Few interactions: Most evidence indicates that CBD is unlikely to interact with pharmaceutical drugs. However, when taken at a reasonable dosage, CBD is understood to inhibit CYP450 isoenzymes in the liver.  This may alter the pharmacokinetics of other drugs such as Warfarin which are metabolized by similar enzymes.  That said, the pharmacokinetic and pharmacodynamic contraindications associated with CBD appear minimal.
By 1942, cannabis was removed from the U.S. Pharmacopoeia because of persistent concerns about its potential to cause harm. In 1951, Congress passed the Boggs Act, which included cannabis with narcotic drugs for the first time. In 1970, with the passage of the Controlled Substances Act, cannabis was classified as a Schedule I drug, giving it no accepted medicinal use.
In my second experience with CBD, I decided that I needed to double up the dose to determine whether I could enhance the anxiolytic effect.  Keep in mind that this was weeks after my first administration with zero CBD usage in between.  This time I decided to take 2 capsules of the BioCBD+ in the evening at around 6:00 PM prior to grocery shopping.
Following cloning of the endogenous receptor for THC, namely the CB1R, endogenous CB1R ligands, or “endocannabinoids” (eCBs) were discovered, namely anandamide (AEA) and 2-arachidonoylglycerol (reviewed in [22]). The CB1R is an inhibitory Gi/o protein-coupled receptor that is mainly localized to nerve terminals, and is expressed on both γ-aminobutryic acid-ergic and glutamatergic neurons. eCBs are fatty acid derivatives that are synthesized on demand in response to neuronal depolarization and Ca2+ influx, via cleavage of membrane phospholipids. The primary mechanism by which eCBs regulate synaptic function is retrograde signaling, wherein eCBs produced by depolarization of the postsynaptic neuron activate presynaptic CB1Rs, leading to inhibition of neurotransmitter release [23]. The “eCB system” includes AEA and 2-arachidonoylglycerol; their respective degradative enzymes fatty acid amide hydroxylase (FAAH) and monoacylglycerol lipase; the CB1R and related CB2 receptor (the latter expressed mainly in the periphery); as well as several other receptors activated by eCBs, including the TRPV1 receptor, peroxisome proliferator-activated receptor-γ, and G protein-coupled 55 receptor, which functionally interact with CB1R signaling (reviewed in [21, 24]). Interactions with the TRPV1 receptor, in particular, appear to be critical in regulating the extent to which eCB release leads to inhibition or facilitation of presynaptic neurotransmitter release [25]. The TRPV1 receptor is a postsynaptic cation channel that underlies sensation of noxious heat in the periphery, with capsacin (hot chili) as an exogenous ligand. TRPV1 receptors are also expressed in the brain, including the amygdala, periaqueductal grey, hippocampus, and other areas [26, 27].
McGuire published his own study in August, in which CBD was shown to reduce psychotic episodes in people with schizophrenia. The daily dose was 1,000mg of pure CBD. And a study in which CBD seemed to ease anxiety, published in Nature in 2011, administered a single dose of 600mg, an hour and a half before giving participants a public speaking task. These larger doses contrast with that found in, say, Botanical Labs’ CBD drink. Rebekah Hall, the company’s founder, says her drink is for recreational rather than medicinal purposes and “the amount of CBD per batch is constant and precise, at 2mg per bottle”. A daily dose of two hemp capsules made by Nature’s Plus offers 15mg of mixed “plant cannabinoids” without a specific CBD count.

Sourcing: In addition to formatting of CBD, the sourcing may make a difference in terms of quality. The modality of CBD extraction used to isolate the CBD may affect its quality and efficacy.  Examples of some common extraction techniques include: carrier-oil extraction, CO2 extraction, and alcohol extraction.  Implications of sourcing and extraction techniques should be considered by researchers.
Has anyone done the math? How much could 40mg of CBD cost/night? How much would 160mg cost? The problem is the recommended dose and doses available on the market do not jive. Why the discrepancy between dose recommended by researchers and dose available in the products? Will higher CBD oils be available in the future? For me, right now it would cost $90 to get to sleep on CBD. Totally unrealistic.
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!
The ratio of THC to CBD in a product is also important. Lee said products made with CBD oil extracted from resin-rich marijuana plants rather than industrial hemp, which may have no THC at all, are more therapeutic because the two ingredients work synergistically. These oils are also purer, since fewer plants are used and less refining is necessary. However, these products are available only in states with legal weed. 

