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How to administer cbd oil for pain

How to Take CBD Oil: CBD Drops, Coffees and Cocktails

So, you’ve read all about cannabidiol (or CBD as it’s more commonly known) and now you’re thinking of giving it a whirl. It makes sense. The food and wellness industries are buzzing about this natural chemical compound, which is said to help with anxiety, arthritis, pain relief, menopause symptoms and insomnia to name but a few.

You’ve decided you want to try it, so what’s next? When it comes to how to take CBD oil, you’re spoiled for choice. From tinctures and topicals to smoothies and coffee blends, there’s an overwhelming amount of options out there. Unsure where to start? That’s where we come in – here’s our CBD oil guide to help you decide how best to take CBD oil.

How to take CBD Oil?

While there are many ways to take CBD oil, it depends on the strength of the oil. With our 250mg CBD Oils (a great starting point), you put five CBD oil drops under your tongue and hold them there for 30-60 seconds, and do that three times a day. You can, however, freestyle, putting your drops into a smoothie, juice or even your morning cuppa. CBD is said to take the edge off coffee too.

Which brings us to…

9 Ways to Take CBD Oil at Home

1. In a tincture

In layman’s terms, a tincture is a concoction you take by dropper or spray straight into your mouth. You can take CBD oil by putting it directly under your tongue (that part of the mouth is a capillary-rich area and so the CBD will reach your bloodstream quicker). Try dropping a dose of CBD under your tongue and holding it there for a minute before swallowing.

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2. In a capsule

CBD oil also comes in a capsule form, which can be a good option for people who want to maintain a consistent amount of the compound in the body. However when CBD is ingested it passes through the digestive tract which means you might have to wait upwards of 30 minutes before experiencing any effect.

3. In a smoothie

Some blends of CBD oil can have a pungent, earthy taste. It’s not for everyone, which is why many people like to mask the flavour with other – more delicious – ingredients. Another way to take CBD is by adding half a teaspoon of CBD oil to your morning smoothie for a calm start to the day. If you’re after some smoothie inspo, head over to the 5 Best Self Care Smoothies With Hemp .

4. In coffee

If only there was a way to capture the energy of coffee without its associated jitters. Oh wait… there is! There are an increasing number of CBD coffee brands popping up, who claim that when coffee beans are infused with CBD, they take away the anxiety that caffeine consumption can cause. This makes the ‘up’ that your coffee gives you a little smoother; it takes the edge off. Or use a dairy-free milk that’s infused with CBD to easily control your dosage and allow you to continue using your favourite coffee blend.

5. In a salad dressing

Now we’re talking the same language, right? Try incorporating a little CBD oil into your daily cooking routine to get a bunch of health benefits without much effort at all. For a delicious and nutritious salad dressing, start with three to four tablespoons of olive oil, then add two teaspoons of CBD, the juice of half a fragrant lemon and salt and pepper. Here’s 5 hemp oil friendly recipes for starters.

6. In a vape pen

Okay so this one might sound a little scary, but vape pens are easy to use and can go undetected because they produce little smoke. The plus side of taking CBD in a vape pen is that when CBD is inhaled, it enters the lungs where it rapidly passes into the bloodstream. However, it’s important to note that the long-term safety of vaping is still unknown.

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7. In sweet treats

The beauty of CBD is that it can basically be baked into anything, which is why you’ll find everything from cookies and brownies to gummies and caramel candies infused with it. Sweets are easy to take along with you in a bag on the go, while baked goods might need to be kept refrigerated to keep the CBD fresh (or just eat them quickly before they go off?).

8. In a topical rub or balm

In balm or rub form, CBD is often blended with fragrant coconut oil or beeswax, which makes it easy to spread on the skin (and makes your bod smell great too). When used topically, CBD can reach local targets, like sore muscles or joints. We’ve also heard it works wonders for period pain.

9. In a cocktail

If you’re feeling fancy go on the hunt for a CBD cocktail. We’ve heard reports that over in San Diego you can order The Mr Nice Guy – that’s a vodka and mezcal mixed drink that includes CBD. More proof, if any were needed, that CBD can be imbibed alongside any other food or drink, and that you’re going to be seeing a whole lot more of it soon.

How Much CBD Should I Take Each Day?

We always suggest starting the day with a few drops – it just sets the tone, you know? But you can top up throughout the day, no problem. Everyone will have an amount that works for them, just play around with it and see what feels good. We recommend starting with 5mg doses, 3 times per day and increasing your dosage incrementally over the course of a few weeks, ensuring you always stay below 70mg each day.

Check out our guide to CBD dosages for detailed advice.

Should I Refrigerate CBD Oil?

No, you shouldn’t. It’s best kept in a dark place like a pantry or cupboard so that it stays cool without getting too cold.

Should I Drink CBD Oil or Rub it Into My Skin?

