Research conducted by Schier et al. (2012) aimed to review the literature of cannabidiol (CBD) as an anxiolytic due to the fact that it is non-psychotomimetic. Researchers gathered scientific publications from English, Portuguese, and Spanish databases. All compiled articles analyzed the anxiolytic effects of cannabidiol from both human and animal model studies.
General health improvement: Intermittent usage of CBD oil on an “as-needed” basis is understood to provide numerous general health benefits. Research suggests that CBD oil may offer anticancer, analgesic, and antiemetic properties. There’s evidence noting that it may boost immune function, slow the growth of bacteria, reduce muscle spasms, and modulate blood sugar levels. Literature indicates that cannabidiol may be conducive to general health.
CBD is one of the 80+ cannabinoids found in the cannabis plant. Cannabinoids are chemical compounds that when consumed, bind to receptors in the body producing varying effects. CBD is non-psychoactive, unlike THC, the more popular cannabinoid known for the “high” feeling. You won’t get high from consuming CBD alone. The body’s endocannabinoid system (ECS) is a natural, biological system that regulates the body. It’s made up of receptors and it regulates many cognitive and physiological aspects of the body including pain, memory, mood, appetite, and fetal development.
Look for what are known as “full-spectrum” CBD products. These products contain other compounds of the hemp plant in addition to CBD. It’s believed that the compounds work together to provide the claimed benefits, much as eating an orange is usually a better choice than drinking orange juice. One key exception is if you’re subject to workplace drug testing. A CBD isolate, in which the rest of the plant’s compounds are removed, should reduce the already tiny chance of trace amounts of THC being present.
Pure undiluted cannabis essential oil is a green concentrated, sticky, resinous substance that is considered highly volatile, and its component parts are very powerful, including monoterpenes, sesquiterpenes, and other highly active organic compounds. It is extracted by steam distillation from the flowers and upper leaves of cannabis plants, which are in the Cannabis genus. The essential oil is primarily made and distributed from France and various other European countries, but its exportation is somewhat limited by, as mentioned above, the legal ramifications of what cannabis essential oil is derived from.
To access CBD oil, a solvent extraction process is required, which returns roughly 3-5 grams of oil per ounce of flower product used. Using grain or isopropyl alcohol as a solvent, you can strain the result of the mixture, leaving CBD oil behind. It is a lengthy process, and in countries where cannabis is legal, there are many places to access high-quality CBD oil.
Multiple types of anxiety: A limitation associated with CBD research is that it hasn’t been tested extensively among patients with a specific diagnostic subtype of anxiety (e.g. generalized anxiety). That said, studies note that CBD is likely efficacious in treating symptoms of many different types of anxiety including: social phobia, PTSD, panic disorder, OCD, and generalized anxiety disorder. Therefore, individuals may derive anxiolytic benefit from CBD – regardless of their specific type of anxiety.
"A CBD company may create a CBD oil, test it, and use the test results to create their label," Bonn-Miller says. "The problem is if they never test their product again, or they test it once a year, you have no idea whether each batch is the same as the first one that they used to create the label. The vast majority of companies are not using manufacturing standards that assure product consistency over time. Companies should be testing every batch they make and tossing batches that don't fall within the specs of their label."
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.
A study conducted by Todd and Arnold (2016) elucidated the neural correlates associated with CBD and THC interactions in mice. The researchers administered CBD, THC, or a combination of CBD/THC to mice and examined anxiety-related behaviors – as well as other neurophysiological markers. Results indicated that THC suppressed locomotor activity and was anxiogenic in that it increased anxiety.
Cannabidiol (CBD), a non-psychoactive segment of the marijuana plant, has created huge enthusiasm among researchers and physicians. CBD Oil applies its remedial effect on an atomic level is as yet being sorted out. Cannabidiol is a pleiotropic sedate in that it produces numerous impacts through various atomic pathways. CBD Oil acts through different receptor-free channels and by official with various non-cannabinoid receptors and particle channels.
