doctors on cbd

Doctors on cbd

A significant safety concern with CBD is that it is primarily marketed and sold as a supplement, not a medication. Currently, the FDA does not regulate the safety and purity of dietary supplements. So, you cannot be sure that the product you buy has active ingredients at the dose listed on the label. In addition, the product may contain other unknown elements. We also don’t know the most effective therapeutic dose of CBD for any particular medical condition.

CBD has been touted for a wide variety of health issues, but the strongest scientific evidence is for its effectiveness in treating some of the cruelest childhood epilepsy syndromes, such as Dravet syndrome and Lennox-Gastaut syndrome (LGS), which typically don’t respond to antiseizure medications. In numerous studies, CBD was able to reduce the number of seizures, and, in some cases, stop them altogether. Epidiolex, which contains CBD, is the first cannabis-derived medicine approved by the FDA for these conditions.

Animal studies, and self-reports or research in humans, suggest CBD may also help with:

Is CBD safe?

CBD, or cannabidiol, is the second most prevalent active ingredient in cannabis (marijuana). While CBD is an essential component of medical marijuana, it is derived directly from the hemp plant, a cousin of marijuana, or manufactured in a laboratory. One of hundreds of components in marijuana, CBD does not cause a “high” by itself. According to a report from the World Health Organization, “In humans, CBD exhibits no effects indicative of any abuse or dependence potential…. To date, there is no evidence of public health related problems associated with the use of pure CBD.”

The Farm Bill removed all hemp-derived products, including CBD, from the Controlled Substances Act, which criminalizes the possession of drugs. In essence, this means that CBD is legal if it comes from hemp, but not if it comes from cannabis (marijuana) – even though it is the exact same molecule. Currently, many people obtain CBD online without a medical marijuana license, which is legal in most states.

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Cannabidiol (CBD) is often covered in the media, and you may see it touted as an add-in booster to your post-workout smoothie or morning coffee. You can even buy a CBD-infused sports bra. But what exactly is CBD? And why is it so popular?

Is cannabidiol legal?

CBD comes in many forms, including oils, extracts, capsules, patches, vapes, and topical preparations for use on skin. If you’re hoping to reduce inflammation and relieve muscle and joint pain, a topical CBD-infused oil, lotion or cream – or even a bath bomb — may be the best option. Alternatively, a CBC patch or a tincture or spray designed to be placed under the tongue allows CBD to directly enter the bloodstream.

Some CBD manufacturers have come under government scrutiny for wild, indefensible claims, such that CBD is a cure-all for cancer or COVID-19, which it is not. We need more research but CBD may prove to be a helpful, relatively non-toxic option for managing anxiety, insomnia, and chronic pain. Without sufficient high-quality evidence in human studies, we can’t pinpoint effective doses, and because CBD currently is typically available as an unregulated supplement, it’s hard to know exactly what you are getting.

Doctors on cbd

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Doctors on cbd

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“Ultimately there is a role for CBD in a variety of conditions. It decreases anxiety, is anti-inflammatory, and can help with sleep. It does also have some positive impact on pain. Some of it may be for the reasons I listed above. It doesn’t have the psychotropic effects of THC, and it is legal (for now). The tricky part is that we don’t have robust studies fully clarifying dose, interactions, and contraindications. I do have patients who anecdotally find that it is helpful when used topically for arthritis and orally (spray) for pain. I think often it is beneficial because it helps with sleep and anxiety, which both can be an issue with both acute and chronic pain. I have other patients who have no response.” Carrie Diulus, M.D.

CBD oil is gaining major traction in the wellness world, as people praise its ability to transform a person’s sleep and temper anxiety. Not to mention, top integrative and functional medicine experts are starting to get behind this natural chemical. Here’s what excites the pros most about CBD, plus what they’re still skeptical about.

“CBD varies per concentration, so getting a reliable brand and source is key. It doesn’t alter the person’s state of mind who uses it like marijuana does, but it does produce many positive changes and has many medical benefits including improving the immune system, being anti-inflammatory, improving mood, appetite, cognitive function, anxiety, depression, insomnia, addiction, epilepsy, improves cancer, Crohn’s disease, and even acne. Physicians recommend it for their chronic pain patients as well as fibromyalgia and multiple sclerosis. Studies have shown the use of CBD oil in mice reducing inflammation significantly. Physicians also recommend CBD oil in patients who want to quit smoking as well as decrease opioid usage. It seems to be the wonder drug everyone wants! You can inhale it, rub in on the skin, or put drops in your food. My personal reservations for CBD oil are there are still no long-term safety data studies and studies haven’t been done in children yet. Some side effects include diarrhea and weight and appetite changes. Talk to your doctor if this is a good alternative and to see if CBD is right for you.” Bindiya Gandhi, M.D.

It looks promising for a ton of health ailments, but talk to your doctor first.

“I have been using CBD on various patients at my functional medicine center for some time now, and we are loving the clinical results! I use it to support healthy balanced inflammation levels in people with autoimmunity, pain, and anxiety. For some, CBD has truly been the missing link in their health puzzle. It’s one of the few things that I, too, take every day.” William Cole, D.C.

“Recently a lot of patients have asked me about CBD oil, which seems to reflect a growing interest in CBD oil nationwide as a remedy for many different ailments. While many people have told me individually that they have gained a lot of personal pain/anxiety/depression/psychosis relief from the use of CBD oil, research is still ongoing and has not definitively determined either clear benefits or harm. There is definitely some interesting research that is being conducted on the treatment of psychosis with CBD oil. I am wary of recommending CBD oil at this point for these reasons and also because there has not been much regulation of the product, which is concerning when I want to make sure that my patients are getting a safe product.” Aparna Iyer, M.D.

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There’s a lot of potential for chronic pain.