Results of a Phase III study (N = 177) comparing Sativex, THC-predominant extract and placebo in intractable pain due to cancer unresponsive to opiates (Johnson and Potts 2005) demonstrated that Sativex produced highly statistically significant improvements in analgesia (Table 1), while the THC-predominant extract failed to produce statistical demarcation from placebo, suggesting the presence of CBD in the Sativex preparation was crucial to attain significant pain relief.
CBD shows promise in the treatment of anxiety disorders, according to a report published in the journal Neurotherapeutics in 2015. Looking at results from experimental research, clinical trials, and epidemiological studies, the report’s authors found evidence that CBD may help treat generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive-compulsive disorder, and post-traumatic stress disorder. However, the authors caution that human-based research on CBD and anxiety is fairly limited at this point.
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Similarly, while Sativex and smoked cannabis have not been employed in the same clinical trial, comparisons of side effect profiles can be made on the basis of SAFEX studies of Sativex for over a year and up to several years in MS and other types of neuropathic pain (Russo 2006b; Wade et al 2006), and government-approved research programs employing standardized herbal cannabis from Canada for chronic pain (Lynch et al 2006) and the Netherlands for general conditions (Janse et al 2004; Gorter et al 2005) over a period of several months or more. As is evident in Figure 2 (Figure 2), all adverse events are more frequently reported with herbal cannabis, except for nausea and dizziness, both early and usually transiently reported with Sativex (see (Russo 2006b) for additional discussion).
Another notable study conducted by Mechoulam was done on mice bred to have a version of type-1 diabetes. The diabetes was designed to manifest right around 14 weeks, so the mice were treated with CBD for the first 7 weeks of their life and then again in another 7 weeks. He concluded that only 30% had developed diabetes compared to the 90-100% given the placebo.
Perhaps the most remarkable thing about CBD is the sheer number and variety of its potential therapeutic applications. It is important to recognize that each application may be supported by different levels of evidence. These range from ongoing clinical trials evaluating its efficacy in the treatment of human disorders, to animal studies investigating its behavioral and physiological effects, to in vitro work (test tube experiments) measuring its pharmacological interactions and mechanisms of action. Each type of study comes with its own strengths and weaknesses.
Moreover, scientists at the Cajal Institute showed promising results in regards to CBD and Multiple Sclerosis. They used animal models and cell cultures to find that CBD reversed inflammatory responses; within only ten days, mice that were used in the study had superior motor skills and showed progression in their condition. To date, there have been well over 20,000 published scientific articles on cannabinoids and their related effects on all sorts of medical ailments.
Not all of America has access to medical cannabis yet, but the whole country has access to hemp-derived CBD. The eight pain clinics that I run in North Carolina have been recommending CBD to patients for a couple of years now and observing some incredible results. We continue to learn everyday what CBD can and can’t do for our patients in chronic pain.
In 2015, The Hebrew University of Israel published a study that documented the potency of single-molecule CBD extract versus the potency of whole-plant CBD-rich extract. It found that extract taken from whole plant CBD-rich cannabis is therapeutically superior to single-molecule extract. The scientists behind this study noticed that science had been utilizing pure, single-molecule CBD, which resulted in a bell-shaped dose-response curve. This means that CBD’s efficacy plummets at very high and very low doses.
The legality of CBD in the US varies from state to state, but at the federal level, CBD is mysteriously classified as a Schedule I drug despite its sourcing. According to the federal government, Schedule I drugs are substances or chemicals with no currently accepted medical use and a high potential for abuse. Other Schedule I drugs include heroin, LSD, marijuana, and ecstasy. However, CBD can be purchased as a dietary supplement throughout the country despite the FDA’s official stance that CBD isn’t a supplement. The landscape of CBD legality in the US is exactly as confusing as it reads; that squirrely, perplexing itch at the back of your brain is cognitive dissonance, and it’s an entirely normal reaction.
Almost everything we use in our diet to prevent or manage health problems has some risk of side effects, and hemp oil is no exception. Firstly it is important to note, however, that negative side effects of hemp oil are rare and some only occur in extreme cases, they can also be considered minor in comparison to the side effect of pharmaceuticals. To date, there have been no reported cases of toxicity from the ingestion of hemp seed oil.
Particular difficulties face the clinician managing intractable patients afflicted with cancer-associated pain, neuropathic pain, and central pain states (eg, pain associated with multiple sclerosis) that are often inadequately treated with available opiates, antidepressants and anticonvulsant drugs. Physicians are seeking new approaches to treatment of these conditions but many remain concerned about increasing governmental scrutiny of their prescribing practices (Fishman 2006), prescription drug abuse or diversion. The entry of cannabinoid medicines to the pharmacopoeia offers a novel approach to the issue of chronic pain management, offering new hope to many, but also stoking the flames of controversy among politicians and the public alike.
