Pros and Cons of CBD for Medical Conditions
Coping with a serious illness is challenging for everyone. Of course, everyone wants to be as healthy as possible, with as few side effects from treatments as possible. In an effort to improve their health, many patients turn to complementary and alternative medicine (CAM). But do they work? Are they safe? This post provides information on the pros and cons of CBD for medical conditions.
I strongly encourage you to read the first post in the series for important general information on CAM treatments. Additionally, read my other posts to learn about the pros and cons of additional common CAM treatments:
It’s important to realize that CBD and other CAM treatments come with some degree of risk (as do all other medical treatments and medications). And as you can guess, some CAM treatments are more effective and safer than others. So before you try any CBD or any CAM treatment, do some research, talk to your doctor, and be realistic about potential outcomes. And don’t ignore traditional treatments while pursuing CAM therapies.
CBD – cannabis plant extracts
CBD, formally known as cannabidiol, naturally occurs in cannabis plants. The CBD extract does not get you high but may provide health benefits. On the other hand, THC is the component in marijuana that makes you high.
What’s the difference between hemp and marijuana?
Hemp is the common, legal term used for cannabis that has less than 0.3% of THC. Conversely, marijuana is the common, legal term for cannabis that contains more than 0.3% of THC.
What kinds of conditions can CBD help?
Nobody knows for sure. But a 2018 World Health Organization (WHO) report team determined that CBD has “been demonstrated as an effective treatment for epilepsy” for adults, children, and animals. Furthermore, the report states that there is “preliminary evidence” that CBD could help Alzheimer’s disease, cancer, psychosis, Parkinson’s disease, and other serious conditions.
What about pain relief?
There is some evidence that CBD may help relieve pain. However, because there have been very few studies of CBD, we’re left to rely on the growing number of anecdotal claims that CBD helps alleviate pain. That being said, a study with rats found topical CBD application relieved arthritis pain-related behaviors and reduced inflammation without any evident side-effects. Other research found that CBD might reduce inflammation, which is often related to pain. Additionally, some small, preliminary human trials found there is a chance that CBD may help alleviate neuropathic pain (pain caused by nerve damage). Finally, it’s possible that CBD, combine with THC, may help patients manage cancer pain.
What are customers saying?
In 2018, results of a survey of CBD users found that almost 62% of CBD users reported using CBD to treat a medical condition – the top three were pain, anxiety, and depression. About 36% of respondents stated that CBD treats their medical condition(s) “very well by itself”. In contrast, only 4.3% stated that it treated their conditions “not very well”. It’s worth noting that 1/3 of users reported a non-serious adverse effect.
Is it legal?
Not necessarily. Last year, the US government legalized hemp and the extract CBD as part of the 2018 Farm Bill. But it’s all a bit confusing. Hemp is now legal, but the government has not created a system which allows people to freely grow hemp. Furthermore, the government still considers marijuana illegal, and since CBD comes from marijuana, it’s a very gray area.
To make the matter even more confusing, all 50 states and Washington, D.C., have different laws regarding hemp and marijuana. Wondering what the laws are in your state regarding CBD and marijuana? Look your state up here.
Is it safe?
Probably. But not certainly.
The 2018 WHO report on CBD found no adverse health outcomes, or any potential for addiction or abuse. However, because marijuana has historically been illegal in the US, it’s been hard for researchers to study the impact. Therefore, there are still a lot of unknowns, including appropriate dosing, how it gets absorbed, and how CBD interacts with other medications.
Additionally, this is a widely unregulated industry right now, with new products and online stores regularly entering the market. And some manufacturers are more trustworthy than others. For instance, some manufacturers use chemicals such as butane and hexane to extract the CBD, which can leave unwanted residue in the product. In contrast, others use “green” techniques which extract the CBD using CO2, which is considered safer.
Another major concern is that labels on CBD products can be inaccurate. Findings of a 2017 study should cause alarm – researchers tested 84 CBD products and determined that 70% were mislabeled. Why does that matter? You cannot be certain what dosage you are getting. For example, if a label says the product contains 100 milligrams of CBD, in reality it might have 5 mg or even 200 mg.
