It’s also important to remember that, although generally benign, side effects have been reported with some forms of CBD. For instance, oral CBD taken in the large amounts that have shown some limited promise in helping with anxiety issues may come with side effects, such as diarrhea, reduced appetite, fatigue, and interactions with other drugs you might be taking, specifically blood thinners, Cooper says.
Nevertheless, how do we account for all the people out there (like me) who use these products and feel like they’re doing something? Beyond the placebo effect, it’s possible that something else in the cream could be doing the heavy lifting here. These products don’t just contain CBD, Dr. Tishler points out. In fact, many of them also come with ingredients like arnica, menthol, or camphor, which may all provide a more immediate sensation of soothing or pain relief. So it could be those ingredients (or just the act of massaging the balm into your skin) that makes you feel better.
The first thing to be aware of is the amount of CBD that a product claims to contain. Because the studies we have about CBD and pain all looked at systemic administration rather than truly local, we don’t really know what the correct dose would be when applied locally. It’s tempting to go for the highest amount you can find, but it’s really up to you since we don’t even know where to start.
So…is CBD cream just an expensive placebo?
First off, we don’t know much about the correct dose of CBD needed for a pain-relieving effect. The doses in the rat studies that were effective were pretty large (for a rat, obviously). And the human participants in the Phase 2 clinical trial we mentioned received 250 mg of synthetic CBD topically per day—as much as many consumer topical CBD products contain in a single jar.
The lack of regulation has also left the door open for products to be subject to both “contamination and adulteration,” Dr. Tishler says. One study, published in JAMA in 2017, found that almost 70 percent of CBD products—including vape cartridges, tinctures, and oils—sold online did not contain the things they claimed to in the right amounts. That’s why Boehnke recommends only buying CBD products that you can verify (via a certificate of analysis) do contain what they’re supposed to. And Boenhke offers the same advice he does for all cannabinoid products: Start at a low dose and, if you decide to increase it, go slowly. (Start low, go slow.)
Two other common reasons people take CBD are to manage anxiety and sleep issues, two things we know can contribute to pain, Boehnke says. If you're dealing those kinds of issues in addition to pain, any reduction in pain you feel could be an indirect effect of it helping you manage anxiety or sleep. (But those are still unlikely to be affected by a topical formulation.)
“If somebody comes in with pain, do you reach for a bottle of CBD? The answer is absolutely not,” Dr. Tishler says.
Many people do not recognize that the cannabis plant has a male and female part. While marijuana is classified as the female version of the cannabis plant, hemp is considered to be the male version of the plant. The hemp plant contains a higher amount of cannabidiol with low amounts of THC whereas the marijuana plants contains high amounts of THC with low amounts of CBD. It is important to note the difference when determining which type of CBD will be most beneficial to you.
Acne is a skin condition that occurs when hair follicles are plugged with excess sebum oil and dead skin cells. This blockage causes white heads, black heads or pimples.
There are several variations of CBD oils including:
CBD for acne is well known for its ability to reduce the visibility of breakouts especially acne related redness. By reducing inflammation and redness CBD oil for skin is able to improve the look and feel of acne prone skin.
CBD is well known for its antioxidant properties. An antioxidant can be defined by a substance such as vitamin C or E that removes potentially damaging oxidizing agents in a living organism.
It is important to note that human skin is generally highly resistant, meaning the immune system will attempt to block many substances from entering. Research recommends that CBD topical application is potent enough to overcome the resistibility of our immune system.
Taking CBD topically. Apply topical products such as balms, creams, lotions, and salves directly to the skin over a painful area. Simple! But do not apply CBD oils that are designed for taking orally to the skin; they have nothing to suspend them on the skin or make them work there, and they are intended to be in the bloodstream.
Taking CBD by mouth. You absorb CBD that you swallow in capsules, gummies, food, or liquid, through the digestive tract. This makes absorption slow and dosing a bit challenging due to several factors, including recent meals, unknown effects of stomach acids, the delayed onset of effect which is one to two hours, and other factors.
A CBD topical is any CBD-infused lotion, cream, or salve that can be applied directly to the skin. They don’t have enough tetrahydrocannabinol or THC, of course, to get you high.
Can You Use Oral CBD Oil Topically?
But, in many cases, people are really looking for CBD creams and other topicals. For example, if you’re looking for the best CBD oil for acne, the best CBD oil for rosacea or eczema? You’re really looking for a CBD cream or similar CBD topical.
The carrier agent works, usually alongside essential oils and other natural ingredients, to smoothly apply the CBD to skin conditions and other affected areas and help it cling there long enough to work.
If you’re not sure if it would be better to use CBD orally or topically, you may need to refocus your question to decide which type best suits your needs. Using CBD topically works best if you have a targeted area where you need CBD the most because it allows the cannabidiol compounds to work with the cannabinoid receptors right where you apply the topical cream.
In a CBD topical, the base, whether it is oil, cream, wax, or something similar, works as a carrier agent. If you recall our other discussions of how cannabinoids work, you remember that THC, CBD, and other cannabinoids bind with fatty acids. This is why carrier oils are so common.