which cbd oil is best for ms

Using CBD for MS: Exploring the Potential

Multiple sclerosis, commonly known as MS, means multiple scars. It is a disabling medical condition that affects the central nervous system and causes numerous symptoms in people who have it. People with MS experience difficulties in their everyday lives, and it can significantly lower their quality of life.

Although there have been advancements in MS therapies, we are yet to find any conventional treatments that halt the disease process itself. As a result, many MS patients are turning to alternative therapies to address their symptoms, such as using CBD for MS.

Table of Contents

  • CBD for MS: Just the Facts
  • What is MS?
    • Common Symptoms of MS Include:
    • What Causes MS?
    • Current Conventional Therapies for MS
    • What is CBD?
    • The Endocannabinoid System
    • Muscle Spasms
    • Bladder Symptoms
    • The Safety of CBD

    CBD for MS: Just the Facts

    Multiple sclerosis is an autoimmune condition that affects the central nervous system. The symptoms of MS are unpredictable, and there are few effective treatments that halt the disease’s progression. Many MS patients report using medical marijuana and CBD products to help with their symptoms. Research on this topic is just beginning, but it appears promising—especially for helping relieve muscle spasms, anxiety, and inflammation.

    What is MS?

    Multiple sclerosis is a complex medical condition with various symptoms. It causes demyelination of the brain and spinal cord’s neurons. In other words, the protective fatty layer of the neurons breaks down. As a result, this disrupts the brain’s ability to properly send signals to other parts of the body.

    The symptoms of MS vary from person to person. They can change over time, as well as fluctuate in severity. In short, MS can be an unpredictable condition.

    Common Symptoms of MS Include:

    • Pain
    • Vision changes, including temporary vision loss
    • Muscle spasms
    • Numbness and tingling
    • Bowel issues
    • Fatigue
    • Issues walking
    • Bladder issues
    • Dizziness/vertigo
    • Inflammation
    • Emotional changes, such as depression or anxiety

    With MS, it is common to have periods of symptoms worsening and periods of symptoms reducing in their severity. This is referred to as relapsing-remitting MS. However, MS symptoms can also steadily worsen, with no periods of improvement, which is known as progressive MS.

    What Causes MS?

    Currently, we do not know why people develop MS. However, MS is thought to be caused by a malfunction in the body’s immune system. When the immune system attacks areas of the body, this is referred to as an autoimmune condition. Some known risk factors include:

    • Being female
    • Low vitamin D
    • Certain infections, such as Epstein-Barr virus
    • Smoking
    • Family history

    Current Conventional Therapies for MS

    There is currently no cure for MS, but there are treatments aimed at helping with MS symptoms. Many of the medications that are prescribed to MS patients address inflammation levels and the immune system. For instance, corticosteroids are commonly prescribed for people who suffer with this condition. Corticosteroids suppress the immune system as well as reduce inflammation.

    CBD for MS

    There are many reports of people who claim that using CBD or marijuana has helped them with their anxiety, sleep, and pain levels.

    A survey from the National Multiple Sclerosis Society found that 66% of people with MS reported using cannabis products for symptom control.

    Due to the legality status of the cannabis plant, there has not been much research on medical marijuana or CBD oil until recently.

    What is CBD?

    Cannabidiol, or CBD, is derived from the industrial hemp plant, which is a type of cannabis sativa plant. The marijuana plant is also a type of cannabis plant; however, there are significant differences between the two.

    The marijuana plant contains CBD as well as high levels of tetrahydrocannabinol (THC), which has psychoactive effects and is responsible for making users feel “high.” The industrial hemp plant, which CBD products are derived from, contains minimal THC. What’s more, many CBD products undergo additional processing to remove any remaining THC.

    What the Research Says on CBD for MS

    Currently, the research on using CBD for MS is limited. However, there have been clinical studies on using whole-cannabis plant products in regards to treatments for MS. In addition, CBD has been studied for its anti-inflammatory effects through the endocannabinoid system. Since inflammation is a significant aspect of MS, this is an important avenue to explore.

    The Endocannabinoid System

    The endocannabinoid system is a complex network of receptors found our brains and throughout our bodies. It has received lots of attention due to its effect on emotions, pain, inflammation levels, and more. This system is made up of cannabinoid receptors, including CB1 and CB2 receptors. When these receptors are stimulated, the result is a decrease in inflammation levels, pain, and anxiety.

