{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/cbd/5","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_12276-markdown","title":"Has anyone used CBD oil to wean off of tramadol? If so how did you do it.","slug":"has-anyone-used-cbd-oil-to-wean-off-of-tramadol-if-so-how-did-you-do-it","content":"\"@\"\n_____________________\nHi there!\nIt  is imperative that you follow your prescribing physician's schedule, and that you inform your physician about your plans to incorporate  cannabis into your detox.\nCannabis should help alleviate some of the  symptoms of withdrawal, including insomnia, anxiety, nausea, dysphoric  mood and irritability.\nHow to use cannabis during a detox is mostly  dependent on the patient: basically use what is necessary to alleviate  symptoms, while balancing efficacy with side effects and lifestyle.   Most patients do best with indica or indica-dominant hybrid strains, or  with products containing similar amounts of CBD and THC, e.g. 1CBD:1THC  or 2CBD:1THC. \nI hope this helps!\n\ndrkim\n_____________________\nWeaning pts off tramadol and opiates, like Dr. Kim mentions, must include the input of your prescribing physician.  Ultimately the weaning off schedule is whatever the pt is comfortable with.  Pt's can decrease the tramadol dose in small increments daily and use cannabis products in increasing amounts per day;  I just urge caution when administering the two close together as the risk of fall/ accident has been demonstrated in past patients of mine.  In addition, the pt can alternate days (one day tramadol, one day cannabis); this method has the advantage of having less chance for physiologic/ psychologic dependency developing for either tramadol or cannabis.   In addition, I would explore the reasons the pt want to wean off the tramadol.  Is it for personal preference reasons?  Is it because the pt demonstrates psychological dependency issues to tramadol?  I ask this because I have to remind pts that cannabis can also produce psychologic dependency issues in pts as well.   I hope these tips prove useful!\n\ndrpark","image":null}},{"node":{"id":"Question_12267-markdown","title":"Are there different types of CBD that work better with CB1 or CB2 receptors?","slug":"are-there-different-types-of-cbd-that-work-better-with-cb1-or-cb2-receptors","content":"Contrary to popular belief, CBD does has no  particular binding affinity to the cannabinoid receptors, CB1 and CB2.   Instead, CBD interacts with several different receptors to exert its effects, which include:\n1. Serotonin receptors (5HT1a) - Binding the 5HT1a receptor is thought to be the mechanism in which CBD reduces anxiety. CBDA also binds the serotonin receptor, which is thought to be  the mechanism in which CBDA reduces nausea. \n2. Vanilloid receptors - interaction with these receptors reduces pain perception and inflammation\n3. PPAR (peroxisome proliferator activated receptors) -  Activation of the PPAR-gamma receptor has an anti-proliferative effect as well as an ability to induce tumor regression in lung cancer. PPAR-gamma activation also degrades beta-amyloid plaques, a key molecule linked to the development of Alzheimer’s disease. \n4.  As a negative allosteric modulator - CBD does affect THC's interaction  with the CB1 receptor: While CBD does not bind the CB1 or CB2 receptor at their respective active sites, it does bind elswhere on the enzyme(s), which then, in this case, as a Negative-allosteric modulater, reduces the effects THC exerts when it does bind the CB1 receptor, and thus can reduce psychoactivity. \n\ndrkim","image":null}},{"node":{"id":"Question_12265-markdown","title":"I saw the CBD dog treats for the nervous dog.  ","slug":"i-saw-the-cbd-dog-treats-for-the-nervous-dog","content":"\"Are CBD cat treats available?\"\n_____________________\nHi there!\nThere is no difference between CBD for cats, dogs or humans, CBD is CBD; so, you can use CBD for pets or humans.  \nThe primary consideration would be dosage. And although there are no specific guidelines for cat dosages, \nin a 2018 study, researchers from the College of Veterinary Medicine, Cornell University concluded that\n2mg CBD/kg, twice daily can help increase comfort and activity in dogs with osteoarthritis. \nThat works out to about:\n1mg of CBD per every pound, twice daily.\nSo a 5lb cat would take about 5mg of CBD twice daily. \nHopefully that does the trick!\nhttps://www.frontiersin.org/articles/10.3389/fvets.2018.00165/full\n\n\ndrkim","image":null}},{"node":{"id":"Question_12263-markdown","title":"Is CBD safe for cats?  Does it relieve pain for them?","slug":"is-cbd-safe-for-cats-does-it-relieve-pain-for-them","content":"\"I think my cat has kidney failure.  Before she came to me she was fed dry cat food.  She now urinates copiously and spends time drinking lots of water.  These past six weeks she's been yowling occasionally; I suspect this means she's in pain.  I live with a disability, such that my financial life is still on the poverty line, so paying for a veterinarian is out of the question.  And anyway, my cat was semi-wild most of her life; she'd be terrified to be facing one or more strange humans, terrified to have human hands touching her, and terrified to wait in a room with dogs and other cats.  And I wouldn't want to give her a synthetic drug, as they have \"side effects.\"\"\n_____________________\nHi there!\nIt does sound like your cat might have a UTI. CBD  might help some with the pain; however, any money spent on CBD would be much better spent on a trip to the veterinarian. Correctly diagnosing  the issue should be the primary concern, not symptom-management. If it were a UTI, the bacteria might reach the kidneys which would lead to very serious consequences, perhaps even death. CBD would do little, if anything, to eradicate any  infection; treating only the symptoms without understanding the cause shouldn't be an option. Here is a link to the Humane  Society with information on how to obtain free or other payment options:\nhttps://www.humanesociety.org/resources/are-you-having-trouble-affording-your-pet?credit=web_id95800657\nI hope your feline friend feels better very soon!\n\n\n\ndrkim","image":null}},{"node":{"id":"Question_12262-markdown","title":"cbd use for chemo patients","slug":"cbd-use-for-chemo-patients","content":"\"My brother has a form of Luekemia and is on his 8th round of Chemo.  He is exhausted and can't sleep.  He lives in NY, but can't even muster the strength to see a physician regarding the use of Medical Marijuana.  Are there products I can send him (CBD)?  Which ones are recommended for his situation?  Is there a patient advocate that could help him navigate the system and get some kind of physician's council and perhaps a medical marijuana card?  I live in GA and cannot help him myself with the process.\n\n\"\n_____________________\nHello,\nThis is my personal opinion: I believe that THC  should not be feared by cancer patients.  I firmly believe that cannabis is  one of the most valuable medicines in this setting. \nCBD  on its own will do very little to help your brother get a good night's sleep; most of the mood-boosting properties of cannabis come from THC;  THC is responsible for nausea relief and appetite stimulation; and most studies regarding cannabis' tumor-fighting properties center around THC.  This is not to say that CBD has no role in the fight against cancer;  there are several studies which suggest it has anti-tumor properties;  and the combination of CBD and THC is superior to THC on its own in many  respects, including offsetting side effects from THC. However, symptoms, treatment side effects, and effects on the psyche are  alleviated primarily by THC. \n\nVery high CBD strains and products with higher concentrations of CBD vs THC, such as 20CBD:1THC, will lessen, or even eliminate psychoactive effects. However, standard strains and products with similar levels of CBD and THC, such as 1CBD:1THC, would be more effective at treating pain,  nausea, anorexia, insomnia and depression.\n\ndrkim\n_____________________\nI recommend  formulations offered by Care By Design.  