Covid-19 Survival Guide 10 Ways to combat the Fear of the Unknown.

Written by Adam Smith

In the last few days, we have seen huge market losses and gains, entire countries put on lock down, and major international markets getting hit with a sledgehammer all because of the Novel Corona Virus, or COVID19. Interestingly enough this major impact is also having an impact on hemp sales across the US. With the fear mongering at an all time high, the general public is stocking up on toilet paper, meat, cheese, and disinfectant spray. It’s times like these when so many are reminded that they are mortal and usually very unprepared for these types of pandemics.

Luckily, I’ve spent enough time trying to survive in life that I’ve got a bit of a one up on others with regards to this type of situation. So here are my top 10 pointers for you all to enjoy.

  1. Stop freaking out and buying all the damn toilet paper.
    Look, I completely understand the fear of not being able to wipe after a flu induced trip to the ole porcelain palace. However, there is no need to stock up on hundreds of rolls of TP. It seems like many of you are preparing for a Lynyrd Skynyrd Concert after eating Thai Food, hot wings, and guzzling three pitchers of beer, then taking laxative. Get enough TP to last you about 2-3 weeks. I know for my wife and I; we normally buy a 12 pack and it lasts us about 2 weeks. Worse case scenario if we have to use socks to wipe it’s still a win. I can cover my entire hand, AND they are reusable.
  1. SOAP and WATER WORK GREAT!!!!
    Hand sanitizer is NOT required. Water, soap, and washing your hands for 20 seconds or longer will wash away potential harmful bugs on your skin. In fact, the FDA and Harvard Medical believe that soap and water will do better than hand sanitizer because it also helps remove any food, fats, or dirt residue on your hands which can all diminish the efficacy of alcohol-based sanitizer.
  1. DRY GOODs ARE GOLD! And Don’t forget coffee.
    It is true that beans not cooked properly can leave you with serious farts, however they are nutrient dense and can be dry stored for a long time. Beans, rice, flour, nuts, dried meats, canned fish like tuna or wild salmon are all great to buy and have in storage for a rainy day. All of these things have an expiration of course so it’s important to rotate as needed. You will find in times like we are facing that having these items stored and ready to use just in case, will avoid having to rush into the stores and fight the insanity of all the panic stricken folks who live unprepared. Oh, and don’t forget coffee. Seriously you can have all those dry goods but without coffee you’re simply not maintaining a standard.
  1. TOUCH YOURSELF.
    Self-care is important. If you’re a dirty bird and aren’t living clean, then fix your shit. Take a shower or a bath, clean your mess of a house, and brush your freaking teeth. Being clean is crucial is not spreading the virus as well as about a million other reasons. A clean butt is crucial in general, but especially in any type of survival situation.
  1. COMMUNICATION IS CRUCIAL
    If you are working remotely, trying to check on your family, or just being able to bullshit with buddies, communication is key. Have multiple ways to have those convos. Tik Tok though an option, may not be the most efficient way to send conspiracy theories or political hate mail to your best pals and loved ones. The amount of text messaging apps available are mind blowing. However, if the internet goes down, and we lose cell service then you better be ready to start hand jamming your love notes like we did 20 years ago before every 7-year-old had a smart phone.
  1. KNOW YOUR PACE.
    Some will say that many of you are late to the being prepared party. If you didn’t already have a small stockpile of Bourbon, Shit tickets, and ammo then you obviously haven’t been taking preparedness seriously. There is no better time than the present to create a plan. Especially when the present seems to include everyone, and their third cousin required to stay home and stop playing lick the dragon.
    A Plan is important. A PACE plan is even more important. PACE stands for Primary, Alternate, Contingency, Emergency… P.A.C.E. It’s an acronym we use in the military (go figure), when creating an operations plan. Every aspect of the operation has a PACE Plan included. The purpose of PACE is to actively work at having multiple contingencies in place, because as we all know, “no plan survives first contact.” That’s in quotes but I have no idea who first said that.