    CBD contains cannabinoids, including anandamide, which activates the endocannabinoid system. It has been shown to decrease inflammation, pain levels, and anxiety in clinical studies. Given that MS patients tend to experience many of these symptoms, CBD may be useful in helping manage them.

    Muscle Spasms

    The American Academy of Neurology states that the use of oral cannabis extract and synthetic THC improves spasticity and pain in patients with MS.

    A clinical trial published in the Neurology, Neurosurgery, Psychiatry Journal looked at the effect of medical cannabis products on muscle spasticity in MS patients over a 15-week period. Trial participants were given either a THC extract, a whole-cannabis extract containing both THC and CBD, or a placebo. Both the THC group and the whole-cannabis plant group felt that their spasticity improved. However, objective tests of spasticity found significant improvements in the THC group only.

    The results of this study call for further investigation into both CBD as well as cannabis products containing both CBD and THC.

    Bladder Symptoms

    Nabiximols, or Sativex, is a whole-cannabis plant extract that has been used in multiple clinical studies. Emerging research has supported that Sativex is likely effective in reducing bladder symptoms, such as overactive bladder, which is often experienced with MS.

    A Summary of What the Research Says

    To date, there are few research studies on using CBD for MS.

    There is research to support that CBD helps with anxiety, inflammation, and sleep via the endocannabinoid system. Since it is common for MS patients to experience these symptoms, there is potential for CBD to be useful in improving them.

    Studies support that THC helps with muscle spasticity.

    It is still unclear as to whether CBD alone, THC alone, or whole-cannabis plant products with CBD and THC are the most effective for reducing MS symptoms such as muscle spasms. More research is needed.

    The whole-cannabis plant product Sativex has been shown to help with bladder symptoms in MS.

    In short, more clinical trials are needed on both CBD as well as THC to determine if these cannabis plant products have a place in alleviating symptoms in MS.

    Is it Legal to Use Cannabis Products in the United States?

    Cannabis, otherwise known as marijuana, is currently legal in 29 states for the treatment of specific medical conditions, including MS. However, cannabis is still illegal at the federal level due to its THC content.

    CBD products, which contain little to no THC, are federally legal all across the United States, and can be found in many forms, including tinctures, edibles, and lotions.

    Currently, the Federal Food and Drug Administration (FDA) does not regulate CBD products. Independent studies have shown that the amount of CBD in CBD products often differs from the amount listed on the label. In addition, small amounts (legal limits) of THC are found in many CBD products. There are some CBD products, however, that have the THC completely removed. These are called CBD isolates.

    Until CBD products are more strictly regulated, third-party testing assesses both CBD and THC levels. It’s a good idea to use a reputable resource, like this one, to find high-quality CBD products.

    The Safety of CBD

    CBD is considered to be very safe even at high dosages. Some people do experience mild to moderate side effects; however, there is no known risk of overdosing on CBD.

    CBD has even been approved for use by children with seizures The FDA has approved a CBD product, Epidolex, for certain types of seizures.

    Some of the side effects people may experience with CBD use include:

    • Dry mouth
    • Diarrhea
    • Reduced appetite
    • Drowsiness and fatigue

    CBD may interact with other medications; therefore, you should always speak with your doctor before making any changes to your health regime.

    Final Thoughts on Using CBD for MS

    Living with multiple sclerosis can severely disrupt your quality of life, and there are not currently many effective treatments for this medical condition.

    Some people with MS report that using CBD and medical cannabis to address their symptoms is helpful for them. Early research indicates that CBD and medical marijuana may have a place in MS symptom management. Remember, though, always speak with your doctor about your options, including cannabis products, before making any changes.
    If you do choose to purchase CBD products, always look for third-party testing to ensure the quality and safety of the product.

    How CBD Reduces Multiple Sclerosis Symptoms Has Now Been Revealed

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    Multiple Sclerosis (MS) is a chronic, sometimes debilitating, autoimmune disease which affects the brain and spinal cord. Symptoms, and the severity of those symptoms, can vary dramatically over time with many sufferers reporting symptoms worsening steadily over time, or going through periods of relapse and remission where symptoms come and go.

    The disease is most commonly characterized by issues with mobility, ranging anywhere from numbness in one or more limbs, to paralysis. People with MS also report experiencing one, or a combination of, the following symptoms: problems with their vision, pain or muscle spasms, cognitive impairment, and fatigue.