What’s the FDA think about CBD?
The FDA is in the beginning stages of supporting CBD products. In 2018, the FDA approved the first CBD drug. The medication, made by a British pharmaceutical company, is for the treatment of severe epilepsy in children. I expect we’ll see more pharmaceutical companies making CBD products in the coming years.
It’s important to understand that the FDA is not regulating production of CBD products, so you don’t always know what you’re buying. However, even though the FDA isn’t regulating production, they are trying to make sure companies don’t make “unsubstantiated advertising claims”, such as claiming a cure for cancer or Alzheimer’s.
Where can you get CBD products?
Here, there and everywhere.
There is a huge industry around CBD. Note that some products only contain CBD, while others contain CBD and THC.
You can buy CBD products almost anywhere – at your local gas station or pharmacy (including some CVS and Walgreens stores) and at a wide range of other stores. Additionally, there are countless online stores selling CBD products.
What kinds of products contain CBD?
You name it, you can find it. Products with CBD include lotions, oils, creams, shampoos, candies, cookies, beers and makeup.
Buyer’s beware – you don’t always know exactly what you’re getting!
Since the FDA isn’t regulating CBD products, it’s a bit of the wild west out there. You might unknowingly buy a CBD product with THC, or who knows what else, in it. And, as discussed above, you might not get the dosage you expect.
If/when the pharmaceutical industry starts making more CBD products, we will likely see an increase in FDA-approved CBD products. This will likely give customers a sense of security regarding the purity of FDA-approved CBD products.
How popular is it?
Very! Results of a consumer survey indicate that around 7% of US adults use CBD products – that means there could be as many as 15 – 20 million people using CBD.
There’s been a lot of positive information flowing about the benefits of CBD, but there has not been a lot of scientific study. So, it’s a good idea to talk to your doctor before starting CBD and definitely do your research!
Millions use CBD products to ease pain and treat symptoms of a wide range of diseases. What are the pros and cons of CBD? Learn more…
CBD Oil for Anxiety & Depression: The Pros & Cons
So, you want to know more about CBD for anxiety & depression?
Everyone’s talking about it, so we’re here to help you weigh up the pros and cons, without bias.
The pros & cons of taking CBD oil:
- Depression and anxiety
- What is CBD oil?
- How does CBD oil work?
- CBD for anxiety
- How does CBD oil work?
- How to use CBD oil?
- Disadvantages of CBD oil
- Other alternative treatments for anxiety and depression
- Explore TMS side effect
1. Depression & Anxiety
With symptoms like excessive worry, extreme self-consciousness, chest pain, and panic attacks, anxiety can be a debilitating condition. Depression can be equally destructive—feeling sad, with little interest in the activities you once enjoyed.
Fortunately, there are a wide variety of options for treating anxiety and depression. Selective serotonin reuptake inhibitors (SSRIs) are popular, but they come with a host of side effects. Others have the risk of addiction.
Many people search for a safer, more natural way to treat anxiety and depression, so new options are being developed and researched all the time.
One emerging treatment is CBD oil. It’s becoming more popular with each passing day, but there are still major questions about how effective it is at treating anxiety and depression—and how exactly it helps.
As a fairly new and little-understood product, it’s important to learn as much as you can about CBD oil for anxiety and depression—and speak to your mental health provider—before you decide to try it.
2. What Is CBD Oil?
Cannabidiol (CBD) oil is a type of cannabinoid. Cannabinoids are chemicals that occur naturally in the cannabis plant. Cannabidiol is extracted from the plant and made into an oil.
Tetrahydrocannabinol, or THC, is another type of cannabinoid. It’s the chemical responsible for the “high” one feels after using marijuana. Because CBD is not THC, you cannot get high from using CBD oil.
CBD oil is suggested to have positive effects for people with:
- and other mental health disorders
- in addition to depression and anxiety
- Studies have shown inconclusive results for most of these uses, with the exceptions of epilepsy, anxiety, and depression
3. How Does CBD Oil Work?
CBD oil for depression and anxiety is still being studied and doesn’t have as much research to back it up as many other treatments do. Make sure you talk to your doctor about whether it’s a good fit for you and how to incorporate it into your treatment plan.