    You should have a plan for every aspect of your life and business in case of emergencies. Things like; do you have last will and testament, Insurance, health care, transportation, water, food, clothing… You see how this list could grow to near infinity? Yeah, so pick some crucial shit and focus on that.
  1. NO SINGLE POINTs OF FAILURE
    Survival is a team sport. If one person hoards all the information, and that person is eaten by the zombies, then all the information is gone. Therefore, having a plan and COMMUNICATING the plan to the rest of the family is crucial. Single points of failure also play a huge role when creating your PACE. Single points of failure are weak spots in your plan, and as such should be remedied as often as they are identified.
  1. CASH IS KING
    If the country truly shuts down, and banks shut down, and transactions aren’t able to be transmitted through modern technology, then CASH will be king. Also, precious metals. You know who always does it right in the movies? Crime bosses. They always have a suitcase of cash and jewelry stashed away just in case they have to run. You should take note of that. If it’s good enough for Tony Montana, then it’s good enough for me. Seriously though. Have some cash stashed away. Also, if possible, have some smaller pieces of gold and silver put away as well. You may be saying, “but Adam we live check to check, how on earth can we afford to stash away cash?” You have a change jar? There you go, you have begun your process of stashing cash. That change can be converted into larger bills for easier storage, and eventually that can be converted into precious metal.
  1. HEALTH AND FITNESS IS AN ABSOLUTE
    Being healthy shouldn’t even have to be said, but apparently, we have an obesity epidemic that is killing more people in the US than this Pandemic has killed so far. Stop eating Twinkies. Do they last forever, and probably be around well after the human race disappears? Very likely the case. HOWEVER, they aren’t healthy, and have an insanely long shelf life because of all the shit in them. Being healthy requires effort. Good wholesome foods, regular fitness routine, and plenty of water. All these things also keep the immune system tuned up, which helps us fight back against things like viral pandemics. It also will help with picking up the opposite sex when the world needs repopulating.
  1. PREPARATION HAPPENS DAILY
    I am not sure how many people I’ve trained in survival, tactics, and preparedness, however, the same question is asked. “How much training do I need?” Being prepared is a daily game. It looks at all aspects of life. Literally everything discussed in my top 10 survival tips, are how I live my life. Knowing what I want, setting targets, evaluating where I am, taking inventory of assets and liabilities, making sure I stay healthy and fit, communicating all of the above with my wife daily, making sure we are ensured, and doing everything I can to not have a single point of failure. This game is not a last second, crunch time, panic shopping spree at the local Walmart. This is about living each day prepared for the worse case scenario. I am by no means saying to be paranoid. I am saying be prepared and there is a HUGE difference.
    Through preparation comes peace. The knowledge that I am constantly working my mind and body to overcome tough situations. Plans are good because we get everyone on the same page, but as I said above no plan survives first contact. As soon as we take action on our plan, we have changed the variables we initially planned around. So, what is the point of planning? The point of planning is getting the team on the same page, and in a mentality of understanding two principle things. 1. What is the target of the plan. 2. Overcoming inevitable obstacles as a team rather than as individuals. What does this mean as an individual in this game of life?
    Build a team. Build a tribe. Get like minded folks that you can work together with in order to form a plan of action. A group of people willing to play this game of life at a different level than just Surviving. Surviving is weak as it’s the bare minimum of what we as humans need to sustain life. I have no desire to just survive, I want to find success even in the hardest of times.SURVIVAL IS WEAK. WEAKNESS DOESN’T CREATE SUCCESS.

