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. A better way to feel better. Our high-quality hemp-based CBD products are designed to help you live a balanced while feeling your best. When looking to combat mild anxiety, manage everyday
Pros And Cons Of CBD Oil For 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.
A better way to feel better.
Our high-quality hemp-based CBD products are designed to help you live a balanced while feeling your best.
When looking to combat mild anxiety, manage everyday pain, or improve the quality of sleep, more and more people are turning to cannabidiol (CBD) oil for relief.
CBD is one of over 100 naturally occurring cannabinoids found in cannabis plants. CBD oil interacts with the body’s endocannabinoid system—a system of receptors that plays an important role in the regulation of processes and functions, including sleep, pain, mood, inflammation, and memory.
While CBD oil has a wide range of potential benefits, there are several things to keep in mind, among other important considerations for choosing a CBD oil. The strong anecdotal evidence of CBD’s ability to help people feel relief means you can find CBD just about anywhere—from gas stations to health food stores.
But not all CBD is created equal. We’ll help you understand what to look for to ensure you’re buying a safe, high-quality product. Let’s take a look into the pros and cons of CBD oil and what to know before making a purchase.
Understanding the pros and cons of CBD oil can help you determine if CBD oil is the right fit for you and can help ensure you make the right decision when buying.
Safety: While certain people may not be able to take CBD or may need to consult with their doctor, CBD is safe for most, according to the World Health Organization.
Most efficient delivery system: Full-spectrum CBD tinctures are the most effective delivery system for CBD. Placing CBD oil under the tongue, holding it there for 30 seconds, and then swallowing improves efficiency and speed of absorption, providing the maximum benefit. This method provides longer-lasting effects compared to smoking or vaping, while also eliminating the negative byproducts.
Widely available: CBD oils and other CBD products have become widely available after the Farm Bill in 2018 legalized hemp-derived products in the United States. This caused an influx of products to choose from, all of varying qualities.
Broad range of benefits: Due to the interaction between CBD and the endocannabinoid system, CBD may provide relief from pain, reduce mild anxiety, and improve sleep, among many other potential benefits.
High-quality CBD oil can be expensive: While you can certainly find cheap CBD oils, these products may be of low quality and low purity, posing safety concerns as well as efficacy issues.
High expectations: Everybody responds to CBD differently—similar to how caffeine affects people in different ways and in different amounts. So when exploring different products and dosages, it’s important to manage your expectations and understand that what may work for your friend may not work for you. It’s all about figuring out what works for you and experimenting with different dosages.
Uncertain quality: As the ingredients in CBD oil are not regulated by the FDA, the quality of CBD oil products can vary significantly. It’s critical to do your research on companies to ensure you will be buying a safe, high-quality, and pure product.
Varying benefits: CBD oil comes in three forms—full-spectrum, broad-spectrum, and isolate. Due to the entourage effect, full-spectrum and broad-spectrum CBD oils are considered to be the most effective while CBD isolate may not provide the same level of benefits.
If you’re looking to incorporate CBD oil into your wellness routine, there are several things to look for in a high-quality product. Look for clear and transparent labeling on the bottle—the concentration should be displayed in addition to the full list of ingredients and THC content. Always make sure the product does not contain added chemicals, fillers, or byproducts.
Do your research on the CBD company to understand its safety and quality standards. CBD oils should be tested internally as well as externally by a third party for safety and quality, and a Certificate of Analysis or access to lab tests readily available. You may also want to consider the method of CBD extraction from the plant. While CBD can be extracted through several methods, including solvents and steam distillation, CO2 extraction is the cleanest and purest method.
CBD oil can provide a wide range of benefits and can be a great addition to wellness and self-care routines. Buying a high-quality, third-party tested full-spectrum CBD oil is likely to provide you with the maximum benefit.
At Feals, two of our core values are quality and safety. Our full-spectrum CBD oils are rigorously tested to ensure we provide you with the safest, purest, and highest quality CBD oil to help you feel at your best. We offer 600, 1200, and 2400 MG options, all of which have only two ingredients—full-spectrum hemp and USDA-certified organic MCT oil.
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. This article is for informational purposes only. It is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment and should never be relied upon for specific medical advice.
To learn more about the pros and cons of CBD oil or about what Feals can do for you, call our CBD hotline at 844-311-9090 or check out our products today.
Ella Brooks Ella has worked as a Product Development Scientist in the wellness industry for over 10 years and is passionate about the long-term benefits of CBD.
Likes: yoga, beach visits, PubMed
Dislikes: bad coffee, not having a good bookmark