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CBD Products - Types, Mechanism of Action, Uses, and Side Effects

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Cannabidiol (CBD) is a supplement derived from the Cannabis Sativa plant. This article explains in detail Cannabidiol products (CBD).

Written by

Dr. Sameeha M S

Medically reviewed by

Dr. Kaushal Bhavsar

Published At November 1, 2022
Reviewed AtNovember 10, 2022

Introduction

Cannabidiol (CBD) is a chemical compound derived from the plant Cannabis sativa, also known as cannabis or hemp. Cannabidiol (CBD) affects some chemicals present in the brain, and hence they are used for anxiety, pain, seizure, Parkinson’s disease, Crohn’s disease, and many other conditions. There is no scientific evidence to support these uses. Research is going out to determine CBD’s safety and other benefits. In the United States, the cannabidiol drug Epidiolex was approved in the year 2018, and all drugs made from Cannabidiol (CBD) are not legal. It can be used under prescription and guidance from a trained medical professional.

What Are CBD Products?

Cannabidiol (CBD) is a specific cannabinoid that can be found in hemp or cannabis plants. Cannabinoids contain Tetrahydrocannabinol (THC), a psychoactive element that causes a “high” in users. Cannabidiol (CBD) lacks this psychoactive nature but causes some chemical reactions in the body and leaves users feeling relief and balance. Cannabidiol (CBD) can be obtained from different sources. Some Cannabidiol (CBD) products are sourced from hemp, and some are from marijuana. Hemp-derived cannabidiol (CBD) products are popular as compared to marijuana. Cannabidiol (CBD) products are available in different forms in the market under different product names.

It includes:

  • Oil or tinctures - Easy and precise delivery system.
  • Gummies - Easy to eat and transport.
  • Capsule - Discrete, long-lasting effects.
  • Gel or cream - Targeted treatment for pain.
  • Transdermal patch - Slowly releases Cannabidiol (CBD) into the bloodstream.
  • Sublingual spray - Absorbed quickly.
  • Vapor - Fastest results, may contain risky additives.
  • Water - Hydrating, easy to ingest, low Cannabidiol (CBD) levels, and may not last as long.

How Do CBD Products Work?

The pharmacological effects of Cannabidiol (CBD) products are mediated through G protein-coupled receptors. Cannabinoid type I (CB1) and cannabinoid type II (CB2) are mainly expressed in the hippocampus and other parts of the central nervous system. CB1 receptors get activated and inhibit synaptic transmission through action on voltage-gated calcium and potassium channels, which are known to modulate epileptiform and seizure activity. CB2 receptors are primarily expressed in the immune system and have limited expression in the central nervous system. The effects of Cannabidiol (CBD) are cannabinoid type II (CB2) receptor-independent.

Cannabinoid type I (CB1) receptors are expressed on many glutamatergic synapses implicated in seizure threshold modulation. They act on cannabinoid receptors, part of the complex endocannabinoid system (ECS). This system regulates the release of neurotransmitters (chemicals that communicate between nerve cells) in the brain and other parts of the nervous system.

By acting on the endocannabinoid system (ECS), Cannabidiol (CBD) produces different effects on the body. Cannabidiol’s (CBD) neuroprotective properties are because of its action on calcium homeostasis (increases calcium in cells). They act on cannabinoid receptors which are part of the complex endocannabinoid system (ECS). This system regulates the release of neurotransmitters(chemicals that communicate between nerve cells) in the brain, as well as in other parts of the nervous system. By acting on the endocannabinoid system (ECS), Cannabidiol (CBD) produces different effects on the body.

What Are the Uses of CBD Products?