SI VIS PACEM, PARA BELLUM

“Double-blind study of 42 recovering heroin addicts and found that CBD reduced both cravings and cue-based anxiety”

“Double-blind study of 42 recovering heroin addicts and found that CBD reduced both cravings and cue-based anxiety”

Link to study by Yasmin Hurd: Link

Double-blind study of 42 recovering heroin addicts and found that CBD reduced both cravings and cue-based anxiety, both of which can cycle people back into using. 

Here are the study Results:

 2019 May 21:appiajp201918101191. doi: 10.1176/appi.ajp.2019.18101191. [Epub ahead of print]

Cannabidiol for the Reduction of Cue-Induced Craving and Anxiety in Drug-Abstinent Individuals With Heroin Use Disorder: A Double-Blind Randomized Placebo-Controlled Trial.

Author information

1
Department of Psychiatry and Department of Neuroscience (Hurd, Spriggs, Oprescu) and Department of Population and Health Sciences (Winkel), Icahn School of Medicine at Mount Sinai, New York; Addiction Institute at Mount Sinai, New York (Hurd, Spriggs, Oprescu, Salsitz); Mount Sinai Beth Israel Hospital, New York (Alishayev, Gurgov, Kudrich, Salsitz).

Abstract

OBJECTIVE:

Despite the staggering consequences of the opioid epidemic, limited nonopioid medication options have been developed to treat this medical and public health crisis. This study investigated the potential of cannabidiol (CBD), a nonintoxicating phytocannabinoid, to reduce cue-induced craving and anxiety, two critical features of addiction that often contribute to relapse and continued drug use, in drug-abstinent individuals with heroin use disorder.

METHODS:

This exploratory double-blind randomized placebo-controlled trial assessed the acute (1 hour, 2 hours, and 24 hours), short-term (3 consecutive days), and protracted (7 days after the last of three consecutive daily administrations) effects of CBD administration (400 or 800 mg, once daily for 3 consecutive days) on drug cue-induced craving and anxiety in drug-abstinent individuals with heroin use disorder. Secondary measures assessed participants’ positive and negative affect, cognition, and physiological status.

RESULTS:

Acute CBD administration, in contrast to placebo, significantly reduced both craving and anxiety induced by the presentation of salient drug cues compared with neutral cues. CBD also showed significant protracted effects on these measures 7 days after the final short-term (3-day) CBD exposure. In addition, CBD reduced the drug cue-induced physiological measures of heart rate and salivary cortisol levels. There were no significant effects on cognition, and there were no serious adverse effects.

CONCLUSIONS:

CBD’s potential to reduce cue-induced craving and anxiety provides a strong basis for further investigation of this phytocannabinoid as a treatment option for opioid use disorder.

KEYWORDS:

CBD; Cannabis; Opioid Use Disorder

PMID:
31109198
DOI:
10.1176/appi.ajp.2019.18101191

 

The Health Benefits of CBD Oil This cannabis extract may help treat nerve pain, anxiety, and epilepsy

The Health Benefits of CBD Oil This cannabis extract may help treat nerve pain, anxiety, and epilepsy

Link to Original article and credit goes to verywellhealth.com: Link

 

As more and more U.S. states legalize marijuana, a product known as CBD oil has surged in popularity among consumers. CBD refers to cannabidiol, a non-intoxicating extract from cannabis that does not have the psychoactive properties of tetrahydrocannabinol (THC). Unlike THC, CBD does not gets people “high.”

CBD oil contains CBD mixed with an inert carrier oil, such as coconut oil or hemp seed oil. The bottled oil, called a tincture, is sold in various concentrations. There are also CBD capsules, CBD gummies, and under-the-tongue CBD sprays. Depending on where you live, some brands contain trace amounts of THC.

 

CBD oil is believed by some to treat pain, reduce anxiety, and stimulate appetite in the same way that marijuana does. CBD has also shown promise in treating certain types of seizures.

 

In 2018, the U.S. Food and Drug Administration (FDA) approved Epidiolex, a CBD oral solution used for the treatment of certain rare forms of epilepsy in children under two.1

Conditions that CBD oil may help to improve
Verywell / Brianna Gilmartin

Health Benefits

The exact mechanism of action of CBD is unclear. Unlike THC, CBD has a relatively low affinity for cannabinoid receptors in the brain. These are the molecules to which THC binds to elicit its psychoactive effects.

 
 

Instead, CBD is thought to influence other receptors, including opioid receptors that regulate pain and glycine receptors involved in the regulation of the “feel-good” hormone serotonin.

Proponents claim that CBD oil can treat a wide variety of health problems, including:

  • Acne
  • Anorexia
  • Anxiety
  • Chronic pain
  • Depression
  • Drug addiction and withdrawal
  • Epilepsy
  • Glaucoma
  • High blood pressure
  • Insomnia
  • Muscle spasms
  • Parkinson’s disease

Some of these claims are better supported by research than others. Despite its growing popularity, CBD oil remains sorely under-researched. Here is just some of what the current evidence says:

Anxiety

 

CBD shows promise in the treatment of anxiety disorders, suggests a 2015 review of studies in the journal Neurotherapeutics. According to the investigators, CBD demonstrated potent anxiolytic (anxiety-relieving) effects in animal research, albeit with counterintuitive results.

