The FDA is actively working to learn more about the safety of CBD and CBD products, including the risks identified above and other topics, such as:
The FDA is concerned that people may mistakenly believe that using CBD “can’t hurt.” The agency wants to be clear that we have seen only limited data about CBD’s safety and these data point to real risks that need to be considered. As part of the drug review and approval process for the prescription drug containing CBD, it was determined that the risks are outweighed by the benefits of the approved drug for the particular population for which it was intended. Consumer use of any CBD products should always be discussed with a healthcare provider. Consumers should be aware of the potential risks associated with using CBD products. Some of these can occur without your awareness, such as:
Unproven medical claims, unsafe manufacturing practices
Despite the 2018 Farm Bill removing hemp — defined as cannabis and cannabis derivatives with very low concentrations (no more than 0.3% on a dry weight basis) of THC — from the definition of marijuana in the Controlled Substances Act, CBD products are still subject to the same laws and requirements as FDA-regulated products that contain any other substance.
The FDA is working to answer questions about the science, safety, and quality of products containing cannabis and cannabis-derived compounds, particularly CBD.
You may have noticed that cannabidiol (CBD) seems to be available almost everywhere, and marketed as a variety of products including drugs, food, dietary supplements, cosmetics, and animal health products. Other than one prescription drug product to treat seizures associated with Lennox Gastaut syndrome (LGS), Dravet syndrome (DS), or tuberous sclerosis complex (TSC) in people one year of age and older, the U.S. Food and Drug Administration (FDA) has not approved any other CBD products, and there is very limited available information about CBD, including about its effects on the body.
The other issue? Topical hemp pain relief products and cannabis creams will treat anatomical structures within 1 centimeter of the skin—and the muscle where your actual soreness is located is going to be deeper than that, explains Ricardo Colberg, M.D., a physician at Andrews Sports Medicine and Orthopaedic Center in Birmingham, AL. (The good news: Since it doesn't need to be absorbed deeply, CBD and cannabis could do amazing things as a skincare ingredient.)
Hemp pain relief creams or cannabis lotions claim to offer muscle relief for your tired body, but what do experts have to say?
There is an argument to be made for the simple fact that science hasn't caught up to the trend (and laws) of cannabis yet. (Here's what research has to say about the potential benefits of CBD and cannabis so far.) And there are doubtlessly researchers testing the efficacy of CBD creams for pain relief as we speak.
What Science Says About Hemp Creams for Pain Relief
Let's start simple: Endocannabinoids are natural signals in your body that help maintain homeostasis by detecting and regulating hunger, pain, mood, and memory. (They're actually part of your post-workout exercise high.) CBD helps elevate your natural levels of pain-relieving endocannabinoids by blocking metabolism as they're moving around your body.
Hemp creams for pain relief are typically is made from infusing high-quality cannabis flowers in some kind of quality oil-coconut or olive typically-which extracts the active compounds, either CBD, THC, or both depending on the type of hemp used. (Here's a guide to the difference between THC, CBD, cannabis, and hemp.) This oil is then blended with other therapeutic herbs, such as arnica or lemongrass essential oils, that are thought to also ease pain.
"When it comes to cannabis-based topicals for muscle soreness or other pain relief, there's absolutely no reason why it should be a big deal to try," he says.
Finally, you have receptors called TrpV1 that detect and regulate your body temperature. When activated, they put out heat, soothing your pain receptors. Using this channel, CBD makes these pain receptors hyperactive for a period of time, causing them to get hot, desensitizing them and downregulating those pain-sensing nerve endings.