Nabilone (Cesamet) (Figure 1), is a synthetic dimethylheptyl analogue of THC (British Medical Association 1997) that displays greater potency and prolonged half-life. Serum levels peak in 1–4 hours (Lemberger et al 1982). It was also primarily developed as an anti-emetic in chemotherapy, and was recently re-approved for this indication in the USA. Prior case reports have noted analgesic effects in case reports in neuropathic pain (Notcutt et al 1997) and other pain disorders (Berlach et al 2006). Sedation and dysphoria were prominent sequelae. An RCT of nabilone in 41 post-operative subjects actually documented exacerbation of pain scores after thrice daily dosing (Beaulieu 2006) (Table 1). An abstract of a study of 82 cancer patients on nabilone claimed improvement in pain levels after varying periods of follow-up compared to patients treated without this agent (Maida 2007). However, 17 subjects dropped out, and the study was neither randomized nor controlled, and therefore is not included in Table 1.
I’ve been hoarding Girl Scouts Thin Mints lately (they’re especially good if you freeze them)—the chocolate is fine, but the peppermint oil is what makes them addicting enough to go through a whole sleeve without getting sick of them. I’m also trying to cut down on sugar, though, and while it would be a huge stretch to say that this peppermint oil-infused clear lip balm is a direct replacement for Girl Scout cookies, it really does have a very satisfying full-mouth taste of peppermint. The CBD oil, which soothes and facilitates healing at the same time, makes this formula an ideal balm for outdoor enthusiasts and or just those who are prone to painfully chapped lips. For those of us with long-hair-don’t-care, it’s not sticky—as a matter of fact, the formula is on the stiff side and won’t cause your hair to stick to your face, a welcome departure from many balms.
Elixinol has a wide range of products, but their CBD Tincture does the trick. It’s the cream of the crop regarding CBD oils and that reflects in its price. One dropper (1mg) from the 300 series contains 10mg of CBD. This allows you to get precise amounts of CBD and no guess work is required. Elixinol has received numerous awards for their products and extraction process.
Cannabis has been around for thousands of years and is believed to have originated in South or Central Asia. The two main species of cannabis are Cannabis sativa and Cannabis indica. Both Cannabis sativa and indica contain varying amounts of psychoactive and nonpsychoactive components. Cannabis sativa is more commonly known for its stimulatory, mental effects while Cannabis indica is more known for its relaxing, body-calming effects.
The reason so many people are interested in cannabis products that don’t make them high, proponents say, is that CBD helps with everything from pain and nausea to rheumatoid arthritis, cancer, Crohn’s disease, and dementia. CBD is anti-inflammatory, anti-anxiety, antibacterial, immunosuppressive, and more, says Joseph Cohen, D.O., a cannabis doctor in Boulder, CO.
Since it started becoming popular roughly two years or so ago, the general consensus has always been that since CBD oil from top brands does not contain the psychoactive properties of THC, it is therefore legal. Unfortunately, its legality is much more nuanced because of conflicting federal laws and new court cases. What is clear is that in one of the most recent court decisions on the topic, Hemp Industries Assoc. v. DEA, which came out on April 30, 2018, the US Court of Appeals for the Ninth Circuit found that Section 7606 of the 2014 US Farm Bill (the “Farm Bill”) preempts the Controlled Substances Act (CSA), the federal law which designates marijuana as a Schedule I substance (along with heroin and cocaine) making it illegal to possess or use. This means that when there is conflict between the CSA and the Farm Bill, the Farm Bill wins out.
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A. The agency has received reports of adverse events in patients using marijuana to treat medical conditions. The FDA is currently reviewing those reports and will continue to monitor adverse event reports for any safety signals attributable to marijuana and marijuana products, with a focus on serious adverse effects associated with the use of marijuana.
The degree to which cannabinoid analgesics will be adopted into adjunctive pain management practices currently remains to be determined. Data on Sativex use in Canada for the last reported 6-month period (January-July 2007) indicated that 81% of prescriptions issued for patients in that interval were refills (data on file, from Brogan Inc Rx Dynamics), thus indicating in some degree an acceptance of, and a desire to, continue such treatment. Given their multi-modality effects upon various nociceptive pathways, their adjunctive side benefits, the efficacy and safety profiles to date of specific preparations in advanced clinical trials, and the complementary mechanisms and advantages of their combination with opioid therapy, the future for cannabinoid therapeutics appears very bright, indeed.
CBD is not addictive. ‘An addiction to marijuana can develop as a severe form of "marijuana use disorder" which affects an estimated 30 per cent of marijuana users,' says Dr Brewer. 'This develops from a dependence on the psychoactive ingredient, THC, which is found in marijuana strains of cannabis, and which can cause a high and withdrawal symptoms.’
California’s legalization spurred Dr. Geoffrey Guy and Dr. Brian Whittle to found GW Pharmaceuticals, a company that would utilize clinical trials to unpack various cannabinoid formulations as potential therapies with the overriding focus of developing what would later be known as Sativex (Nabiximols). This oral mucosal spray was made up of CBD and THC in a 1:1 ratio and successfully combated neuropathic pain, spasticity, overactive bladder, and symptoms of multiple sclerosis.