In all but a few studies, lower doses of CBD (10 milligrams per kilogram or less) were better able to treat symptoms of anxiety. Higher doses (100 milligrams per kilogram or more) exhibited virtually no effect.

Part of this response could be explained by the way that CBD acts in the brain. In many cases, CBD works as an agonist, meaning that it triggers an opposite response when binding to a receptor. It is possible that low doses can elicit a positive agonist response, while high doses “overwhelm” the brain and trigger a compensatory effect to “fight” CBD’s effects.

 

Among the few human trials evaluating CBD’s anxiolytic effects was one published in the Brazilian Journal of Psychiatry in 2019For this study, 57 men were given either CBD oil or a placebo before a public-speaking event. Anxiety was evaluated using physiological measures (such as blood pressure, heart rate, etc.) and a relatively reliable test for mood states known as the Visual Analog Mood Scale (VAMS).

 

According to the investigators, men provided 300 mg of CBD exhibited less anxiety than those given a placebo. Interestingly, those provided 100 mg or 600 mg of CBD oil did not.

Addiction

CBD oil may offer benefit those with drug addiction, suggests a 2015 review of studies published in Substance Abuse.

 

In an analysis of 14 published studies (nine involving animals and five involving humans), scientists with the University of Montreal concluded that CBD “showed promise” in treating people with opioidcocaine, or psychostimulant addiction.

However, the effect of CBD on each addiction type was often very different. With opioid addiction, for example, CBD showed little effect in minimizing withdrawal symptoms in the absence of THC. By contrast, CBD on its own appeared effective in minimizing drug-seeking behaviors in users of cocaine, methamphetamine, and other psychostimulant drugs.

 

There have also been suggestions that CBD may aid in the treatment of cannabis and nicotine addiction. Further research is needed.

 

Nerve Pain

 

Medical marijuana is frequently prescribed to people with intractable pain, including those with terminal cancer. There is some evidence that CBD contributes to this effect.

 

According to a 2012 study in the Journal of Experimental Medicine, rats injected with inflammatory chemicals in their hindfeet experienced less inflammation and neuropathic pain when treated with an oral dose and spinal injection of CBD.

 

Scientists believe that CNB reduces nerve pain by binding to glycine receptors in the brain that regulate the speed in which nerve signals pass between nerve cells.

Human studies evaluating the use of CBD in treating chronic pain are lacking. Those that do exist almost invariably include THC, making it difficult to isolate CBD’s distinct effects.

 

Heart Health

 

CBD oil may reduce the risk of heart disease by alleviating hypertension (high blood pressure) in certain people, suggests a 2017 study in JCI Insight.

 

For this study, nine healthy men took either 600 milligrams (mg) of CBD or 600 mg of a placebo. According to the researcher, those treated with CBD had lower blood pressure before and after exposure to stressful stimuli (including exercise or extreme cold).

 

In addition, the stroke volume (the amount of blood remaining in the heart after a heartbeat) was significantly reduced, meaning that the heart was pumping more efficiently.

 

The findings suggest that CBD oil may be a suitable complementary therapy for people whose hypertension is complicated by stress and anxiety.

 

However, there is no evidence that CBD oil can treat hypertension on its own or prevent hypertension in people at risk. While stress is known to complicate high blood pressure, it cannot cause hypertension

Seizures

In June 2018, the FDA approved Epidiolex for the treatment of seizures associated with Dravet syndrome and Lennox-Gastaut syndrome in children two and under. Both are exceptionally rare genetic disorders causing lifelong catastrophic seizures that begin during the first year of life.

 

Outside of these two disorders, CBD’s effectiveness in treating seizures is uncertain. Even with Epidiolex, it is uncertain whether the anti-seizure effects can be attributed to CBD or some other factor.2

 

In fact, there is some evidence that CBD interacts with seizure medications, such as Onfi (clobazam), and “boosts” their concentration in the blood. This would not only make the drugs more effective but extend their half-lives as well. Further research is needed.