    Though it is still unknown exactly causes MS, studies on animals with experimental autoimmune encephalomyelitis (EAE), the animal model for MS in humans, revealed antigen-specific T cells crossing the blood-brain barrier which triggered neuroinflammation. This led to the destruction of myelinated neuronal cells and produced symptoms of paralysis as a result of this demyelination.

    CBD oil and MS

    While clinical studies show that patients receiving Sativex do report a better quality of life and lower spasticity than they did prior to starting CBD oil treatment, the exact method through which CBD interacts with the mechanisms that are thought to cause MS remains unclear.

    New research from the Department of Pathology in the University of South Carolina School of Medicine, Columbia, published last week in Frontiers in Immunology studied the treatment of murine EAE with CBD oil in order to characterize the previously unknown biochemical mechanisms through which CBD inhibits MS-like symptoms.

    CBD and multiple sclerosis

    The EAE-VEH mice developed EAE at a steady rate, with a maximum mean clinical score of 4.1 over the course of the study. A clinical score of 4 in this study corresponds to a state of tetraparalysis. The EAE-CBD mice experienced a slower onset of symptoms, and at their peak the mean clinical score of symptoms was 2.2, which indicates only partial paralysis of the hind limbs.

    With confirmation that CBD treatment does have a clear effect on EAE, the researchers carried out a number of in vivo and ex vivo tests to try to pinpoint exactly what biochemical mechanisms were responsible for the effectiveness of the treatment.

    Marijuana and MS

    It is already known that EAE in mice is triggered by Th1 and TH17 cells, so the researchers first chose to examine the effect of CBD on the cytokines that affect these cells, as well as some additional cytokines and transcription factors that are closely related.

    It was found that EAE-VEH mice had considerably higher levels of the transcription factors T-bet and RORγT compared to mice who did not have EAE. These levels were not seen in EAE-CBD mice, indicating that treatment with CBD may affect these transcription factors.

    Analysis of the cytokine levels in EAE-VEH mice re-stimulated with MOG showed heightened levels of IFNγ, IL-17, TNFα, and IL-10 cytokines. By comparison, the EAE-CBD mice displayed far lower levels of IFNγ and IL-17, but had a similar TNFα reading, and production of IL-10 in the mice had increased.

    Taking into account both the differences in cytokine and transcription factors, the data indicates that CBD treatment leads to the suppression of cytokines and transcription factors that are known to display pro-inflammatory effects, while also promoting the production of IL10, a cytokine which is known to have strong anti-inflammatory properties.

    The importance of MDSCs

    EAE-CBD mice were found to show dramatically higher counts of CD11b+Gr-1+ MDSCs than the EAE-VEH mice in the peritoneal cavity where the CBD was injected, but that these levels were not heightened in the central nervous system, spinal cord, or brain. Levels in the central nervous system were actually slightly reduced in comparison to EAE-VEH mice. It is theorized that this difference is due to the MDSCs in the periphery being unable to migrate to the central nervous system, but by inhibiting T cell induction in secondary lymphoid organs it was possible for the CBD-induced MDSCs to prevent the T cells from proliferating and causing the clinical disease. This was supported by the total viable cell number of the T cells, which showed that the MDSCs were not killing the T cells after they were triggered by the autoimmune disease, but that they were being suppressed and inhibited from proliferating.

    Importantly, MDSCs are known to produce IL-10. Researchers noted a dose-dependent response from CBD treatment on MDSC levels in this study, indicating that CBD’s ability to mediate EAE symptoms could be a result of both its direct IL-10 induction, and by an indirect effect through raising the MDSC levels which in turn produces more of the anti-inflammatory IL-10.

    An additional experiment was carried out to investigate the effects of MDSC depletion on clinical symptoms. Lowering MDSC levels by injection of the antibody RB6-8C5 into mice that had been successfully treated with CBD reversed the effects of the treatment. This further supports the theory that indirect manipulation of MDSCs is a significant contributing factor to the effectiveness of CBD treatment.

    The new model for CBD’s action on MS symptoms

    The authors of the study conclude their research paper with the recommendation that “CBD may constitute an excellent candidate for the treatment of MS and other autoimmune diseases” as a novel non-psychoactive therapeutic. Further study of MDSC manipulation by cannabinoid-based drugs could lead to the development of novel drugs and other future advances in autoimmune disease treatment.

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