{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/cbd/16","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_9031-markdown","title":"Can I take Cbd oil with Lorezapem?","slug":"can-i-take-cbd-oil-with-lorezapem","content":"\n_____________________\nCBD and other cannabinoids may block off the Cytochrome P450, which are a group of enzymes in the liver. Cytochrome P450 help metabolize most drugs, including Lorzapem. All cannabinoids affect the Cytochrome P450 enzymes, as well as other enzymes in the body, but CBD affects it the most. \n\nResearch in this area is still pretty scant, so the level that CBD inhibits these enzymes is not totally understood. It is clear though that higher doses of CBD may affect this cluster of enzymes more. \nCBD will probably affect how your body metabolizes Lorezapem, but it’s not clear exactly how. \n\nIt’s a good idea to talk to your doctor about using CBD in conjunction with other drugs. Drug interactions vary wildly from person to person, so the best way to figure out which combination of drugs work best for you is work closely with your health care professional.  \n\nErik McLaren\n_____________________\nI find this a helpful bacground/primer regarding the use of cannabis and benzodiazepines. I almost always begin a taper regimen of the benzo in the patient starting cannabis.\nhttp://webadmin.greenivymedia.com/uploads/qnada/Resources/Health%20Professional%20Resources/Cannabis%20and%20Benzodiazepines.pdf\n\nElizabethNP","image":null}},{"node":{"id":"Question_9029-markdown","title":"My dog has extreme anxiety when I use my wood burning heating stove. Would CBD oil help with canine anxiety?","slug":"my-dog-has-extreme-anxiety-when-i-use-my-wood-burning-heating-stove-would-cbd-oil-help-with-canine-anxiety","content":"\n_____________________\n \nThe anatomy of animals is not much different than humans which makes the ailments and treatments almost similar.\n\nNonetheless, I recommend you to use CBD products especially made for pets rather than the ones for humans.Yet another similarity between Humans and animals is Endocannabinoid system that which is similar to ours and can be nourished by Cannabidiol aka CBD. I feel like CBD for pets is a great natural alternative, as I myself use all natural way's king kalm for my dobermann. It helps whenever he is anxious and restless.\n\n\n\nsebastianwross","image":null}},{"node":{"id":"Question_9022-markdown","title":"What are the effects of alcohol and cbd oil?","slug":"what-are-the-effects-of-alcohol-and-cbd-oil","content":"\n_____________________\nHi there! This is an interesting question that has previously been addressed by Dr. Sharon Olson; please check out her answer here:\n\nashleigh","image":null}},{"node":{"id":"Question_8990-markdown","title":"Could I stop prescription medications?","slug":"could-i-stop-prescription-medications","content":"\"I am currently taking CBD for congestive heart failure. It has been very helpful with a lot of symptoms including giving me energy and I need to know about it's effect on the prescriptions I take. I am on bisoprolol, clopidogrel (plavics), and lisinopril. I need to know if I could cut back or stop taking these.\"\n_____________________\nThe benefits you are experiencing from CBD are probably not the result of any known direct actions on the cardiovascular system and I would suggest not changing your other medications unless your cardiologist approves a dose reduction.  I also want to be sure you are aware that Plavix, like other anticoagulants, shares the same metabolic pathway as the cannabinoids, so simultaneous use of cannabis and Plavix might have a small clinical effect of increasing the anticoagulant level.  For most patients this is not significant, but if using cannabis while on Plavix you should make sure you have regular testing of your INR.\n\ndrelkind","image":null}},{"node":{"id":"Question_8989-markdown","title":"Is CBD oil safe to take if you're taking coumadin?","slug":"is-cbd-oil-safe-to-take-if-youre-taking-coumadin","content":"\n_____________________\nBecause the cannabinoids and the anticoagulant warfarin (Coumadin) share the same pathway for breakdown by the body, in some situations the Coumadin level can rise slightly with simultaneous cannabis use.  This is rarely clinically significant, but occasionally it can be important, especially if other prescription medications are being taken that share the same metabolic route.  I don't believe being on Coumadin is a contraindication to medical cannabis use, but patients who are using cannabis regularly should have their INR checked regularly as well to make sure their level of anticoagulation is appropriate.