 

Possible Side Effects

Clinical research has shown that CBD oil can trigger side effects – the severity and type of which can vary from one person to the next.3 Common symptoms include:

 
  • Anxiety
  • Changes in appetite
  • Changes in mood
  • Diarrhea
  • Dizziness
  • Drowsiness
  • Dry mouth
  • Nausea
  • Vomiting
 

CBD oil may also increase liver enzymes (a marker of liver inflammation). People with liver disease should use CBD oil with caution, ideally under the care of a doctor who can regularly check blood liver enzyme levels.

 

CBD oil should be avoided during pregnancy and breastfeeding. A 2018 study from the American Academy of Pediatrics warned women to avoid marijuana during pregnancy due to the potential risks to a baby’s development. Although it is unclear how CBD contributes, CBD is known to able to pass through the placental barrier.

 

If you are thinking about using CBD oil to treat a health condition, be sure to speak with your healthcare provider to ensure that it is the right option for you.

 

Be advised that some CBD oils contain trace amounts of THC. As such, you should avoid driving or using heavy machinery when taking CBD oil, particularly when first starting treatment or using a new brand.

Interactions

CBD oil can interact with certain medications, including some used to treat epilepsy. CBD inhibits an enzyme called cytochrome P450 (CYP450) which certain drugs use for metabolization. By interfering with CYP450, CBD may either increase the toxicity or decrease the effectiveness of these drugs.

 

The potential drug-drug interactions include:

 
  • Anti-arrhythmia drugs like quinidine
  • Anticonvulsants like Tegretol (carbamazepine) and Trileptal (oxcarbazepine)
  • Antifungal drugs like Nizoral (ketoconazole) and Vfend (voriconazole)
  • Antipsychotic drugs like Orap (pimozide)
  • Atypical antidepressants like Remeron (mirtazapine)
  • Benzodiazepine sedatives like Klonopin (clonazepam) and Halcion (triazolam)
  • Immune-suppressive drugs like Sandimmune (cyclosporine)
  • Macrolide antibiotics like clarithromycin and telithromycin
  • Migraine medications like Ergomar (ergotamine)
  • Opioid painkillers like Duragesic (fentanyl) and alfentanil
  • Rifampin-based drugs used to treat tuberculosis
 

Many of these interactions are mild and require no adjustment to treatment. Other may require a drug substitution or the separation of doses by several hours.

 

To avoid interactions, advise your doctor about any drugs you are taking, whether they be prescription, over-the-counter, herbal, or recreational.

 

Dosage and Preparation

There are no guidelines for the appropriate use of CBD oil. CBD oil, also referred to as CBD tincture, is usually delivered sublingually (under the tongue). Most are sold in 30-milliliter (mL) bottles with a dropper cap.

 

There is no “correct” dose of CBD oil. Depending on who you speak to, the daily dose can range anywhere from 5 mg and 25 mg per day.

 

The tricky part, of course, is calculating the exact amount of CBD per milliliter of oil. After all, some tinctures have concentrations of 1,500 mg per 30 mL, while others will have 3,000 mg per mL (or more).

 

How to Calculate the CBD Dose

To determine the exact dose, remember that each drop equals 0.05 mL. This means that a 30-mL bottle of CBD oil will have roughly 600 drops. If the concentration of the tincture is 1,500 mg per mL, one drop would equal 2.5 mg (1,500 mg ÷ 600 drops = 2.5 mg).

To use CBD oil, place one or more drops under the tongue and let it sit there for 30 to 60 seconds without swallowing. Capsules and gummies are easier to dose, although they tend to be more costly. CBD sublingual sprays are used mainly for convenience.

 

What to Look For

Aficionados of CBD oil will tell you to buy full-spectrum oils over CBD isolates. Unlike isolates, which contain CBD only, full-spectrum oils contain a variety of compounds found naturally in the cannabis plant, including proteins, flavonoidsterpenes, and chlorophyll. Alternative practitioners believe these compounds offer health benefits, although there is no clear evidence of this.

