CBD oil is approved for the treatment of rare epilepsy cases. Learn more about the safety, appropriate dosage, and potential risks of CBD oil for kids. Most parents say CBD for kids should require a doctor’s prescription, while 7% have given or considered giving it to children for medical reasons.
Is CBD Oil Safe For Children With Anxiety And ADHD?
The popular cannabidiol oil should be used only under the supervision of a pediatrician.
Dr. Mubina Agboatwalla is a well-known pediatrician, practicing paediatrics since the last 20 years in Karachi Pakistan. She is the head of the department of Pediatrics in Karachi Liaquat Hospital, as well as her private practice in three s. more
Swati Patwal is a clinical nutritionist, a Certified Diabetes Educator (CDE) and a toddler mom with over eight years of experience in diverse fields of nutrition. She started her career as a CSR proje. more
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If you are unaware of using Cannabidiol or CBD oil for kids, you should be reading this post. CBD oil is a component found in the Cannabis Sativa family’s hemp and marijuana plants, making individuals feel high. (1). The oil has gained popularity in recent years for treating various conditions, including chronic pain, stress, insomnia, nausea, and vomiting.
Different procedures are used to extract the oil, including carbon dioxide extraction, ethanol extraction, and hydrocarbon extraction (2). After extraction, the oil is refined and marketed as tinctures, capsules, topicals, chewable gummies, beverages, and other products.
This post discusses the safety of CBD oil for children, including its advantages, age-appropriate dosage, and potential side effects and hazards associated with its use.
Is CBD Oil Safe For Children?
There’s no scientific evidence to prove the safety and efficacy of CBD oil for children. However, one CBD product, namely Greenwich Biosciences’ Epidiolex, has been approved for use as a part of a regulated medication to treat epilepsy in children by the US FDA (3). This prescription drug contains a purified form of CBD that helps treat seizures in children that occur in rare and severe epilepsy forms, such as Lennox-Gastaut syndrome and Dravet syndrome (4).
Since these epilepsy forms do not respond to anti-seizure medications, CBD use becomes crucial. However, remember that using CBD oil as a standalone medication to treat epilepsy in children isn’t well-researched. Thus, if you want to use CBD oil for treating epilepsy or any other ailment in your child, consult a pediatrician.
Note: CBD is often confused with THC (tetrahydrocannabinol), another cannabinoid found in hemp and marijuana. THC is a psychoactive compound that makes a person feel “high” and causes addiction and psychosis. However, CBD doesn’t have these effects and affects separate brain regions than THC (5).
Uses Of CBD Oil For Children
Apart from treating epilepsy, the FDA doesn’t approve CBD oil’s use to treat any ailment in children. However, studies suggest that CBD oil may be an effective treatment for the treatment of several ailments.
- Anxiety: Some recent studies show that CBD oil use may help reduce anxiety (6) (7). Preclinical evidence from animal studies demonstrates that CBD oil use can reduce anxiety associated with multiple disorders, such as post-traumatic stress disorder (PTSD), generalized stress disorder, and social anxiety disorder (8 ). It helps in relaxing the brain and musculoskeletal system. However, there’s a need for further study to make any recommendations for children.
- Autism: A 2019 study on 188 autism spectrum disorder (ASD) patients showed that the use of cannabis oil containing 30 percent CBD and 1.5 percent THC appears to be a “well-tolerated, safe, and effective option to relieve symptoms associated with ASD” (9). Another study involving 60 children also showed some promising results (8 ). However, these results aren’t sufficient for clinical validation as the research samples are quite small.
- Attention deficit hyperactivity disorder(ADHD): A systematic review conducted in 2020 highlighted that CBD could help alleviate symptoms of ADHD (10). It helps in calming the child and lowers the hyperactivity. However, currently, no targeted research studies are available to support the use of CBD oil for treating or managing ADHD in children.
- Multiple sclerosis (MS): A 2019 study by Thorsten Rudroff and Jacob Sosnoff suggests that CBD use may be associated with less pain and spasticity, ultimately leading to improved mobility and proper sleep (11). The release of musculoskeletal spasms is the mainstay of treatment. Yet, more research is warranted to derive any conclusions about CBD oil use for MS treatment in children.
Side Effects Associated With CBD Oil Use
CBD oil use for children isn’t well-researched, and its unguided use may cause certain side effects, such as
- Gastrointestinal disturbances: Upset stomach and abdominal pain are common side effects of CBD oil use in sensitive individuals. So, always consult a doctor or alternative medicine expert before using CBD oil for children.
- Toxicity: If CBD oil isn’t used under guidance, there’s a potential risk of overdose and toxicity. Therefore, it’s essential to use CBD oil only after consulting an expert. Some of the symptoms you may see in CBD toxicity are severe nausea or vomiting, high blood pressure, anxiety, paranoia, rapid heart rate, and hallucinations (12).