4. CBD for anxiety
It isn’t known exactly how CBD oil combats anxiety, but it’s thought to work with a receptor in your brain called CB1. Researchers believe the interactions between CBD oil and CB1 alter serotonin signals.
The core problem at the heart of anxiety disorders is low serotonin—a neurotransmitter related to mood and well-being. SSRIs, for instance, work by blocking the absorption of serotonin in your brain, meaning you get more serotonin. CBD oil may do something similar.
Studies have shown that CBD oil can be effective in treating various types of anxiety, including:
Behavioral symptoms of anxiety and physiological symptoms of anxiety, like rapid heartbeat, were reduced in some studies. It’s also been shown to be effective against anxiety-related insomnia.
5. CBD for Depression
CBD oil works similarly for people suffering from depression because depression happens when serotonin levels are low. Increasing the amount of serotonin in your brain has a positive effect on your emotions and motor skills.
CBD oil may also affect the hippocampus, which plays a large role in regulating your emotions. When you have depression, your hippocampus doesn’t function as well. CBD oil may help promote neurogenesis or the formation of new neurons in the hippocampus.
6. How to use CBD
You take CBD oil by either putting a few drops under your tongue with a dropper or mixing it with food. CBD gummies are also becoming popular.
7.Disadvantages of CBD Oil
While CBD oil for anxiety and depression holds promise, there are significant disadvantages to its use.
First, it isn’t widely available. You can only buy CBD oil in states where medical marijuana is legal.
Second, no CBD oil products are approved by the FDA for the treatment of anxiety or depressive disorders. Only one CBD oil product is FDA-approved, and that is for the treatment of epilepsy.
Without the oversight and regulation of the FDA, CBD oils vary widely in quality. Manufacturers can more or less put whatever they want on labels.
According to Marcel Bonn-Miller, adjunct assistant professor of psychology at the University of Pennsylvania School of Medicine, 43% of CBD oil products contain too little CBD, while about 26% contain too much.
Due to its lack of regulation, approximately one in five CBD products contain THC, meaning they could give you a high. THC can increase anxiety instead of reducing it. The additional risk in taking CBD oil is that even if the product contains trace amounts of THC, you could still test positive for marijuana on a drug test.
Quality CBD oil is considered safe, but it does come with a few side effects.
- Dry mouth
- Sleeping problems
- Gastrointestinal discomfort
More concerning than these side effects is the potential harm CBD oil can inflict on your liver. About 10% of people taking CBD in studies showed increases in liver enzymes. This increase could indicate potential liver damage. These concerns were severe enough for 2% to 3% of participants in the study to drop out due to concerns from the people running the study.
There is also the potential for dangerous drug interactions when taking CBD oil with another medication. If you are taking an antidepressant or any other medications, be sure to consult with your doctor before taking CBD oil.
8. Other Alternative Anxiety & Depression Treatments
Although CBD oil as a treatment for anxiety disorders and depression is a potentially viable option, there are alternative treatments—besides medication—that are safe and effective.
Transcranial magnetic stimulation, or TMS, is one such treatment. It offers hope for patients with anxiety disorders by restoring the neurons in the amygdala—the part of your brain involved in the fight-or-flight response—to a normal level of functioning. In those with depression, TMS stimulates the thalamus and hippocampus, which work to control the brain’s emotional responses.
TMS does this by stimulating your brain using painless electromagnetic pulses. It has very few side effects, and results can be felt in just two weeks.
Explore TMS side effects
Many people are searching for natural treatments for anxiety and depression, and it isn’t hard to see why.
It’s always a good idea to be open-minded to new treatments, especially when there is clinical evidence to back them up. The most important things to do are conduct thorough research and discuss any options you’re considering with your doctor.
CBD oil has become popular to treat anxiety & depression, but does it work? Learn about the pros & cons of this alternative treatment.