CBD Oil For Fibromyalgia

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The combination of CBD and THC can help mitigate pain, anxiety, and poor sleep related to fibromyalgia and its symptoms. Here’s what you need to know. Kevin Boehnke, Ph.D., and his team surveyed people with fibromyalgia about their use of CBD for chronic pain. Fibromyalgia is one of many chronic pain conditions that remains stubbornly difficult to treat. As the ravages of the opioid epidemic lead many to avoid these powerful painkillers, a significant number of people with fibromyalgia are finding an effective replacement in

Best CBD:THC Ratio for Fibromyalgia

The combination of CBD and THC can help mitigate pain, anxiety, and poor sleep related to fibromyalgia and its symptoms. Here’s what you need to know.

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CBD and THC work to reduce pain, ease anxiety, and level out moods in people with fibromyalgia. Although CBD (cannabidiol) and THC (delta 9 tetrahydrocannabinol) don’t treat the underlying cause of fibromyalgia (which is often unknown), they can relieve negative symptoms in some patients.

These cannabinoids may also help patients who have endocannabinoid deficiencies (thought to be a cause for fibromyalgia).

Here’s everything you need to know about the best CBD:THC ratio products for easing your fibromyalgia symptoms.

Table of Contents

The Benefits of CBD & THC For Fibromyalgia Symptoms

The causes of fibromyalgia are largely unknown and likely differ between patients. People with fibromyalgia often experience widespread pain, trouble sleeping, anxiety, and depression.

Although there isn’t evidence that CBD and THC can treat the main causes of fibromyalgia — a tough metric to study given doctors’ difficulty nailing down the reasons fibromyalgia occurs — these cannabinoids can help in relieving the symptoms.

THC is a known and medically accepted pain reliever, and it works even better when taken in conjunction with CBD. Because of the entourage effect, both cannabinoids may be more effective when taken together.

Due to the emotional and mental distress fibromyalgia can cause, combining your THC with CBD is a good way to mitigate the psychological effects of getting high [1]. If you’re worried about feeling anxious or paranoid from THC, try pairing it with a bit of CBD.

CBD also works to reduce fibromyalgia symptoms like anxiety and fatigue. If you experience fatigue from fibromyalgia, some studies show that a small dose of CBD alone can make patients feel more alert [2].

When taken together, THC works to relieve pain and muscle soreness while the CBD works to ease anxiety. The combination can also be used to improve sleep, help you fall asleep faster, and help you sleep longer [3].

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Some fibromyalgia patients have endocannabinoid deficiencies [4]. As cannabinoids, which interact with your endocannabinoid system, CBD and THC can improve your endocannabinoid levels.

Taking CBD And THC With Other Fibromyalgia Medications

Common fibromyalgia medications include antidepressants and anti-seizure medication. It’s important to ask your doctor about introducing cannabinoids to your treatment plan due to any interactions with other medications you take.

If you’re on antidepressants for fibromyalgia, taking too much CBD can cause serotonin syndrome. This occurs when serotonin levels are much too high, and it can be extremely serious.

However, it’s safe to take CBD and THC with antidepressants — you just might want to opt for a lower dose of CBD.

Best CBD:THC Ratio For Fibromyalgia & How To Dose

The best CBD:THC ratio for fibromyalgia really depends on your personal preferences. If you’re concerned about getting high, opt for a lower THC ratio.

Some fibromyalgia sufferers prefer ratios of 1:1, 2:1, or 3:1, meaning one or more parts CBD to each part THC.

Find your CBD:THC ratio dose by calculating your CBD dose using our dosage calculator. Then match up those mg with your THC product.

CBD and THC gummies or oils make it easy to dose out your ratios with more precise measurements than smoking marijuana flower.

If that’s too much math for you, you can buy CBD:THC ratio products at your medical marijuana dispensary.

Other CBD:THC Ratios

The best ratio of CBD to THC is a hot topic lately. While we already have a lot of data available for the benefits of both these cannabinoids for certain conditions — there’s very little information about what the optimal ratio of each one is when used in conjunction.

As more research comes to light on the intricate synergy between these two compounds, scientists are uncovering insight into ways we can get even more effectiveness out of cannabis.