Also important is terpenes’ ability to enhance the properties of CBD. This phenomenon, called the “entourage effect,” is considered by many experts in the industry to be essential for gaining the full benefit of the plant. It also points to the importance of using a full-spectrum extract of hemp, which provides a full range of chemical components including terpenes, as opposed to purified CBD or CBD isolate, which contains only CBD.
Although CBD oils aren’t regulated by the FDA, purchasing products stateside from one of the nine states where recreational and medical cannabis use is legal will likely result in a higher-quality product than buying one made with hemp-derived CBD oil imported from abroad, says Martin Lee, director of Project CBD, a nonprofit that promotes medical research into CBD.
Third-party testing: Once a CBD oil is manufactured, CBD oil companies will often submit their products for third-party tests, which are conducted by non-company personnel to ensure the product is safe for public consumption and meets quality standards.CBD oils should always be accompanied with information about third-party tests; best practice is to avoid oils that do not supply these details.
As an advocate of industrial hemp, Nutiva Founder John Roulac successfully sued the US Drug Enforcement Administration in 2002 to keep hemp foods legal, paving the way for hemp foods to be sold in the United States. Roulac has authored four books on environmental topics including composting and hemp that have combined sales of over one million copies. With expertise ranging from home composting and natural healing to forestry, hemp agriculture, GMO labeling and organic farming, Roulac has founded five nonprofit ecological groups, one of which, Forests Forever, placed the California Forest Protection Act (Prop 130) on the state ballot in 1990.
14. In making the two previous determinations about THC, why did FDA conclude that THC is an active ingredient in a drug product that has been approved under section 505 of the FD&C Act? In making the two previous determinations about CBD, why did FDA determine that substantial clinical investigations have been authorized for and/or instituted, and that the existence of such investigations has been made public?
Whereas Michigan already had medical weed legalized to make for a quicker route to starting full legislation, these states don't yet have an operational system in place. North Dakota and West Virginia also still are not operational yet, nor in Louisiana or Arkansas. Ohio is also behind schedule, having been unable to meet their goal of having operational dispensaries two years after voting for legalization. And until those are operational, the Ohio Board of Pharmacy ruled that any CBD products not sold in dispensaries licensed by the state's program are illegal.
There are thousands of unique varieties of hemp. The cultivars used for CBD oil contain significantly higher concentrations of CBD than others. Using these uniquely potent plants, it is possible to extract cannabis oil that contains significant levels of cannabidiol, as well as essential vitamins, minerals, fatty acids, terpenes, flavonoids, and other non-psychoactive cannabinoids.
Extraction: The method by which CBD oil is processed from hemp plants can be very telling. Some manufacturers extract and process the oil using toxic materials like propane or butane; in most cases, these oils are cheaply priced. Safer extraction and processing agents include ethanol, which cleans the hemp plant of unwanted toxins; and supercritical carbon dioxide extraction, which strips harmful materials from the plant by changing the carbon dioxide’s temperature and pressure settings.
Cannabidiol, or CBD for short, is a phyto-cannabinoid found in cannabis plants. However, it does not cause the same psychoactive effects as other naturally occurring cannabinoids (such as tetrahydrocannabinol, or THC). CBD induces feelings of sleepiness and tranquility, making it suitable for insomnia and other sleep disorders; CBD can be used to alleviate symptoms of epilepsy, diabetes, and anxiety disorders, as well. Legality is an issue for some; all 50 states have laws governing the sale, possession, and use of CBD, and they vary significantly (see the table below for a full analysis).
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The endocannabinoid system is tonically active in control of pain, as demonstrated by the ability of SR141716A (rimonabant), a CB1 antagonist, to produce hyperalgesia upon administration to mice (Richardson et al 1997). As mentioned above, the ECS is active throughout the neuraxis, including integrative functions in the periacqueductal gray (Walker et al 1999a; Walker et al 1999b), and in the ventroposterolateral nucleus of the thalamus, in which cannabinoids proved to be 10-fold more potent than morphine in wide dynamic range neurons mediating pain (Martin et al 1996). The ECS also mediates central stress-induced analgesia (Hohmann et al 2005), and is active in nociceptive spinal areas (Hohmann et al 1995; Richardson et al 1998a) including mechanisms of wind-up (Strangman and Walker 1999) and N-methyl-D-aspartate (NMDA) receptors (Richardson et al 1998b). It was recently demonstrated that cannabinoid agonists suppress the maintenance of vincristine-induced allodynia through activation of CB1 and CB2 receptors in the spinal cord (Rahn et al 2007). The ECS is also active peripherally (Richardson et al 1998c) where CB1 stimulation reduces pain, inflammation and hyperalgesia. These mechanisms were also proven to include mediation of contact dermatitis via CB1 and CB2 with benefits of THC noted systemically and locally on inflammation and itch (Karsak et al 2007). Recent experiments in mice have even suggested the paramount importance of peripheral over central CB1 receptors in nociception of pain (Agarwal et al 2007)
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.