I like that they use the whole plant when making their  products, rather than isolating only THC and CBD; offer a variety of  ratios; offer all routes of  administration, other  than combustion;  clearly label their products in mgs of THC and CBD per  dose; and are relatively easy to find.  \nhttps://www.hellomd.com/products?brandRef=brand%3A585b1fa58b61a100115fa333\nhttps://www.cbd.org/products\nhttps://www.cbd.org/find\n\nIf  you want pure CBD that can be legally mailed, I recommend Elixinol hemp  CBD products. They use organic hemp, CO2 extraction and have a \"whole-plant philosophy\". \nhttps://www.hellomd.com/products/5b57a95202f1740001522f9f/cbd-hemp-oil-drops\n\nI recommend that your brother set up an appointment with HelloMD New York. Your brother would then gain legal access to medical marijuana, and not just hemp-derived CBD. I wish your brother and your family the  best of luck.\nhttps://www.hellomd.com/new-york\n\nBest regards,\nDr. Kim \n\n\ndrkim","image":null}},{"node":{"id":"Question_12249-markdown","title":"What is your favorite HelloMD product of the CBD line?","slug":"what-is-your-favorite-hellomd-product-of-the-cbd-line","content":"\"CBD carts or oil\"\n_____________________\nI can't testify to which CBD oil is best, but I can advise on what  to  look for: 1. CO2 extraction 2. Whole plant philosophy 3. Organic  hemp or cannabis  4. Clearly labeled mgs of CBD per dose\n\nI hope this helps!\n\ndrkim\n_____________________\nI've tried several of the hemp CBD products, and so far my favorites are the Cured Nutrition Full Spectrum Raw Oil and the CBD Aches vaporizer pen. I always prefer to smoke or vape, but the tincture is great at work or when I'm out and about - very discreet. I have a relatively high tolerance and both of those products work for me almost right away.\n\nKevin P.","image":null}},{"node":{"id":"Question_12247-markdown","title":"My wife would like to try CBD oils as part of her diabetes (type 2) treatment.  Can you recommend a product and dosage?  My on line research gave me a very margine for dosage.  Thank you in advance for any help you can give!","slug":"my-wife-would-like-to-try-cbd-oils-as-part-of-her-diabetes-type-2-treatment-can-you-recommend-a-product-and-dosage-my-on-line-research-gave-me-a-very-margine-for-dosage-thank-you-in-advance-for-any-help-you-can-give","content":"\n_____________________\nHi there!\nThere  was a very recently published randomized, double-blind,   placebo-controlled study (the gold-standard of study design) which found that in humans:\n- THCV  significantly decreased fasting plasma glucose and improved pancreatic β-cell (insulin secreting cell) function\n- CBD reduced a hormone called resistin, which has been shown to increase LDL (bad cholesterol)\n-CBD   increased glucose-dependent-insulinotropic peptide, which is a hormone  that enhances the release of insulin following the intake of food. \nhttps://www.ncbi.nlm.nih.gov/pubmed/27573936\nFor more information on THCV:\nhttps://www.hellomd.com/health-wellness/5a8db389f24d1300077ccb5a/psychoactive-thcv-the-cannabinoid-that-kills-your-appetite\n\nFurthermore, prolonged administration of THC, in both humans and   experimental animals, results in the lowering of both blood pressure and  heart rate. Animal studies suggest that this may be due to  a reduction in  adrenergic tone, which is also how beta-blockers, such  as metoprolol, work as anti-hypertensives. \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2228270/#R11\nAlso, a study published last year found that a 600mg dose of CBD reduced   blood  pressure while resting, as well as when under physical or mental  stress. \n https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5470879/#B7\nDiabetes raises the risk of heart disease, stroke, kidney disease and other  health problems; high blood pressure significantly raises those risks.