Cannabinoid
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How do you address patients’ questions on use of CBD oil for treatment of musculoskeletal pain?
CBD is one of the most recognized, and certainly one of the most heavily marketed, cannabinoids or cannabis-derived compounds. It is non-psychotropic. In other words, it does not produce a “high” and is reported to have anti-inflammatory and anxiolytic properties. The only current FDA-approved CBD formulation is Epidiolex (Greenwich Biosciences), which is for treatment of epilepsy associated with Lennox-Gastaut or Dravet syndrome. Most patients, however, come into our offices asking about the use of unregulated CBD-containing products that are available on the open market, such as topical oils. I counsel my patients firstly by informing them these unregulated products are exactly that—unregulated by the FDA and not generally held to any federal testing standards to ensure products contain what the labels claim. Furthermore, there is little scientific data at this point to support the myriad claims of CBD’s anxiolytic and anti-inflammatory properties that are advertised in the lay press. The FDA, in fact, has issued dozens of warning letters to various American manufacturers regarding false advertising and illegal interstate marketing of CBD as an unapproved drug.