this brilliant Disposable Vape Pen with CBD from CBDfx, you can start vaping with ease. It comes pre-charged and pre-filled with a refreshing, minty e-liquid and has been designed with simplicity at its heart. Simply remove from the packaging and start vaping. Once you’re finished, throw it away!

Vaping can be complicated, intimidating, and expensive, but with this brilliant Disposable Vape Pen with CBD from CBDfx, you can start vaping with ease. It comes pre-charged and pre-filled with a refreshing, minty e-liquid and has been designed with simplicity at its heart. Simply remove from the packaging and start vaping. Once you’re finished, throw it away!


Despite that, he’s not particularly in favor of legalizing cannabis for recreational use. He doesn’t think anyone should go to jail for possessing it, but he insists that marijuana is “not an innocuous substance”—especially for young people. He cites studies showing that the prolonged use of high-THC strains of marijuana can change the way the developing brain grows. He notes that in some people cannabis can provoke serious and debilitating anxiety attacks. And he points to studies that suggest cannabis may trigger the onset of schizophrenia among those who have a genetic predisposition to the disease.
Despite these limitations, this is the first controlled study to evaluate the effects of CBD on sleep architecture using polysomnography. Although the absence of interference with the sleep cycle is not sufficient for concluding that sleep is not affected, the results obtained contribute for the understanding of the effects of CBD in the modulation of sleep in humans.

I have dealt with anxiety for about 20 years. About 5 years ago I had a panic attack for the first time and it was such a horrible feeling. I was on anxiety medicine after that and it delinquent helped with panic but not anxiety really. I got off medicine a month and a half ago and had a panic attack last week. Since then I have been feeling panicky daily.
I woke up seriously looking forward to my morning CBD oil fix … I mean, tonic. Truth be told, I’m an anxious person. Although I do a lot to try and calm my nerves, sometimes anxiety gets the best of me. But regardless of emotional or physical stress (I’m training for a marathon and running quite a bit!) I experienced this week, I felt a lot more in control after drinking my CBD oil tonics.  After work, I met up with a friend and felt like I could fully focus on our conversation without distractions. Could it be the CBD?
The CBD utilized in our tinctures is extracted from industrial hemp cultivated in the United States. To further ensure quality and purity, our industrial hemp goes through a supercritical CO2 extraction process to obtain the best possible CBD solution. This solution is then formulated by our board-certified pharmacists into finished products and sent out for third-party testing. Our CBD oil is made with high-quality CBD extracted from organic hemp that is abundant in naturally produced terpenes, oils, vitamins, omega fatty acids, and other components.