I have sporadic back spasms for year I see a chiropractor monthly for maintenance (it help) and deal with daily Knee & hip joint pain due to my job (heavy mechanic/steel work with lots of walking). after reading all the great reviews on CBD oil I want to get off the daily ibuprofen regiment and try CBD oil. I would like to try it as a gel cap but would like some advise on dosage size. I also want to know how often I should take the CBD treatments. any and all advise is appreciated


I have been a member around a year maybe less, but I just need to tell you how much I appreciate you all. I have 3 kids and husband and was crippled with my health problems and drugs from all the doctors, I had to take. I am so much better off today. I can now contribute to my family. I feel hope for the first time for a future with them. Thank you, God Bless You!
Cannabidiol, or CBD for short, is a phyto-cannabinoid found in cannabis plants. However, it does not cause the same psychoactive effects as other naturally occurring cannabinoids (such as tetrahydrocannabinol, or THC). CBD induces feelings of sleepiness and tranquility, making it suitable for insomnia and other sleep disorders; CBD can be used to alleviate symptoms of epilepsy, diabetes, and anxiety disorders, as well. Legality is an issue for some; all 50 states have laws governing the sale, possession, and use of CBD, and they vary significantly (see the table below for a full analysis).
Over the past two years, 17 states have passed laws legalizing CBD so that patients can obtain the drug without fear of prosecution from local authorities. For intractable childhood epilepsies—the sorts of seizure disorders that for centuries have ruined lives and shattered families, the ones even specialists like Hernandez dread—CBD could be a miracle cure.
Welcome to Mayo Connect. I am a Volunteer Mentor and not a medical professional. As such I can offer the benefit of my personal experience, as can others on this site, but not medical diagnoses nor medical opinions. We strive to help each other with the understanding that we are all different and what works for me may not work for you. I have gotten so much good from participating in Mayo Connect that I love it.

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.
Just start low. 2 tiny drops (not droppers) for 4 days. If no results, take 4 tiny drops for 4 days. If no results, take 6 tiny drops for 4 days. Keep upping the dose by 2 drops until you find what works for you. I hate that they say “mg” instead of just measuring by drops! So confusing. I take 6 drops for sleep and it works well. Have been on this dose for about 6 months. I also give 6 drops to my client for vascular dementia and it works wonders! No more sundowners, less confusion, and wonderful SLEEP! So yeah, ignore the bottle directions… just take tiny drops under the tongue and let it sit for 30 seconds then swallow. You CAN’T overdose on it. It just won’t work if you take too much, so you’ll be wasting money and giving CBD a bad rap if it doesn’t work because you took too much.
CBD has also been shown to enhance extinction of contextually conditioned fear responses. Extinction training involves repeated CS exposure in the absence of the US, leading to the formation of a new memory that inhibits fear responses and a decline in freezing over subsequent training sessions. Systemic CBD administration immediately before training markedly enhanced extinction, and this effect depended on CB1R activation, without involvement of TRPV1 receptors [65]. Further studies showed CB1Rs in the infralimbic cortex may be involved in this effect [82].

Cannabis has been used for centuries to treat nerves and anxiety, as well as other mood problems. CBD may help to improve both depression and anxiety, at least in part through its interactions with serotonin receptors in the brain. Research shows that CBD can reduce both mental and physical symptoms of anxiety. A study of CBD given to people before a public-speaking event indicates that CBD can help reduce stress—this and other research has shown that CBD can be an effective treatment for social anxiety.