Cost is another consideration. Most CBD oils are sold in concentrations of 300 to 750 mg, although this may range from less than 100 mg to more than 2,000. A good indicator of price-point is the cost per milligram. Low-cost CBD oils usually fall between five and 10 cents per mg; mid-range prices are 11 to 15 cents per mg; and higher-end oils cost 16 cents per mg or higher. Given these varying per-milligram costs, a bottle of CBD oil may be priced anywhere from $10 or less to $150 or more.
Both CBD oil and CBD cream products have their own unique and significant uses throughout the medical world. They are both highly capable of healing and diminishing pain plus daily discomforts. This all-natural alternative to conventional medications is reasonably affordable and does not produce any of the psychoactive or “high” effects that traditional marijuana flower can, meaning that CBD could be consumed any day of the week at any time of day, leading to its extreme versatility and convenience.
You can think of the full spectrum of all the chemical compounds found in cannabis as the “language” of the plant. It’s not one chemical, but all the chemicals combined working together that cause a response (again, the entourage effect). When you consume CBD oil, you gain the benefits of all those chemical substances in natural synergy. For that reason, you get full benefit at a dose range of 25-50 mg.
"Cannabinoids have been found to have antioxidant properties, unrelated to NMDA receptor antagonism. This new found property makes cannabinoids useful in the treatment and prophylaxis of wide variety of oxidation associated diseases, such as ischemic, age-related, inflammatory and autoimmune diseases. The cannabinoids are found to have particular application as neuroprotectants, for example in limiting neurological damage following ischemic insults, such as stroke and trauma, or in the treatment of neurodegenerative diseases, such as Alzheimer's disease, Parkinson's disease and HIV dementia.
Cannabis sativa L. has been selectively bred for recreational uses to obtain the maximum “high”, so the level of delta-9-tetrahydrocannabinol (THC) have been increased very much (up to 20-25%) and, in upping the potency through selective breeding, CBD has been selectively eliminated from recreational varieties or, eventually, it is rarely found in specific varieties. CBD is often found in hemp – in varieties used to produce fiber and seeds. But the combination of CBD/THC in cannabis seem to be beneficial for medical use.
Here’s a mind-blowing example: a study in 2014 found that people with THC in their systems were 80 percent less likely to die from traumatic head injuries than those without. THC is great for Insomnia “Indica” Recent research suggests it may also improve breathing while reducing sleep interruptions. Great news for those suffering from conditions such as sleep apnea! Fact, studies have confirmed that THC eases a variety of PTSD-related symptoms including agitation, depression, insomnia, flashbacks, and nightmares. Not only does the psychoactive protect brain cells, it also stimulates brain growth. Researchers have found that THC interacts with the same type of receptors in the hypothalamus that release the hormone ghrelin, which stimulates hunger. In fact, THC can even make food taste better. Interestingly, certain cannabis cultivars can also suppress appetite, which can be another advantage for a lot of people – weight loss. Enhances Senses! In 2008, researchers at MIT discovered that treating a concerning antibiotic-resistant pathogen with the psychoactive successfully killed the bacteria when other drugs could not even MRSA! As a potent antioxidant, one of the many health benefits of THC is protecting the body from stress-related damage. A known bronchodilator, studies conducted back in 1975 provided the first evidence of the cannabinoid’s ability to ease asthma attacks. While multiple cannabinoids show anti-cancer potential, THC is one of the main contenders! THC is a muscle relaxant on its own, the molecule’s ability to ease cramps and tension is a plus. THC also has anticonvulsant properties. Continuing 1 more time…
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Did you know that the number one reported condition for medical marijuana cards is pain? In Colorado, 92% of patients, over 86,000 people, use cannabis to treat their chronic pain. Research on CBD and pain management has shown great promise and people are increasingly turning to cannabinoid therapy as the harms of opioids garner more attention and scrutiny.
Perhaps it’s because many people have romantic and misplaced notions about nature. Some even point out that we come hard-wired with cannabinoid receptors in our brains and they must have a purpose, so why not use them? This is not exactly a persuasive argument: Nature endowed us with our own cannabinoids, so unless you have a deficiency of them or sluggish receptors, you really don’t need supplementation.
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The second method of pain relief centers around the damage you do when you work out. When you strength train, you create micro-tears in your muscles, which is why you feel sore as you heal. Once your immune cells detect damage, they release inflammatory mediators in order to repair the tissue. CBD, though has the ability to limit the release of some proinflammatory signals, thereby helping with pain without thwarting the healing entirely, Gerdeman explains.