Whichever you prefer! As outlined above, you can add CBD oil to a variety of different drinks or rub it into your skin as a topical balm. However, rubbing it into your skin tends to be better for sore joints or muscles.

What Does CBD Oil Under the Tongue Do?

This is one of the many ways the body can absorb CBD oil – as we mentioned above, your tongue is capillary-rich, meaning this method will allow the CBD to reach your bloodstream quickly.

How Long Does It Take for CBD Oil to Work on Joint Pain?

It depends on a variety of factors, such as how strong the CBD oil is (the stronger the concentration, the faster you will feel its effects) as well as how you are consuming it. For example, if you are taking CBD oil by placing a few drops under your tongue, it should take effect in around 15 to 45 minutes , while a topical application may take longer.

How Often Should I Take CBD Oil?

This varies from person to person and, when in doubt, you should always consult a doctor. However, we recommend starting with one of our 250mg bottles of CBD and taking five drops three times a day. After you begin to learn how this affects your body, you can better decide whether you should scale your dosage up or down (as long as you don’t exceed 70mg of CBD per day!).

Should I Take CBD Oil in the Morning or Evening?

Again, this is up to you and how CBD oil affects your body. People who find that CBD oil makes them feel energised, awake and clear-headed may prefer to take it in the mornings (or afternoons when they need a bit of a boost), while those who find that CBD oil helps them unwind and relax may prefer to take it in the evenings.

Can CBD Keep Me Awake at Night?

It can, but it probably won’t. While some people do feel that CBD oil makes them feel more alert, preliminary studies have shown that CBD oil is an effective way to treat insomnia.

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Have we caught your attention? Now that you know how to take CBD oil, are you interested in trying it out for yourself? Check out our range of Pure CBD oils and start experimenting with your smoothies, baked goods and more!

How To Use CBD To Help Manage Pain

Dr. Bindiya Gandhi is an integrative medicine physician with expertise in functional and holistic medicine based in Atlanta, Georgia.

Commissions we earn from partner links on this page do not affect our opinions or evaluations. Our editorial content is based on thorough research and guidance from the Forbes Health Advisory Board.

Table of Contents

  • CBD for Pain Relief
  • CBD for Chronic Pain
  • CBD for Arthritis and Joint Pain
  • CBD for Neuropathic Pain

Without the intoxicating properties of its cousin delta-9-tetrahydrocannabinol (THC), cannabidiol (CBD) can provide the human body with a handful of health benefits. Cannabinoids like CBD interact with receptors in the endocannabinoid system, which plays a role in signaling bodily functions, from emotional responses to motor control to energy balance [1] Mouslech Z, Valla V. Endocannabinoid system: An overview of its potential in current medical practice. Neuro Endocrinol Lett. 2009;30(2):153-179. .

Over the last two decades, scientists have tested CBD’s efficacy as an analgesic, or painkiller, specifically—and with promising results. While research is ongoing, here’s what we know so far about how we can use CBD oil for pain relief.

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CBD for Pain Relief

For now, no CBD-based medications are approved as painkillers in the U.S. Epidiolex, which is used for rare forms of epilepsy, is the only CBD treatment approved by the Food and Drug Administration (FDA).

Meanwhile, several countries have approved CBD to treat certain conditions. For instance, the U.K. approved it for multiple sclerosis, and Canada approved it for cancer pain. Ongoing research suggests CBD oil for pain can aid medical conditions, including arthritis and fibromyalgia, at varying doses. Some pain may not be treatable by CBD alone, but it can help when paired with THC or Western medication applications.

Interestingly, 60% of U.S. adults who use CBD products do so for its potential pain-relieving effects, according to a recent Forbes Health survey of 2,000 U.S. adults conducted by OnePoll.

What’s more, 60% of U.S. adults have tried CBD and believe it has medicinal benefits.

CBD for Chronic Pain

Chronic pain is defined as any pain lasting longer than several months. Studies have found CBD, often alongside THC, to be an effective pain reliever for various chronic conditions.

In clinical trials, Sativex, a spray with equal parts CBD and THC, proved significantly successful as an analgesic for cancer-related pain [2] Russo EB. Cannabinoids in the management of difficult to treat pain. Ther Clin Risk Manag. 2008;4(1):245-259. . The spray, also used for multiple sclerosis-related pain, is approved in Canada to treat cancer pain and is currently undergoing trials for approval and use in the U.S.

A 2019 study found Sativex to be an “effective and well-tolerated add-on treatment” for patients with severe chronic pain stemming from various ailments. The study identified three types of pain: nociceptive (affecting body tissue), neuropathic (affecting nerves) and mixed pain. Sativex helped treat all three kinds but proved especially effective against neuropathic pain.

