Most CBD oil side effects, such as drowsiness and fatigue, are similar to hemp oil side effects, even though this hemp fiber-derived product usually doesn’t contain any CBD or THC. With its low potential for addiction and abuse, CBD’s withdrawal effects should be minimal. But each person must weigh the potential risk versus benefits for themselves.
CBD derived from hemp plants contains little to no THC (less than 0.3% according to federal law in the U.S.), and therefore should not put an individual at risk of developing cannabis withdrawal symptoms that might come from heavier THC intake.
One other area of concern is the potentially adverse effect that CBD could have on certain prescription medications such as blood thinners.
According to Mayo Clinic, the U.S.-based nonprofit academic medical center, CBD use can potentially cause adverse effects, including dry mouth, diarrhea, reduced appetite, drowsiness, and fatigue. In an investigation on CBD hepatotoxicity in lab mice, researchers from the University of Arkansas for Medical Sciences found that the cannabinoid elevated the risk for liver toxicity. The epilepsy medication Epidiolex, which is currently the only FDA-approved CBD product on the market, has some side effects that are similar to those of other hemp-derived CBD products.
While CBD doesn’t produce the same addictive effects as THC, it’s possible that someone who takes large amounts of CBD on a daily basis could experience side effects such as changes in sleep, inflammation, and anxiety if they quit suddenly.
Evidence suggests that CBD could also be used to help combat the adverse effects of THC, such as cannabis withdrawal symptoms. In a 2013 report, researchers administered CBD to a 19-year-old woman with cannabis withdrawal syndrome over a ten day period, which effectively resulted in reduced withdrawal symptoms. Another study, conducted in 2010 and published in Neuropsychopharmacology, examined a total of 94 cannabis users to see what role CBD-to-THC ratios played in reinforcing the effects of drugs and implicit attentional bias to drug stimuli. Compared with smokers of low-CBD strains, the study found that smokers of high-CBD strains showed reduced attentional bias to drug and food stimuli, as well as lower self-rated liking of cannabis stimuli. The research team concluded that “CBD has potential as a treatment for cannabis dependence” and could offer a potential treatment for other addictive disorders.
CBD has also demonstrated the potential to curb the use of other addictive substances. In a preclinical animal study published in Neuropsychopharmacology on March 22, 2018, researchers applied CBD gel to lab rats that had a history of voluntary alcohol or cocaine use and showcased addiction-like behavior. The study concluded that CBD was effective in reducing drug use in the rodents, and also reduced common side effects of drug dependency, such as anxiety and impulsivity.
CBD may offer an option for treating different types of chronic pain. A study from the European Journal of Pain showed, using an animal model, CBD applied on the skin could help lower pain and inflammation due to arthritis. Another study demonstrated the mechanism by which CBD inhibits inflammatory and neuropathic pain, two of the most difficult types of chronic pain to treat. More study in humans is needed in this area to substantiate the claims of CBD proponents about pain control.
Side effects of CBD include nausea, fatigue and irritability. CBD can increase the level in your blood of the blood thinner coumadin, and it can raise levels of certain other medications in your blood by the exact same mechanism that grapefruit juice does. A significant safety concern with CBD is that it is primarily marketed and sold as a supplement, not a medication. Currently, the FDA does not regulate the safety and purity of dietary supplements. So, you cannot know for sure that the product you buy has active ingredients at the dose listed on the label. In addition, the product may contain other (unknown) elements. We also don’t know the most effective therapeutic dose of CBD for any particular medical condition.
Some CBD manufacturers have come under government scrutiny for wild, indefensible claims, such that CBD is a cure-all for cancer, which it is not. We need more research but CBD may be prove to be an option for managing anxiety, insomnia, and chronic pain. Without sufficient high-quality evidence in human studies we can’t pinpoint effective doses, and because CBD is currently is mostly available as an unregulated supplement, it’s difficult to know exactly what you are getting. If you decide to try CBD, talk with your doctor — if for no other reason than to make sure it won’t affect other medications you are taking.
The evidence for cannabidiol health benefits
CBD has been touted for a wide variety of health issues, but the strongest scientific evidence is for its effectiveness in treating some of the cruelest childhood epilepsy syndromes, such as Dravet syndrome and Lennox-Gastaut syndrome (LGS), which typically don’t respond to antiseizure medications. In numerous studies, CBD was able to reduce the number of seizures, and, in some cases, it was able to stop them altogether. Videos of the effects of CBD on these children and their seizures are readily available on the Internet for viewing, and they are quite striking. Recently the FDA approved the first ever cannabis-derived medicine for these conditions, Epidiolex, which contains CBD.
CBD stands for cannabidiol. It is the second most prevalent of the active ingredients of cannabis (marijuana). While CBD is an essential component of medical marijuana, it is derived directly from the hemp plant, which is a cousin of the marijuana plant. While CBD is a component of marijuana (one of hundreds), by itself it does not cause a "high." According to a report from the World Health Organization, "In humans, CBD exhibits no effects indicative of any abuse or dependence potential…. To date, there is no evidence of public health related problems associated with the use of pure CBD."
CBD is commonly used to address anxiety, and for patients who suffer through the misery of insomnia, studies suggest that CBD may help with both falling asleep and staying asleep.
CBD is readily obtainable in most parts of the United States, though its exact legal status is in flux. All 50 states have laws legalizing CBD with varying degrees of restriction, and while the federal government still considers CBD in the same class as marijuana, it doesn’t habitually enforce against it. In December 2015, the FDA eased the regulatory requirements to allow researchers to conduct CBD trials. Currently, many people obtain CBD online without a medical cannabis license. The government’s position on CBD is confusing, and depends in part on whether the CBD comes from hemp or marijuana. The legality of CBD is expected to change, as there is currently bipartisan consensus in Congress to make the hemp crop legal which would, for all intents and purposes, make CBD difficult to prohibit.