Add CBD Safety for Seniors

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 <br>Almost one in five [Americans](https://de.bab.la/woerterbuch/englisch-deutsch/Americans) over 50 now uses some kind of CBD product, according to a recent Gallup poll. And they are doing so undeterred by the total lack of FDA oversight or guidelines. But to what extent is CBD use a public health concern for seniors? And what do older adults need to consider when they start using CBD? Hemp-derived CBD oil is now poised to overtake olive oil in the category of most counterfeited plant extract on the planet, making authenticity a prime concern for older consumers. Random samplings of CBD products consistently detect misrepresentation between their labels and their contents. In some cases, the nominal cannabinoid is entirely absent, in others, more nefarious substances have been found. Hence, until the FDA gets its regulatory house in order, responsibility for finding a safe product lies with the consumer. According to the Brightfield Group, seniors tend to prefer ingesting CBD in oils, vape cartridges and edibles, which entails a lot of label-reading for seniors.<br>
 <br>When evaluating a CBD product, make sure it uses CBD from organic hemp, preferably grown in the United States, and that it is third-party lab tested to verify the CBD content and rule out the presence of contaminants. Once you get it, how do you use it? While CBD products have never been easier to access in the US, actually getting the desired results from them can be more complicated. I spoke with Dr. Danial Schecter, an Ontario-based family physician who is the co-founder of a network of cannabis-based medicine clinics that have served over 60,000 patients in Canada, and who recently became Director of Global Medical Services at Canopy Growth Corporate, about the guidance he suggests for  [Medi Bloom CBD supplement](https://www.cebucia.com:443/en/bbs/board.php?bo_table=famous_beaches_en&wr_id=31385) seniors interested in using CBD. Danial Schecter (DS) I’ll start with a few basics: CBD is a molecule derived from the cannabis plant. It is what we call non-euphoric-inducing, in that it doesn’t cause you to feel high, but it is still what we call psychoactive, meaning that it has an effect on the neurotransmitters and the chemistry of your brain, just like an antidepressant or a sleep aid would have.<br>
 <br>Abbie Rosner (AR): How do you approach CBD dosage for seniors? DS: When we’re talking about CBD, in terms of dosing it in particular, we know that doses of CBD are very safe, that there has been no documented overdose of CBD, that it does not cause euphoria and that it is safe to be used in quite high quantities. We have studies where it’s been used in as low as 5-10 mgs per day, and studies that are using it in as high as 1500 mgs a day. The supposed effects of CBD are that it has anti-inflammatory, antidepressant and anxiolytic (anti-anxiety) properties - but we still don’t really know exactly how it works. Yet there have been studies done in humans, for example, where subjects were given 600 mg of CBD in a single dose or a placebo, and then had them do a simulated public speaking exercise. And those who had the CBD had a significantly easier time, with less anxiety.<br>
 <br>But, in clinical practice, we never give doses like that. It’s just not affordable. What I see in my clinical practice is that the majority of people will respond to somewhere between 40 and 100 mgs of CBD/day. AR: If a 70 year old woman came into your clinic, would you recommend that she take 40 mg of CBD? DS: No. What I would say is, we don’t know what your dose is going to be. Everyone’s [endocannabinoid tone](https://www.academia.edu/people/search?utf8=%E2%9C%93&q=endocannabinoid%20tone) is different, their metabolism is different, you’re on a certain number of medications that will potentially affect the metabolism of [Medi Bloom CBD Supplement](https://wiki.shbf.se/index.php/Anv%C3%A4ndare:AshliOberle432) and the only way to know if it is going to work and what the dosage is, is by taking a standardized approach, starting low and going slow. AR: And what would the starting dose be? DS: In a healthy adults a starting dose would usually be 5 mg of CBD, but in people who are elderly, who are potentially on a number of medications, and who are very sensitive to side-effects of medications, we like to cut that dose in half, and start at 2.5 mgs of CBD.<br>
 <br>The 40-100 mgs a day of CBD a day that I mentioned previously, that’s usually for people who are using it for pain or for anxiety and wellbeing. AR: Pain and anxiety are two of the main issues that older adults are facing - so the picture that I’m getting is that, if an older adult comes in and says, I have pain and I’d like to start with CBD - you’d start low but you might theoretically get up to 40-100 mgs of CBD to actually address the effects. DS: Exactly - so what we usually do is, we encourage people to start at a very low dose - 2.5 mgs - and then increase in 2.5 mg increments - depending on how aggressive they want to be - over anywhere between 2 days and one week. And then wait to see if they feel any kind of response.<br>