What is CBD?
See recent World Health Organization Release on CBD
A non-psychoactive cannabinoid that has implications to help conditions ranging from chronic pain, traumatic brain injury, PTSD, anxiety, to multiple sclerosis and Crohn’s disease! There are many research papers highlighting the antioxidant, anti-seizure, antitumor and neuroprotective qualities of CBD. Check our research papers/clinical trials page and click on sort papers and CBD Oil.
Dr. D! What conditions have patients reported seeing improvement from when using high CBD products?
Migraines, Crohn’s, arthritis, cancer, anxiety, PTSD, muscle aches, back pain, neuropathy, skin conditions like psoriasis, eczema, Alzheimer’s, joint pain, epilepsy, pain from old fractures, herniated discs, fusions, ADHD, bipolar disorder, fibromyalgia, RLS, multiple sclerosis and more.
How Does CBD interact with THC?
People are different, some prefer CBD only remedies while others do best with THC and CBD in combination. I would say current research seems to indicate that CBD and THC work best together in some sort of ratio for most conditions. Also, interestingly CBD seems to attenuate the psychoactive effects of THC and pure CBD drops are being investigated as an antidote to THC induced paranoia or anxiety – however remember if you smoke THC you feel the effects within seconds to minutes while if you eat CBD it takes 2-3 hours for blood levels to peak.
How do I get CBD into me!
Most patients using CBD consume CBD by vaping or orally via tinctures, edibles, capsules or concentrated oils.
What is the optimal dose of CBD?
Great question. Cannabinoid medicine for now is very individualized based on what is being treated and what the patients unique body chemistry is like. Some patients respond to very small doses of CBD (in the range of a few milligrams) to others needing much larger doses of multiple grams. Always start low and observe the effects and how you feel for a few days before changing the dosage. We also have patients break daily doses up over the day instead of one large dose.
What is the best ratio of CBD/THC for seizures or other conditions?
Hard question, cannabinoid therapy seems to be individualized medicine. Some patients respond best to CBD rich oil alone, some do better with the addition of THC or THCa.
Sensitivity to THC can be a major factor too in determining the best ratio for a patient, high CBD Oil products have little to no high which can be great for those sensitive to THC.
When thinking of treating with CBD a takeaway point from current research that could be clinically applicable is to find a high CBD Oil product with as much THC in it as the patient is comfortable with. Patients must experiment with the medicine by starting at low doses and finding what works best for them.
Certain disorders do seem to indicate more of a 1:1 ratio of THC to CBD may be more effective – pain, cancer, and others, while others like anxiety and seizures seem to do better with a higher CBD to THC ratio. It is important not to give THC a bad name because of the psychoactivity the molecule causes, as the substance has many great applications and we stand to learn much from research on THC in years to come.
How do I select a good CBD product?
As always look for lab testing verifying the product is free of mold, pesticides and bacteria. The ratio of CBD:THC should be clearly indicated.
DrD’s takeaway learning point
Different people respond best to different things – Don’t be afraid to experiment with products that contains only pure CBD Oil and some products that have different ratios of CBD to THC.
CBD and THC inhibit the cytochrome p450 enzymes which can change the rate at which the body metabolizes SSRIs and warfarin amongst other drugs. Patients should follow with their physician when starting therapy.