Sativex® (GW Pharmaceuticals) is an oromucosal whole cannabis-based spray combining a CB1 partial agonist (THC) with a cannabinoid system modulator (CBD), minor cannabinoids and terpenoids plus ethanol and propylene glycol excipients and peppermint flavoring (McPartland and Russo 2001; Russo and Guy 2006). It was approved by Health Canada in June 2005 for prescription for central neuropathic pain in multiple sclerosis, and in August 2007, it was additionally approved for treatment of cancer pain unresponsive to optimized opioid therapy. Sativex is a highly standardized pharmaceutical product derived from two Cannabis sativa chemovars following Good Agricultural Practice (GAP) (de Meijer 2004), yielding Tetranabinex® (predominantly-THC extract) and Nabidiolex® (predominantly-CBD extract) in a 1:1 ratio. Each 100 μL pump-action oromucosal Sativex spray actuation provides 2.7 mg of THC and 2.5 mg of CBD. Pharmacokinetic data are available, and indicate plasma half lives of 85 minutes for THC, 130 minutes for 11-hydroxy-THC and 100 minutes for CBD (Guy and Robson 2003). Sativex effects commence in 15–40 minutes, an interval that permits symptomatic dose titration. A very favorable adverse event profile has been observed in over 2500 patient years of exposure in over 2000 experimental subjects. Patients most often ascertain an individual stable dosage within 7–10 days that provides therapeutic relief without unwanted psychotropic effects (often in the range of 8–10 sprays per day). In all RCTs, Sativex was adjunctively added to optimal drug regimens in subjects with intractable symptoms, those often termed “untreatable.” Sativex is also available by named patient prescription in the UK and the Catalonia region of Spain. An Investigational New Drug (IND) application to study Sativex in advanced clinical trials in the USA was approved by the FDA in January 2006 in patients with intractable cancer pain.
On November 6, 2012, the voters of Massachusetts approved Question 3, “An Initiative Petition for a Law for the Humanitarian Medical Use of Marijuana,” by 63 percent establishing legal protection for medical cannabis patients, caregivers, physicians and medical professionals, cultivators, and providers, some of which went into effect as of January 1, 2013.
Cannabidiol, or CBD for short, is a natural phyto-cannabinoid (or plant-based chemical compound) found in cannabis plants, including hemp and marijuana. Unlike other cannabinoids — namely tetrahydrocannabinol, or THC — CBD does not produce any psychoactive effects, and will actually counteract these effects to a degree. CBD will induce feelings of sleepiness; for this reason, it can be an effective soporific for people who struggle to fall and/or remain asleep due to insomnia and other sleep disorders.
With President Trump signing off on the Agricultural Improvement Act of 2018 (aka the 2018 Farm Bill) last month, the federal government now fully recognizes hemp as a legal agricultural product. But while many reports are claiming that this means that cannabidiol (CBD) is also legal, that’s not quite correct. With a lot of misinformation flying around, and contradictions between state and federal laws, things are admittedly somewhat confusing. Let’s try to sort things out by answering some questions about hemp, CBD, and what has recently changed in federal law. 

“THC”—the more-famous, high-inducing compound in cannabis—“works directly on the cannabinoid system, meaning it attaches to receptors and mimics some of our own internal endocannabinoids,” says Igor Grant, a professor and chair of psychiatry at the University of California, San Diego School of Medicine. But CBD’s interaction with the endocannabinoid system is subtler. “Normally, these endocannabinoid-signaling molecules are broken down by enzymes, and one thing CBD does is interfere with the actions of those enzymes.”

When California passed Prop. 64, there was a provision that allowed for the production of industrial hemp. Now, that little provision could generate quick growth (pun intended, naturally) for its many applications in the Golden State.It led the forefront for THC now it could be the American leader for hemp CBD. California led the cannabis reform and now will be one of the leaders in an ever expanding cannabis ecosystem.
Hemp Oil Complex™ is a combination of well-balanced polyunsaturated fatty acids (PUFAs, omega-3 oil) delivering essential fatty acids needed for the formation of specialized lipid mediators for a healthy immune response. Hemp oil and omega-3 oil may support the resolution phase of the inflammatory process by providing PUFAs which are known to be precursors to endocannabinoids. Additionally, Brassica (TrueBroc®) is an important phytonutrient providing antioxidant support by activating the Nrf2/ARE pathways.
