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).
Medical reviews published in 2017 and 2018 incorporating numerous clinical trials concluded that cannabidiol is an effective treatment for certain types of childhood epilepsy. An orally administered cannabidiol solution (brand name Epidiolex) was approved by the US Food and Drug Administration in June 2018 as a treatment for two rare forms of childhood epilepsy, Lennox-Gastaut syndrome and Dravet syndrome.
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 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.
For most people with epilepsy, diagnosis sets off a gauntlet of trial-and-error attempts to find the right medication. The process is tortuous, with seizures alternately dying down and flaring up while side effects— fatigue, nausea, liver damage, and more—develop without warning. This is partly due to the fact that “epilepsy” is actually a broad category that includes a number of distinct seizure disorders. About 30 medications approved by the U.S. Food and Drug Administration are currently used to treat these conditions, and when a person first begins having seizures, there is often much tinkering with combinations and dosages. I spent years battling side effects like vomiting, dizziness, drowsiness, and severe headaches, which were alleviated only by yet another prescription medication. Parents who endure enough sleepless nights caring for a sick child can become desperate for a cure.
And the products on the shelf aren't all the same, Ward said. "There can be many, many different varieties, and if you're thinking about doing this for medical reasons, you want to find a trusted source and do your research," she said. "Where does that oil come from, and how confident can you be that you know the exact percentages of the different cannabinoids in the product?"
Hey Cynthia. Thanks for your inquiry. No, this doesn’t hold true for CBD. The best thing to do is to start low and slowly increase the dose gradually, only if needed. You want to find your personal sweet spot dose with CBD. One easy way to do that is to start out with the serving size listed on the bottle and go from there. Let me know if you have more questions and I will do my best to help 🙂
Hello and thanks for your comment. I’m sorry to hear you haven’t had any success with the CBD for helping you sleep. Most people find that CBD helps them get to sleep better if taken within 1 hour of going to bed. How much have you been taking? As long as you are comfortable with it, you may want to increase the dose a little bit to see if that has a better effect for sleep.
It is one thing to not be able to fall asleep, but it is something entirely different when you fall asleep, but get woken up by your own erratic breathing. People who suffer from sleep apnea experience repeated awakenings because the soft tissue in their breathing airway relaxes at night it causes a blockage, resulting in interrupted breathing from a couple of seconds up to a couple of minutes.
You can rub CBD oil on your skin or drop it under your tongue; you can eat it as a sugarcoated gummy or drink it as a Goop-approved cocktail. There's evidence (some scientific, plenty anecdotal) that it helps with epileptic seizures, opioid addiction, PTSD, arthritis, anxiety, insomnia, nausea, chronic pain, and much more. If you believe the hype, CBD can do just about anything for your physical and mental health — and it won't get you high as a kite.
Stephanie, generally, I have patients take 20 to 150mg a day for sleep +/- anxiety. Start low and go slow. Know the dosages of your product. Usually 2/3 to 3/4 of the daily dose is 1-2 hours before bedtime, and the other portion is upon waking (to improve wakefulness during the day). Other factors such as stress, hormone replacement, other meds & medical conditions, etc. play a role along with individual differences. I own a compounding pharmacy, so we see a lot of unique needs. I can't give more specific advice in this forum, but there is help!
In terms of cancer, the suggestion is to have three doses of CBD oil each day, and gradually increase the amount to 1 gram per day. The full treatment is believed to take 90 days. Please note that CBD oil is still illegal in many countries, but there is a significant amount of research being done on its medical applications, and a number of reputable sources have put out guides regarding the use of CBD oil for treatment of many diseases.
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.
For starters, research on cannabis and sleep is in its infancy and has yielded mixed results. But there is more to it than that. The root cause of many sleep disorders is actual another disease like anxiety, stress, PTSD, or chronic pain – and CBD helps manage all of these conditions. So, while CBD may not be inherently sedative, it combats the underlying condition that is the root cause of many sleep disorders.
There may be some drawbacks associated with using CBD oil for anxiety, especially over a long-term. Hypothetical drawbacks could result from CBD usage include: deleterious epigenetic and/or neurophysiological effects, increased anxiety, tolerance onset (with decreased efficacy over time), and/or withdrawal symptoms. Keep in mind that many of these drawbacks are merely speculative and cannot be confirmed.
It's the Wild West out there. Without any federal regulatory body checking labels, consumers have very little way of knowing what they're buying when they purchase CBD oil. Bonn-Miller co-authored a study that found that 26 percent of CBD products on the market contained less CBD than their label claimed. So the amount you need for an effective dose could vary drastically, not just from product to product, but from bottle to bottle of the same product.
Dan Frey, a physical therapist in Portland, Maine, says that his patients report the most success using CBD to treat long-term trouble spots rather than acute injury sites. Frey, who doesn’t prescribe medication or supplements, says his conversations about CBD are initiated by patients. Many also tell Frey they find it helps with pain management, especially when used in conjunction with other treatments such as massage and a targeted strengthening and mobility program.
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.
Dry mouth: As is the case with many other hemp- and marijuana-based products, CBD oil often leads to a condition known as dry mouth (or cottonmouth). This is likely due to cannabinoids altering receptors in the lower jaw that trigger salivation. In most cases, mild discomfort and stronger-than-average thirst are the only issues associated with dry mouth.
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).
CBD also blocked reconsolidation of aversive memories in rat . Briefly, fear memories, when reactivated by re-exposure (retrieval), enter into a labile state in which the memory trace may either be reconsolidated or extinguished , and this process may be pharmacologically modulated to achieve reconsolidation blockade or extinction. When administered immediately following retrieval, CBD prevented freezing to the conditioned context upon further re-exposure, and no reinstatement or spontaneous recovery was observed over 3 weeks, consistent with reconsolidation blockade rather than extinction . This effect depended on CB1R activation but not 5-HT1AR activation .
Long-term outcomes: There are zero long-term studies investigating the safety, efficacy, and long-term effects of CBD as a treatment for anxiety. Data from animal model studies suggests that chronic CBD usage could yield deleterious epigenetic and/or neuropsychiatric effects. However, it is unclear as to whether administration of CBD at a normative (non-chronic) frequency would maintain therapeutic efficacy over a long-term.
THC is the primary psychoactive compound in marijuana and it is what people are searching for when they want a product that gives them a "high." Unlike THC, CBD isn't known to cause psychoactive effects, and is therefore attractive to those who want to avoid the high but who believe there are other benefits of CBD, said Sara Ward, a pharmacologist at Temple University in Philadelphia. [Healing Herb? Marijuana Could Treat These 5 Conditions]
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