\n\ndrkim\n_____________________\n***You should inform your primary care physician about your plan to try cannabis as an adjunct to your current medication(s)—cannabis should be used as an adjunct to your current medications unless your primary care physician approves otherwise; it would be a good idea to compare your post-meal blood glucose with and without the CBD product—meaure blood glucose two hours after a meal. \n\nCare By Design offers several different delivery methods, offered in  multiple ratios; they also exclusively carry \"whole plant\" products.\nhttps://www.projectcbd.org/science/cannabis-pharmacology/single-compound-vs-whole-plant-cbd\nThe 18:1 products at https://www.cbd.org/ would be a great choice.\n\nhttps://www.hellomd.com/products/58ed54d1c064b41c99fad29e/181-sublingual-drops\nhttps://www.cbd.org/products/drops/18-1-drops\n- Each drop contains 0.38mg of CBD and 0.02mg of THC. \n- take 25 drops (10mg  CBD, 0.5mgTHC) about 20minutes before each meal. \n\nhttps://www.hellomd.com/products/58ed6e9863d9e92638368c9d/181-soft-gel-capsules-10-mg\nhttps://www.cbd.org/products/soft-gels/18-1-soft-gels\n- take one tab (10mg  CBD, 0.5mgTHC) about 20 minutes before each meal.\n\nOtherwise, with any other CBD or high CBD/low THC product,\n- take 10mg of CBD about 20 minutes before each meal. \n\nI hope this helps!\n\nhttps://www.youtube.com/watch?v=Y_G4OqWxgys\n\n\ndrkim","image":null}},{"node":{"id":"Question_12242-markdown","title":"Trying to wean off heroin  ","slug":"trying-to-wean-off-heroin","content":"\"Currently taking 450 mg hemp oil with 38.5 mg CBD twice daily.  Trying to find a doctor to work with me but that is proving difficult.  Where can I find dosages, doctors, guidance and  anyone who has gone this route and succeeded.  \"\n_____________________\nHello,\nI'm  glad to hear of your willingness to take steps  towards sobriety.  However, overcoming a heroin addiction is a complex  and arduous task.  We can help with ameliorating some of the unpleasant symptoms of opiate withdrawal. However, it would be medical malpractice to work as the primary physician for what should be  a multi-modal treatment strategy led by a physician with specialized  training in addiction medicine.\n\nSymptoms of opiate withdrawal may include: muscle aches,  restlessness, anxiety, runny nose, sweating, insomnia, abdominal  cramping, diarrhea,  nausea and vomiting. Cannabis should help alleviate pain, anxiety,  insomnia, restlessness and nausea; these issues are best treated with a decent amount of THC. Accordingly, I would likely discourage, unless the patient were averse to THC, using a Very high CBD vs low THC   product, nor would I recommend Very high CBD strains in this situation.\n\ndrkim\n_____________________\nHere are products and strains for you to consider:\n1. https://www.cbd.org/products/chocolates/1-1-chocolate - a \"whole plant\" 2:1 edible\n2. http://dosist.com/pen-relief/ - a 1:2 vaporizer pen\n3. http://kivaconfections.com/products/bars/ginger - a 1:1 \"whole plant\" edible\n\nSome CBD strains to consider: \nSweet and Sour Widow - a 1:1 indica strain \nPennywise - a 1:1 indica strain \nCannatonic - a 3:1 hybrid strain\n\nSome \"standard\" strains to consider (indica or indica dominant hybrids):\nGrand Daddy Purp\nNorthern Lights\nGod's Gift\nChocolate Chunk\n\nFor more detailed and customized recommendations, you can set up an appointment by clicking on the \"Doctor's Consult\" at www.hellomd.com\n\nI hope this helps some, and best of luck!\n\ndrkim","image":null}},{"node":{"id":"Question_12240-markdown","title":"What’s the Difference Between CBD and THC?","slug":"what-s-the-difference-between-cbd-and-thc","content":"\" THC, or tetrahydrocannabinol, is the compound in weed that creates the psychoactive effects that are most popularly seen on movies and TV shows. (Pineapple Express, anyone? \"\n_____________________\nThe most notable difference between THC and CBD is that THC is psychoactive - it's responsible for that distinct cannabis \"high.\" CBD doesn't give you a high, but it has enjoyed the public spotlight for its impressive medicinal properties.\n\n\nKevin P.