^ McLaren JA, Silins E, Hutchinson D, Mattick RP, Hall W (January 2010). "Assessing evidence for a causal link between cannabis and psychosis: a review of cohort studies". The International Journal on Drug Policy. 21 (1): 10–9. doi:10.1016/j.drugpo.2009.09.001. PMID 19783132. The contentious issue of whether cannabis use can cause serious psychotic disorders that would not otherwise have occurred cannot be answered based on the existing data
Cannabis is frequently used among Sufis[132] – the mystical interpretation of Islam that exerts strong influence over local Muslim practices in Bangladesh, India, Indonesia, Turkey, and Pakistan. Cannabis preparations are frequently used at Sufi festivals in those countries.[132] Pakistan's Shrine of Lal Shahbaz Qalandar in Sindh province is particularly renowned for the widespread use of cannabis at the shrine's celebrations, especially its annual Urs festival and Thursday evening dhamaal sessions - or meditative dancing sessions.[133][134]
While many states have now passed laws legalizing the production of plants bearing Cannabidiol for medicinal use, these laws will take many months if not years to be implemented while the details are ironed out as to whom will produce the plants and products for distribution in each of these states. Many patients and families in the states that have enacted these CBD laws are frustrated that they currently have no way to access CBD, in most cases assuming that Cannabidiol has to be extracted from illicit Marijuana oil. It has also been frustrating for patients and families that still find themselves in states with neither Medical Marijuana programs that provide access to Marijuana oil nor Cannabidiol laws providing access to CBD.
If you live in a state where cannabis is illegal, you might have a difficult time acquiring legitimate CBD oil in a retail location. Most people turn to the Internet in an effort to buy CBD online, and typically find a range of stores all claiming to sell the best stuff and ship it right to your house. The problem is that there are no testing regulations of these products, so the effectiveness and safety of many of these products has not been proven. Therefore, the onus falls on the manufacturer to be honest about how much CBD is actually in the oil, where the starting material was grown and how it's been extracted. The FDA actually issued a warning for making false claims of effectiveness and medicinal benefits because so many illegitimate companies sell snake oil marketed as CBD that doesn't do anything (here's how to avoid that). Despite all these challenges, if you know what you're buying, hemp-derived CBD oil as a product itself is not illegal.
Hemp oil is an abundant source of alpha-linolenic acid. Alpha-linolenic acid is an omega-3 fatty acid that is essential to proper organ function. It is similar to the omega-3 fatty acids found in fish oil, and can help prevent heart disease, arthritis and depression, according to the University of Maryland Medical Center. It can also help reduce low density lipoprotein cholesterol, the "bad" cholesterol that clogs arteries.
Everything you need to know about marijuana (cannabis) Marijuana, or cannabis, is the most commonly used illicit drug in the world. It alters the mood and affects nearly every organ in the body. With at least 120 active compounds, marijuana may have health benefits as well as risks. We describe these, addiction, and withdrawal. Learn more about cannabis here. Read now
REM behavior disorder: REM behavior disorder (RBD) is a parasomnia disorder characterized by shouting, becoming physically agitated, or otherwise acting out during sleep. For many, RBD is a symptom of a larger, more serious condition or disorder, such as Alzheimer’s disease or PTSD. CBD oil minimizes the symptoms of RBD, and also alleviates the anxiety and painful symptoms that often accompany disorders that lead to RBD.
Multiple Sclerosis is a condition in which the immune system mistakenly reacts abhorrently to healthy cells and organs. Also known as an autoimmune disease, multiple sclerosis causes reoccurring spasms and enduring pain, for those affected. Although the effect is modest, CBD oil, acting as an anticonvulsant, can help in mitigating the number of spasms caused, as well as the resulting pain.

I Love this Product! I've spent thousands of dollars over the last thirty years on vitamins and natural products to help me with my ADHD. This is better than anything I've tried before. It's also a lot cheaper. I don't lose my temper like I used to. It has improved my marriage. It has calmed my gut. I am much more productive both at home and at work. I feel like a normal calm human being again! I haven't found any bad side effects. I am recommending it to family and friends. Thank You!
