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nano-cannabidiol
cannabidiol (CBD herbal extract)
Entire Monograph
Reported Uses
- NOTE: see Herb & Supplement Effectiveness Rating Definitions table
- anxiety [Insufficient Evidence]
- aphthous ulcer (canker sores) [Insufficient Evidence]
- athletic performance [Insufficient Evidence]
- atopic dermatitis (eczema) [Insufficient Evidence]
- bipolar disorder [Insufficient Evidence]
- cachexia, cancer-related [Insufficient Evidence]
- cannabis use disorder [Insufficient Evidence]
- cocaine dependence [Insufficient Evidence]
- cognitive function [Insufficient Evidence]
- COVID-19 [Insufficient Evidence]
- Crohn dz [Insufficient Evidence]
- dementia [Insufficient Evidence]
- diabetes mellitus, type 2 [Insufficient Evidence]
- dyspepsia [Insufficient Evidence]
- dystonia [Insufficient Evidence]
- epilepsy [Likely Effective]
- essential tremor [Insufficient Evidence]
- exercise-induced muscle damage [Insufficient Evidence]
- exercise-induced muscle soreness [Insufficient Evidence]
- fatigue, cancer-related [Insufficient Evidence]
- fibromyalgia [Insufficient Evidence]
- fragile X syndrome [Insufficient Evidence]
- gastroparesis [Insufficient Evidence]
- graft-versus-host dz [Insufficient Evidence]
- HTN [Insufficient Evidence]
- Huntington dz [Insufficient Evidence]
- IBS [Insufficient Evidence]
- insomnia [Insufficient Evidence]
- multiple sclerosis [Insufficient Evidence]
- nausea/vomiting, chemo-induced [Insufficient Evidence]
- nephrolithiasis [Insufficient Evidence]
- neuropathic pain [Insufficient Evidence]
- obesity [Insufficient Evidence]
- opioid withdrawal [Insufficient Evidence]
- osteoarthritis [Insufficient Evidence]
- pain, acute [Insufficient Evidence]
- pain, cancer-related [Insufficient Evidence]
- pain, chronic [Insufficient Evidence]
- pain, postop [Insufficient Evidence]
- peripheral neuropathy [Insufficient Evidence]
- post-traumatic stress disorder [Insufficient Evidence]
- psoriatic arthritis [Insufficient Evidence]
- psychological well-being [Insufficient Evidence]
- psychosis, acute [Insufficient Evidence]
- psychosis, Parkinson dz-assoc. [Insufficient Evidence]
- rapid eye movement sleep behavior disorder [Insufficient Evidence]
- rheumatoid arthritis [Insufficient Evidence]
- schizophrenia [Insufficient Evidence]
- smoking cessation [Insufficient Evidence]
- social anxiety disorder [Insufficient Evidence]
- taste changes, chemo-related [Insufficient Evidence]
- temporomandibular disorder [Insufficient Evidence]
Reported Doses
Safety/efficacy may not be established; reported doses may be derived from limited or potentially inadequate studies w/ variable regimens, multi-ingredient products, or where concentration of active ingredients may vary widely
Special Note
- [formulation clarification]
- Info: cannabidiol (CBD) nonpsychoactive constituent is typically derived from marijuana or hemp, two forms of Cannabis sativa; for combined THC and CBD herbal extract info see 'cannabis'; for FDA-approved Rx product see 'cannabidiol (CBD)' (oral purified CBD); all other preparations are not FDA-approved
Effectiveness Ratings
- [see Herb & Supplement Effectiveness Rating Definitions table]
anxiety
- [Insufficient Evidence (PO route)]
- Dose: 200-800 mg CBD PO qd; Start: 200 mg CBD PO qd, then may titrate to optimal dose; Max: 800 mg/day