\n_____________________\nTHC and CBD are two main components of the cannabis herb. They have different effect on a human body. Both components can potentiate each other; and CBD added to THC can decrease THC psycoactive effect. Few facts about THC and CBD:\nTHC - \n 1. THC is the principle psychoactive component of cannabis and was first identified and synthesized in 1964.\n2.  The amount of THC in cannabis varies based on the strain produced by the manufacturer \n3. The average amount of THC is approximately 10% but can range from as low as 1% to as high as 30%. \nCBD -  \n1. The main non-psychoactive plant-derived cannabinoid in fibre (hemp) plants. \n2. Structurally similar to THC, has very different pharmacological properties. \n\nHill AJ, Williams CM, Whalley BJ, Stephens GJ. Phytocannabinoids as novel therapeutic agents in CNS disorders. Pharmacol Ther. 2012;133(1):79-97. doi:10.1016/j.pharmthera.2011.09.002. \n\nkrabell14","image":null}},{"node":{"id":"Question_12237-markdown","title":"CBD oil recommendation","slug":"cbd-oil-recommendation","content":"\"I have been diagnosed with a meningeoma of the brain.  what cbd oil or product do you recommend?\"\n_____________________\nHi there!\nI'm sorry about the diagnosis, and hope the meningioma is benign.  If the meningioma is benign and asymptomatic, I would recommend a very high CBD: low THC product or strain. \n\nhttps://www.cbd.org/products/drops/18-1-drops\nhttps://www.cbd.org/products/soft-gels/18-1-soft-gels\nhttps://www.hellomd.com/products/58ed6e9863d9e92638368c9d/181-soft-gel-capsules-10-mg\nhttps://www.hellomd.com/products/58ed4df463d9e91a57368c6e/181\nhttps://www.cbd.org/products/chocolates/18-1-chocolate\nhttps://www.hellomd.com/products/58068e8323698800071d25a7/calm\nhttp://dosist.com/pen-calm/\n\n\nHere are a few recommended very high CBD strains\nACDC - a 20:1 sativa strain\nRingo's Gift - a 25:1 hybrid strain\nCharlotte's Web - a 30:1 sativa strain\nMake sure to vaporize, rather than smoke cannabis. \nPax makes the highest quality portable vaporizers:\nhttps://www.hellomd.com/products/5af9bdcf1bf83e0007fddb2b/pax-3  \nhttps://www.paxvapor.com/ \n\nI hope this helps!\n\n\ndrkim","image":null}},{"node":{"id":"Question_12234-markdown","title":"Can cbd help with gout?","slug":"can-cbd-help-with-gout","content":"\"III\"\n_____________________\nHi there!\nLike most inflammatory pain issues, cannabis should help alleviate gout pain. However, cannabis won't have any effect on preventing an attack; avoiding foods known to exacerbate gout should be be strictly avoided. \nhttps://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/gout-diet/art-20048524\nI would likely recommend a high CBD vs low THC containing  product, such as:\n1. https://www.hellomd.com/products/58ed6e9863d9e92638368c9d/181-soft-gel-capsules-10-mg\n2. https://www.hellomd.com/products/58ed54d1c064b41c99fad29e/181-sublingual-drops\n3. https://www.hellomd.com/products\n4. https://www.cbd.org/products/chocolates/18-1-chocolate\n\nHigh CBD strains to consider: \nACDC - a 20:1 sativa strain\nRingo's Gift - a 25:1 hybrid strain\nCharlotte's Web - a 30:1 sativa strain\nHarlequin - a 5:2 sativa strain \nSweet and Sour Widow - a 1:1 indica strain \nPennywise - a 1:1 indica strain \nCannatonic - a 3:1 hybrid strain\n \nI hope this helps!\n\n\ndrkim","image":null}},{"node":{"id":"Question_12233-markdown","title":"Im trying to get off percocet and start cbd oil , I’ve been on 4-6 a day , 5/325 ","slug":"im-trying-to-get-off-percocet-and-start-cbd-oil-i-ve-been-on-4-6-a-day-5-325","content":"\"For about 2 years , i need to know how to transition to cbd oil, idk what ratio , how much and how often please! \"\n_____________________\nHello,\n\nOpioid tapers should only be completed under the advisement of a PCP as patients can often experience withdrawl symptoms that may require clinical management. If you are looking for alternative therapy to manage pain, discuss this goal with your PCP so you can create a plan together to be successful in finding  relief to manage your symptoms.\n\nWendy NP","image":null}}]}},"pageContext":{"limit":12,"skip":48,"numPages":66,"currentPage":5,"id":5084,"name":"CBD","slug":"cbd","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}