Cost is another consideration. Most CBD oils are sold in concentrations of 300 to 750 mg, although this may range from less than 100 mg to more than 2,000. A good indicator of price-point is the cost per milligram. Low-cost CBD oils usually fall between five and 10 cents per mg; mid-range prices are 11 to 15 cents per mg; and higher-end oils cost 16 cents per mg or higher. Given these varying per-milligram costs, a bottle of CBD oil may be priced anywhere from $10 or less to $150 or more.
On November 6, 2012, the voters of Massachusetts approved Question 3, “An Initiative Petition for a Law for the Humanitarian Medical Use of Marijuana,” by 63 percent establishing legal protection for medical cannabis patients, caregivers, physicians and medical professionals, cultivators, and providers, some of which went into effect as of January 1, 2013.
Though unflavored and priced higher than competitors, Green Roads CBD oils are made by a trusted manufacturer and use organically grown hemp. Following the CO2 supercritical fluid extraction process, board-certified pharmacists formulate the tincture by hand. Green Roads only sells CBD isolates, so if you’re looking for broad-spectrum products look to some of our other recommendations.

Results of a Phase III study (N = 177) comparing Sativex, THC-predominant extract and placebo in intractable pain due to cancer unresponsive to opiates (Johnson and Potts 2005) demonstrated that Sativex produced highly statistically significant improvements in analgesia (Table 1), while the THC-predominant extract failed to produce statistical demarcation from placebo, suggesting the presence of CBD in the Sativex preparation was crucial to attain significant pain relief.
A. No. Based on available evidence, FDA has concluded that THC and CBD products are excluded from the dietary supplement definition under sections 201(ff)(3)(B)(i) and (ii) of the FD&C Act, respectively. Under those provisions, if a substance (such as THC or CBD) is an active ingredient in a drug product that has been approved under 21 U.S.C. § 355 (section 505 of the FD&C Act), or has been authorized for investigation as a new drug for which substantial clinical investigations have been instituted and for which the existence of such investigations has been made public, then products containing that substance are outside the definition of a dietary supplement. FDA considers a substance to be "authorized for investigation as a new drug" if it is the subject of an Investigational New Drug application (IND) that has gone into effect. Under FDA’s regulations (21 CFR 312.2), unless a clinical investigation meets the limited criteria in that regulation, an IND is required for all clinical investigations of products that are subject to section 505 of the FD&C Act.

As of 2018, there are 8 States where the Cannabis plant, including both marijuana and hemp, are completely legal for recreational and medicinal use. These states are Alaska, California, Colorado, Maine, Massachusetts, Nevada, Oregon, and Washington. So if you find yourself in one of these wonderful states, you are free to legally use CBD in any form without a prescription.
A 2014 study stated that, “The endocannabinoid system has been elucidated over the last several years, demonstrating a significant interface with pain homeostasis. Exogenous (plant-based) cannabinoids have been demonstrated to be effective in a range of experimental neuropathic pain models, and there is mounting evidence for therapeutic use in human neuropathic pain conditions.”
Hemp being federally legal would be huge for the CBD industry, as CBD oil made from hemp extract (a plant that has very low amounts of THC) would be legal. A new, more available form of CBD would also allow for more research on the subject of cannabidiol, and perhaps the entire marijuana plant. More research brings the potential of coming closer to full legalization.
A barrister and 33-year career police officer with extensive experience in police leadership and reform in community, national and international policing.He was appointed Commissioner of the Northern TerritoryPolice, Fire and Emergency Services agency in 1988 and Serve in that position until 1994 when he was appointed Commissioner of the Australian Federal Police (AFP). Mr Palmer held this position for 7 years until his retirement in March 2001.
Industrial and commercial Hemp has been bred over decades to reduce the THC limits beyond .3%, as to meet the international guidelines for industrial hemp certification, but the CBD has remained untouched, whereas in the recreational market, the exact opposite has happened over the last 30 or 40 years of indoor growing. The money has traditionally been in high THC values, and as a result CBD was slowly selected against in favor of high THC .