Schematic representation of the participants selection and of the protocol – this was a four period crossover study. CBD, cannabidiol; ESS, Epworth Sleepiness Scale; PSQI, Pittsburgh Sleep Quality Index; PSG, polysomnography; PVT, Psychomotor Vigilance Test; STAI, State-Trait Anxiety Inventory; TCLE, written informed consent form; VAMS, Visual Analog Mood Scale; WAIS, Wechsler Adult Intelligence Scale.
Interactions: CBD, especially when ingested at high doses, may interact with other pharmacological agents, including prescription drugs. Cannabidiol inhibits CYP450 isoenzymes in the liver which means it may be contraindicated with drugs like Warfarin. Researchers should attempt to understand the full-spectrum of CBD interactions and refine usage guidelines for those taking other medications.
Overall, it’s important to look for CBD products that are lab tested. These tinctures may only be as good as they are potent and its important to trust the companies that you’re purchasing from. When shopping for CBD for sleep, make sure to see if the products have been tested by an independent third party lab for purity and potency. Did you read the label? Does the ingredients list agree with you? If you’re a person with a lot of anxiety, you might need a higher dose of CBD to help with your sleep. Double check the label to make sure that the CBD content is clearly outlined. Some labels will not distinguish between hemp extract and CBD content (there is a difference) so it’s important to make sure you understand the products you are purchasing. You can learn more about each of these products in their individual reviews.
Anti-inflammatory: Many individuals with neuropsychiatric disorders have severe inflammation, particularly neuroinflammation. Neuroinflammation is associated with many causative underpinnings including: air pollution, brain injuries, viruses, and even standard aging. This increase in inflammation can lead to glial cell and cytokine abnormalities, each of which could contribute to anxiety disorders. CBD has been shown to reduce neuroinflammation, which in turn may directly improve anxiety, as well as cognitive function and mood.
Constant and intense worrying about things (money, health, family, work, or other issues) when objectively there’s little or no reason for concern. People with Generalized Anxiety Disorder are anxious about getting through the day, they imagine things to be much worse than they are and expect everything to go bad. Even though they’re aware of the unnecessary overreaction to situations, people with GAD feel helpless and cannot control their anxiety. Generalized Anxiety Disorder affects 6.8 million adults, or 3.1% of the U.S. population. Women are twice as likely to be affected as men.
While normally I'd be slightly tripped up by little things like an overly crowded subway car or a full inbox at work, the CBD oil seems to have taken the edge off of my anxiety a bit. Rather than overthinking a sternly worded email or analyzing a social interaction, I've found it easier to recognize the irrationality of these thoughts and actually let them go (instead of ruminating on the situation). In some ways, I feel more like myself. With that said, I've still experienced some social anxiety when meeting new groups of people—I'd be interested to see what taking the full recommended dose would do.
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CBD exerts several actions in the brain that explain why it could be effective in treating anxiety. Before we dive in, it’s important to note that most research describing how CBD works is preclinical and based on animal studies. As the saying goes, “mice are not men” — and, results from animal studies don’t always neatly transfer to human therapies. However, preclinical studies provide insights that move us in the right direction:
In his office, however, Hernandez was wary of the CBD boom. He advises well-meaning parents to think twice about voyaging into the world of over-the-counter hemp oil treatments, even if their circumstances are dire. “It’s a huge gimmick that a lot of companies are using,” Hernandez said. “You don’t know what you’re getting. ... There’s a major quality problem.”
Dispensaries: In states where marijuana is legal for recreational use, dispensaries are a common sight. They are much rarer in states with more restrictions. In states that permit the use of medical marijuana, hemp-based CBD oils do not normally require a prescription but marijuana-based oils do. Like brick-and-mortar locations, dispensaries offer more customer service. However, as noted, this may not be an option depending on the buyer’s state of residence. Also, CBD oil prices tend to be significantly higher at dispensaries.
A bit of online digging led me to realize that the active ingredient in Charlotte's Web Everyday Plus Hemp Oil, the product I'd been offered to test, was the chemical compound CBD, which stands for Cannabidiol. Unlike THC, the other crucial compound in hemp and marijuana plants, CBD does not produce the psychoactive effects that make you feel "high"; instead, it actually eases anxiety and makes you less likely to freak out.