  • Pain Relief - Cannabidiol (CBD) may affect brain receptors and help to manage pain. Studies have shown that Cannabidiol (CBD) offers pain relief after chemotherapy treatments, symptoms caused by muscle pain, arthritis, chronic pain, muscle sclerosis, and spinal cord injuries.
  • Anxiety Relief - Cannabidiol (CBD) alters the response of brain receptors to serotonin and helps to manage anxiety. Cannabidiol (CBD) relieves anxiety by reducing stress, decreasing the effects of anxiety-like increased heartbeat, inducing sleep, and improving the symptoms of post-traumatic stress disorder (PTSD).
  • Neuroprotective - Cannabidiol (CBD) action on brain receptors helps people with neurodegenerative disorders. They are used for improving neurodegenerative diseases such as Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, and stroke.
  • Anti-seizure - Studies show that Cannabidiol (CBD) can prevent certain types of seizures and helps to increase the efficiency of antiepileptic medications. Cannabidiol (CBD) interacts with natural neurotransmitters and receptors like endocannabinoids and influences body functions such as immune response, appetite pain, and sleep.
  • Anti-acne - Cannabidiol (CBD) affects receptors in the immune system and helps to reduce overall inflammation. Cannabidiol (CBD) oils are used for acne treatment. These oils alter the activity of sebaceous glands, which are responsible for producing sebum, an oily substance that hydrates the skin.
  • Cancer Treatment - Studies show that Cannabidiol (CBD) helps in preventing the growth of cancer cells. They reduce some tumor cells’ ability to replicate and reduce inflammation.

Are CBD Products Safe?

All Cannabidiol (CBD) products are not legally approved and safe. Epidiolex is the only Cannabidiol product approved by the Food and Drug Administration (FDA). Even though these products are well tolerated in the body, they possess potential side effects. Cannabidiol (CBD) can interact with other medications used for hypertension and antibiotics and alter their levels.

What Are the Side Effects of CBD Products?

  • Dry Mouth (cottonmouth) - Cannabidiol (CBD) products can cause the mouth and eyes to feel very dry. Though this side effect is more likely to occur with Tetrahydrocannabinol (THC), it can happen with CBD as well.
  • Drowsiness - Common side effects caused by using Cannabidiol (CBD) include drowsiness and sedation.
  • Gastrointestinal Problems - Decrease in appetite, diarrhea, and liver problems are common while using Cannabidiol (CBD) products.
  • Interact With Other Medications -Studies show that Cannabidiol (CBD) products interact with drugs like angiotensin blockers, antiarrhythmics, antidepressants, anticonvulsants, beta-blockers, benzodiazepines, calcium channel blockers, HIV antivirals, HMG CoA reductase inhibitors (statins), and oral hypoglycemic agents.

The Food And Drug Administration (FDA) reports say that there is limited data regarding the safety of Cannabidiol (CBD) products. Anyone interested in consuming Cannabidiol (CBD) in any form should first consult with their healthcare provider and be aware of potential risks associated with these products, including liver injury, drug interactions, and male reproductive toxicity. Cannabidiol (CBD) that comes from hemp (a type of cannabis Sativa plant) that produces no more than 0.3% Tetrahydrocannabinol (THC) by dry weight is considered legal at the federal level as of 2022. State laws vary, so it is best to confirm any rules and regulations that apply to your area with your local and state legislation. Cannabidiol (CBD) products sourced from marijuana are legal in countries where marijuana is legalized.

Conclusion

Cannabidiol (CBD) is a chemical found in the Cannabis Sativa plant, also known as cannabis or hemp. They act on cannabinoid receptors which regulate the release of neurotransmitters(chemicals that communicate between nerve cells) in the brain, as well as in other parts of the nervous system. By acting on the endocannabinoid system (ECS), Cannabidiol (CBD) produces different effects on the body. It includes balancing the body’s overall physical functions (homeostasis), reducing pain sensation, and reducing the body’s reaction to injury or inflammation. Cannabidiol (CBD) products can be used by mouth (oral or edible) or applied to the skin (topical). Even though Cannabidiol (CBD) products are widely available and recommended for so many problems, they must be used carefully and purchased from reliable sources under the guidance of a trained medical professional.

Frequently Asked Questions

1.

What Does a CBD Product Mean?

Cannabidiol, sometimes known as CBD, is the second most prevalent active ingredient in cannabis (marijuana). Although CBD is a key ingredient in marijuana, it is either prepared in a lab or isolated directly from the hemp plant, which is related to the marijuana plant. One of the many components of marijuana is CBD, however CBD by itself is not enough to produce a sense of "high." 
 

2.

What Purposes Does CBD Serve Today?

CBD oil may aid in reducing the symptoms of anxiety, neurological illnesses, heart health problems, and some forms of pain. It has been demonstrated that using CBD reduces various signs and symptoms of mood disorders.

