People with arthritis may consider CBD products for pain relief. Learn what science and experts say about CBD’s benefits, risks, different ways the product can be used and how to be a smart shopper. ADVERTISEMENT. San Antonio Current news staff was not involved in the creation of this content. Please note, this report is not meant to treat or… CBD, a non-psychoactive component in cannabis, is emerging as a promising pharmaceutical agent to treat pain and other conditions. Unfortunately, few studies in humans have examined its effectiveness, and the cannabis industry’s profit motive is driving a wave of dubious claims about what CBD can do.
How Do CBD Gummies Help Pain
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CBD for Arthritis Pain: What You Should Know
Learn what the science says about the risks and benefits of CBD use for arthritis and what to shop for.
What is CBD? CBD, short for cannabidiol, is an active compound found in the cannabis plant. CBD is not intoxicating but may cause some drowsiness. The CBD in most products is extracted from hemp, a variety of cannabis that has only traces (up to 0.3%) of THC, the active compound that gets people high.
Does CBD work for arthritis? Animal studies have suggested that CBD has pain-relieving and anti-inflammatory properties, but these effects have not been validated in quality studies in humans. Anecdotally, some people with arthritis who have tried CBD, but not all, report noticeable pain relief, sleep improvement and/or anxiety reduction.
Is CBD safe to use? Research evaluating the safety of CBD is underway. At this point very little is known. So far, no serious safety concerns have been associated with moderate doses. CBD is thought to have the potential to interact with some drugs commonly taken by people with arthritis. Talk to your doctor before trying CBD if you take any of the following: corticosteroids (such as prednisone), tofacitinib (Xeljanz), naproxen (Aleve), celecoxib (Celebrex), tramadol (Ultram), certain antidepressants, including amitriptyline (Elavil), citalopram (Celexa), fluoxetine (Prozac), mirtazapine (Remeron), paroxetine (Paxil), sertraline (Zoloft), and certain medications for fibromyalgia, including gabapentin (Neurontin) and pregabalin (Lyrica).
Are CBD products legal? CBD products derived from hemp are no longer considered Schedule I drugs under the federal Controlled Substances Act, but they still remain in a legal gray zone. There are changes underway on federal and state levels that will ultimately clarify the laws and regulations related to CBD-based products and sales. Despite that, they’re widely available in nearly every state and online. People who want to use CBD should check their state laws.
Taking the First Step
Should I give CBD a try? Without quality clinical studies on CBD and arthritis, doctors have not been able to say who might benefit from CBD, at what dose and in which form, who likely won’t benefit and who should avoid it. Still, there is agreement on several points:
- CBD is not a substitute for disease-modifying treatment for inflammatory arthritis.
- Patients who are interested in trying CBD should first talk to the health care provider who treats their arthritis before trying CBD. Together, they can review what has worked or not worked in the past, whether there are other options to try first, how to do a trial run, what to watch for and when to return for a follow-up visit to evaluate the results. Keep a symptom and dose diary to track effects.
- Quality CBD products can be expensive, especially when used for prolonged periods. To avoid wasting money, be completely sure that the product is truly having a positive effect on symptoms.
What type of product should I consider? CBD-based products can be taken orally, applied to the skin or inhaled. There are pros and cons for each.
By mouth. CBD that is swallowed, whether in capsules, food or liquid, is absorbed through the digestive tract. Absorption is slow and dosing is tricky due to the delayed onset of effect (one to two hours), unknown effects of stomach acids, recent meals and other factors.
Capsules can work for daily use after a safe, effective capsule dose has been established. Experts discourage taking CBD via edibles, like gummies and cookies, because dosing is unreliable, and they are appealing to children but do not come in childproof containers. Like any medicine, edibles should be secured out of sight and reach of children.
CBD can also be absorbed directly into the bloodstream by holding liquid from a spray or tincture (a liquid dosed by a dropper) under the tongue (sublingual) for 60 to 120 seconds. The taste may not be pleasant. Effects may be felt within 15 to 45 minutes.
On the skin. Topical products, like lotions and balms, are applied to the skin over a painful joint. Whether these products deliver CBD below the skin is unknown. Topical products may also include common over-the-counter ingredients such as menthol, capsaicin or camphor, making it difficult to determine if a positive effect is due to the CBD or another ingredient.
Inhaled. CBD can be inhaled via a vaporizing, or vape, pen. However, inhalation of vapor oils and chemical byproducts carry unknown risks, particularly for people with inflammatory arthritis. For this reason and because the Centers for Disease Control and Prevention is investigating vaping in association with widespread hospitalizations and deaths from severe pulmonary disease, vaping is not recommended.