\n\ndrelkind\n_____________________\nThe  cytochrome p450 system accounts for 70 to 80 percent of the enzymes   involved in drug clearance, making it the most important system for  drug  metabolism. Both THC and CBD are competitive inhibitors  of three  different enzymes in the cytochrome p450 system, two of which  are  involved in the metabolism of coumadin. This means that CBD and THC  are  competing for the same receptors as is coumadin. So when coumadin is  taken concurrently with CBD and/or THC, coumadin levels could possibly  rise. When coumadin levels rise excessively, blood clotting may be  compromised leading to signs ranging from frequent bloody noses all the  way on up to a potentially fatal event, such as a hemorrhagic stroke or  heart  attack.\nhttps://ghr.nlm.nih.gov/primer/genefamily/cytochromep450\n\nA  case report published in 2009  described a patient who was on coumadin  therapy for eleven years. He was admitted to the hospital for a severe  gastrointestinal bleed when he confessed to  consuming much more  cannabis than was typical for him; his INR was 10.41  (therapeutic range   is usually between 2 and 3); after inpatient treatment, his INR   normalized; then, fifteen days after being discharged, he was readmitted  with an INR of 11.55; after he quit using cannabis, his INR remained  between 1.08 and 4.40 and he suffered no further complications.  \nhttps://www.ncbi.nlm.nih.gov/pubmed/19531696\n\ndrkim\n_____________________\nAnother case report suggested that extremely high doses of CBD can  lead  to markedly elevated coumadin levels. Enrolled in a clinical trial   evaluating CBD as a potential treatment for epilepsy, the test subject   was given extremely high doses of CBD. He was first given doses   averaging 265mg, which resulted in a slightly elevated coumadin levels;  at doses averaging 528mg, the coumadin levels were markedly elevated;  after reducing the coumadin dose, INR results normalized. Relevantly,  very few patients, if any, would ever take as much CBD.\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789126/\n\nHowever,as  previously mentioned, a highly elevated coumadin level can lead to  serious consequences. And because the effects of cannabis on coumadin  levels have yet to be sufficiently studied, as Dr. Elkind advised, you  should discuss the matter with your prescribing physician and monitor  your INR results with additional vigilance.\n\ndrkim","image":null}},{"node":{"id":"Question_8985-markdown","title":"Medical guidance needed, CBD for Anxiety/Depression","slug":"medical-guidance-needed-cbd-for-anxiety-depression","content":"\"I suddenly started struggling with uncontrolled anxiety in mid November. Dr’s immediatly wanted to get me on benzos and sertraline. I have resisted because I am not a fan of prescription meds and their side affects. In mid December I started using CBD. I am in WI so I am not able to use with THC. For the first 3 weeks it provided some incredible relief. I feel things are started to change. I am looking to connect to gain some official knowl and advice as I continue (hopefully) down my path of healing and recovering from this horrible experience. I am open to questions in order to help gain the most accurate and helpful advice possible \"\n_____________________\nAn Alternative Way To Get Your Meds Discretely Without Any Hassles. .\nLegit supplier of Grade A++ Medical and Recreational Cannabis Strains for Patients and non patients. Do contact for supplies of Cannabis Oils, Cannabis Capsules/Pills and more. \n\nWe are available to assist with all of your Medical Cannabis/Marijuana healing needs. Feel free to contact us whenever you have a special request for a Medical Cannabis product; \nMedicinal Cannabis Strains,  \nRick Simpson Oil, \nCBD Rich Oil, \nTHC Oils,\nVape Oils,  \nCannabis Capsules/Pills, \nExtracts & Concentrates,\nCannabis Seeds, and more\n\nPhone Number; +1 (559) 424-5331\nEmail Address; jersy.for@gmail.com\nWebsite link; http://anncannamed.com/\n\njERSY\n_____________________\n Many patients have found medicinal cannabis a more acceptable way of reducing anxiety and moderating mood than daily use of multiple pharmaceuticals.  Finding a preparation helpful for their symptoms often requires that patients do some cautious experimentation with different varieties of cannabis and cannabis preparations containing various ratios of CBD:THC. I suggest reviewing the cannabis 101 article on the HelloMD website (https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) to begin discovering which types of cannabis preparations might be helpful and appropriate.  Patients with anxiety often report the most benefit from preparations rich in CBD but also with small amounts of THC, such as 4:1 CBD:THC tinctures.  As with many medicines, effects may change with larger doses.  Begin with small amounts and increase gradually to find the optimal range.   \n\ndrelkind\n_____________________\nHi there! I am not a Doctor, but you might find this article we published helpful: https://www.hellomd.com/health-wellness/57f2b7f12b1e99000a671ac3/top-10-high-cbd-marijuana-strains-for-anxiety \n\nIt goes over different studies that have shown that CBD is beneficial for anxiety relief, as well as some strains that are high in CBD. \n\nHere are the links to the 2 studies mentioned in this article. 1) https://www.ncbi.nlm.nih.gov/pubmed/21307846 2) http://www.cell.com/neuron/fulltext/S0896-6273(14)00017-8\n\nHope this helps!\n\nmelissa\n_____________________\nIf you are seeking clinical studies regarding the effects of CBD on anxiety and depression there is still relatively little that is definitive.  As an example, although Melissa noted two scientific papers that addressed the issue, one of them was a promising report but a small study, and one of them involved finding CB1 receptors in key brain sites involved in anxiety (CBD does not bind to CB1 receptors) and was not a clinical paper.  The good news is there is an enormous body of anecdotal evidence that CBD is helpful for patients experiencing anxiety, and there is zero evidence of any toxicity at all.  This means that you can feel free to do some cautious experimenting to find a preparation and dose that are helpful without fear of doing harm.  I hope you have the opportunity to go to a place where cannabis use is not criminalized so you can discover its potential benefits, but I'd start enthusiastically with CBD if that is available to you.  \n\ndrelkind","image":null}},{"node":{"id":"Question_8981-markdown","title":"What is the best form of CBD oil to use in chemo for Stage 2 breast cancer?","slug":"what-is-the-best-form-of-cbd-oil-to-use-in-chemo-for-stage-2-breast-cancer","content":"\"I tried some in dropper form but it caused a lot of abdominal cramping and gas.\"\n_____________________\nHi there! I'm sorry to hear that you're dealing with this. Please check out these previously answered questions that deal with the topic: https://www.hellomd.com/answers/59e95a1a4338f22ff826af88/what-is-a-good-cannabis-treatment-for-someone-with-stage-1-breast-cancer\nhttps://www.hellomd.com/answers/5908f0fc987fe75ee701bc74/treating-estrogen-positive-breast-cancer-with-cbd\nhttps://www.hellomd.com/answers/59421455b865074dfea72b2a/does-cbd-oil-help-rid-the-body-of-cancerhttps://www.hellomd.com/answers/59ba8c8279f8fa2bf2a1f4a7/can-i-use-cbd-while-undergoing-chemotherapy\n\nashleigh","image":null}},{"node":{"id":"Question_8980-markdown","title":"Is Essential Tremor helped by CBD tincture?","slug":"is-essential-tremor-helped-by-cbd-tincture","content":"\n_____________________\nHi, this question has been asked here on HelloMD in the past, here is the link with answers from 10 people https://www.hellomd.com/answers/5724b6b85d6afd0008000123/can-marijuana-help-manage-tremors\n\nPiantaTinta\n_____________________\nThere is much anecdotal information about using medicinal cannabis for movement disorders, and the dramatic youtube videos of severely affected patients with Parkinson's disease improving after inhaling cannabis have caught many eyes.  But the clinical use of CBD without any of the other cannabinoids or other components of the cannabis \"entourage\" to reduce essential tremor is not something that has been well studied.  The few reports available do not really support it, eg http://www.mdsabstracts.org/abstract/effect-of-marijuana-on-essential-tremor-a-case-report/ or this Quora discussion https://www.quora.com/To-what-extent-is-CBD-oil-useful-in-reducing-hand-tremors . CBD is remarkably non-toxic so I suggest experimenting to see if it provides any benefit.  If not, perhaps a \"whole plant\" preparations may be helpful.\n\n\ndrelkind","image":null}},{"node":{"id":"Question_8978-markdown","title":"Does CBD oil or the Control am Essential Tremor","slug":"does-cbd-oil-or-the-control-am-essential-tremor","content":"","image":null}},{"node":{"id":"Question_8961-markdown","title":"can CBD oil help with valium withdrawal or would in worsen or prolong the symptoms.  ","slug":"can-cbd-oil-help-with-valium-withdrawal-or-would-in-worsen-or-prolong-the-symptoms","content":"\"Been on valium for 2 weeks, 2.5 to 5mg everyother day as needed.. Feel horrible after a day not taking it. I want off but i wont have access to my family doctor for awhile now and when I went to the ER they said its too small a dos and a window to come physially dependant on. told me to stay dehydrated.....Any advice is greaty appreciated. Been doing some research of CBD oil but am still unsure.\"\n_____________________\nHi there! I am sorry to hear you are going through this.\n\nI am not a doctor, but we have had some similar questions on our website answered by 2 of our doctors. \n\nhttps://www.hellomd.com/answers/59d99f07b20b7a17b8605051/whats-the-best-dosing-and-ratio-of-cbd-to-thc-to-wean-off-of-anxiety-medications\nhttps://www.hellomd.com/answers/57d1e7ba2d682f00075ffaaf/how-fast-do-i-reduce-my-amount-of-oxycontin-as-i-increase-my-marijuana-intake\n\nI hope that helps, and hopefully someone with more experience/knowledge than me might have more advice for you. Best of luck!