A. The FDA is aware that there are potential adverse health effects with use of marijuana in pregnant or lactating women. Published scientific literature reports potential adverse effects of marijuana use in pregnant women, including fetal growth restriction, low birth weight, preterm birth, small-for-gestational age, neonatal intensive care unit (NICU) admission, and stillbirth. [1, 2, 3] Based on published animal research, there are also concerns that use of marijuana during pregnancy may negatively impact fetal brain development.  [4, 5, 6 ] The American College of Obstetricians and Gynecologists (ACOG) recommends that women who are pregnant or contemplating pregnancy should be encouraged to discontinue marijuana use. In addition, ACOG notes that there are insufficient data to evaluate the effects of marijuana use on breastfed infants; therefore, marijuana use is discouraged when breastfeeding. [7] Pregnant and lactating women should talk with a health care provider about the potential adverse health effects of marijuana use.
After revisions to cannabis scheduling in the UK, the government moved cannabis back from a class C to a class B drug. A purported reason was the appearance of high potency cannabis. They believe skunk accounts for between 70 and 80% of samples seized by police[162] (despite the fact that skunk can sometimes be incorrectly mistaken for all types of herbal cannabis).[163][164] Extracts such as hashish and hash oil typically contain more THC than high potency cannabis flowers.[165]
REM behavior disorder: REM behavior disorder (RBD) is a parasomnia disorder characterized by shouting, becoming physically agitated, or otherwise acting out during sleep. For many, RBD is a symptom of a larger, more serious condition or disorder, such as Alzheimer’s disease or PTSD. CBD oil minimizes the symptoms of RBD, and also alleviates the anxiety and painful symptoms that often accompany disorders that lead to RBD.
As we continue to work with CBD our knowledge of the power of this plant is growing as well. We are obtaining much better results as we work with our patients to think themselves out of pain. You might think I’m kidding, but I’m not. Chronic pain changes the brain and lays down dysfunctional pathways. CBD promotes neuroplasticity and neurogenesis – the formation of new brain cells that develop into new pathways of thinking. We are encouraged and excited to continue to work with CBD to maximize its potential to address chronic pain.
Websites such as Medix CBD and other CBD selling companies will always tell you directly that their products are made with federally legal cannabidiol typically derived from hemp. All of the products from Medix CBD are produced in clean, up to date facilities while every single ingredient is third-party lab tested in order to ensure quality as well as safety. All products are therefore chemical free and the ingredients are 100% pure. CO2 extraction allows them to compact more than enough CBD from the hemp for medical dosages in a safe and gentle process.
Despite the many states that have legalized some or all forms of marijuana, federally the U.S. Drug Enforcement Administration (DEA) continues to classify CBD as a Schedule I drug. Schedule I drugs are defined by the DEA as "drugs with no currently accepted medical use and a high potential for abuse." This is how not just CBD, but the entire cannabis plant is classified.
Rat offspring exposed to THC — tetrahydrocannabinol, the chief psychoactive ingredient in cannabis — and others that were not had to learn how to press one of two levers to get a sugar pellet reward. — Erik Lacitis, The Seattle Times, "‘Something wasn’t clicking’: WSU study shows offspring of pregnant rats exposed to THC have impaired development," 20 Nov. 2018 It's also derived from cannabidiol (CBD), one of the major compounds found in cannabis. — Sarah Jacoby, SELF, "Updated: What You Need to Know About Epidiolex, the First FDA-Approved Drug Made From Cannabis," 1 Nov. 2018 Attendees must bring their own cannabis, but smoking, edibles, and vaping are all encouraged as part of the creative process and the social experience. — Sarah Shemkus, BostonGlobe.com, "5 marijuana-infused things to do in New England," 21 June 2018 But Salmonella can also turn up in unexpected places — like in tahini, or on cantaloupes, or even drugs like cannabis and kratom. — Rachel Becker, The Verge, "Machine learning could help figure out what pooped on your produce," 12 Dec. 2018 Ashland, Oregon is wine country, but better: vineyards provide diversity without overwhelm, and the burgeoning cannabis industry grows some of the best in the world. — Ella Riley-adams, Vogue, "Why This Oregon Town Could Be the Next Napa," 8 Aug. 2018 The Starbucks of the cannabis industry hasn’t been created yet. — Patrick Sisson, Curbed, "Cannabis, coworking, and the marijuana-industry land rush," 24 July 2018 The idea for Kikoko tea came from a mutual friend, Jan, who used cannabis as an alternative to pharmaceuticals to treat pain, nausea, anxiety, insomnia, and loss of appetite during her battle with ovarian cancer. — Steffi Victorioso, Los Angeles Magazine, "Local Women Are Hosting Fancy “High Teas” With the Help of a Cannabis Brand," 29 May 2018 Attorney General Jeff Sessions has made no secret of his virulent opposition to the legalization of cannabis in any form. — Fred Vogelstein, WIRED, "My Son Pioneered an Epilepsy Drug Derived From Marijuana. An FDA Panel Just Approved It," 20 Apr. 2018