How much CBD should I use? While there are no established clinical guidelines, the medical experts consulted by the Arthritis Foundation recommend the following for adults:
- When preparing to take a liquid form, be aware that the CBD extract is mixed with a carrier oil, so there are two measures to know: the amount of the liquid product to take (the dose) and the amount of CBD in each dose.
- Go low and slow. Start with just a few milligrams of CBD in sublingual form twice a day. If relief is inadequate after one week, increase the dose by that same amount. If needed, go up in small increments over several weeks. If you find relief, continue taking that dose twice daily to maintain a stable level of CBD in the blood.
- If CBD alone doesn’t work and you are in a state where medical or recreational marijuana is legal, talk to your doctor about taking CBD with a very low-dose THC product. Be aware that THC, even at low levels, may get you high, creating cognitive, motor and balance issues. Try THC-containing products at home or at night first, so you can sleep off any unwanted effects.
- After several weeks, if you don’t find relief with CBD alone or with a combination of CBD and very low THC, CBD may not be right for you.
- If you experience any unwanted side effects when using a CBD product, immediately discontinue use and inform your doctor.
What to Look for When Shopping
There is good reason to be a cautious shopper. CBD products are largely unregulated in the U.S. market. Independent testing has shown mislabeling and lack of quality control. The biggest issues are strength of CBD (significantly more or less than the label says), the presence of undeclared THC, and contamination with pesticides, metals and solvents. Here’s what to look for:
- Find products manufactured in the U.S. with ingredients grown domestically.
- Choose products made by companies that follow good manufacturing practices established by the FDA for pharmaceuticals or dietary supplements (a voluntary quality standard because CBD products are not federally regulated under either category) or required by the state where they are manufactured.
- Buy from companies that test each batch and provide a certificate of analysis from an independent lab that uses validated standardized testing methods approved by the American Herbal Pharmacopoeia (AHP), the U.S. Pharmacopeia (USP), or the Association of Official Agricultural Chemists (AOAC).
- Avoid companies that claim their products have disease benefits.
- Be aware that marketers and people behind retail counters are not health professionals; they are salespeople. That’s why your doctor is your best source for guidance and monitoring when using an unregulated product.
Our gratitude to the following experts for their guidance and review:
Kevin Boehnke, PhD, a researcher at the Chronic Pain and Fatigue Research Center at the University of Michigan, focuses on medical cannabis as an analgesic and opioid substitute in chronic pain.
Daniel Clauw, MD, a professor of anesthesiology, rheumatology and psychiatry at the University of Michigan and director of the Chronic Pain and Fatigue Research Center, leads research on arthritis pain and fibromyalgia, and the effects of cannabis, particularly CBD, in pain.
Mary-Ann Fitzcharles, MD, an associate professor of medicine in the Division of Rheumatology at McGill University in Montreal, Quebec, conducts research on pain and rheumatic diseases. She is the lead author of the 2019 Canadian Rheumatology Association (CRA) position statement for medical cannabis.
During Pain Awareness Month in September and all year long, we’ve got you covered with unique pain management tools and resources you won’t find anywhere else.
How to Manage Pain with CBD Gummies
ADVERTISEMENT. San Antonio Current news staff was not involved in the creation of this content. Please note, this report is not meant to treat or diagnose any illness. It is written for informational purposes only. If you have any health concern at all, please see a licensed healthcare professional.
More and more people around the world are purchasing hemp products due to their promising benefits. As a result, more people are trying out CBD gummies and other products with CBD.
People try to chew CBD gummies for pain. The usual pain meds might have side effects, but CBD oils may get rid of pain much safer. Why not choose CBD gummies for a tasty CBD dose?!
CBD products might help with other problems such as acne and anxiety. Unlike the others, CBD gummies may be fun and healthy. For the best quality, check the best CBD gummies for pain.
What Is Full-spectrum CBD?
Products like CBD gummies contain CBD oils, and it determines their quality and high-potency.
These are a mixture of cannabidiol (CBD), compounds, and select essential oils. Also considered as a cannabinoid, the former comes from industrial hemp extract and cannabis plants.
The best CBD gummies and similar products contain the best CBD oils made of top-quality cannabidiol enhanced and the best essential oils and blends. These include lavender oil and coconut oil, which may enhance the benefits of CBD.
What’s more, they are typically classified as full-spectrum CBD since they contain nearly all materials from cannabis.
Not to be confused with broad spectrum or CBD isolate, full spectrum formulations contain trace amounts of THC and other plant substances that produce an entourage effect. This is the interaction between these ingredients that make the best CBD gummies superior.