An earlier study also found CBD to be effective in chronic pain relief for conditions like multiple sclerosis and spinal cord injury, although across a much smaller sample size [4] Wade DT, Robson P, House H, Makela P, Aram J. A preliminary controlled study to determine whether whole-plant cannabis extracts can improve intractable neurogenic symptoms. Clin Rehabil. 2003;17(1):21-29. .

CBD for Arthritis and Joint Pain

Arthritis is a broad term that encompasses hundreds of joint-related conditions and pains. Common symptoms include swelling, pain and stiffness in the joints and may progress over time.

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Already a proven analgesic for other conditions, CBD shows promise as an anti-inflammatory substance in both animal and preclinical trials, which bodes well for arthritis treatment [5] Nichols JM, Kaplan BLF. Immune Responses Regulated by Cannabidiol. Cannabis Cannabinoid Res. 2020;5(1):12-31. [6] Mlost J, Bryk M, Starowicz K. Cannabidiol for Pain Treatment: Focus on Pharmacology and Mechanism of Action. Int J Mol Sci. 2020;21(22):8870. [7] Kosgodage US, Mould R, Henley AB, et al. Cannabidiol (CBD) Is a Novel Inhibitor for Exosome and Microvesicle (EMV) Release in Cancer. Front Pharmacol. 2018;9:889. [8] Lowin T, Tingting R, Zurmahr J, Classen T, Schneider M, Pongratz G. Cannabidiol (CBD): a killer for inflammatory rheumatoid arthritis synovial fibroblasts. Cell Death Dis. 2020;11(8):714. . However, clinical research dedicated to CBD administration for arthritis is less robust and ongoing.

The first controlled trial conducted in 2006 focused on patients with rheumatoid arthritis, an autoimmune disease that causes inflammation in the joints and other affected areas [9] Blake DR, Robson P, Ho M, Jubb RW, McCabe CS. Preliminary assessment of the efficacy, tolerability and safety of a cannabis-based medicine (Sativex) in the treatment of pain caused by rheumatoid arthritis. Rheumatology (Oxford). 2006;45(1):50-52. . Researchers found that, compared to a placebo, Sativex significantly improved participants’ pain during movement, pain at rest and quality of sleep. Any adverse reactions to the treatment were mild or moderate, and there were no complications with withdrawal.

In 2018 researchers tested the efficacy of topical CBD gel on participants with osteoarthritis-related knee pain over the course of 12 weeks [10] Hunter D, Oldfield G, Tich N, Messenheimer J, Sebree T. Synthetic transdermal cannabidiol for the treatment of knee pain due to osteoarthritis. Osteoarthritis and Cartilage. 2018;26:S26. . Participants used either 250 milligrams or 500 milligrams, split into two applications, daily. Overall, participants’ weekly pain levels didn’t improve much with CBD compared to placebo. However, when researchers evaluated the average weekly worst pain scores and Western Ontario and McMaster Universities Arthritis Index (WOMAC) physical function scores, participants who applied 250 milligrams of CBD daily experienced significant improvement over placebo participants.

Meanwhile, a small 2019 trial suggests a mix of CBD and THC may prove beneficial for people with fibromyalgia, a type of arthritis that results in whole-body pain and fatigue [11] van de Donk T, Niesters M, Kowal MA, Olofsen E, Dahan A, van Velzen M. An experimental randomized study on the analgesic effects of pharmaceutical-grade cannabis in chronic pain patients with fibromyalgia. Pain. 2019;160(4):860-869. . The study found that, via a single inhalation, a CBD-THC solution performed better than a placebo and either substance on its own.

CBD for Neuropathic Pain

Various conditions and injuries that damage nerves or the nervous system can result in neuropathic pain. This kind of pain manifests as tingling, numbness, muscle weakness and a sharp, shooting, burning or stabbing pain.

Multiple sclerosis (MS) is a common cause of neuropathic pain. The disease wears down myelin, a mixture of proteins and phospholipids that coats nerve cells. Sativex is already approved as an MS treatment around the world due to its success in clinical trials. As a spray, Sativex is absorbed in the mouth. Studies support a median dose of eight sprays a day for patients with MS, which provides about 20 milligrams of CBD and 21.6 milligrams of THC [12] Sativex Oromucosal Spray – Summary of Product Characteristics (SmPC). Datapharm. Accessed 7/9/2021. . However, doses vary between patients, and each person needs to find their optimal dose.

A 2020 study also tested topically administered CBD oil as a treatment for patients with peripheral neuropathy, or damage to the peripheral nervous system, which sends information throughout your body from the central nervous system [13] Xu DH, Cullen BD, Tang M, Fang Y. The Effectiveness of Topical Cannabidiol Oil in Symptomatic Relief of Peripheral Neuropathy of the Lower Extremities. Curr Pharm Biotechnol. 2020;21(5):390-402. . When compared to placebo, the topical CBD significantly reduced patients’ intense pain and sharp pain, as well as cold and itchy sensations.