I’m 48 and have been diagnosed with anxiety disorder, depression, ptsd and have had panic attacks that have lead me to the ER 3 or 4 times. My psychiatrist put me on wellbutrin and klonopin for the anxiety and depression… I’m taking very low dosages of each but from what I’ve read when you come off of the klonopin it has physical side effects. I’m wanting to come off of both and my psychiatrist doesn’t think good things about cannabis and says that it interferes with the GABA receptors in the brain. I’m trying to find a doctor than can explain to me face to face how CBD and THC work on the brain and what he/she would recommend I do to get off the big pharma train. I’m in Puerto Rico.
Are you willing to share what you're anxiety is about? I had panic and anxiety attacks for years and used Ativan and later Lorazepam for them, especially when I had to fly in planes. About 6 years ago I started taking Citalopram antidepressant, and all my anxiety/panic attacks went away. I only had it again recently during my withdrawal process. I know my relief from anxiety is from the Citalopram. I even did 7 zip lines in Costa Rica a little over a year ago. My flights there, to Panama and back were anxiety free. That has been so incredible for me! I love traveling now.
Evidence from human studies strongly supports the potential for CBD as a treatment for anxiety disorders: at oral doses ranging from 300 to 600 mg, CBD reduces experimentally induced anxiety in healthy controls, without affecting baseline anxiety levels, and reduces anxiety in patients with SAD. Limited results in healthy subjects also support the efficacy of CBD in acutely enhancing fear extinction, suggesting potential for the treatment of PTSD, or for enhancing cognitive behavioral therapy. Neuroimaging findings provide evidence of neurobiological targets that may underlie CBD’s anxiolytic effects, including reduced amygdala activation and altered medial prefrontal amygdala connectivity, although current findings are limited by small sample sizes, and a lack of independent replication. Further studies are also required to establish whether chronic, in addition to acute CBD dosing is anxiolytic in human. Also, clinical findings are currently limited to SAD, whereas preclinical evidence suggests CBD’s potential to treat multiple symptom domains relevant to GAD, PD, and, particularly, PTSD.
Public speaking: Those who have difficulty with public speaking due to anxiety will likely benefit from CBD. Cannabidiol administration approximately 1.5 hours prior to a simulated public speaking engagement significantly reduced anxiety compared to a placebo.  Those with social anxiety were found to derive the most benefit from its administration.  However, it is likely that cannabidiol would benefit even those without social phobia if anxiety is experienced during a public speaking task.
Runners pushing themselves daily might want to try more. Floyd’s of Leadville owner Bob Bell says that the company’s 50-milligram soft gels are its top seller. Talansky says his baseline is a 25-milligram gel, plus applying a strong topical cream three to five times a day if a specific body part is bothering him. He takes more on his hardest training days to speed recovery.
Cannabidiol (CBD) is just one of over 85 scientifically-identified cannabinoids (or chemical compounds) derived from the flowering plant cannabis.  Each of the cannabinoids within cannabis elicit unique neurophysiological effects.  Most people are well-aware of THC (tetrahydrocannabinol), the predominant cannabinoid within cannabis that is ingested by upwards of 230 million people per year as a psychoactive euphoriant.
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.
Lidicker noted that one study on humans, published in the journal Neuropsychopharmacology, showed that CBD was able to help with public speaking-induced anxiety. She also pointed to a clinical trial that started in August at a hospital in Massachusetts, in which researchers are administering 10 mg of CBD three times a day for a month to test its effects on patients with anxiety.
When taking CBD oil for insomnia, or CBD oil for sleep aid, it is important to find the right product for you. When you are suffering from sleep problems because of anxiety and stress-related issues, using specific methods to administer your CBD may have different effects than others. It is suggested that you take CBD sublingually for long-lasting and potent anxiolytic and analgesic effects. For those with PTSD, using a vaporizer will give you the instant effects you are looking for, but won’t last as long as other delivery methods.
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.
The consequences of sleep deficiency include multiple adverse outcomes. You can expect deterioration in all aspects of your health and wellbeing. Lack of sleep and/or poor-quality sleep will age you prematurely, compromise your decision making, dramatically decrease your athletic performance, and increase the risk of injury. Alcohol or drug-induced sleep is not the healthy, restorative sleep the mind and body needs either.
All I can say is that evening, I had a great dinner (pizza!) and sat on the couch watching TV in a state of genuine contentment. I actually remember thinking to myself while watching an episode of The Office, “holy crap, that CBD must’ve really actually worked.” I experienced no side effects whatsoever, and I went to bed that night and had a genuinely good sleep.
The seizures started in May 2013 when she was six months old. Infantile spasms, they were called. It looked like a startle reflex—her arms rigid at her side, her face a frozen mask of fear, her eyes fluttering from side to side. Addelyn Patrick’s little brain raced and surged, as though an electromagnetic storm were sweeping through it. “It’s your worst possible nightmare,” her mother, Meagan, says. “Just awful, awful, awful to watch your child in pain, in fear, and there’s nothing you can do to stop it.”
Whether the claim of 10-fold bioavailability of nano-engineered CBD can be scientifically verified isn’t known, however, preliminary testing from the company suggests that 10 mg of their product is equivalent to 100 mg of others.  Assuming the nano-engineering is effectively increasing bioavailability by 10-fold, each BioCBD+ capsule I’ve taken (with 10 mg CBD) is delivering the equivalent of 100 mg standard CBD.
According to the National Eczema Association, “Cannabinoids represent an exciting prospect for the future of AD therapy. With measurable anti-itch, anti-pain, anti-microbial and anti-inflammatory properties, the effect of cannabinoids in patients with AD has already begun to be demonstrated.” (10) Cannabinoids can be found in both cannabis oil and CBD oil.
Another major reason people reported not being able to get to sleep, or maintain substantial sleep, was due to chronic pain. Many who suffer from insomnia say that they cannot find enough relief from pain to manage to get to sleep or at least to remain asleep through the night. A rodent study submitted to the European Journal of Pain noted a significant drop in inflammation and signs of pain in rats with arthritis after they received topical treatment of CBD for sleep.
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.

