CBD oil derived from whole-plant marijuana has seen promising results for numerous medical treatments, including treating children with epilepsy. (In 2013, CNN’s Dr. Sanjay Gupta introduced the world to a child who after using CBD oil went from having 300 seizures a month to only two.) On April 19, the AP reported that an FDA panel is reviewing a a pharmaceutical-grade CBD oil made from whole-plant marijuana called Epidiolex, a possible treatment for rare forms of pediatric epilepsy. If approved, it would be the first marijuana-made medication sold on the U.S. market. A day later, on the marijuana community’s “high holiday,” April 20, New York Senator Chuck Schumer introduced legislation to decriminalize marijuana on the federal level. Forecasters are predicting that legal cannabis in the U.S. will be outselling soda by 2030.
The exact legality of CBD is tricky. The Drug Enforcement Administration maintains that CBD is federally illegal but will not bother going after anyone for possessing or using it. Many argue that a provision in the 2014 farm bill allowing industrial hemp pilot programs, mostly aimed at the textile industry, actually made non-THC use of cannabis legal; while the much-delayed 2018 farm bill signed into law at the end of the year made industrial hemp legal nationwide, CBD has largely yet to be reclassified.
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Currently, the only official, FDA-approved use of CBD is as a component in a drug named Epidiolex, which will be used to treat severe forms of epilepsy in children and adults, and which will be, Carson hopes, available to patients by the end of the year. Carson says he developed an interest in CBD because parents of kids with epilepsy came to him having read about CBD’s potential benefits on the internet. “There’s lots of data now that I think really supports that CBD helps for epilepsy,” particularly in reducing the frequency of seizures, he says. Anecdotally, he noticed that the same parents reported another potential benefit associated with CBD: reduced anxiety. “I got the sense that some children did get benefits in terms of anxiety, and I think that’s where I wonder if for example CBD in coffee could potentially be helpful,” he says.
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Currently available for purchase online, Smart Hemp CBD products include topical balms; soft bites and chews for dogs; gel capsules that can be mixed with food or wrapped inside a treat; powdered hemp meal supplements that can be mixed with food; tinctures that can be administered under a pet's tongue or by mixing it with food; and hemp meal pellets for horses.
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Last year, the National Academies of Sciences, Engineering and Medicine released a nearly 500-page report on the health effects of cannabis and cannabinoids. A committee of 16 experts from a variety of scientific and medical fields analyzed the available evidence — more than 10,000 scientific abstracts in all. Because so few studies examine the effects of CBD on its own, the panel did not issue any findings about CBD specifically, but it did reach some conclusions about cannabis and cannabinoids more generally. The researchers determined that there is “conclusive or substantial evidence” supporting the use of cannabis or cannabinoids for chronic pain in adults, multiple sclerosis-related spasticity (a kind of stiffness and muscle spasms), and chemotherapy-induced nausea and vomiting. The committee also found “moderate” evidence that cannabis or cannabinoids can reduce sleep disturbances in people with obstructive sleep apnea, fibromyalgia, chronic pain and multiple sclerosis, as well as “limited” evidence that these substances can improve symptoms of Tourette’s syndrome, increase appetite and stem weight loss in people with HIV/AIDs, and improve symptoms of PTSD and anxiety.
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