A survey of patients seen in a tertiary epilepsy center found that 21% of patients admitted to using marijuana in the last year, and 24% of patients believed marijuana to be effective for their seizures (10). While interesting, this anecdotal observation does not rise to the level of evidence needed to evaluate a potential new therapeutic modality.
A natural plant extract, CBD (or cannabidiol) has made a huge stir in the health scene over the last decade. It’s not hard to find plentiful anecdotal evidence of its benefits — people are using CBD for pain relief, mood regulation, cancer prevention, even seizure reduction. But if you’re in pain, you’re probably looking for more than anecdotal evidence. We get it — and we’re here to help.
The review evaluated how targeting the Endocannabinoid System (ECS) could impact colitis. The ECS is a biological system within mammals that is made up of three components: cannabinoid receptors (the things that receive chemical signals outside the cell), endocannabinoids (small molecules that activate cannabinoid receptors), and metabolic enzymes that break down endocannabinoids after they are used.
CBD is well tolerated in humans with doses up to 600 mg not resulting in psychotic symptoms (15). In the few small placebo-controlled studies performed, no significant CNS effects were noted. Oral CBD undergoes extensive first-pass metabolism via CYP3A4, with a bioavailability of 6%. Following single doses in humans, the half-life of CBD when taken orally is about 1 to 2 days.1 In vitro studies have shown that CBD is a potent inhibitor of multiple CYP isozymes, including CYP 2C and CYP3A (16, 17). Whether these in vitro observations are relevant at plasma concentrations likely to be seen in patients is unclear. In addition, given its metabolism via CYP3A4, clinical trials of CBD in patients receiving enzyme-inducing AEDs, such as carbamazepine or phenytoin, will require detailed pharmacokinetic studies.
These trichomes are tiny, hair-like crystals that cover the leaves and buds of the cannabis plant. Trichomes product the hundreds of known cannabinoids that can be found in cannabis. Of the 100+ cannabinoids that have been identified in the cannabis species, CBD and THC have been studied the most extensively for their role in the endocannabinoid system.
As the CBD oil market continues to grow, more and more products are being sold online or in your local health food stores. You can find many types of CBD and each one is used in a different way. The most common forms of CBD available include the following. (Of course, you should always consult your healthcare professional prior to using CBD and read and follow all label directions.)