5-HT1A partial agonist: Modulation of neurotransmission at the 5-HT1A receptor is understood to provide anxiolytic, antidepressant, and neuroprotective effects.  Research has demonstrated the effect of cannabidiol as a 5-HT1A receptor partial agonist, meaning it binds to the receptor site but only stimulates the receptor partially (relative to a full agonist).  Studies with cloned human cell cultures note that cannabidiol displaces 5-HT1A agonists from 5-HT1A receptor sites in a dose-dependent manner.
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.
When a person experiences stress, the body secretes a chemical called anandamide. It basically puts you in a temporary state of bliss and enables you to work through your stress. People who suffer from PTSD have to have much lower levels of anandamide, rendering them unable to cope with their stress. When one uses CBDs, it activates the body’s natural production of CBD and the person then has the ability deal with their issues.
No medication seemed to provide a great deal of relief for Harper’s symptoms. But in 2013, three years after their trip to Boston, Penny and Dustin caught an installment of CNN’s medical marijuana documentary and began researching what they could obtain in Texas, where medical marijuana is illegal. Their internet searches soon led them to HempMedsPx and Real Scientific Hemp Oil. The company sent Penny a vial of hemp oil, which she administered to Harper that September.
Hey Dave. I just noticed that as well. Thanks for bringing it to my attention. Most of the information I’ve read on using CBD for sleep generally says that “higher” doses work best for sleep and insomnia. The Mayo Clinic’s site use to say to try a dose from 40 – 160 mg of CBD. This range is indeed higher than a typical serving size of CBD, which is more in the range of 10 – 20 mg. Let me know if you have any questions please.
The Green roads CBD didn’t work for me at all. The CBD is mixed with glycerine & it doesn’t come out of the dropper well at all so it’s hard to know how much you are getting. Plus I think glycerine is not a good carrier at all. A simple coconut oil mix would work much better for absorption. I think there are much better options for your money! Really disappointed:(

For kids with severe forms of epilepsy, changes in medication levels can be extremely dangerous. “If their levels go low, they’re at increased risk of seizures, which could lead to an emergency room visit or an ICU stay,” Knupp said. “On the other hand, if their levels go high, their side effects can increase dramatically.” Side effects from epilepsy medications can range anywhere from drowsiness to vomiting to heart arrhythmia, Knupp noted. “For some people that could mean a minor inconvenience, but for some patients it could be life-threatening.”


San Diego restaurateur Beau Schmitt uses CBD gummies to treat his anxiety. He takes two to three gummies in the morning and then again before bed to help him sleep. “I take gummies (vs oils or vaping) because dosing is consistent, they’re convenient, and I don’t look “druggy” while conducting business or interacting with our staff,” he tells Healthline.
Fear and anxiety are adaptive responses essential to coping with threats to survival. Yet excessive or persistent fear may be maladaptive, leading to disability. Symptoms arising from excessive fear and anxiety occur in a number of neuropsychiatric disorders, including generalized anxiety disorder (GAD), panic disorder (PD), post-traumatic stress disorder (PTSD), social anxiety disorder (SAD), and obsessive–compulsive disorder (OCD). Notably, PTSD and OCD are no longer classified as anxiety disorders in the recent revision of the Diagnostic and Statistical Manual of Mental Disorders-5; however, excessive anxiety is central to the symptomatology of both disorders. These anxiety-related disorders are associated with a diminished sense of well-being, elevated rates of unemployment and relationship breakdown, and elevated suicide risk [1–3]. Together, they have a lifetime prevalence in the USA of 29 % [4], the highest of any mental disorder, and constitute an immense social and economic burden [5, 6].
Weight plays a role in the effects of CBD oil, and bottle size should be selected based on how much you weigh. Let’s say you weigh less than 130 pounds and desire light CBD oil effects; this means that 11 mg or less will probably suffice per dose, giving roughly 40 doses from a 450-mg concentration. If you weigh more than 230 pounds and desire strong effects, then this same concentration will supply roughly 10 doses. 
It was actually a bad bout of jet lag after a trip to California that inspired me to finally test out the CBD oil (I'll admit that my weed-based reservations kept me from trying it for the first few months). Knowing that the oil had also helped people with sleep issues, I squeezed one full dropper of the Everyday Plus oil onto my tongue, per the instructions, and waited.

