CBD
is an extract from cannabis that seems to have therapeutic powers
across a range of conditions, and now the researchers are starting to
get interested.
Think
cannabis, and images of smoking pot or weed—probably in a dark
room—come to mind. But cannabis isn’t just about getting high; it’s been
used in societies around the world for centuries as a remedy to treat a
whole host of health problems, such as pain and insomnia.
Worried
that the therapeutic use of cannabis could make us all dopes on dope,
governments around the world banned it in the 1930s and 40s. Then, in
1940, a scientist was able to isolate one ingredient from the cannabis
plant. Cannabidiol (CBD) certainly didn't make you high—another
ingredient, THC (tetrahydrocannabinol), did that—but it didn't seem to
have any therapeutic value either.
There
the story appeared to end, other than for the occasional anecdotal tale
about someone using it to ease pain or relieve stress. But things
changed dramatically in 2013 when CNN in the US broadcast a documentary
that featured a girl called Charlotte, who suffered from Dravet
syndrome, a rare and life-threatening form of epilepsy. Charlotte, then
aged five, was suffering around 300 grand mal episodes a week and the
doctors didn't have any answers.
Her
desperate parents searched online and discovered that CBD had been used
to treat epilepsy. Although worried that they were giving marijuana to
such a young girl, the parents felt they had to do something, and so
started to give Charlotte CBD oil. Within a year, her seizures had
almost stopped.
The
story gave CBD a new name. Today, it's often called Charlotte's Web
when it's not referred to as medical marijuana. And researchers are
starting to take the medical appellation seriously; from hardly being
studied at all, a new research paper on the therapeutic value of CBD
comes out almost weekly. From cancer to Crohn's, CBD is being touted as a
therapy that can help with a wide range of conditions, although, thus
far, much of the research has been carried out on laboratory animals.
Here's a review of some of the research:
Fractures
CBD
helps fractures heal more quickly. On the face of it, it's bizarre—but
it actually explains why CBD could be helping with so many other
conditions too. Our body has its own cannabinoid system that regulates
vital and non-vital processes—which means we respond to cannabis because
of our intrinsic compounds and receptors. In other words, they can be
activated by the cannabis plant. So, when we suffer a fracture, CBD
activates the processes that make bones stronger and accelerates the
building of new bone. Afterwards, the bone is stronger than before,
making it less likely to fracture in the future, say researchers at the
Tel Aviv University who made the discovery when they tested both CBD and
THC on a group of laboratory rats. The CBD group's bones healed
quickly, the THC rats were just happy. This could mean that CBD can
prevent osteoporosis and other bone problems as we age, the researchers
say. 1
Pain
Pain
relief was one of the first uses of CBD, and researchers continue to
demonstrate that it's an effective analgesic. In one experiment on
laboratory rats, a derivative of CBD, MDA19, successfully treated
neuropathic pain caused by nerve damage, which is common in people
suffering from trauma and diabetes. Not surprisingly, researchers from
the University of Texas discovered that the pain relief was greater with
the higher doses. 2
Another
study, which explored pain's impact on sleep, discovered that half the
2,000 patients tested started to enjoy a full night's sleep after taking
CBD, or a combination of CBD and THC. There were no side effects or
dosages that caused problems, but it helped the patients—suffering from
multiple sclerosis (MS), peripheral neuropathic pain, cancer pain and
rheumatoid arthritis—get some restful sleep. 3
Inflammation
CBD
is also an anti-inflammatory. It communicates with two receptors in the
body—CB1 and CB2—and it's the second of the two that controls the
inflammatory response. When activated, fewer inflammatory substances,
known as cytokines, are released. In one test on mice, researchers at
the Swiss Federal Institute of Technology discovered that the compound
reduced swelling in 70 per cent of the animals. The researchers think
that CBD could be used in treating chronic diseases such as liver
cirrhosis, osteoarthritis and the artery disease, arteriosclerosis. 4
Crohn's disease
Crohn's
disease is a form of inflammatory bowel disease (IBD) that doesn't
respond to conventional treatment. When 21 sufferers were given cannabis
or a placebo, five of the 11 in the cannabis group achieved 'complete
remission' compared to just one in the placebo group, and 10 in the
cannabis group reported a marked reduction in symptoms. The eight weeks
of treatment achieved 'significant clinical, steroid-free benefits', the
researchers said. 5
Alzheimer's disease
Amyloid
beta is a protein that forms into plaques in the brain that are
regularly seen in Alzheimer's patients—and cannabis can help remove
them. Researchers from Salk Institute tested cannabis compounds,
including THC, on neurons grown in the lab, and found they reduced
amyloid beta protein levels and completely eliminated the inflammatory
response. 6
Epilepsy
The
treatment of epilepsy was what put CBD on the therapeutic map. The bulk
of the scientific evidence for its effectiveness comes from Colorado,
one of the first states to legalize marijuana, and the results have been
mixed. In one study of 58 children and adolescents given CBD, one-third
halved their rate of seizure, but 21 per cent reported an increase in
seizures. CBD fared better in cases of infantile spasms; of the 5r3
children treated, 92 per cent reported a reduction in seizures. 7
In
a separate test on a severe form of epilepsy called Lennox-Gastaut
syndrome, sufferers reported a 42 per cent reduction in 'drop
seizures'—where there is a severe loss of muscle control and
balance—when they were given 20mg CBD, and this fell slightly to 37 per
cent in those given 10mg. 8
LOOK OUT FOR PART 2: CBD as a treatment for anxiety, depression, stress—and cancer
1. Journal of Bone and Mineral Research, 2015; doi: 10.1002/jbmr.2513
2. Anaesthesia & Analgesia, 2019; 111: 99-109
3. Chemical Biodiversity, 2007; 4: 1729-43
4. Proceedings of the National Academy of Sciences, 2008; 105: 9099
5. Clinical Gastroenterological Hepatology, 2013; 11: 1276-80
6. Npj Aging and Mechanisms of Disease, 2016; 2: 16012
7. Annual meeting of the American Epilepsy Society, December 8, 2014
8. New England Journal of Medicine, 2018; 378: 1888
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