Cannabis has held sacred status in several religions. It has been used in an entheogenic context – a chemical substance used in a religious, shamanic, or spiritual context[58] - in the Indian subcontinent since the Vedic period dating back to approximately 1500 BCE, but perhaps as far back as 2000 BCE. There are several references in Greek mythology to a powerful drug that eliminated anguish and sorrow. Herodotus wrote about early ceremonial practices by the Scythians, thought to have occurred from the 5th to 2nd century BCE. In modern culture the spiritual use of cannabis has been spread by the disciples of the Rastafari movement who use cannabis as a sacrament and as an aid to meditation. The earliest known reports regarding the sacred status of cannabis in the Indian subcontinent come from the Atharva Veda estimated to have been written sometime around 2000–1400 BCE.[59]
people don’t use CBD for recreational use. it has little to no THC so has no psychoactive properties. many CBD products processed from hemp also do not have enough CBD to affect any medical disorders either. they are just jumping on the trendy CBD bandwagon, like many other so-called “nutritional supplements”. so it is very difficult to find and trust the CBD processed form hemp. useful CBD from hemp can only be processed from the flowers, which is still illegal, even though no THC. the only legal use of hemp in the states is for “industrial” use, only the stalks and seeds (fiber and oil). the stalks and seeds of hemp are so lacking in usable CBD that it is not legitimate for medical use.
In short, the results of the survey (which were published in the Journal of Pain Research) showed that roughly 42% and 46% (respectively) of participants claimed they were able to use cannabis in place of traditional medical to effectively treat their specific medical ailment. So if you’re wondering how to know if you need CBD for pain, remember that you’re certainly not alone.
CBD has proven neuroprotective effects and its anti-cancer properties are being investigated at several academic research centers in the United States and elsewhere. A 2010 brain cancer study by California scientists found that CBD “enhances the inhibitory effects of THC on human glioblastoma cell proliferation and survival.” This means that CBD makes THC even more potent as an anticancer substance. Also in 2010, German researchers reported that CBD stimulates neurogenesis, the growth of new brain cells, in adult mammals.

Here’s where things can get confusing. With increasing legalization of cannabis and cannabinoids, more and more states have legalized cannabis and its constituents including THC and CBD for either medical or recreational use (several states have specifically legalized CBD products, but not THC or cannabis in general). But the federal government has held firm, keeping marijuana illegal as a Schedule I drug (defined as having no accepted medical use in the US, a lack of accepted safety for use under medical supervision, and a high potential for abuse) per the Drug Enforcement Agency’s classification of controlled substances.


The HPRA is the competent authority for authorising medicinal products in Ireland. Its role is to ensure that only products that are safe, effective and of an appropriate quality based on clinical and scientific data can be authorised and supplied as medicines in Ireland (see HPRA’s report: Cannabis for Medical Use - A Scientific Review). At present there are no authorised medicines in Ireland that contain CBD as the only active ingredient. Accordingly, CBD products currently being sold for consumer use are not approved for the prevention or treatment of medical conditions or symptoms associated with such conditions.
^ Hayakawa K, Mishima K, Hazekawa M, Sano K, Irie K, Orito K, Egawa T, Kitamura Y, Uchida N, Nishimura R, Egashira N, Iwasaki K, Fujiwara M (January 2008). "Cannabidiol potentiates pharmacological effects of Delta(9)-tetrahydrocannabinol via CB(1) receptor-dependent mechanism". Brain Research. 1188: 157–64. doi:10.1016/j.brainres.2007.09.090. PMID 18021759.
Laws have been put in place around the advertising of cannabis products, but advertising is just one component within promotion. Only now, as we pass the watershed moment, are governments beginning to look at the other elements — public relations, on-street activity, celebrity endorsements, not to mention sponsorships, which are a huge influencer of consumer behaviour.
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