What Are The Potential Benefits Of CBD?
As we’ve mentioned, CBD gummies may soothe chronic pain and provide other health benefits.
Aside from CBD gummies for pain, similar goodies may alleviate stress after a long day. Experts found that cannabidiol may induce feelings of relaxation that might destress exhausted people.
Even better, these soothing sensations may help with symptoms of anxiety and depression. It could also ease you into better sleep, helping further with stress and improving mental health.
What Are CBD Gummies?
If you’ve browsed common CBD products online, you might find them unique. In response, you may have wished there was a CBD option that is similar to regular snacks.
Thankfully, CBD gummies are like classic gummy bears, but they contain a set amount of CBD in every chew. Similarly, they come in different flavors, and they have varying CBD concentrations.
These are the perfect choice for a delectable way to take CBD. You’ll find a wide variety of flavors to choose from. You could even find options that fit specific diets!
Of course, your experience will depend on the product’s quality. That’s why you should only chew on the best CBD gummies for pain and other needs.
How To Use CBD Gummies?
There are several reasons for snacking on CBD gummy treats. For example, you could chew CBD gummies for pain, anxiety, and depression.
You could munch on a few while you’re taking a break for a bit of CBD goodness. What’s more, you could take CBD gummies for pain and other conditions. What more could you want with CBD benefits in every bite?
No matter the purpose, you should follow the product’s instructions. The right dose of CBD gummies will keep you safe from unintended side effects. If you feel any unusual symptoms afterward, refrain from taking the product. Please seek medical advice before taking any CBD product.
Your physician can assist you in taking CBD safely by recommending your dose.
CBD Gummies Anxiety & Depression
Besides taking CBD gummies for pain, these cannabidiol bites may also help with mental health.
It may induce soothing sensations for alleviating anxiety and stress. Participants of a study from 2019 exhibited reduced anxiety after taking CBD.
What’s more, the feelings of relaxation from CBD might even help people sleep better. Then, improved sleep may improve mental health further.
Effects will depend on CBD oil quality, though, so you should use the best CBD gummies.
Best CBD Gummies for Pain
With the abundance of CBD choices nowadays, it can be difficult to find truly top-quality CBD gummies for pain. How do you find the best CBD gummies for pain?
First, they should be made with hemp grown in the United States. This ensures every chew contains quality and safety.
Second, it should be lab-tested by third-party lab testing. This verifies the ingredients, that are free of artificial sweeteners, inside the CBD gummies through unbiased scientific results.
Third, the best CBD for pain is created using all-natural and organic ingredients, ensuring a quality product. You won’t find any artificial additives in each piece.
Where do you find the best CBD edibles for pain management? Well, Blosum’s CBD products have top-notch quality and safe CBD gummies for all your needs!
Best Vegan Gummies
Blosum provides Vegan CBD gummies that meet every standard for top-tier quality and supplement.
CBD Gummies Vegan Full-Spectrum
Price: Starting at $74.99
Strength: 10 mg or 25 mg
Flavor: Mixed Fruit (Watermelon, Orange, and Strawberry)
BlosumCBD’s Vegan Full-spectrum Gummies have it all! These all-natural ingredient treats are not only delicious but beneficial for a better quality of life. Each of these full-spectrum gummies contains 0.3% THC, meaning you can get the full effects of benefits like the “entourage effect” from the high potency of the product. Blosum’s Vegan Full-Spectrum Gummies are:
- Grown in the U.S.
- Third-party Lab tested
- Vegan & Gluten-free
- 100% USDA Organic
CBD Gummies Vegan Broad-Spectrum
Strength: 25 mg
- Grown in the U.S.
- Third-party Lab tested
- Vegan & Gluten-free
- 100% USDA Organic
Inferior CBD gummies have a thin veneer of cannabidiol that eventually deteriorates, resulting in inconsistent and weak effects.
On the other hand, cannabidiol is infused in every bite of Blosum’s CBD gummies. Each CBD treat provides a consistent dose of 15 or 25 mg of CBD.
You could try Blosum’s Full-Spectrum CBD Gummies for the taste of watermelon, strawberry, and orange in each bite. They provide maximum CBD effects while keeping vegan-friendly.
Alternatively, Blosum’s Broad-Spectrum CBD Gummies contain 25 mg of CBD, sweet strawberry flavor, and no THC.
- Rich in full-Spectrum phytocannabinoids
- Contains 0.3% THC following FDA standards
- US-made and contains all-natural and vegan ingredients with no GMOs
Experts have researched cannabidiol’s effect on chronic pain and found promising results.