This meant that overall, throughout the entire span of the night, I had ingested 2 doses of 2 BioCBD+ capsules for a cumulative dose of 40 mg (equivalent to 400 mg CBD).  After my second set of capsules, I ended up going over to a friend’s house and an unexpected party was going on (which made me nervous – I don’t like big parties).  I felt somewhat nervous because I didn’t know anyone and they wanted to drink (I didn’t want to) and thought about simply just leaving the party and going home.
Whether any of these CBD products will do anyone any good (or bad) is moot. “Cannabidiol is the hottest new medicine in mental health because the proper clinical trials do suggest it has clinical effects,” says Philip McGuire, professor of psychiatry and cognitive neuroscience at King’s College London. “It is the No 1 new treatment we’re interested in. But although there’s tons of stuff in the news about it, there’s still not that much evidence.” Large, long-term studies are needed; a 2017 review paper into the safety profile of CBD concluded that “important toxicological parameters are yet to be studied; for example, if CBD has an effect on hormones”.
CBD oil and cannabis oil are both known to reduce the symptoms and side effects of cancer. The presence of both THC and CBD helps in treating the pain associated with cancer. According to research done by Hansen M., Medical University of Vienna, Vienna, Austria, it also treats the side effects of chemotherapy including nausea, vomiting, and anxiety.
REM stands for random eye movement. It is one of the phases of your sleeping process where eye movements become rapid, muscle tone reduces, and you are able to dream. The REM sleep seems to play an important role in keeping up one’s physical health, for it is during this period that the blood flow diverts towards the muscles, which gives time and space to your brain to take a break. Having troubles attaining REM phase of the sleep can certainly produce negative impact on your health, since if this is the case, your brain remains devoid of rest.
The case study notes that advanced chemotherapeutic agents had failed to control the blast counts (cells in the blood and bone marrow) in the patient and had devastating side effects that ultimately resulted in death. The cannabinoid therapy, on the other hand, had no toxic side effects and only psychosomatic properties, with an increase in the patient’s vitality.
Out of the 17 states that have passed CBD-only laws, five— Missouri, Florida, Mississippi, Louisiana, and Texas—would also establish licensed cultivation centers to grow high-CBD strains of cannabis, which could be turned into oils and other CBD products. This would cut down on the demand for CBD oil from unregulated manufacturers abroad. Even then, though, impediments remain. In Missouri, for example, two neurologists recently refused to prescribe CBD oil for an eight- year-old boy suffering from seizures, citing concerns over federal law and the safety of non-FDA approved products.

No medication seemed to provide a great deal of relief for Harper’s symptoms. But in 2013, three years after their trip to Boston, Penny and Dustin caught an installment of CNN’s medical marijuana documentary and began researching what they could obtain in Texas, where medical marijuana is illegal. Their internet searches soon led them to HempMedsPx and Real Scientific Hemp Oil. The company sent Penny a vial of hemp oil, which she administered to Harper that September.
Jackson Leyden had always been a healthy kid; he practiced taekwondo, and he played lacrosse and baseball. But in 2011, a few months after his eighth birthday, he began having seizures several times a day. Many were brief, a half-minute of staring into space, but he also had severe episodes in which he would collapse, sometimes injuring himself. Over the next two years, he was hospitalized about 50 times, and he missed much of fourth and fifth grade.
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 [50]. In preclinical studies, 5-HT1AR agonists are anxiolytic in animal models of general anxiety [51], prevent the adverse effects of stress [52], and enhance fear extinction [53]. 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 [56]. While in vitro studies suggest CBD acts as a direct 5-HT1AR agonist [57], in vivo studies are more consistent with CBD acting as an allosteric modulator, or facilitator of 5-HT1A signaling [58].
After fighting the effects of thyroid cancerfor 12 years I wanted to die. Every day. Now, please understand that these were thoughts with no actions, I was just miserable in pain.After 1 week on the CBD oil, (5 drops under the toungue 2x per day) I am a different woman. I now have hope. Some of my emotional pain is presenting as physical pain, but IT'S LEAVING MY BODY.
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

Hi Dr. Kevin. Thanks for your question. I have seen people react differently to CBD. For some, yes it can help them relax and sleep. For others, it can make them feel more energetic. And yes, unfortunately for some it may increase their anxiety. For those people, CBD would not be a good fit. You made a good observation about the possibility this has to do with the terpenes involved. There are some theories about that but I have no definitive knowledge on that being the cause.


