Question:

Does CBD Oil interact with medications, specifically Valproic Acid (Valproate)?

Answer:

Research on the pharmaceutical version of CBD – known as Epidiolex – showed elevated liver enzyme levels in children who were given CBD with the anti-seizure medication Valproic Acid (Valproate). The effect was related to the dose of CBD these children were taking. In ⅔ of the patients the researchers either reduced or eliminated the Epidiolex or they reduced or eliminated the Valproic Acid (Valproate) and the liver enzyme levels went back down to normal. In one of the patients, the researchers did not reduce or eliminate the Epidiolex and the liver enzyme levels went back down to normal anyway.

So, elevated liver enzymes is something to watch out for when giving CBD with Valproic Acid (Valproate). 

 

Question:

Is there a slow-release form of CBD Oil?

Answer:

How long it takes a medication to take effect is known as the onset of action. And, the onset of action varies based on the delivery method of CBD Oil you use. 

Inhaling CBD Oil takes anywhere from 5 to 10 minutes to take effect.

Using CBD Oil under the tongue can take up to an hour to take effect.

CBD Oil edibles, which is a form of CBD Oil that you swallow and goes through the gastrointestinal tract, takes up to 2 hours to take effect. 

 

Question:

How many milligrams is a good starting point for CBD?

Answer:

It depends from patient to patient. And, I’ll walk you through an example. I had 2 patients, who both struggled with Insomnia. They were otherwise healthy. And, were of similar body shape and body size. They both used the exact same CBD product. One patient needed 2.5 mg of CBD to fall asleep, whereas the other patient needed 50 mg of CBD to fall asleep. 

 

Question: 

Is there a benefit to hemp-derived CBD products?

Answer: 

It depends on the medical that’s being treated. Some medical conditions benefit from high amounts of CBD, which can be derived from either hemp or marijuana. Currently on the market, on average, the strength of hemp-derived CBD varies anywhere from 250 mg of CBD to 1000 mg of CBD in an ounce. With marijuana derived CBD products, it’s important to pay attention to the ratios of CBD to THC. You can have equal amounts of THC and CBD. And, you can very high amounts of CBD relative to THC.

 

Question:

Can I give my autistic son CBD Oil as needed or should it be taken regularly?

Answer:

I’ve had parents of patients with Autism dose CBD Oil both as needed or on a regular basis. It comes down to severity of symptoms that my patients have started with. It is a disorder on a spectrum afterall, so the range of severity varies. There are high-functioning individuals and there are low-functioning individuals. I’ve had some parents who have found giving CBD Oil on a regular basis to be very effective. And, there are other parents who have found giving CBD Oil on an as needed basis to be effective.

 

Question:

What should be the CBD Oil for an 8 year old who weighs 27 kg. 

Answer:

I want to clear up the misconception that the dose of CBD is based on weight. Again, I had 2 patients of similar body shape and similar body size – both had a similar Body Mass Index – who needed completely different doses of CBD. It’s the case with both children and adults. 

 

Question:

What is the effect of taking too much CBD Oil?

Answer: 

There are several effects of taking too much CBD Oil. The most common side effect of CBD Oil is tiredness. The other side effect is diarrhea, which is rare. And, the other side effects include decreased weight and appetite, which is also rare.

 

Question:

Are there certain medical marijuana dispensaries that you recommend over others?

Answer:

CBD products, when they’re marijuana-based, are sold at medical marijuana dispensaries.

CBD products, when they’re hemp-based, can also be sold at medical marijuana dispensaries. But, they can also be sold online and at natural health food stores. 

 

I’m going to walk you through the criteria I use to determine quality of a CBD Oil.

  1. Make sure the CBD Oil has been tested for pesticides, especially Myclobutanil & Bifenazate.
  2. Make sure the CBD Oil has been tested for fungus & bacteria. It’s especially important for patients who have compromised immune systems. Hemp is a plant, much like romaine lettuce, and has the potential to harbour fungus & bacteria which could pose to be harmful to human health.

 

In health individuals, it’s important to check for Salmonella & E. Coli, while in immunocompromised patients it’s also important to check for Pseudomonas & Aspergillus as well. 

  1. Make sure that the CBD Oil has been tested for heavy metals. Hemp is known as a bioaccumulator and it soaks up a variety of heavy metals in its surroundings,which can seep into the CBD Oil. There are 4 heavy metals that you want to make sure that the CBD Oil has been tested for – Arsenic, Cadmium, Lead & Mercury.
  2. Make sure the CBD Oil has been tested for residual solvents, when the CBD Oil is made with an unsafe solvent such as Butane, Hexane, Propane, etc. Butane is in lighter fluid. Hexane is used to make glue. And, Propane is used to fire up your barbecue grill. So, as you can imagine, any of these solvents left behind in toxic amounts can be very damaging to the human body, especially that of a child. 

 

It’s important to know that there are CBD Oils made with safe solvents. And, those safe solvents include Ethanol & Carbon Dioxide. So, it’s preferable to use a CBD Oil made with either Ethanol or Carbon Dioxide.

  1. Make sure that the CBD Oil has been to ensure that it actually has CBD in it. The amount of CBD currently, on the market, ranges anywhere from 250 mg to 1000 mg in an ounce. 
  2. Make sure the CBD Oil has been tested for the amount of THC. The amount of THC should be less than 0.3%