- Possible drug interaction: CBD is a bioactive compound that can interact with other chemicals and compounds in the medications. Since CBD affects the brain and the central nervous system, antidepressants and antipsychotics are the most obvious drugs that can interact with CBD.
Some other drugs that can interact with CBD are blood thinners and thyroid and heart medications (13). Therefore, if your child is on any medication, consult your doctor before using CBD for any purpose.
Besides these, CBD oil can also cause headaches, drowsiness, dry mouth, and low blood pressure (14).
Note: Milk and foods containing high amounts of fats can increase the absorption of CBD in the body, thus increasing the effects and side effects of CBD on an individual (12).
Possible Risks Associated With CBD Oil Use In Children
Baring Epidiolex, which contains CBD, CBD oil isn’t regulated by the US FDA, making its use in children and teens risky as (5) (8 )
- The ingredients of CBD oil can’t be determined accurately, meaning the products can have ingredients that aren’t mentioned on the label. For instance, several products that claim to contain only CBD may also contain high doses of THC, a psychoactive compound.
- CBD oil’s quality can’t be ascertained, as there are chances that the oil may be contaminated with microorganisms, pesticides, and heavy metals. Consuming contaminated CBD oil can cause severe effects in sensitive individuals.
- The efficacy and safety of CBD oil in children and teens are unclear, and research on this subject is still in its early stages. Also, existing studies have been either done on animals or human adults and not on pediatric patients. Further, the studies that involve children have small sample sizes.
- The dosage guidelines aren’t clear, except for CBD used in the drug Epidiolex to treat Epilepsy. Thus, using CBD oil at home is tricky, especially when you aren’t aware of how much CBD oil you can administer to a child to get the desired effect. Also, there is no way to know which mode of use is best and how much CBD would be absorbed in the body based on the method of administration.
Besides these, the legality of the use of CBD oil varies from one country to another and state to state. For instance, according to the US FDA, THC or CBD can’t be sold legally as a dietary supplement, food, or therapeutic product (4). Instead, it can only be included in cosmetics when its THC content is less than 0.3 percent (14). So, check your state’s legal requirements for CBD oil purchase and use before you make any purchases.
How To Choose CBD Oil?
Proper selection of a CBD oil brand can be tricky as it’s manufactured by several companies globally. So, here are some tips that could help (15).
- Buy the product from a trusted manufacturer and seller. It will ensure the product you’re buying is of good quality and is not contaminated. Some manufacturers may dilute CBD isolate with hemp seed oil, which can make the product comparatively ineffective as they lack the balance of beneficial components found in broad-spectrum CBD oil (2).
- Read the product label carefully and determine the
- Oil source: The oil should be extracted from hemp or marijuana. Typically, hemp has a significantly less amount of THC when compared to marijuana. THC is a psychoactive chemical that can create dependence over long-term use. So, ensure you buy CBD oil extracted from hemp plants cultivated by domestic farmers. Domestic hemp is typically free of toxins and pesticides.
- Extraction method: The extraction method indicates how the oil has been extracted from the hemp plant. Typically, CBD oil is extracted using carbon dioxide (CO2) extraction or by using solvents such as ethanol, propane, and butane. Out of these, propane and butane extraction isn’t considered safe as these solvents are toxic and hazardous for children. On the other hand, ethanol and CO2 extraction techniques are safe and potent as they leave no harmful chemicals in the oil.
- Chemical composition: It signifies whether the oil is full-spectrum or isolate. Full-spectrum CBD oil will contain several phytonutrients, such as flavonoids, terpenes, and trace amounts of THC. If THC’s presence concerns you, look for CBD isolates, which are the pure form of CBD oil.
But, while you make that choice, consult an expert as concentrated CBD has high amounts of CBD per serving, increasing the chances of overdose.
- Product certification: Ensure the product has been certified by a reputable third-party testing lab or organization. The lab will test the oil quality and certify that the oil is true to its claim about its chemical composition. It’s best to buy oil that has testing information attached.
CBD oil for children and adults is the same. However, since children weigh less and are comparatively sensitive, using CBD oil with lower potency is advisable.
CBD Oil Dosage For Children
The appropriate dosage of CBD oil for children depends on their body weight, metabolism, medical condition, overall health, and intent of use. For instance, the US FDA has approved the daily oral use of 25mg per kg of body weight for Epidiolex, the prescription drug that contains CBD (14). Its use is approved for children aged one and above.
However, this dosage may or may not be suitable for every child. So, consult a doctor or alternative medicine expert to determine the appropriate CBD oil dosage and suitable mode of use for a child.
