One of the most experienced practitioners in this field is Los Angeles physician Bonni Goldstein, who has used the compound to treat dozens of children with intractable epilepsy. She says about half of these patients have seen a significant drop in the number of seizures. “Used in the right way, with the right patient, CBD is extremely powerful,” she says.
The 5-HT1A receptor (5-HT1AR) is an established anxiolytic target. Buspirone and other 5-HT1AR agonists are approved for the treatment of GAD, with fair response rates . In preclinical studies, 5-HT1AR agonists are anxiolytic in animal models of general anxiety , prevent the adverse effects of stress , and enhance fear extinction . Both pre- and postsynaptic 5-HT1ARs are coupled to various members of the Gi/o protein family. They are expressed on serotonergic neurons in the raphe, where they exert autoinhibitory function, and various other brain areas involved in fear and anxiety [54, 55]. Mechanisms underlying the anxiolytic effects of 5-HT1AR activation are complex, varying between both brain region, and pre- versus postsynaptic locus, and are not fully established . While in vitro studies suggest CBD acts as a direct 5-HT1AR agonist , in vivo studies are more consistent with CBD acting as an allosteric modulator, or facilitator of 5-HT1A signaling .
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Zuardi, A. W., Crippa, J. A., Hallak, J. E., Bhattacharyya, S., Atakan, Z., Martin-Santos, R., … & Guimarães, F. S. (2012). A critical review of the antipsychotic effects of cannabidiol: 30 years of a translational investigation [Abstract]. Current Pharmaceutical Design, 18(32), 5,131–5,140. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/22716160
"There's a certain level of individualized dosing with this ingredient, which makes it challenging," says Shunney. "And think about the dynamic balance our bodies have with how we're responding to stress all the time; it's going to vary from person to person." The reality is, it can take one person 15 minutes to feel the effects of CBD and another person 70 minutes. And it'll involve a fair amount of trial and error to figure out what dosage is right for you.
Furthermore, THC and CBD oils also differ in the nature and effect of their Cannabinoid content. Cannabinoids typically bind to receptor sites located in the brain, called CB-1, and various parts of the human body called CB-2. But different cannabinoids produce different effects depending on which type of receptor they bind to. THC mostly binds to receptors in the brain, but CBD unlocks the receptors scattered throughout the body, making it far more useful for healing properties.
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.
There are an array of speculative advantages associated with using CBD [oil] as a treatment for anxiety. The agent appears effective for reducing many different types of anxiety and stress when administered on an acute, single-dose basis. In addition to reducing anxiety, preliminary research suggests that CBD may enhance mood, reduce inflammation, improve sleep quality, and preserve healthy brain function. Compared to traditional anxiolytics, CBD isn’t associated with any significant side effects nor substantial contraindications, thereby making it an appealing investigational treatment.
CBD’s potential usefulness in treating certain conditions is yet another argument in favor of legalizing the entire cannabis plant. Removing cannabis from the federal list of Schedule I narcotics that are illegal under the Controlled Substances Act would allow scientists to research its full medical potential and pharmaceutical companies in the United States to develop marijuana-based drugs and submit them for FDA approval. Government-regulated labs could test products like CBD oil to ensure safety and quality. Doctors could prescribe marijuana- based medicines with full knowledge of potential side effects and drug interactions, and without fear of losing their medical licenses or being thrown in jail.
However, I’m thinking that there may have been some sort of synergistic effect between the CBD and beer. The combination of CBD plus beer worked extremely well for my anxiety – but obviously the beer is not a sustainable nor healthy long-term option. Reflecting on the experience, it’s difficult to determine how well the CBD worked because I was exposed to a lot more anxiety than the first situation.
What is the cost? If the CBD oil is cheap, it probably means that the hemp used is low grade. Hemp is a “bio-accumulator,” meaning it can easily suck up toxins from soil. Price will often tell you a lot about the product you are purchasing, as legitimate companies are forced to charge higher prices in order to maintain a growing standard that does not lower the quality of the oil.
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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