CBD interacts with the body’s endocannabinoid system (ECS), which regulates vital functions such as pain perception and mood. Once cannabidiol binds to its receptors, a person may experience pain relief or help with inflammation.
Most CBD products may soothe muscle aches since they all contain cannabidiol. For example, CBD oil tinctures quickly take effect because it’s applied under the tongue. However, they often dissipate after a short time.
If you want pain relief that doubles as a snack, then you may want to grab CBD gummies for pain. First-timers would likely munch on this chewy treat over the other CBD alternatives. After all, it’s basically like candy with some CBD!
As with any medicine, CBD poses a slight risk for negative effects.
Fortunately, legitimate CBD retailers always follow the Food And Drug Administration’s guidelines. These laws ensure that CBD gummies for pain are generally safe for consumption.
People are likely to experience side effects due to improper CBD dosage and underlying health conditions.
That’s why you must consult a health professional before taking CBD. Also, follow your doctor’s recommendations and the product’s instruction label.
How Long Does It Take To Work?
CBD gummies for pain and other conditions usually take effect after 2 hours.
Your body has to digest ingested CBD before you could experience any effects. Digestion usually takes 2 hours, depending on several factors.
For example, it might work quicker if you take CBD on an empty stomach. Also, it depends on the type and quality of your CBD product.
The best CBD gummies comply with FDA guidelines to ensure customer safety and satisfaction.
You may choose between two ways on how to take CBD gummies.
You could take 25 mg of CBD every day, then add 25mg more every 4 weeks until you’ve achieved the intended effects.
If symptoms worsen, deduct 25mg from the daily dose. Though, you should seek a health professional if CBD oil seems to exacerbate your medical condition.
In contrast, you could start with 25mg then adjust the dosage depending on your symptom relief.
Are CBD Gummies Legal?
The 2018 Farm Bill has allowed hemp-derived CBD products like cannabidiol gummies for public consumption.
Moreover, it mandates that their tetrahydrocannabinol (THC) content must stay at 0.3% or less. It’s the psychoactive component of cannabis, but this limit prevents mind-altering effects in CBD products.
As we’ve discussed, it causes an entourage effect that might enhance cannabidiol gummies’ pain. Most of the best CBD gummies use this chemical reaction to provide the utmost benefits.
What’s more, they comply with FDA quality and safety standards. They adhere to the strict THC limit and consist of all-natural and organic ingredients.
However, each state has different CBD regulations, so please check your local CBD laws and comply accordingly.
Do CBD Gummies Get You High?
You’re unlikely to experience psychoactive effects from doses of cannabidiol gummies.
While there are THC-free variants, you could purchase, full-spectrum CBD gummies generally don’t cause mind-altering effects.
The best gummies with CBD strictly comply with FDA guidelines to prevent adverse effects.
Always buy top-quality CBD gummies for pain and other needs.
What are the Pros and Cons of Using CBD Gummies?
All products pose some risk, but they’re unlikely in cannabidiol gummies.
Side effects may include reduced appetite and drowsiness, but they often result from improper use. You could choose products made with pure CBD isolates, but other substances won’t improve its cannabidiol.
If you use the best CBD gummies for pain, you avoid these potential side effects. They comply with strict FDA regulations to keep their customers safe and satisfied.
What’s more, CBD gummies allow for a delectable CBD experience! Even better, BlosumCBD products provide excellent customer service!
These statements have not been evaluated by the FDA and are not intended to diagnose, treat or cure any disease. Always check with your physician before starting a new botanical extract, medicinal herb, or dietary supplement program. Hemp-derived CBD products (with less than 0.3 percent THC) are legal on the federal level but are still illegal under some state laws. Check your state’s laws and those of anywhere you travel. Keep in mind that nonprescription CBD products are not FDA-approved.
The statements made in this sponsored post are those of the paid sponsor and not those of San Antonio Current, and are not intended as medical advice. Consult your doctor before undertaking any changes to your physical, mental or dietary health.
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San Antonio mural shows Ted Cruz squeezing Gov. Abbott’s baby bump — and Twitter goes wild
CBD for chronic pain: The science doesn’t match the marketing
If you ask health care providers about the most challenging condition to treat, chronic pain is mentioned frequently. By its nature, chronic pain is a complex and multidimensional experience. Pain perception is affected by our unique biology, our mood, our social environment, and past experiences. If you or a loved one is suffering from chronic pain, you already know the heavy burden.
People are looking for novel, nonaddictive ways to treat pain
Given the ongoing challenges of chronic pain management coupled with the consequences of the opioid epidemic, pain management practitioners and their patients are searching for effective and safer alternatives to opioids to alleviate pain. With the legalization of marijuana in many states and resulting cultural acceptance of this drug for recreational and medical use, there has been an increased interest in using cannabis for a myriad of medical problems, including pain.