While CBD oil has gained popularity over the past few years as a remedy for various ailments, it is important to remember that the FDA does not approve CBD oil for kids. More research is needed to support and establish the safety of CBD oils in the treatment of ailments such as anxiety, autism, and ADHD. In addition, it is advisable to refrain from using these oils if your children are on any other medications. Further, consult your pediatrician before using this oil on your child.
Infographics: How Does CBD Oil Reduce Anxiety And ADHD?
Although still in its infancy, the research on CBD oil’s effect on anxiety and ADHD has shown promising results. Read through this infographic to understand the possible ways how CBD oil might help manage or treat anxiety and ADHD in children and adults.
- CBD oil or Cannabidiol, a derivative of the cannabis plant, is reportedly used to treat certain neurological ailments, such as epilepsy, in children.
- It is essential to use this oil only when prescribed by an expert since it poses the risk of side effects such as CBD toxicity, gastric problems, and drug interactions.
- The oil is not approved for use in children in some countries. Therefore, seek professional advice before using it.
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CBD and parents’ attitudes about giving it to children
Most parents say CBD for kids should require a doctor’s prescription, while 7% have given or considered giving it to children for medical reasons.
Products containing cannabidiol, or CBD, a chemical compound naturally found in marijuana and hemp, have been used in recent years to help adults manage medical issues like chronic pain and mood disorders.
While its use is much more limited in children, some CBD products have been marketed for minors as well.
But despite the wide availability of CBD, parents have limited knowledge about it, with a third thinking it’s the same as using marijuana, suggests the University of Michigan Health C.S. Mott Children’s Hospital National Poll on Children’s Health .
And while the majority haven’t even considered having their child use a CBD product, three in four parents appeared open-minded about the possibility, saying it may be a good option for medical care when other medications don’t work.
“There is very little data on how CBD may impact children’s developing brains and only certain types of situations when it’s considered for pediatric medical reasons. Still, CBD has become much more accessible and widely advertised, with some companies claiming benefits for kids,” said Mott Poll co-director Sarah Clark, M.P.H.
The nationally representative poll report is based on responses from 1,992 parents of children 3-18 years surveyed in October 2021.
Seven percent of parents have given or considered giving their child a CBD product, with the most common reasons including anxiety (51%), sleep problems (40%), attention deficit hyperactivity disorder, or ADHD, (33%), muscle pain (20%), autism (19%) and to make their child feel better in general (13%).
Among parents who say they’ve given or considered giving CBD to their child, less than a third have talked with their child’s health care provider about CBD use.
And while three quarters of parents felt CBD for children should require a doctor’s prescription, only 63% rated the recommendation of their child’s doctor as a strong factor in deciding whether to give their child a CBD product.
“Anecdotal stories of children benefiting from CBD may sound alluring but just because it’s a plant product doesn’t necessarily make it safe or effective in children.”
“Our poll suggests most parents have very limited knowledge about CBD products,” Clark said. “It’s important for parents to inform their pediatrician or other healthcare providers if they’re considering CBD use in kids so that they can discuss potential risks.”
Most parents cited side effects as the most important factor in deciding whether to give their child a CBD product. Other considerations included whether it was tested for safety in children, how well it works in children, approval of the U.S. Food and Drug Administration and product reviews.
The majority of parents have never used a CBD product themselves, while 24% have tried it and 5% use a CBD product regularly, according to the poll report.
Many unknowns on side effects
CBD products are sold online and in stores that specialize in CBD products, as well as in supermarkets and drugstores and come in many forms, including oils, topical ointments, vaping, edibles and gummies.
The FDA has only approved one purified form of the drug substance CBD for children to treat rare seizures that don’t respond to medication. Studies have also looked at CBD use in children with hyperactivity, anxiety, sleep problems and depression but research remains limited.
Side effects could include sleepiness, fatigue, and diarrhea, and experts have raised concerns about CBD’s potential to interact with other medications and adversely impact the liver. But since CBD products have not undergone rigorous testing for FDA approval, the rate and severity of side effects remain unclear, particularly for children.
To be legal, CBD must have less than .3% of tetrahydrocannabinol, commonly referred to as THC, the chemical that produces most of marijuana’s psychological and “high” effects. Many manufacturers purport to contain close to 0% THC, but the lack of regulation of CBD products also raises questions about quality control in the production of various products, experts say.
“Parents who see promotional content claiming CBD benefits kids with certain conditions should be aware that products seen online or in stores are not regulated by the FDA and may be mislabeled,” Clark said. “This makes it difficult for parents to know exactly what they’re buying and what their child may be exposed to.
“Anecdotal stories of children benefiting from CBD may sound alluring but just because it’s a plant product doesn’t necessarily make it safe or effective in children. We need more evidence to understand CBD’s short- and long-term side effects in kids.”