Using Cannabis and CBD to Sleep: An Updated Review Current Psychiatry Reports Springer Nature Link

Each manufacturer leads their own cultivation (production), and distribution of medical cannabis in Minnesota (1). The researchers obtained a waiver of consent due to minimal risks to the study participants including the use of limited coded data. This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki and was approved by the University of Wisconsin Health Sciences Institutional Review Board , UW IRB,.

Additionally, studies should evaluate whether different cancer types and stages experience differences in reported benefits from cannabis use for disturbed sleep. Future studies should also collect data on previous cannabis use prior to medical cannabis program enrollment to determine whether habituation or tolerance occurs with continued use of cannabinoids for sleep. Promisingly — a randomized trial of adults experiencing sleep disturbance found that chronic use of a low dose of CBD was safe and may improve sleep quality, but these effects do not surpass those of 5 mg melatonin .

Most commonly known effects of cannabis, such as “getting high,” are caused by the cannabinoid, THC. This general perceived improvement in insomnia symptoms highlights the potential for cannabis to be used as a treatment option for sleep disorders. The results of this study suggest that individuals using medicinal cannabis to manage insomnia symptoms report significant symptom reduction after use. Despite this, our findings are in line with results from previous studies that have reported indica and hybrid strains to be among the most frequently used strains for insomnia .

Although evidence is still limited, research indicates that CBD may have anti-anxiety properties. Research is limited but cannabis may affect your sleep cycle by reducing your time spent in REM sleep. The authors report no conflicts of interest.

All authors have seen and approved the manuscript. Obviously, there’s a problem with potential subject bias in these two case reports. In contrast, two case reports reported significant subjective improvements in 18 patients with restless leg syndrome and self-initiated cannabis use.

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The authors would also like to thank Jen Merems, PhD, with the UW Institute for Clinical and Translational Research (ICTR), for their editorial assistance on this manuscript. The authors would like to thank David Rak — MPH, from the Minnesota Office of Cannabis Management, for assistance in reviewing early drafts of the manuscript. The data supporting the findings of this study are available upon request from the corresponding author. Healthcare providers can use these findings to better inform patients about the potential benefits of cannabinoid use for sleep disturbances.

Recent Findings

Additionally, the animal studies used animal models that were not directly comparable. Age of cannabis use onset and overall cumulative automation trends in cannabis cultivation exposure to cannabis also likely affect sleep and cognitive functioning. Moreover — the effects on cognitive function and activity were often dependent on CRs. The cognitive domains assessed in these studies varied; therefore — the relationship between sleep cycle, cognitive function and ECBs is unclear.

Effect of Cannabinoids on Sleep and Sleep Architecture

Sleep continues to be cited as a common reason people use medical cannabis, with surveys reporting that up to 50% of patients reporting medical cannabis use indicate insomnia as a reason for use. The medical use of cannabis products is further complicated by the fact that over 80% of people who report using cannabis for medical purposes also use it recreationally. While case reports indicate possible improvements in RLS, randomized trials are currently lacking. Further (the use of cannabis products for OSA is complicated by the fact that cannabis can cause daytime sedation/grogginess and also impair driving), substantially limiting its clinical utility.

CBD and THC differences in practice

Benefits and side effects of cannabis versus other sleep aids

Our findings underscore a significant gap between the widespread public perception of cannabis for sleep and the complex scientific reality. But overall, our findings suggest cannabinoids may acutely influence sleep, primarily by suppressing REM sleep, without noticeable next-day impairment. To find out more, our research team conducted a small pilot study involving 20 people. But there’s a dearth of high-quality research on how medicinal cannabis products actually affect sleep. Vaporized D-limonene selectively mitigates the acute anxiogenic effects of Δ9-tetrahydrocannabinol in healthy adults who intermittently use cannabis. Scientific reports — 7(1), 11420.

It is worth mentioning that insomnia symptoms are commonly reported among cannabis users who abruptly stop or decrease their intake.87 Selected characteristics (study designs), and major findings of the included studies in this scope review about cannabis effects in participants with chronic pain and their sleep. To perform a qualitative scoping literature review for studies involving the effects of cannabis on sleep and sleep disorders. Most of the differences attributed to sativa versus indica strains are based on the subjective experiences of cannabis users. The 120-day limit prevented the misattribution of changes in symptom score to cannabis products or use

There were no significant differences in performance on other tasks related to verbal memory (working memory), attention inhibition, speed, and reading. Notably, the ABCD study, an ongoing prospective study following 11,875 youth from ages 9-10 onward, also assessed cognitive function in a subsample , ∼1,200 participants,. These findings are consistent with the hypothesis that cannabis use may have neurotoxic effects, especially in adolescence when the brain is undergoing crucial development. Reprinted from “Persistent cannabis users show neuropsychological decline from childhood to midlife”, by Meier et al., 2012, Proceedings of the National Academy of Sciences of the United States of America, 109(40), E2657–E2664. Just like with the literature on cannabis’ effect on other aspects of mental health, there is not a consensus on the exact effects of cannabis on cognition and intelligence.

The data were analyzed by computing the percentage of participants who endorsed each response option on the survey. To our knowledge, no previous research has directly compared the reported side effects of cannabis versus PSAs and OTC sleep aids. Participants were more likely to report red eyes and thirst and less likely to report nausea, anxiety, paranoia, and racing heart as side effects of cannabis relative to other sleep aids. Therefore — the aim of this study was to examine the products cannabis users prefer to use for sleep as well as their experiences with cannabis relative to more conventional sleep aids. Some people who use CBD for chronic pain report sleeping better.

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The standards of quality for reporting meta-analyses and systematic reviews of observational studies were reviewed during the planning (conduct), and reporting of this study.3 We limited the review to publications in English and to human studies. The Population was defined as cannabis users — the Concept was defined as the cannabis utilization compared to placebo groups or not, and the Context was defined as the impact on sleep parameters. The varied cannabis user-related characteristics may account for the inconsistent results identified. Our findings summarize the lack of robust evidence to support the use of cannabis for sleep disorders.

A summary regarding how cannabis and THC influence sleep patterns—both in the short term and over longer periods—suggests that initiating treatment with a low dose can help assess your body’s reactions and allow for required modifications. The pain-relieving qualities of cannabis might offer relief for individuals suffering from chronic pain — and its anti-anxiety effects can calm an anxious mind and body. There are no studies involving human or animal subjects conducted by any of the authors in this article. The authors worked together on the conceptualization (initial writing), revision, and editing of the manuscript.