Cannabis (most commonly obtained from the Cannabis indica and Cannabis sativa plants) has three major components: cannabinoids, terpenoids, and flavonoids. While there are over a hundred different cannabinoids, the two major components are tetrahydrocannabional (THC) and cannabidiol (CBD). Historically more attention has been paid to the psychoactive (euphoric “getting high”) component of the cannabis plant, THC; there have been fewer scientific studies on the medical use of CBD, a non-psychoactive component of the plant.
What’s the thinking behind using cannabis for chronic pain?
CBD is emerging as a promising pharmaceutical agent to treat pain, inflammation, seizures, and anxiety without the psychoactive effects of THC. Our understanding of the role of CBD in pain management continues to evolve, and evidence from animal studies has shown that CBD exerts its pain-relieving effects through its various interactions and modulation of the endocannabinoid, inflammatory, and nociceptive (pain sensing) systems. The endocannabinoid system consists of cannabinoid receptors that interact with our own naturally occurring cannabinoids. This system is involved in regulating many functions in the body, including metabolism and appetite, mood and anxiety, and pain perception.
What’s the research that CBD works in humans?
Given its promising results in animal models, along with its relative safety, non-psychoactive properties, and low potential for abuse, CBD is an attractive candidate to relieve pain. Unfortunately, there is a lack of human studies about the effectiveness of CBD. However, there is an abundance of commercial advertisements about the magical effects of CBD, and it is frequently presented as a cure-it-all potion that will treat everything including diabetes, depression, cancer, chronic pain, and even your dog’s anxiety!
So far, pharmaceutical CBD is only approved by the FDA as adjunct therapy for the treatment of a special and rare form of epilepsy. Currently, CBD alone is not approved for treatment of pain in the United States. But a combination medication (that contains both THC and CBD in a 1:1 ratio) was approved by Health Canada for prescription for certain types of pain, specifically central neuropathic pain in multiple sclerosis, and the treatment of cancer pain unresponsive to optimized opioid therapy. There is currently no high-quality research study that supports the use of CBD alone for the treatment of pain.
Why is CBD presented to the public this way, when it is not without risks?
Given the rapid change in the legality of cannabis coupled with the increased appetite for something new, and driven by unprecedented profit margins, the advertising for cannabinoids in general and CBD in particular has gone wild. The FDA is very clear that it is illegal to market CBD by adding it to a food or labeling it as a dietary supplement. And it warns the public about its potential side effects, as it’s often advertised in a way that may lead people to mistakenly believe using CBD “can’t hurt.” CBD can cause liver injury, and can affect the male reproductive system (as demonstrated in laboratory animal studies).
Most importantly, CBD can interact with other important medications like blood thinners, heart medications, and immunosuppressants (medications given after organ transplantation), potentially changing the levels of these important medications in the blood and leading to catastrophic results, including death. Also, more information needs to be gathered about its safety in special populations such as the elderly, children, those who are immunocompromised, and pregnant and breastfeeding women.
Many of the CBD products on the market are unregulated
In fact, the FDA has issued several warning letters to companies and individuals that market unapproved new drugs that allegedly contain CBD. The FDA has tested the chemical content of cannabinoid compounds in some of the products, and many were found to not contain the levels of CBD the manufacturers had claimed they contain.
Beware of powerful testimonials
Finally, there is anecdotal wisdom, when experiences by patients and health professionals have positive results. While the experience or medication could be beneficial, that doesn’t mean it is going to work for everyone. That’s because each and every person is unique, and what works perfectly for one patient could have no effect on another patient. This is especially true for pain, where many other factors (our mood and stress level, our environment and other medical conditions, and our previous experiences) can affect the perception of pain. Please be careful, and keep in mind that some of these incredible-sounding testimonials are merely marketing materials meant to lure consumers to buy more products, as the CBD market is expected to hit $20 billion by 2024.
The bottom line: Don’t make CBD your first or only choice for pain relief
If you or someone close to you is considering trying CBD, I would recommend Dr. Robert Shmerling’s advice about the dos and don’ts in choosing an appropriate product. Until there is high-quality scientific evidence in humans, it is difficult to make a recommendation for the regular use of CBD in chronic pain management.
About the Author
Shafik Boyaji, MD , Contributor
Dr. Boyaji earned his medical degree from University of Aleppo, Syria. He completed an Internal Medicine residency at Michigan State University and an Anesthesiology residency at the Brigham and Women’s Hospital. Currently he is in fellowship … See Full Bio
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