For first-time CBD users, Theisen recommends starting with a low dose of CBD oil — 5 to 10 milligrams once a day to treat your back pain. He also suggests keeping a record of the daily dose, when you take it, and how long it takes (if any) to feel any effects, such as back pain relief. You might also want to keep a record of how long the relief lasts and whether you experience any side effects, such as dizziness, dry mouth, drowsiness, or low blood pressure, Theisen says.
“Keep that information written down for about two weeks,” Theissen recommends. From there, individuals may begin to notice trends in pain relief (or lack thereof), she says. For best results, Theissen adds, work with a cannabis clinician, such as a cannabis nurse or other knowledgeable health care provider, to help individuals find the type and dose that's right for them.
Rather than experimenting with dosages on your own, Theissen recommends working with a cannabis clinician. “There are so many products to choose from, and getting a good quality product the first time around increases your chances of success,” Theissen says. “Working with someone who can assess your situation and follow a treatment plan will ensure you're using CBD safely and effectively,” she adds.
If taking CBD oil is working, you should see some relief from your back pain within the first two weeks, says Theissen. If your pain isn't relieved after two weeks, consider gradually increasing your dosage. If you haven't seen any pain relief after three months, even after trying higher dosages and different brands and additional compounds (such as CBG, CBN, THC), CBD oil may not be the right treatment for your condition, says Theissen.
Health risks of CBD oil
Your healthcare professional may recommend that you avoid CBD if you are taking the following medications that may interact with CBD:
Citalopram (Celexa) and Fluoxetine (Prozac). CBD can cause these drugs to take longer to break down, which may increase the levels and side effects of these drugs in the body. Lithium. High doses of CBD can increase lithium levels in the body, increasing the risk of lithium poisoning. Carbamazepine (Tegretol). CBD can slow down how quickly the body breaks down this drug, which may increase the levels and side effects of the drug. Drugs that are altered and broken down by the liver. CBD can affect how quickly the liver breaks down drugs, which may change the effects and side effects of the drug. Drugs that increase or decrease the breakdown of other drugs by the liver. Some drugs can affect how quickly the liver breaks down CBD, which may affect the effects and side effects of the cannabinoid. Methadone. Taking CBD with methadone can increase the effects and side effects of the drug. Sedatives, such as benzodiazepines, barbiturates, and some sleeping pills. Taking CBD with sedatives can cause drowsiness and breathing problems. Tamoxifen (Nolvadex). CBD may affect the rate at which tamoxifen breaks down in the body, affecting drug levels in the body. Warfarin. CBD may increase warfarin levels in the body, which may increase the risk of bleeding. Melatonin and valerian. Taking these herbal supplements along with CBD may slow your breathing or cause excessive drowsiness.
Additionally, people who are pregnant or breastfeeding should avoid using CBD, as some CBD products may contain contaminants that could harm a fetus or infant.
CBD may also cause side effects such as changes in alertness, irritability, drowsiness, and gastrointestinal upset such as nausea or diarrhea. Consult your healthcare provider to determine if CBD products are safe for you to use.
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