\n\nmelissa","image":null}},{"node":{"id":"Question_8946-markdown","title":"Cannabis tincture suggestions for nerve pain?","slug":"cannabis-tincture-suggestions-for-nerve-pain","content":"\"One of my relatives has been suffering from nerve pain. He says it's just his left side, and it feels like burning pins and needles. He did see the doctor, and the doctor said he has nerve damage similar to neuropathy, but aren't sure what the cause is. They suggested he try cannabis! He has tried the Lord Jones High CBD lotion but has not gotten relief. \n\nWe are wondering if maybe a tincture will help? What dosage might be beneficial for him? Any suggestions would be greatly appreciated. Thank you!\"\n_____________________\nHi there! I'm sorry to hear your relative is struggling with this uncomfortable condition. Happily, cannabis does provide relief for many people with this issue. Please check out these search results on the topic which should provide plenty of information for you:\n\nashleigh\n_____________________\nApplying cannabis to the skin will not provide significant absorption beyond a very local area so I would definitely try a tincture or similar preparation.  When tinctures or lozenges are held in the mouth effects may be noticeable within 10 minutes; when cannabis is swallowed it may take up to an hour for effects.  Starting with a CBD:THC ratio of 20:1 and varying the amount taken and the cannabinoid ratio (moving toward 1:1) may yield a preparation helpful in reducing the discomfort.  Most patients find this kind of cautious experimentation useful for finding the best relief of their symptoms.  \n\ndrelkind\n_____________________\nI agree with Dr. Elkind that a tincture containing both CBD and THC (for the entourage effect) would be a good choice.  I also agree that for some patients, a traditional cream/emollient/oil may only have limited penetration into the skin. However, I might suggest another alternative.  Companies like OMremedies.com & MakingYouBetterBrand.com have cannabis infused epsom salts (epsom salts being composed of magnesium salt which is important for nerve conduction). If you put a very small/fractional dose in warm (not steaming hot) water and see if the extremities can tolerate a dunk/bath for a short duration, this may be useful. In my experience a good deal of the limited medical literature concerning cannabinoids and neuropathic pain seem to use THC in the experiments (however an admixture of THC and CBD should also do well). I hope this helps please let us know what happens!\n\ndrpark","image":null}},{"node":{"id":"Question_8944-markdown","title":"How long until I find relief from CBD oil?  I have sciatica and can hardly walk any more","slug":"how-long-until-i-find-relief-from-cbd-oil-i-have-sciatica-and-can-hardly-walk-any-more","content":"\n_____________________\nHi, It really depends, as everyone's biochemistry is unique. Typically, CBD oil taken consistently has a cumulative effect--best results occur in 2-3 months. A few experts have responded to Qs about sciatica: Dr. Edmunds recommends a holistic approach that includes a range of therapies from exercise and massage to acupuncture and cannabis (linked below). Dr. Persaud mentions that everyone responds differently and recommends you consult with your doctor on a proper course of treatment: https://www.hellomd.com/answers/59fb869f5aae0c0ac5a55481/what-do-you-recommend-for-chronic-extreme-sciatica-pain-that-is-not-psychoactive. \n\nlyp\n_____________________\nFirst of all, 'sciatica' can be caused by many conditions, some requiring intervention to prevent permanent loss of function.  If you haven't been evaluated by a physician and scanned to find the source of your pain that should be the first priority.  Cannabis can be helpful for reducing the discomfort of chronic pain.  Many patients with chronic pain report the best results when using \"whole plant\" preparations that take advantage of the complementary action of all the cannabinoids, sometimes called the \"entourage effect.\"  Chronic pain creates emotional and mental effects that are also treated holistically with cannabis.  I suggest checking out this simple article on this website to help get an idea of how cannabis may be helpful.  I suggest beginning with small doses of preparations with generous amounts of CBD, perhaps a 1:1 CBD:THC ratio, and increasing dose and varying the ratio to find what seems most helpful.\n\ndrelkind","image":null}}]}},"pageContext":{"limit":12,"skip":180,"numPages":66,"currentPage":16,"id":5084,"name":"CBD","slug":"cbd","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}