CANNABIDIOL

Background and Date of Approval

Cannabidiol (CBD) is a naturally occurring compound found in the Cannabis sativa plant. Unlike THC (tetrahydrocannabinol), it does not produce psychoactive effects. CBD has received considerable attention for its possible therapeutic applications, particularly in the management of epilepsy, chronic pain, anxiety, and inflammation. The FDA approved Epidiolex, a purified CBD formulation, for treatment of rare epilepsy disorders in 2018. In India, CBD-based products remain regulated and are administered under careful medical supervision, primarily for epilepsy and treatment-resistant neurological conditions.

Uses

Cannabidiol is used for: Managing chronic pain conditions Treating certain types of epilepsy (e.g., Lennox-Gastaut Syndrome, Dravet Syndrome) Reducing symptoms of anxiety and stress-related disorders Supporting management of inflammation-related disorders

Side Effects

Common side effects: Drowsiness Dry mouth Dizziness Fatigue Nausea Serious side effects (seek medical help immediately): Severe allergic reactions (rash, swelling, difficulty breathing) Elevated liver enzymes Low blood pressure Severe drowsiness or sedation

Warnings

May cause liver enzyme elevations, especially at high doses. Potential for drug-drug interactions, particularly with anti-epileptic drugs and anticoagulants. Not recommended for use in patients with hypersensitivity to CBD or its excipients. May cause drowsiness, dizziness, or fatigue. Should not be used recreationally due to regulatory restrictions.

Precautions

Liver function tests should be regularly monitored, especially in long-term use. Use with caution in patients with liver or kidney impairment. Avoid alcohol and other sedative drugs while using CBD. Pregnancy and Breastfeeding: Use only under strict medical supervision; safety has not been well established. May impair cognitive function; caution advised when driving or operating machinery.

References

https://go.drugbank.com/drugs/DB09061 https://pubchem.ncbi.nlm.nih.gov/compound/Cannabidiol https://www.sciencedirect.com/topics/neuroscience/cannabidiol

Frequently Asked Questions

Is Cannabidiol psychoactive?

No, cannabidiol does not cause a “high” like THC. It is used for therapeutic purposes without psychoactive effects.

Can children use Cannabidiol?

Yes, under strict medical supervision, especially for epilepsy management in conditions like Lennox-Gastaut and Dravet syndromes.

Can I drive after taking Cannabidiol?

It is advised to avoid driving or operating heavy machinery until you know how the medicine affects you.

How long does it take to show results?

It may take several weeks to see full benefits, depending on the condition being treated.

Available Brands 1

Written By: Muskan Patel, M.Pharm

Reviewed By: Dr. Vishwa Patel, MBBS