 

Because CBD oils are largely unregulated, there is no guarantee that a product is either safe or effective.

 

According to a 2017 study in the Journal of the American Medical Association, only 30.95% of CBD products sold online were correctly labeled. Most contained less CBD than advertised, while 21.43% had significant amounts of THC.

Here are a few tips to help you find the best CBD oil:

 
  • Buy American. Domestically produced CBD oil tends to be safer because of better growing and refining practices.
  • Read the product label. Even if you choose a full-spectrum oil, don’t assume that every ingredient on the product label is natural. There may be preservatives, flavorings, or thinning agents that you don’t want or need. If you don’t recognize an ingredient, ask the dispenser what it is or check online.
Does CBD oil work for chronic pain management?

Does CBD oil work for chronic pain management?

Does CBD oil work for chronic pain management?

Link to Original Article by Medicalnewstoday.com : Link

While many people use cannabidiol to relieve pain, more scientific research is needed to be sure it is safe. Understanding cannabidiol can help overcome the stigma associated with it.

Some people experience side effects when taking cannabidiol (CBD) and there are other factors to consider before using CBD oil for pain.

In this article, we look at how CBD oil works and how people can use it to relieve chronic pain.

Effects

CBD oil in a bottle, next to a wooden spoon filled with hemp seeds.

 

CBD oil is usually extracted from industrial hemp.

CBD is one of more than 120 compounds called cannabinoids.

Many plants contain cannabinoids, but people most commonly link them to cannabis.

Unlike other cannabinoids — such as tetrahydrocannabinol (THC) — CBD does not produce a euphoric “high” or psychoactive effect. This is because CBD does not affect the same receptors as THC.

The human body has an endocannabinoid system (ECS) that receives and translates signals from cannabinoids. It produces some cannabinoids of its own, which are called endocannabinoids. The ECS helps to regulate functions such as sleep, immune-system responses, and pain.

When THC enters the body, it produces a “high” feeling by affecting the brain’s endocannabinoid receptors. This activates the brain’s reward system, producing pleasure chemicals such as dopamine.

Does CBD make you high?

CBD is an entirely different compound from THC, and its effects are very complex. It is not psychoactive, meaning it does not produce a “high” or change a person’s state of mind, but it influences the body to use its own endocannabinoids more effectively.

According to one study posted to Neurotherapeutics, this is because CBD itself does very little to the ECS. Instead, it activates or inhibits other compounds in the endocannabinoid system.

For example, CBD stops the body from absorbing anandamide, a compound associated with regulating pain. So, increased levels of anandamide in the bloodstream may reduce the amount of pain a person feels.

Cannabidiol may also limit inflammation in the brain and nervous system, which may benefit people experiencing pain, insomnia, and certain immune-system responses.

What is CBD oil?

Different cannabis plants — often called hemp or marijuana — contain different levels of chemical compounds.

 

How people breed the plant affects the CBD levels. Most CBD oil comes from industrial hemp, which usually has a higher CBD content than marijuana.

Makers of CBD oil use different methods to extract the compound. The extract is then added to a carrier oil and called CBD oil.

CBD oil comes in many different strengths, and people use it in various ways. It is best to discuss CBD oil with a doctor before using it.

Benefits

People have used CBD for thousands of years to treat various types of pain, but the medical community have only recently begun to study it again.

Here are some of the possible benefits of CBD oil:

 

Arthritis pain

Elderly man's hand, one hand holding the thumb of the other due to arthritis pain.

 

CBD oil is popular for easing pain associated with arthritis.

A study in the European Journal of Pain used an animal model to see if CBD could help people with arthritis manage their pain. Researchers applied a topical gel containing CBD to rats with arthritis for 4 days.

Their researchers note a significant drop in inflammation and signs of pain, without additional side effects.

People using CBD oil for arthritis may find relief from their pain, but more human studies need to be done to confirm these findings.

Multiple sclerosis

Multiple sclerosis (MS) is an autoimmune disease that affects the entire body through the nerves and brain.

Muscle spasms are one of the most common symptoms of MS. These spasms can be so great they cause constant pain in some people.

One report found that short-term use of CBD oil could reduce the levels of spasticity a person feels. The results are modest, but many people reported a reduction in symptoms. More studies on humans are needed to verify these results.