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CBD E-Liquid/Vape Cartridges: Vaping is excellent for people looking for an immediate response, as inhalation is the fastest way to deliver CBDs to your brain and body. To use vape simply exhale gently the air from your lungs then inhale through the mouthpiece slowly for 3 seconds. Then fill your lungs the rest of the way with additional breath and hold for a few seconds, exhaling when ready. There are pre-filled, cost-effective vape pens and cartridges available as well as more expensive vaporizers that you can refill with CBD-infused e-liquid.
Although some studies have demonstrated the potential effect of CBD on sleep behavior, research about the effects of CBD on the slow wave sleep (SWS) of humans with regular sleep is still lacking. The impact of CBD on sleep, possible side-effects or the advantages of lack of them, including objective measures through polysomnography, has not yet been investigated. Thus, the objective of the present study was to assess the effect of the acute administration of an anxiolytic dose (300 mg, Zuardi et al., 1993, 2017) of CBD on sleep in healthy volunteers by means of cognitive and subjective measures and polysomnography exams.

It also is distinct from THC which acts as a CB1/CB2 partial agonist, thereby stimulating the receptor sites.  If it acted the same as THC at the CB1/CB2 receptor sites, its therapeutic potential may be reduced.  Moreover, since cannabidiol acts as an inverse agonist at the CB1/CB2 receptor sites, it doesn’t induce psychological euphoria and/or pleasure associated with downstream dopaminergic enhancement in the mesolimbic pathway (resulting from CB1/CB2 agonism).
The main concern about pharmaceutical drugs is that they only treat the symptoms of insomnia – not the root of the problem. That being said, you need to continuously supply your system with certain doses of a drug. This, in turn, may trigger dangerous side effects, such as strong dependence, unpleasant withdrawal symptoms, inflammation, liver failures, and even rebound insomnia.
It’s also one of the strongest and most concentrated CBD products on the market today. With a grain-of-rice-sized recommended serving taken orally twice a day, its potent punch acts quickly—in just ten to fifteen minutes—to provide powerful relief. Furthermore, it offers terrific value for your money, boasting more CBD per dollar than many other CBD products.

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.
Rule #2 – Be consistent with your dosing. Don’t start small and then jump to higher doses. It’s important that your body gets accustomed to the CBD, so gradually increase the amount over time. Also, don’t get discouraged if you do not notice effects immediately – some people have said it took them up to two weeks of daily use before they started noticing positive results.
It is known that lack of sleep can interfere with certain aspects of cognitive functioning, such as attentional levels (Goel et al., 2009) and PVT, which has a high sensitivity to measure responses that require selective attention (Basner and Dinges, 2011). However, the results of the present study did not show any significant impairment in either the reaction time or number of errors measured by the PVT, suggesting that the attention levels of the volunteers were preserved in the morning after the sleep assessment, regardless of the administration of CBD or placebo. Not having administered the PVT test before CBD and placebo administration does not significantly affect the conclusions once the study does not intend to assess the effect of CBD on baseline vigilance (which would require comparison with baseline PVT results), but to rather evaluate if CBD may be safely administered to patients without affecting their vigilance state overall, such that the patients may safely conduct every-day tasks, like for example driving.
That's why it's being increasingly used as a sleep aid, she says. "The major reason why most people don't sleep is because they're stressed out, they're anxious, they can't shut their brain off," she explains. "What CBD does is calm down your body's stress response and bring those cortisol and adrenaline levels back to baseline." Science is scant, but what studies we do have back that up: CBD may increase the amount of time you sleep, according to an animal study published in the Journal of Psychopharmacology, and improve insomnia, research in the journal Current Psychiatry Reports found.
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.
If you feel you need to increase, do so in about the same increments as from week 1 to week 2 to week 3. Remember, you can not overdose or go wrong so don’t stress about this at all. Your body will take the CBD along with all the other cannabinoids in there and balance it self to perfection. You just make sure that you also help your body with the right lifestyle along the way.
In addition to fighting inflammation in the body, CBD oil may reduce anxiety by directly affecting the brain. Studies have found that CBD actually lowers activity in the amygdala and increases prefrontal cortex activation, two parts of the brain involved in anxiety. There is also evidence that CBD is able to activate hippocampus neurogenesis, aka regenerate new neurons! This activates CB1 receptors, which has a positive balancing impact on GABA and glutamate levels, associated with reducing anxiety.
Epilepsy Society supports the Government in reviewing the regulatory framework for new drugs so that children with epilepsy have access to the excellent medical research and innovative treatments in this country, in the same way as  disabled children in other leading North American and European countries. This could lead to clinicians being able to request a licence for a THC product where there is evidence that it would benefit the patient.

A review published in 2017 in the journal Frontiers in Pharmacology described how CBD may work to protect the hippocampus — the part of the brain responsible for several important functions, such as learning, memory and navigation — during times of stress, and may also help prevent brain-cell destruction that results from schizophrenia. Another 2017 review published in the journal Annals of Palliative Medicine summarized a handful of studies that suggest cannabis oils containing THC or CBD, or both, may help with chronic pain management, but the mechanism is unclear.

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