But was CBD directly responsible for this outcome? And, given that a fairly large group of people with insomnia also have depression and anxiety , what exactly is CBD working on? This is where the waters become even more muddied.
Sulak said that he ensures his patients that CBD is extraordinarily safe, so if it is not effective at low to moderate doses of 10 to 50 mg, CBD is safe to try at higher doses of 100 to 200mg. In a 2018 study , single doses of 1,500 mg, 3,000 mg or 6,000 mg were administered to healthy subjects daily for six days. While the study was not aimed at researching CBD’s effects on sleep, it demonstrated that CBD is indeed safe.
However, it’s important to note that research has a long way to go in establishing drug interactions associated with cannabinoids. While CBD appears to be safe on its own, consider consulting a medical professional before adding CBD or other cannabis products to your regimen.
The dosing dilemma
THC has a sedative effect and can reduce the time it takes to fall asleep. Some research shows that the entourage effect , or harmonized interaction between cannabis compounds like CBD and THC, seems to carry over to sleep.
Sulak said that if he can fix a patient’s sleep disturbance, it serves as a unifying treatment that can help multiple patient conditions like diabetes and chronic pain. While Sulak does treat sleep disorders, he very rarely does so with CBD in any form, whether pure CBD or a CBD-dominant cannabis strain.
To demonstrate Sulak’s point, here is one such published example, where a Colorado research team looked at outcomes of psychiatric patients who received CBD in a clinical setting to help with anxiety and sleep complaints. CBD was given as an adjunct to usual treatment. Within the first 30 days of CBD use, anxiety decreased in nearly 80% of patients and sleep scores improved by nearly 70%. CBD was well tolerated by the vast majority of patients.
Sulak also stated that Americans are desperately in need of education on understanding sleep hygiene and the critical importance of sleep for health and happiness. “Most people don’t know that sleep disturbances are associated with decreased analgesic (pain-relieving effects) of opioids and antidepressant drugs, so it’s such a vicious cycle,” he said. “It’s wonderful to use cannabis to break that cycle,” Sulak said.
Anecdotal reports indicate that CBD oil may help to induce somnolence or sleepiness, with no known adverse side effects. Photo by: Gina Coleman/Weedmaps
At present, there is also a lack of knowledge about the mechanisms by which CBD modulates sleep. It has been theorized that it may change dopamine levels, or exert effects over the body’s cannabinoid system, including the sleep-wake cycle.
One restless night, however, Miller was so desperate for sleep he took the CBD oil down from the shelf and tried it.
He started experimenting with CBD gummies, taking 10-20 milligrams before sleep, with no other medication. “At first I noticed a feeling of relaxation and then I would begin to feel sleepy. “I fall asleep faster, with zero side effects. It has done wonders.”
The authors also noted that the CBD was well-accepted and well-tolerated by the patients in the study, with minimal side effects.