Determined to find relief, many parents are beginning to help their children suffering with debilitating health issues by giving them CBD

CBD has been found to have anti-epileptic, anti-inflammatory, anti-anxiety, anti-depressant, anti-ischemic, & anti-tumor properties. Unfortunately, there is very little data on the safety of cannabinoids for both adults and children because of restrictive laws that make conducting clinical trials difficult.

Question: What did a major international medical journal conclude about the safety and efficacy of CBD in children?

A one-year study enrolled 214 children from all across the United States with treatment resistant epilepsy. They required multiple medications and were having repeated breakthrough seizures. They were given CBD in huge doses – 25-50-mg/kg/day. Assuming the child is only 45 pounds, this dose is equivalent to 500-1000-mg of CBD EVERY DAY FOR A YEAR. The result of the national study showed that CBD reduces the seizures by a third and there was an adequate safety profile.

It cannot be emphasized enough that these were huge doses, much larger than normally needed to treat other disorders such as anxiety, inflammation, or insomnia.
This gives us reassurance that if a dose of 1000-mg is safe to take (in a child) over one year, then surely, much lower doses are safe as well.

(Ref: “Cannabidiol in patients with treatment-resistant epilepsy: an open-label interventional trial.” Lancet Neurol. 2016 Mar;15(3):270-278)

Question: Can you give me any proof that the “official” word out is that CBD can be used in children?

Yes. The United States Food & Drug Administration & the European Medicines Agency granted CBD preparations the “Orphan Drug” designation for the treatment of seizures in children with Dravet & Lennox-Gastaut syndromes.
They also granted approval for CBD to be used in neonatal asphyxia.
In other words, according to the medical authorities in the United States & Europe, the benefits CBD can offer the newborn and pediatric and population outweighs the risks.

Ref: “Cannabidiol in patients with treatment-resistant epilepsy: an open-label intervention trial.” Lancet Neurol. 2016; 15(3): 270– 278

Question: What dosage is safe in the pediatric population?

Most of the research done suggests starting with 0.5 mg/pound/day. Divide it into three doses. Increase by 0.5 mg/pound/day every week, until you see maximum benefits. Be conservative. Dosing in small amounts will give you more control in achieving the optimum dose that benefits your child. Be patient. Taper up slowly.

Question: How can I predict if my daughter will respond? Will she respond differently because she is a child than if she were an adult?

Individual response cannot be predicted. Ask questions. Get educated. All the benefits CBD can offer the adult population can also be offered to the pediatric population. Naturally, you should also discuss your reasons and opinions with your child’s PCP if you plan to give CBD to your child.

Question: Can you please explain to me HOW to give my little one CBD?

Space the CBD two hours apart from any other medication your child is taking to help prevent any potential interactions – which are rare, but in children especially, we need to be cautious. The CBD should be given with a high fat snack to improve absorption. The CBD tincture can be given by placing the oil under the tongue or on the side of the cheek.
If that is not doable, then the tincture can be mixed into food. It should not be put into a glass of water because the oil will stick to the side of the glass. Another alternative would be to mix the CBD oil with milk because milk contains fat.
As you can see, there are numerous options as to how one can give CBD oil to the pediatric age group.

Please be advised that we are moving the weekly In-house doctor session to a more suitable time as requested – From Thursday at 3pm EST, to the earlier time of 1pm EST on Thursday.

If you want to read more from Dr Zachar, check out: ‘Ask A Doctor CBD For Pets: Delivery Systems, Health Issues And Dosing’

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[Image credit: Pixabay]

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Leah is an American physician, trained in Internal Medicine with 30+ years of medical experience. Having worked in a private practice, inner-city hospitals, multi-specialty clinics, and having taught medical residents, Leah also concurrently delivered numerous lectures to both fellow physicians and the public. Recently, Leah relocated to Israel and here will continue doing what she loves – teaching patients about themselves and how to best address their medical conditions. Leah feels both privileged and honored to be selected as the in-house medical doctor for the CBD Testers Club.

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