3.

How Safe Are CBD Products?

Although CBD is usually considered harmless, some people may have negative side effects such as weariness, diarrhea, and changes in appetite and weight. Researchers studying childhood epilepsy have noted additional adverse effects such as pneumonia (a lung disorder), sleepiness, sedation, and abnormal liver function test findings.
 

4.

Who Consumes the Most CBD?

Only four percent of women routinely use CBD, compared to ten percent of men. Interestingly, statistics on CBD use also reveal that women typically take CBD more frequently for health benefits.

5.

Is CBD a Drug or a Chemical?

One of the substances in marijuana is called CBD which is a chemical. Tetrahydrocannabinol (THC), the psychoactive component of marijuana that causes a high, is absent from CBD. The most common form of CBD is oil, but it is also offered as an extraction, a vaporizer liquid, and a capsule made of oil.

6.

Is CBD a Natural Substance?

Natural CBD is generally defined as any CBD that is obtained from cannabis Sativa plants, whereas synthetic CBD is created in a laboratory by chemical or biological methods, such as utilizing yeast. In the cannabis market, there is now a lot of debate over the advantages and disadvantages of synthetic and natural CBD.

7.

Can CBD Lead To Urinary Issues?

A lot of people mistakenly think that CBD is marijuana, and there are rumors that it can lead to urinary issues. Surprisingly, though, CBD may be able to lessen urinary issues. Among other disorders, CBD may help with neuroinflammation, epilepsy, nausea and vomiting, oxidative damage, and anxiety.

8.

Does CBD Harm Hormones?

No, CBD has a beneficial impact on some hormones rather than having a negative one.Since it has the ability to alter a number of critical hormones, including insulin, cortisol, and melatonin, CBD is becoming more popular as an organic intervention option for hormone-related disorders.

9.

What Potential Drawbacks Could CBD Have?

CBD can have side effects, including dry mouth, diarrhea, decreased appetite, tiredness, and fatigue, even though it is frequently well tolerated. CBD may potentially cause interactions with any other medicines that individuals are using, such as blood thinners. The unpredictability of the amount and purity of Cannabidiol in products is another cause for worry.

10.

What Are CBD’s Infrequent Negative Effects?

While usually regarded as harmless, CBD has been known to produce sleepiness, feeling lightheaded, vomiting, diarrhea, dry mouth, and, in rare cases, liver damage. Combining CBD with drugs that have comparable negative effects can make it more likely for users to have undesirable symptoms or toxicity.

11.

Can CBD Alter the Color of Urine?

It is not known if CBD affects the smell or color of urine. In some cases, the liver may be harmed by CBD. In such situations, urine may appear dark. Liver function should be monitored before and after the treatment.

12.

Can CBD Improve Fertility?

CBD may increase fertility naturally and with few unfavorable side effects. Strong supporting evidence for this viewpoint is still lacking. There is still a great deal to discover about the endocannabinoid system, its function in fertility, and how CBD affects (and interacts with) it.

13.

Does CBD Raise Blood Pressure?

No, CBD does not increase blood pressure. Blood pressure has been observed to respond favorably to CBD. According to studies, it can reduce resting systolic blood pressure—the top reading—by an average of 5 to 10 mmHg. The impact of CBD on blood pressure, however, is transient and requires continuous use to remain effective.

14.

Can CBD Harm the Heart?

According to research, CBD may have a protective impact on the heart. This has been demonstrated in rats following a heart attack and in mice that had some of the cardiac damage related to diabetes.
 

15.

Does CBD Impact Brain Development?

Acute CBD significantly alters brain activity and connection patterns during resting state and the execution of cognitive activities in healthy participants as well as individuals with a psychiatric condition, according to neuroimaging studies.

16.

CBD: Does It Soothe the Nervous System?

Although anxiety can serve as an alarm that warns people of danger, feeling uneasy all the time can be extremely unsettling. Fortunately, CBD may support nervous system calming.

17.

Does CBD Relieve Arthritic Symptoms?

When utilized under a doctor's assistance, CBD may be helpful in momentarily lessening pain and inflammation associated with arthritis. CBD should not be substituted for any form of illness treatment or lifestyle modification that is advised by a doctor.
Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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