Zynerba is no longer pursuing a version of that drug for osteoarthritis, says Dr. Clauw, and there are currently no standard recommendations for what dosage or formulation of CBD (in either oral or topical form) might work best for pain relief. But he does want pain patients to know that CBD products may be worth a try—and that they may provide relief, even without the high that products with THC produce.


In the United States, cannabidiol is a Schedule I drug under the Controlled Substances Act.[60] This means that production, distribution, and possession of CBD is illegal under federal law. In addition, in 2016 the Drug Enforcement Administration added "marijuana extracts" to the list of Schedule I drugs, which it defined as "an extract containing one or more cannabinoids that has been derived from any plant of the genus Cannabis, other than the separated resin (whether crude or purified) obtained from the plant."[61] Previously, CBD had simply been considered "marijuana", which is a Schedule I drug.[60][62]
https://www.ncbi.nlm.nih.gov/pubmed/19045957 The nonpsychoactive Cannabis constituent cannabidiol is a wake-inducing agent. lateral hypothalamus or dorsal raphe nuclei, which are wake-inducing brain areas which cannabidiol enhances wakefulness and decreases slow wave sleep and REM sleep. Furthermore, cannabidiol increases alpha and theta power spectra but diminishes delta power spectra. Additionally, cannabidiol increases c-Fos expression in lateral hypothalamus or dorsal raphe nueclei. These findings suggest that cannabidiol is a wake-inducing compound that presumably activates neurons in lateral hypothalamus and dorsal raphe nuclei.

CBD may help reduces REM behavior disorder in people with Parkinson’s disease. REM behavior disorder is a condition that causes people to act out physically during dreaming and REM sleep. Typically, during REM, the body is largely paralyzed, a state known as REM atonia. This immobilization keeps sleepers from reacting physically to their dreams. In REM behavior disorder, this paralysis doesn’t occur, leaving people free to move—which can lead to disruptive sleep and to injuring themselves or their sleeping partners. Cannabis may also work to reduce pain and improve sleep quality in people with Parkinson’s disease.

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