Laboratory evidence indicated that cannabidiol may reduce THC clearance, increasing plasma concentrations which may raise THC availability to receptors and enhance its effect in a dose-dependent manner. In vitro, cannabidiol inhibited receptors affecting the activity of voltage-dependent sodium and potassium channels, which may affect neural activity. A small clinical trial reported that CBD partially inhibited the CYP2C-catalyzed hydroxylation of THC to 11-OH-THC.
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Withdrawal: It is unclear as to whether there are any withdrawal symptoms ensuing following discontinuation of chronic CBD oil administration. It is apparent that there are marijuana withdrawal symptoms – it took years for these to receive legitimate scientific attention in the literature. Though most would speculate that CBD is unlikely to cause discontinuation effects, withdrawal symptoms cannot be ruled out among long-term, chronic users.
One of the earliest researchers of CBD as an intervention for anxiety is Zuardi. In 1982, Zuardi et al. published a paper examining the effects of cannabidiol on anxiety induced by THC. They also wanted to elucidate whether the attenuation of THC-induced anxiety by CBD resulted from an inhibition of THC or through a distinct anxiolytic mechanism.
It's a little more uniform when the product is absorbed by smoking or vaping the oil, Ward said. But, "there are obvious concerns about smoking something." A 2007 review published in the journal JAMA Internal Medicine found that smoking marijuana resulted in similar declines in respiratory system health as smoking tobacco. A similar review published in 2014 in The American Journal of Cardiology found that marijuana smoke inhalation can increase the chances of heart attack or stroke. Neither review analyzed the effects of vaping cannabis oil alone, so it's unclear if it has the same health risks as smoking other marijuana products.
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