Here are some of the other optimal CBD to THC ratios based on the current evidence so far:

Final Thoughts: Best CBD:THC Ratio For Fibromyalgia

The best CBD:THC ratio for fibromyalgia is 1:1, with one or more parts CBD to each part THC.

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This means you can enjoy the pain relief of the THC while easing the psychological effects of getting high.

The CBD will also work to ease pain, and the combination will help you get better sleep. In all, taking CBD and THC won’t treat the underlying cause of fibromyalgia, but it can make it a bit easier to treat the symptoms and develop a healthier lifestyle with better sleep and less anxiety.

Additionally, if fibromyalgia turns out to be the result of endocannabinoid deficiencies, CBD and THC may ultimately be the best form of treatment for this condition. However, research on this is still in development.

People with fibromyalgia substituting CBD for opioids to manage pain

The results of a study led by Research Investigator Kevin Boehnke, Ph.D., have been published in The Journal of Pain.

Kevin Boehnke, Ph.D., and his team surveyed people with fibromyalgia about their use of CBD for chronic pain.

Fibromyalgia is one of many chronic pain conditions that remains stubbornly difficult to treat.

As the ravages of the opioid epidemic lead many to avoid these powerful painkillers, a significant number of people with fibromyalgia are finding an effective replacement in CBD-containing products, finds a new Michigan Medicine study.

CBD, short for cannabidiol, is the second most common cannabinoid in the cannabis plant, and has been marketed for everything from mood stabilization to pain relief, without the intoxicating effects produced by the most common cannabinoid, THC. THC, which stands for delta-9-tetrahydrocannabinol, is the ingredient in marijuana that causes people to feel high.

The cannabis industry has exploded, aided by the legalization of medical and recreational marijuana in states around the United States and the removal of hemp-derived CBD from Schedule 1 status—reserved for drugs with no currently accepted medical use and a high potential for abuse—at the federal level.

Previous research shows that some people substitute medical cannabis (often with high concentrations of THC) for opioids and other pain medications, reporting that cannabis provides better pain relief and fewer side effects. However, there is far less data on CBD use.

“CBD is less harmful than THC, as it is non-intoxicating and has less potential for abuse,” said Kevin Boehnke, Ph.D., a research investigator in the Department of Anesthesiology and the Chronic Pain and Fatigue Research Center. “If people can find the same relief without THC’s side effects, CBD may represent a useful harm reduction strategy.”

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Boehnke and his team surveyed people with fibromyalgia about their use of CBD for treatment of chronic pain.

“Fibromyalgia is not easy to treat, often involving several medications with significant side effects and modest benefits,” Boehnke explained. “Further, many alternative therapies, like acupuncture and massage, are not covered by insurance.”

For this study, the team focused on 878 people with fibromyalgia who said they used CBD to get more insight into how they used CBD products.

The U-M team found that more than 70% of people with fibromyalgia who used CBD substituted CBD for opioids or other pain medications. Of these participants, many reported that they either decreased use or stopped taking opioids and other pain medications as a result.

“I was not expecting that level of substitution,” said Boehnke, noting that the rate is quite similar to the substitution rate reported in the medical cannabis literature. People who said they used CBD products that also contained THC had higher odds of substitution and reported greater symptom relief.

Yet the finding that products containing only CBD also provided pain relief and were substituted for pain medications is promising and merits future study, noted Boehnke.

The team noted that much of the widespread use of CBD is occurring without physician guidance and in the absence of relevant clinical trials. “Even with that lack of evidence, people are using CBD, substituting it for medication and doing so saying it’s less harmful and more effective,” he said.

Boehnke stressed the need for more controlled research into how CBD may provide these benefits, as well as whether these benefits may be due to the placebo effect.

Clinically, opening up lines of discussion around CBD use for chronic pain is imperative, said Boehnke, for medication safety reasons as well as for “enhancing the therapeutic alliance and improving patient care.”

Additional authors include Joel J. Gagnier, Lynne Matallana and David A. Williams.

Paper cited: “Substituting Cannabidiol for Opioids and Pain Medications Among Individuals with Fibromyalgia: A Large Online Survey,” The Journal of Pain. DOI: 10.1016/j.jpain.2021.04.011

By Kelly Malcom – This article first appeared on the Michigan Medicine Lab Blog.

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