Prolonged use is not associated with an increased risk of side effects. In research studies, up to 1500 mg of purified CBD per day has been used to address various medical illnesses without reported harmful effects including changes in heart rate, blood pressure, temperature, oxygen and carbon dioxide levels, electrolyte balance, gastrointestinal function, psychomotor functions, or sleep cycles.
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…
In the United States, we're in the middle of a cannabis revolution. Our nation is slowly waking up to the truth that cannabis, what was once dubiously considered a dangerous psychoactive substance, is not only safe but extremely versatile in its medical benefits. This has been reflected in the sales of legal cannabis products, which is expected to grow from $6.6 billion in 2016 to $24.1 billion in 2025.

Cannabidiol (CBD) is one of many cannabinoid molecules produced by cannabis, second only to THC in abundance. These plant-derived cannabinoids, or phytocannabinoids (phyto = plant in Greek), are characterized by their ability to act on the cannabinoid receptors that are part of our endocannabinoid system. While THC is the principal psychoactive component of cannabis and has certain medical uses, CBD stands out because it is both non-intoxicating and displays a broad range of potential medical applications including helping with anxiety, inflammation, pain, and seizures. These makes CBD an attractive therapeutic compound.

Two dermatologists I consulted with, New York-based Whitney Bowe, MD and New Jersey-based Jeanette Jacknin, MD, both agreed that CBD’s anti-aging and anti-inflammatory benefits are clinically proven. “Studies have shown that the cannabinoids like CBD in marijuana are anti-inflammatory and anti-aging and topical CBD has proven helpful for acne, eczema, and psoriasis,” Jacknin told me. “Hemp seed oil is reputed to be the most unsaturated oil derived from the plant kingdom, so it is less pore clogging but a great moisturizer for dry, cracked skin.”
A. We understand that parents are trying to find treatments for their children’s medical conditions. However, the use of untested drugs can have unpredictable and unintended consequences. Caregivers and patients can be confident that FDA-approved drugs have been carefully evaluated for safety, efficacy, and quality, and are monitored by the FDA once they are on the market. The FDA continues to support sound, scientifically-based research into the medicinal uses of drug products containing marijuana or marijuana constituents, and will continue to work with companies interested in bringing safe, effective, and quality products to market.
Chronic pain can be a very devastating diagnosis. For those of us without this condition, it’s hard to imagine what someone with chronic pain is going through. Chronic pain is usually secondary to some form of trauma, making a bad situation far worse. Imagine the worst pain you have every experienced and then try to imagine having that pain day in and day out for months or worse, for years.

