In fact, the U.S. Food and Drug Administration (FDA) approved Epidiolex (a drug made with a purified form of CBD oil) in June 2018 for the treatment of seizures associated with two rare and severe forms of epilepsy in patients 2 years of age and older. These two epilepsy forms are known as Lennox-Gastaut syndrome and Dravet syndrome. Epidiolex is the first FDA-approved drug that contains a purified drug substance derived from marijuana.
Consumers seem to have bought into the hype that it's among the healthier options, and vegans, who eat no animal fat, may use it as a butter substitute. In a 2016 survey published in The New York Times, 72 percent of consumers rated coconut oil as a "healthy food" compared with 37 percent of nutrition experts. [Dieters, Beware: 9 Myths That Can Make You Fat]
Because it takes a significantly larger amount of hemp stalks to produce hemp oil, there is an increased risk of contamination of toxins contained within the plant. This is a result of hemp's strong bio-accumulator properties, where it pulls toxins from the soil it grows in. Many hemp oils are also known to lack the full spectrum of terpenes and other cannabinoids that are believed to act synergistically with the CBD, meaning that consumers receive less of a benefit. That being said, there are some brands that test rigorously to make sure that the CBD content, as well as the terpenes and other cannabinoids, are up to par. It's a good sign if they offer to provide a certificate of analysis, which will tell you what kind of compounds are in the hemp oil and in what concentrations
This is a critical area for new research. While there is preliminary evidence that CBD may have therapeutic value for a number of conditions, we need to be careful to not get ahead of the evidence. Ninety-five percent of drugs that move from promising preclinical findings to clinical research do not make it to market. The recently announced elimination of the PHS review of non-federally funded research protocols involving marijuana is an important first step to enhance conducting research on marijuana and its components such as CBD. Still, it is important to try to understand the reasons for the lack of well-controlled clinical trials of CBD including: the regulatory requirements associated with doing research with Schedule I substances, including a requirement to demonstrate institutional review board approval; and the lack of CBD that has been produced under the guidance of Current Good Manufacturing Processes (cGMP) – required for testing in human clinical trials – available for researchers. Furthermore, the opportunity to gather important information on clinical outcomes through practical (non-randomized) trials for patients using CBD products available in state marijuana dispensaries is complicated by the variable quality and purity of CBD from these sources.
Marijuana can produce acute psychotic episodes at high doses, and several studies have linked marijuana use to increased risk for chronic psychosis in individuals with specific genetic risk factors. Research suggests that these effects are mediated by THC, and it has been suggested that CBD may mitigate these effects.xxxi There have been a few small-scale clinical trials in which patients with psychotic symptoms were treated with CBD, including case reports of patients with schizophrenia that reported conflicting results; a small case study in patients with Parkinson’s disease with psychosis, which reported positive results; and one small randomized clinical trial reporting clinical improvement in patients with schizophrenia treated with CBD.xxxii Large randomized clinical trials would be needed to fully evaluate the therapeutic potential of CBD for patients with schizophrenia and other forms of psychosis.
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In response to the FDA’s historic decision, the Drug Enforcement Administration (DEA) announced in September 2018 that it had removed Epidiolex from Schedule I classification, a category reserved for dangerous drugs with no medical value. Henceforth, Epidiolex would be considered a Schedule V drug, the least dangerous designation under the Controlled Substances Act.
Dr. Silberstein advises against obtaining a product in states in which CBD oil is not currently legal or regulated. Illegal forms of CBD oil could be spiked with artificial THC which could be very harmful to patients. Additionally, there are legal implications if you attempt to purchase it where it is currently illegal, so it is important to speak with your healthcare provider and check your local and state laws.
Often used in Asian, Indian and Middle Eastern cooking, sesame oil is a good mix of polyunsaturated fat (46 percent) and monounsaturated fat (40 percent), Lichtenstein said. The remaining 14 percent is saturated fat. It's not usually used as a cooking fat and is used more for its intense flavoring, she noted. [Tip of the Tongue: The 7 (Other) Flavors Humans May Taste]
Cannabinoids are psychoactive compounds with medicinal properties. Tetrahydrocannabinol (THC) and cannabidiol (CBD) are the most studied cannabinoids. CBD has substantially less psychoactive properties than THC. Synthetic cannabinoids (e.g., dronabinol) are closely related to THC. Based on systematic reviews, the evidence published to date indicates that oral cannabis extract is clearly effective, and THC is most likely effective in reducing pain (excluding central neuropathic pain) and spasticity symptoms. They are probably not effective in improving tremor or signs of spasticity.82 There is insufficient evidence for effects on urge incontinence or bladder symptoms.82 Sativex oromucosal spray (unavailable in the US) is probably effective for spasticity symptoms, pain, and urinary frequency, and probably ineffective for signs of spasticity, incontinence episodes, and tremor.82 There is insufficient evidence for these outcomes with inhaled cannabis.82 Prior to recommending this therapy, physicians should counsel patients about the potential legal issues and unwanted side effects.