Chronic pain

The same report studied CBD use for general chronic pain. Researchers compiled the results of multiple systematic reviews covering dozens of trials and studies. Their research concluded that there is substantial evidence that cannabis is an effective treatment for chronic pain in adults.

separate study in the Journal of Experimental Medicine supports these results. This research suggests that using CBD can reduce pain and inflammation.

The researchers also found that subjects were not likely to build up a tolerance to the effects of CBD, so they would not need to increase their dose continually.

 

They noted that cannabinoids, such as CBD, could offer helpful new treatments for people with chronic pain.

Other uses

CBD currently has a range of applications and promising possibilities.

These include:

Although more research is required to confirm some uses of CBD oil, it is shaping up as a potentially promising and versatile treatment.

In June 2018, the U.S. Food and Drug Administration (FDA) approved one form of CBD as a treatment for people with two rare and specific kinds of epilepsy, namely Lennox-Gastaut syndrome (LGS) or Dravet syndrome (DS).

The brand name of this drug is Epidiolex.

More generally, marijuana derived CBD products are not yet legal at the federal level but are legal under the laws of some states. Hemp derived CBD products that contain less than 0.3% THC are legal federally but are still illegal in certain states.

People must check their state’s laws and those of anywhere they intend to travel. They must keep in mind that the FDA do not approve or regulate nonprescription CBD products. As a result, labeling may be inaccurate.

Dosage

The FDA does not regulate CBD for most conditions. As a result, dosages are currently open to interpretation, and people should treat them with caution.

Anyone who wishes to use CBD should first speak to a doctor about whether it is a good idea, and how much to take.

The FDA recently approved a purified form of CBD for some types of epilepsy, with the brand name Epidiolex. If you are using this medication, be sure to follow the doctor’s advice about doses.

Side effects

Tired businessman at desk rubbing eyes, due to headache and fatigue.

 

Possible short-term side effects of using CBD oil include fatigue and changes in appetite.

Most people tolerate CBD oil well, but there are some possible side effects.

According to a review in Cannabis and Cannabinoid Research, the most common side effects include:

 

In addition, using CBD oil with other medications may make those medications more or less effective.

The review also notes that scientists have yet to study some aspects of CBD, such as its long-term effects on hormones. Further long-term studies will be helpful in determining any side effects CBD has on the body over time.

People who are considering using CBD oil should discuss this with their doctors. Doctors will want to monitor the person for any changes and make adjustments accordingly.

Consult a doctor before using CBD, as it may interact with certain over-the-counter dietary supplements and medicines, as well as some prescription medications — especially those that warn against consuming grapefruit.

CBD might also interfere with an enzyme called cytochrome P450 complex. This disruption can affect the liver’s ability to break down toxins, increasing the risk of liver toxicity.

The patient information leaflet for Epidiolex cautions that there is a risk of liver damage, lethargy, and possibly depression and thoughts of suicide, but these are true of other treatments for epilepsy, too.

CBD and other cannabinoids may also put the user at risk for lung problems.

One study in Frontiers in Pharmacology, suggested cannabinoids’ anti-inflammatory effect may reduce inflammation too much.

A large reduction in inflammation could diminish the lungs’ defense system, increasing the risk of infection.

Other considerations

Almost all research on CBD oil and pain comes from adult trials. Experts do not recommend CBD oil for use in children, as there is little research on the effects of CBD oil on a child’s developing brain.

However, people may use Epidiolex for children aged 2 years of age and upward who have rare forms of epilepsy.

A person should consult a doctor if they think a child needs to use CBD oil for seizures.

CBD oil is also not recommended during pregnancy or while breast-feeding.

Takeaway

While many studies have suggested CBD oil is helpful for pain, more research is necessary, especially in long-term studies with human subjects.

However, CBD oil does show a lot of potential for pain relief. Anecdotal evidence suggests that it can be used to help manage chronic pain in many cases.

CBD oil is especially promising due to its lack of intoxicating effects and a possible lower potential for side effects than many other pain medications.

People should discuss CBD oil with their doctor if they are considering using it for the first time.