High-CBD strains tend to deliver very clear-headed, functional effects without the euphoric high associated with high-THC strains. They’re typically preferred by consumers who are extremely sensitive to the side effects of THC (e.g., anxiety, paranoia, dizziness). A high-CBD strain would also be a great choice for someone needing to medicate throughout the day to control pain, inflammation, anxiety, or other chronic conditions.
Dosage is important, because CBD can have side effects—the most common are tiredness, diarrhea, and changes in appetite and weight—so it’s best not to take more than you need. As CBD becomes more prevalent, says J. Michael Bostwick, M.D., a psychiatrist at Mayo Clinic in Rochester, MN, “I’m reasonably certain new kinds of side effects will emerge.”
Cannabis flavonoids in whole cannabis extracts may also contribute useful activity (McPartland and Russo 2001). Apigenin inhibits TNF-α (Gerritsen et al 1995), a mechanism germane to multiple sclerosis and rheumatoid arthritis. Cannflavin A, a flavone unique to cannabis, inhibits PGE-2 thirty times more potently than aspirin (Barrett et al 1986), but has not been subsequently investigated.
A recent stand-out from the mix is CBD. Cannabidiol, the non-psychotropic compound found in marijuana, offers huge physical and emotional benefit to those suffering from chronic pain. Infused into glycerine, alcohol tincture, oil, or honey, CBD delivers the beneficial effects of medical marijuana without creating a high. For those who still wish to function efficiently throughout the day, CBD is a great solution.

Creams and salves for musculoskeletal discomfort generally contain very small amounts of CBD that are absorbed through the skin. Many of these products do provide significant benefit, however, but the benefit is likely derived from other aspects of CBD — especially terpenes from cannabis and essential oils, thanks to their anti-inflammatory properties.


The trace amount of THC in CBD oil (<0.3%) is not enough to trigger most drug tests as being positive for THC. You would need to consume about 1000-2000 mg per day of CBD to fail a drug test for THC if the employer is testing to SAMHSA guidelines (Substance Abuse and Mental Health Services Administration). If you are tested regularly and taking high doses of CBD, and you are concerned about the very low risk of a positive drug test for THC associated with using hemp-derived products, you could opt to use purified CBD, which does not contain anything but CBD. Just know that purified CBD doesn’t provide the same spectrum of benefits as CBD oil.
Hemp is a controversial crop in some regions of the world, due to concerns about psychoactive plants in the Cannabis genus. In some regions, cultivation of hemp is banned, although products made from hemp such as oil, hemp garments, and hemp paper may be legal. In other areas, hemp is permitted, but only industrial hemp, and some nations freely permit cultivation of all plants in this genus, assuming that regulation is a more efficient technique for control than outright bans. Wild hemp is also not uncommon in some regions of the world, making it difficult to enforce bans on hemp crops.
This is true despite the fact that unlike marijuana, hemp contains only trace levels of THC (tetrahydrocannabinol), the chemical component that gives marijuana its euphoric qualities. Instead, hemp is primarily known for its fibers, commonly used to make rope, fabrics, auto parts, industrial materials, and a variety of other products. Hemp is also known for its highly-nutritious seeds (a.k.a. hemp hearts), which have been shown to benefit heart health, skin diseases, and more.
According to PeaceHealth, a website dedicated to providing information on an array of different supplements and medications, hemp oil can cause minor side effects in the digestive system. For example, the website suggests that hemp and hemp oil can soften the stools, often leading to diarrhea or abdominal cramping. Many times, excessive diarrhea can lead to increased weight loss or malabsorption. While further research is needed to substantiate these side effect claims, it is recommended that for individuals with a history of digestive disorders or irregular bowel movements to not take hemp oil supplements.

The most commonly used form of CBD is CBD oil. Combining CBD extract with a carrier oil like coconut oil, it can be ingested or vaped, bringing a lot of variety. But because marijuana legalization is in such a murky situation with both federal and state laws to grapple with, CBD oil's legality can be hard to parse depending on where you are. Let's start with legality at the federal level.
The 2014 Farm Bill[74] legalized the sale of "non-viable hemp material" grown within states participating in the Hemp Pilot Program.[75] This legislation defined hemp as cannabis containing less than 0.3% of THC delta-9, grown within the regulatory framework of the Hemp Pilot Program.[76] The 2018 Farm Bill allowed for interstate commerce of hemp derived products, though these products still fall under the purview of the FDA.[77][78]
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