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The cannabinoids found in both CBD and THC oil mimic the endocannabinoids that our bodies naturally produce. Endocannabinoids are compounds that regulate vital functions such as internal stability, homeostasis, pain regulation, and immune system functioning. Whether they’re produced by the body or obtained from the cannabis plant, cannabinoids facilitate communication on a cellular level between cells to trigger various bodily processes. Therefore, a deficiency of cannabinoids can result in a system thrown out of balance, manifesting in unwanted symptoms and other health complications.


Kane fingers one of his innocuous-looking plants, expressing mild bemusement at the U.S. ban on commercial hemp cultivation. “Hemp produces fibers of unparalleled quality,” he notes. “It’s a tremendously high biomass crop that replenishes the soil and doesn’t require much in terms of inputs. We import tons and tons of hemp each year from China and even Canada, yet as a matter of federal policy, we can’t legally grow it. There are places where farmers in the U.S. can literally look across the Canadian border and see fields that are yielding huge profits.”
GPR55 antagonism: GPR55 (G-protein-coupled receptor 55) is a receptor expressed predominantly within the caudate nucleus and putamen.  It is often referenced as an atypical cannabinoid receptor due to the fact that it is activated by cannabinoids.  A study published in 2015 investigated the role of GPR55 function in anxiety.  Researchers concluded that GPR55 may modulate anxiety-related behaviors in rats.  In the study, it was discovered that GPR55 antagonists lead to increased anxiety.  Cannabidiol is thought to act as a GPR55 antagonist which may improve bone health and decrease proliferation of cancer cells – but may not help anxiety.
While there are more unknowns than knowns at this point, Grant says he doesn’t discount all the anecdotal CBD reports. “You hear somebody say, ‘Hey, I gave this to myself and my kid and we feel a lot better,’ and we should never dismiss that kind of information,” he says. He points out that many modern medicines were discovered when researchers followed up on exactly this sort of human trial-and-error evidence. “But we still need to do the studies that confirm whether all the good things are true, and how much to give, and how to give it,” he says. “These are all questions that need to be answered.”

It’s important to remember that Tetrahydrocannabinol oil has psychoactive properties, so it’s still illegal in states where medical and/or recreational use of marijuana is prohibited. Aside from the illegal nature of THC, many health professionals and medical authorities question it’s efficacy as a treatment option since comes with such profound psychoactive effects. In fact, many doctors and researchers see the oil as more dangerous than it is beneficial.

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.
I have been totally off the effexor and all anti-depressants for 2 weeks now. The dizziness is getting much better however my emotions/agitation are horrible. I cry at everything and am extremely crabby/agitated. I realize most of this has to do with the withdrawal. I really want to see this through to find out if I can live without anti-depressants but at the same time I know it's very hard on my family. I have another doctor appt beginning of April and she says that if I don't feel better by then I most likely will need to go back on an anti-depressant. For the most part I agree with her. My hopes of proving her wrong as getting slim however. I'd like to know how long it took some of you who have withdrawn from anti-depressants to feel somewhat 'normal' or you knew you had to go back on them? I guess I'm asking if another month is a good amount of time for me to determine what I should do. In some ways I feel like I should start on them again now but I'm not going there yet? BTW, I am in no way feeling suicidal. Mornings seem to be my worst time and by early evenings I feel somewhat better – is this strange too? I haven't tried the CBD living water yet but did find a place near me to get it. Just havent had the time to get there. I also have the Ativan which I take one night to help with sleep. I'm trying not to take it unless really necessary. Tomorrow I have a huge even that my husband and I are in charge of so I'm planning to take an Ativan in the morning to get me through the day without falling apart (crying scene) in front of everyone (or yelling at them) :)! Thanks for all your input!!
Mood enhancement: While CBD isn’t known for provoking a euphoric high, there’s some evidence to suggest that it may enhance mood. Research in animal models notes that CBD yields a combination of anxiolytic and antidepressant effects.  That said, this research cannot be generalize to humans.  If you’re severely depressed, don’t expect CBD to treat your depression.  However, the fact that the drug targets the 5-HT1A receptor and CB1/CB2 receptors suggests that it could improve mood in certain individuals.
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.

CBD Oil for Anxiety

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