Neurologists are skilled at predicting side effects and interactions between well-researched pharmaceuticals. But due to the dearth of reliable research about CBD, doctors like Hernandez and Knupp cannot guide their patients in its use. If there are adverse reactions, Penny will find out because Harper will suffer through them. She has had to figure out through trial and error how best to mix and measure Harper’s oils. The bottom line, Penny said, is simple: “We are the research.”
My trouble falling asleep has never been a major problem. But when I recently learned that nearly 60 percent of people taking cannabidiol—better known as CBD, one of the over 80 compounds found in the marijuana plant—are doing it to help with sleep, I was intrigued. (That stat's according to a survey conducted by Brightfield Group and HelloMD, an online community that brings doctors and cannabis patients together.)
My racing thoughts seemed to come to a screeching halt within an hour of taking it, and when I got into bed I fell asleep as soon as my head hit the pillow. Even better, I woke up feeling refreshed and ready to take on the day. And this isn’t unusual: As Michael Breus, a clinical psychologist and board-certified sleep specialist, explained in a 2017 HuffPost article, there’s a good chunk of research to suggest that CBD can be beneficial for rest. Research shows CBD may increase overall sleep amounts and reduce insomnia. CBD has also been shown to improve sleep in people who suffer from chronic pain.
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"Right now, any claims and dosing recommendations by any company making a CBD product for the medical marijuana market is purely anecdotal," he says. "Asking 100 people who use your product whether they feel better isn't real science. The products on the market are also different from what was used in the scientific studies that they are basing their claims upon. If a study found an anti-anxiety effect when dosing humans with synthetic CBD, that doesn't mean that your CBD oil that contains 18 percent CBD is going to reduce anxiety. It might even have the opposite effect."
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.
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.
Participants were recruited through advertisements in the local media of the city of Ribeirão Preto, São Paulo, Brazil. Initially, 335 individuals who were interested in participating were evaluated, 265 of whom were excluded in the recruitment interview (which contained questions about clinical data, demographics, psychiatric symptoms, sleep patterns, among others). The remaining 70 participants were asked to keep a sleep log and completed the rating scales on sleep patterns (ESS, Epworth Sleepiness Scale; PSQI, Pittsburgh Sleep Quality Index). After these procedures, 27 participants were considered eligible for the study (Figure Figure11) and were randomized into two groups (group 1: placebo – CBD, group 2: CBD – placebo) matched in terms of sex, age, and years of education. To ensure the adequacy of the matching procedure, one participant of each pair had his treatment blindly chosen between the two treatment options available and the other participant (matched to the first one) was assigned to the remaining option.
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.
Update 12 October 2018 - Cannabis-based medicinal products will be able to be prescribed by specialist doctors for conditions including epilepsy following a change in the law laid in parliament. From 1 November 2018 specialists, such as neurologists, will be able to prescribe medicinal cannabis on a case-by-case basis where the patient has an unmet special clinical need that will not respond to licensed medications. Anyone who is under a specialist should discuss their treatment plan with them.
By now nearly everyone has heard that cannabis can play a palliative role for cancer sufferers, especially in alleviating some of the nasty side effects of chemotherapy. There’s no question that pot can stave off nausea, improve appetite, and help with pain and sleep. But could it cure cancer? Troll the Internet and you’ll see hundreds, if not thousands, of such claims. A gullible Googler could easily believe we’re on the brink of a miracle cure.
One of the strongest nutraceutical CBD oils is called Charlotte’s Web, with a 50mg dose. Charlotte’s Web is produced in Colorado by the Stanley Brothers, and named after Charlotte Figi, a girl who became famous in the US after her frequent seizures, brought on by the rare Dravet syndrome, were greatly reduced when she started taking CBD oil aged five. The company makes THC products too and is extremely successful, having just offered shares on the Canadian securities exchange, raising about $100m.
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