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Parkinson’s Disease

CBD Dosage for Parkinson's

Parkinson’s disease (PD) is a progressive neurodegenerative disorder affecting approximately one million Americans. Characterized by motor symptoms such as tremors, rigidity, and bradykinesia (slowness of movement), as well as non-motor symptoms like sleep disturbances and psychosis, PD significantly impacts the quality of life. Traditional medications aim to manage these symptoms but often come with side effects that can further diminish patient well-being. Recent research has turned attention to cannabidiol (CBD), a non-psychoactive compound found in cannabis, for its potential therapeutic benefits in PD management.​

CBD and Motor Symptoms in Parkinson’s Disease

Several studies have investigated the effects of CBD on motor symptoms associated with PD. A comprehensive review highlighted that cannabinoids, including CBD, consistently improved motor symptoms more than a placebo. Additionally, an open-label study involving 10 participants with PD demonstrated that treatment with Epidiolex® (a CBD formulation approved by the FDA for certain epilepsies) led to improvements in motor scores, nighttime sleep, and emotional regulation. ​PubMedapdaparkinson.org

CBD’s Neuroprotective Properties

Beyond symptom management, CBD has shown promise in offering neuroprotective benefits. Research suggests that CBD possesses antioxidant properties capable of reducing oxidative stress, a contributing factor to neuronal degeneration in PD. By diminishing nigrostriatal dopaminergic neurodegeneration, CBD may play a role in preserving neuronal integrity. Furthermore, CBD’s interaction with peroxisome proliferator-activated receptor-gamma (PPARγ) receptors has been linked to anti-inflammatory effects, potentially mitigating neuroinflammation associated with PD progression.​PubMed Central

CBD and Non-Motor Symptoms

Non-motor symptoms, such as psychosis, anxiety, and sleep disturbances, significantly affect PD patients. A pioneering clinical trial is underway to assess whether CBD can effectively treat psychosis symptoms in PD patients. The study aims to determine the safety, optimal dosage, and efficacy of CBD in reducing hallucinations and delusions. Preliminary findings from other studies have shown that CBD treatment led to reductions in psychotic symptoms without exacerbating motor symptoms. ​HealthlineParkinson’s UKNews Medical

Patient Experiences and Survey Data

Real-world data provides additional insights into CBD’s potential benefits. A survey conducted by The Michael J. Fox Foundation revealed that over 70% of respondents with PD reported using cannabis, primarily orally and daily. Many noted improvements in pain, anxiety, and sleep, although some experienced side effects like dry mouth and dizziness. Notably, higher THC formulations were associated with increased side effects but also greater perceived benefits. ​Michael J. Fox Foundation

Current Research and Future Directions

Ongoing research continues to explore CBD’s therapeutic potential in PD. For instance, Neuropathix, Inc. received a grant from The Michael J. Fox Foundation to develop KLS-13019, a CBD-derived compound, as a potential treatment for PD. This funding aims to advance preclinical research targeting neuroinflammation and mitochondrial dysfunction associated with the disease. ​Wikipedia

Conclusion

While current evidence indicates that CBD may offer therapeutic benefits for both motor and non-motor symptoms of Parkinson’s disease, more extensive clinical trials are necessary to fully understand its efficacy, optimal dosing, and long-term safety. Patients considering CBD as a treatment option should consult with healthcare professionals to ensure it aligns with their overall management plan.​

Resources and Studies

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115444/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115444/

https://www.projectcbd.org/science/cannabis-pharmacology/cbd-and-parkinsons-disease