The case study notes that advanced chemotherapeutic agents had failed to control the blast counts (cells in the blood and bone marrow) in the patient and had devastating side effects that ultimately resulted in death. The cannabinoid therapy, on the other hand, had no toxic side effects and only psychosomatic properties, with an increase in the patient’s vitality.


FAAH inhibitor: The anxiolytic efficacy of CBD may be a result of its ability to act as an enzymatic inhibitor of FAAH (fatty acid amide hydroxylase).  FAAH is an enzyme responsible for metabolizing endocannabinoids such as anandamide, but when inhibited, these endocannabinoid concentrations are increased.  Increased concentrations of endocannabinoids such as anandamide and 2-AG, both of which bind to peripheral CB1/CB2 receptor sites.
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).
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.
The following medications and other supplements may interact with CBD. Effects may include increasing or decreasing sleepiness and drowsiness, interfering with the effectiveness of the medications or supplements, and interfering with the condition that is being treated by the medication or supplement. These are lists of commonly used medications and supplements that have scientifically identified interactions with CBD. People who take these or any other medications and supplements should consult with a physician before beginning to use CBD.
Oil method or Carrier Oil Extraction – a popular method based on extraction by a carrier oil, usually olive oil. It is save and there is no unwanted, harmful residue in the extracted oil. There’s just one downside to this method: carrier oils have a short shelf life. Therefore, CBD hemp oil made in this way should be stored in smaller amounts and ingested orally.
The DEA isn’t the only government agency scrutinizing CBD vendors. To fend off the FDA, hemp oil companies contend their wares are not drugs but “dietary supplements.” Despite the suggestive “meds” in the company’s name, HempMedsPx is careful to note on its web site, “Although some of our founders are medical professionals, we cannot make medical claims about the benefits of our products.” Others are not quite so nuanced in their marketing. The internet is flooded with CBD products claiming to treat everything from seizures to arthritis to skin conditions and other maladies.
Concerned about Mykayla’s stomach cramps, Krenzler, who lives in Portland, Oregon, sent a sample of the oil off to Going Green Labs in Albany, Oregon. Like most labs catering to the cannabis industry, Going Green mainly performs THC potency tests. According to Krenzler, when the lab tested his sample, it found that the Real Scientific Hemp Oil contained much more THC than HempMedsPx had claimed—3.8 percent, instead of roughly 1 percent. Krenzler said he was “disturbed” by the finding, and also by the implications it had for other parents of sick children. Medical marijuana is legal in Oregon, but Krenzler noted that in other states that have not legalized pot, anyone purchasing a product with more than a trace amount of THC could find themselves in legal jeopardy. “I feel that HempMeds had misrepresented their product,” Krenzler said.
CBD, or canabidiol is an amazingly useful plant compound that is extracted from the cannabis plant. With volumes of medical science now at its back, this compound has been used effectively for a wide range of needs. These particularly wide-ranging applications are the result of its being a part of the “pleiotropic sedate” group. Compounds in this group are especially unique in their ability to affect and travel along many of the typically closed atomic pathways.
CBD interacts mostly with CB1 receptors which are spread throughout the entire body, but they’re found in the highest concentrations in the immune and nervous systems. The interaction between CBD and endocannabinoid receptors, proteins, and other chemicals in the brain, triggers changes in the activity of hormones, and neurotransmitters throughout the brain and the body.
No restrictions and our always-free shipping mean for unparalleled access to some of the world’s best in organic CBD’s. In addition, we are proud to say that we are quite knowledgeable in the CBD field and CBD applications as opposed to many out there, just trying to sell a product. If you need help deciding which CBD line is best for your intended application, we are always happy to explain the options to your fullest understanding.
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.
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].
Two cannabis-based pharmaceutical drugs, manufactured in the UK, are licensed for prescription but only for very specific uses. Sativex has been available in the UK since 2010 and uses THC and CBD to treat spasticity in multiple sclerosis. And a new CBD-only drug, Epidiolex, was approved in June in the US to treat rare childhood epilepsies, with a similar decision expected imminently for Europe and the UK.

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