Let's start with the most officially proven medical use of CBD. Earlier this year, the FDA approved the first-ever drug containing CBD, Epidiolex, to treat two rare forms of pediatric epilepsy. To get to that point, the drug's manufacturers had to do a whole lot of randomized, placebo-controlled trials on humans. They had to study how much children could take, what would happen in case of overdose, and any possible side effects that would occur.
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"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.
This huge SOMA sports bar is like the neighborhood itself — trying to have it all without really figuring out its identity. There’s a lot going on, with pinball machines, pool tables, foosball and board games, as well as an extensive craft-beer list. Until this summer BuzzWorks was among the few bars carrying a number of CBD beers, largely from Black Hammer Brewing. Since they can no longer legally get them (when I asked them to confirm why, a grumbling manager said, “You can blame Jeff Sessions”), they now offer both CBD kombucha and CBD tea.
I’m not a big coffee drinker, and don’t love the jittery feeling and subsequent crash I experience when drinking a normal latte. But after a few sips of my CBD-infused brew, things took a turn for the mellow. All of the stress I’d felt mounting throughout the day but had obstinately ignored was completely gone. Things seemed good. Great, even. And while I definitely felt the effects of the caffeine as well, it was much less intense than normal.
Donald Abrams was a member of the committee that reviewed the evidence that went into producing the report, and he said that the studies they reviewed overwhelmingly used pharmaceutically available preparations that contain THC, including dronabinol, nabilone and the whole-plant extract spray nabiximols, which contains equal parts CBD and THC. It’s impossible to know whether the benefits of cannabis can also be obtained from CBD alone, Abrams said, because CBD is just one of 400 chemicals present in the plant. So far, CBD in isolation has been studied in only a handful of randomized, placebo-controlled trials (considered the gold standard of evidence in medical research), and the evidence remains sparse.
I wanted to tell people here that CBD has been very effective for my anxiety, and helps with insomnia. For me, it was a cumulative effect, after a week of one dropper of oil, I can sleep very well at night. I feel like I am not polluting my body with commercial pharmaceuticals. I wish everyone here the best, and hope it works for you as well as it has for me.
The amount of CBD needed to produce significant effects varies by condition, according to both Blessing and Carson. “In clinical trials for schizophrenia they would give 800 milligrams,” says Blessing. “In our clinical trial to treat PTSD, we are giving 600 mg per day.” In the clinical trial for Epidiolex, Carson says, the clinicians administered 10 milligrams per kilogram the subject weighed — meaning a person who weighs 50 kilograms (or 110 pounds) would be given 500 milligrams of CBD.
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On the other hand, marijuana-derived CBD and anything else derived from a cannabis plant was still classified by the DEA as a Schedule I drug (defined as a drug with "no currently accepted medical use and a high potential for abuse") until October 2018. In 2016, the DEA stated that all extracts containing more than one cannabinoid would remain classified as Schedule I. However, the approval of Epidiolex had an influence in changing this, and prescription CBD drugs with a THC content of below 0.1% have now been reclassified as Schedule 5, the lowest rating.
Our CBD products and extracts are derived from hemp (not marijuana), and can also be referred to as CBD-rich hemp oil, hemp-derived CBD oil, CBD-rich cannabis oil, or plainly “hemp extracts,” since they typically contain more than just CBD. However, CBD oil is different from hemp seed oil and organic hemp oil, as these are derived from hemp seeds (not the resin) and do not contain cannabidiol.
Let’s start by looking at THC. THC (tetrahydrocannabinol) is the compound found in cannabis with psychotropic properties. Medical marijuana companies breed their plants to have the highest concentrations of this compound. It is associated with the feeling of being high that marijuana smokers experience. Effects include feelings of euphoria, pain relief and sometimes increased anxiety and paranoia.
Let’s take a good look at the claim, which is based upon the underlying premise that hemp acts as phyto-remediator. Well, yes, it does. All cannabis serves exceptionally well for phyto-remedation purposes. This means that cannabis mops up contamination and can be used to clean up all manner of nastiness. It also means that if it’s grown under less-than-pristine conditions, it carries that nastiness with it when it’s harvested. And, it carries that nastiness with it into products made with it. So, clean sourcing is an especially big deal with ALL cannabis.
Here’s what we do know: The cannabis plant contains a wide variety of chemical compounds, many of which fall under the broad category of cannabinoids. There are more than 100 — exactly how many, we’re not sure. The best-known and certainly most profitable are tetrahydrocannabinol (THC) and cannabidiol (CBD). Both of these compounds stimulate the same receptor in the brain, called CB1, but have differing effects on the brain. Researchers aren’t totally sure why.
“If you use a tiny amount of psilocybin, it still does something,” says Blessing. “Microdosing with psilocybin still has effects biologically, but there isn’t any evidence that low doses of CBD, like 5 mg, do anything at all.” The only study I could find indicating that low doses of CBD have an effect concluded that a rare form of childhood epilepsy called Lennox-Gastaut syndrome is treatable using 10 mg of CBD. For anxiety in adults? Nothing.
In terms of what’s actually legal, CBD operates in a gray area. Many Bay Area bars like Flore and Bottelón in the Castro started to offer alcoholic CBD drinks earlier this year until the laws got a little iffy this summer. Now you’re technically not allowed to put cannabis-based CBD oils and extracts into anything alcoholic due to slight traces of THC, but CBD derived from hemp is THC-free and thus OK for cocktails. At least that’s how establishments are operating for now.
In the United States, non-FDA approved CBD products are classified as Schedule I drugs under the Controlled Substances Act. This means that production, distribution, and possession of non-FDA approved CBD products is illegal under federal law. In addition, in 2016 the Drug Enforcement Administration added "marijuana extracts" to the list of Schedule I drugs, which it defined as "an extract containing one or more cannabinoids that has been derived from any plant of the genus Cannabis, other than the separated resin (whether crude or purified) obtained from the plant." Previously, CBD had simply been considered "marijuana", which is a Schedule I drug.
Derived from the stalk and seed of cannabis (hemp) plants, cannabidiol (CBD) oil or CBD hemp oil is a natural botanical concentrate that is high in the compound CBD. Of the more than 85 cannabinoids so far identified in the cannabis plant, CBD is the second most common after tetrahydrocannabinol (THC). Unlike THC, CBD is non-psychotropic and therefore doesn’t cause a euphoric high.
Still, as the saying goes, absence of evidence isn’t necessarily evidence of absence, and there’s a reason we don’t have a ton of solid research on CBDs yet — “to study it, we need a good source, ” said Ziva Cooper, who is an associate professor at Columbia University and was on the National Academies committee. CBD is hard to get because it’s still technically a Schedule I drug, which limits its availability, Cooper said.
The final advantage in the above list of a lower cost per milligram is one worth looking into further. As previously mentioned, because a full spectrum product is derived from a whole plant ex-tract it typically costs more (you the consumer are getting more than just CBD). Chase Terwilliger, CEO of CBDistillery, adds, "It is less expensive to manufacture isolate-based products com-pared to full-spectrum products. Rather than taking advantage of a larger margin, we decided to pass the savings along to the consumers." For those looking for a pure CBD product, you will al-so be delighted to find that CBD oil made from isolate is typically less expensive than a full-spectrum product. Which brings up a final point which is to do your research on the industry standard pricing for cost per milligram to ensure you are not paying an unnecessary premium.