- [Insufficient Evidence (SL route)]
- Dose: 9.97 mg CBD solution SL tid; Info: solution containing low level THC 0.69 mg/day
aphthous ulcer (canker sores)
- [Insufficient Evidence]
- Dose: apply 0.1% CBD patch topically tid
atopic dermatitis (eczema)
- [Insufficient Evidence]
- Dose: apply 1% CBD gel topically qd
cannabis use disorder
- [Insufficient Evidence]
- Dose: 400-800 mg/day CBD oil PO divided bid
cognitive function
- [Insufficient Evidence]
- Dose: 9.97 mg CBD solution SL tid; Alt: 12.5 mg (5% CBD) via inhalation x1
dementia
- [Insufficient Evidence]
- Dose: 11.8-247.8 mg CBD oil SL tid; Start: 11.8 mg CBD oil SL tid, then titrate to optimal dose; Info: cannabis oil containing 295 mg/mL CBD and 12.5 mg/mL THC
diabetes mellitus, type 2
- [Insufficient Evidence]
- Dose: 200 mcg CBD spray SL q12h; Info: given 30min before meals; product containing 100 mcg/spray CBD and 10 mcg/spray THC
dystonia
- [Insufficient Evidence]
- Dose: 100-600 mg CBD PO qd
exercise-induced muscle damage
- [Insufficient Evidence]
- Dose: 60 mg CBD PO x1; Start: after exercise
fragile X syndrome
- [Insufficient Evidence]
- Dose: apply 50-250 mg/day CBD gel topically divided qd-bid; Alt: apply 125 mg CBD gel topically q12h if wt <35 kg; apply 250 mg CBD gel topically q12h if wt >35 kg; Info: for use in peds pts
epilepsy, adult pts
- [Likely Effective]
- Dose: apply 195-390 mg (4.2% CBD gel) topically bid
epilepsy, peds pts
- [Likely Effective]
- Dose: apply 125-500 mg (4.2% CBD gel) topically bid; Info: for pts 3-18 yo
graft-versus-host dz
- [Insufficient Evidence]
- Dose: 150 mg CBD oil PO bid; Start: 7 days before transplant; Info: used w/ standard tx
HTN
- [Insufficient Evidence]
- Dose: 225-300 mg/day CBD PO divided bid-tid x2.5wk, then titrate to 375-450 mg/day CBD PO divided bid-tid x2.5wk; Alt: 150 mg CBD PO q8h
insomnia
- [Insufficient Evidence]
- Dose: 15 mg CBD PO qd
osteoarthritis
- [Insufficient Evidence]
- Dose: apply 6.2 mg CBD cream topically bid
pain, chronic
- [Insufficient Evidence]
- Dose: 15 mg CBD PO bid; Alt: apply 10 mg CBD cream topically bid
pain, postop
- [Insufficient Evidence]
- Dose: 25 mg CBD buccally tid if wt <80 kg; 50 mg CBD buccally tid if wt >80 kg
post-traumatic stress disorder
- [Insufficient Evidence]
- Dose: 300 mg CBD PO x1
psychological well-being
- [Insufficient Evidence]
- Dose: 150 mg CBD oil PO bid; Alt: 15 mg CBD oil PO qd
psychosis, Parkinson dz-assoc.
- [Insufficient Evidence]
- Dose: 150 mg CBD PO qd x1wk, then incr. by 150 mg/day qwk if tolerated; Alt: 300 mg CBD PO x1
peripheral neuropathy
- [Insufficient Evidence]
- Dose: apply oil topically to affected areas; Info: oil contains CBD, camphor and eucalyptus leaf
schizophrenia
- [Insufficient Evidence]
- Dose: 400 mg CBD PO qid; Alt: 1000 mg PO qd; Info: used w/ or w/o standard tx
smoking cessation
- [Insufficient Evidence]
- Dose: 400 mcg/actuation CBD via inhalation prn; Alt: 320 mg CBD PO x1
social anxiety disorder
- [Insufficient Evidence]
- Dose: 300-600 mg CBD PO x1; Alt: 300 mg CBD PO qd
taste changes, chemo-related
- [Insufficient Evidence]
- Dose: 300 mg CBD PO qd x8 days; Info: given during each cycle of chemo
temporomandibular disorder
- [Insufficient Evidence]
- Dose: apply 20% CBD ointment topically bid
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