Still, especially for those with skin issues or joint and muscle pain, CBD topicals are often more effective and quicker. Topical CBD formulations typically include additional ingredients to enhance an analgesic, anti-inflammatory effect. So although there are many ways to try CBD, a topical may be your best bet if you need to treat skin issues or relieve aches and pains.
You can also take CBD using a tincture, oil, or spray by holding it under your tongue (sublingual) and allowing it to absorb directly into the bloodstream for 60 to 120 seconds. You can feel effects within 15 to 45 minutes, although you will also taste the preparation. Full-spectrum CBD oils in particular have a strong plant taste.
CBD Topicals vs CBD Oil
In a CBD topical, the base, whether it is oil, cream, wax, or something similar, works as a carrier agent. If you recall our other discussions of how cannabinoids work, you remember that THC, CBD, and other cannabinoids bind with fatty acids. This is why carrier oils are so common.
Taking CBD by mouth. You absorb CBD that you swallow in capsules, gummies, food, or liquid, through the digestive tract. This makes absorption slow and dosing a bit challenging due to several factors, including recent meals, unknown effects of stomach acids, the delayed onset of effect which is one to two hours, and other factors.
There are other miscellaneous CBD topicals, too, like CBD soap and CBD lip balm—all have specific uses.
Opioid pain relief can cause nausea, constipation and addiction. Standard anti-inflammatory meds carry the risk of stomach issues, including bleeding. The limited options prompt many folks to try creams and lotions containing cannabidiol (CBD).
So far, though, most larger scientific studies on CBD have been limited to animals. A handful of small human trials are now underway to evaluate the extent of cannabidiol's pain relief potential. Even without clinical trials, many people already use legal CBD to counteract the intense discomfort brought on by chemotherapy, and to ease pain in arthritic joints. Texas-based dermatologist Jennifer Clay Cather, who cares for people with complicated skin problems, says most of her patients come from oncology. She also owns a research company that develops CBD skin products. “We need large, evidence-based trials testing different conditions, and also testing the reproducibility of the molecule,” Cather says.
Topical CBD creams can treat pain, discomfort and inflammation. Here’s what science knows about how they work.
Consumers need to be educated, as well, says Cather. She works to develop a trusting relationship with her patients, so that they’ll feel comfortable talking about using CBD. She also urges her patients to find companies that document what’s actually in the bottle or jar. Asking the company about their quality control, such as how often they document ingredients, can help also vet the product.
Sidestepping the CB1 and CB2 receptors means that CBD can mute pain without the high sensation delivered by THC. Not only does CBD have very little interest in switching on CB1, cannabidiol can actually mute any signals sent to that receptor. Researchers looking for safer pain treatments want to take advantage of this action because it means that CBD won’t spark addiction.
Hurd suggests telling your doctor if you are using CBD creams because what’s absorbed into your skin will get into your bloodstream. “These are sometimes things people don’t appreciate when they are putting cream ‘only on my knee,’” says Hurd. “We also have a lot of seniors using CBD creams for arthritic pain and we need to know sooner rather than later whether this chemical cream used by so many people can indeed be effective.”