The ratio of cannabinoids and dosing is clearly somewhat debated. I know that groups in Colorado are using a CBD dose of 1 mg per pound. I think this is pretty excessive for most kids and have spoken with one mother whose child was becoming sedated. Remember, although CBD may not be psychoactive, the whole plant version of CBD with all the other cannabinoids and minor cannabinoids makes the medicine somewhat psychoactive – particularly in higher doses.
The average daily dose I have seen work very effectively for most kids is around 12-15 mg of whole plant CBD per 24 hours in divided doses. I have seen some exceptional responses even at doses of 6 mg whole plant CBD per day.
To begin with, overall, the efficacy of rich CBD dosed extracts to help treat seizures, particularly in treatment resistant seizure disorders, is well established. I have seen two children, under the age of 7 in the past two weeks alone, where their seizures, both having 3-4 grand mals per day, go to having less than one limited seizure per week. Can you imagine how this changes the life of the child as well as parents and other family members? It certainly always places a big smile on my face.
Dr Frankel talks about his experience with prostate cancer therapies that have reduced his testosterone and the effect it has had on his life.
There are also some reports where CBD is either not so effective or becomes less effective for some reason. In some of these patients it is probably prudent to add some THC to their daily dosing as it has been reported to help. I would always VERY slowly increase the daily THC by 1 mg every two days.
CBD is short for cannabidiol. It’s a chemical found in both marijuana and hemp, but marijuana also has the addition of THC, or tetrahydrocannabinol, which is the chemical that creates a psychological “high.” Hemp is cannabis that has less than 0.3 percent of THC. Basically, CBD is found in both hemp and marijuana, but hemp only contains CBD without the presence of THC, and therefore produces no psychedelic high.
The FDA actually approved CBD use before it was legal on the federal level. It wasn’t until the passing of the Farm Bill in 2018 that hemp was legalized, therefore legalizing the CBD found in it. Even though there’s still confusion, both Dr.Gupta and Dr.Oz stress that authorities aren’t likely to knock down your door for CBD possession. The legal lines are blurred from state to state and authorities seem to be taking CBD possession on a case-by-case basis.
CBD’s Quick FDA Approval
But then, nothing did. I took two more — but still, nothing. I was struck by the overpowering sweetness of the gummies, instead of any actual relief or change in my body. According to Dr. Sanjay Gupta, CNN’s chief medical correspondent, this makes sense. In a segment for The Dr. Oz Show, he explained what’s next for CBD, and that you actually need to take hundreds of milligrams of it to feel any kind of effect. Most over-the-counter CBD products only contain about 2-22mg of actual CBD.
States that have legalized CBD have also seen a noticeable decline in opioid prescription rates, according to Dr. Gupta. As the opioid epidemic continues to grow with no end in sight, doctors are paying close attention to how CBD can change the way people are prescribed painkillers. Alpert agrees: “There’s a lot of research showing that marijuana can be an effective treatment for chronic pain, and that when opioid use is necessary, using it together with marijuana has a better benefit for pain reduction and withdrawal symptoms,” she says. “I’m happy to see doctors beginning to recommend CBD before jumping to their prescription pad for pain relief, anxiety, insomnia, and more.”
Case in point: Just this month on May 13, 2019, a woman visiting Disney World was arrested after a guard found CBD oil in her purse. After quickly providing a doctor’s note, she was released without being charged. Brooke Alpert, cannabis practitioner and editor-at-large of CBD Snapshot believes this is because there’s still so much confusion surrounding CBD. “CBD from industrial hemp can be legally bought over the counter, so most people will not have a doctor’s note to provide,” she tells DoctorOz.com. If you are found with medical marijuana, you will need to provide a doctor’s note if you’re not in a state where medical marijuana is legalized.
“THC has been demonized again,” Josh Stanley explains. “CBD-only is not the silver bullet.”
“Just becasue Charlotte’s Web uses a high-CBD hemp, that doesn’t mean THC is the devil.”
“I apologize because I didn’t look hard enough, until now,” he wrote. “I didn’t look far enough. I was too dismissive of the loud chorus of legitimate patients whose symptoms improved on cannabis. Instead, I lumped them with the high-visibility malingerers, just looking to get high. I now know that. it doesn’t have a high potential for abuse, and there are very legitimate medical applications.”
But now, in 2019, another family, the Wilsons, profiled then by Gupta say it didn’t work for their sick daughter and actually increased her number of seizures.
Six years later, Weed 5: The CBD Craze has a similar tone. Again, Gupta is issuing a mea culpa of sorts for hyping the benefits of CBD in his first report. Then, he focused on how CBD, provided by a group of Coloradans known as the Stanley Brothers, was helping a young girl named Charlotte Figi deal with constant seizures. A high-CBD strain they christened Charlotte’s Web proved to be a lifesaver for her.
Gupta revisits the Stanley Brothers and the Figi and Wilson families in his latest report. He also tells the story of a college junior who almost died from inhaling a CBD oil product known as Yolo.
“If your really want the full benefit of cannabis, there’s so much more out there than CBD.”