Posted on

Cbd oil treatment for adhd

CBD Oil for ADHD: Research, Considerations, and Side Effects

Kendra Cherry, MS, is an author and educational consultant focused on helping students learn about psychology.

Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more.

Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.

Verywell / Alex Dos Diaz

Cannabidiol (CBD) is a compound found in cannabis that is purported to have a number of mental health effects. This has led many people to speculate that it might also have potential uses in the treatment of attention deficit hyperactivity disorder (ADHD).

Before you decide to try it, it is important to learn more about what CBD oil is, what the research says about what it can do, and what benefits and side effects it might have for alleviating symptoms of ADHD.

ADHD is a neurodevelopmental disorder that is most often diagnosed during childhood. It can cause symptoms including inattention, hyperactivity, and impulsivity.

What Is CBD Oil?

CBD oil is derived from the marijuana plant. CBD is extracted from the cannabis plant and mixed with a carrier oil such as hemp seed oil, grapeseed oil, olive oil, or sunflower oil. Studies suggest that it appears to be relatively safe and well-tolerated, although further research is needed to look at the possible long-term effects.

The cannabis plant contains hundreds of different compounds. The best known of these is tetrahydrocannabinol (or THC) and it is the most abundant. It is also the substance responsible for marijuana’s psychoactive effects. In other words, THC is what causes people to experience the euphoric high associated with marijuana use.

CBD, on the other hand, is the second most abundant cannabinoid found in the cannabis plant. Although it will not cause the high that TCH will, it does have an effect on the brain and is associated with some mental health benefits, including potential benefits for people who have ADHD.

Reasons to Consider Using CBD

Some people who advocate for the use of CBD oil for ADHD suggest that:

  • It might be more effective than some other treatments
  • It might have fewer side effects than traditional medications
  • Anecdotal evidence suggests it may help with ADHD symptoms
  • It may have other mental health benefits

Part of the appeal of using CBD oil may be to avoid some of the side effects that are associated with traditional ADHD treatments.

While the Centers for Disease Control and Prevention (CDC) reports that between 70 and 80% of kids who have ADHD experience a reduction in symptoms after taking stimulant ADHD medication, they can cause side effects including sleep issues, decreased appetite, and mood changes.

Before you decide to try CBD oil to treat ADHD, it is important to consider the available research. Most importantly, you should always talk to your doctor before you try any alternative remedies.

Research

So what do the experts have to say? Is CBD oil really effective for treating ADHD? Interest in the use of CBD has largely outpaced the research into its uses, safety, and effectiveness.

While some proponents have made a number of claims, the truth is that research on the use of CBD as a treatment for ADHD is extremely limited. Most of what researchers already know stems from research on the use of smoked or ingested marijuana and not directly on the effects of CBD oil or other CBD products.

Even the available studies on the use of marijuana in the treatment of ADHD is very limited. Many of these studies also rely on self-reported data, which does not provide as much support as a randomized clinical trial.

CBD May Reduce Hyperactivity

A 2013 study looked at cannabis use and ADHD subtypes. The data collected from more than 2,800 participants found that people were more likely to self-report hyperactive-impulsive symptoms when they were not self-medicating with cannabis.   This suggests that people who use marijuana to self-treat may find relief for symptoms of hyperactivity and impulsivity.

CBD May Reduce ADHD Symptoms

One small 2017 randomized controlled trial found that adults with ADHD treated with the cannabinoid medication Sativex (which contains THC and CBD) showed a minor reduction in ADHD symptoms with no cognitive impairments.   However, it is important to note that these improvements were small and were not enough to demonstrate that cannabinoids were significantly more effective than treatment with a placebo.

A 2020 study found that higher doses of medical cannabis were associated with a decreased use of ADHD medication in adults.   The products containing a higher dosage of CBD were associated with lower ADHD scores.

Further Research Is Needed

While such results suggest that cannabis and cannabinoid compounds have promise as treatments for ADHD, they don’t indicate that CBD oil on its own might have an impact on the symptoms of the condition. Further research is also needed to determine the role that the endocannabinoid system plays in attention deficit hyperactivity disorder.

CBD for ADHD Symptoms

While the evidence that CBD oil might be useful as a treatment for ADHD remains scant, it may be useful for managing some of the symptoms that are sometimes associated with the condition. ADHD is often associated with a variety of co-occurring conditions including anxiety and depression.

CBD has shown promise as a potential treatment for a number of mental health conditions, so it might be helpful for reducing symptoms of anxiety and depression in people who also have ADHD.

While further research is needed to explore CBD’s effects, some studies have shown that it can be effective in reducing symptoms of a number of anxiety conditions including generalized anxiety disorder, panic disorder, and social anxiety disorder.   CBD has also been found to have an antidepressant-like effect, which may make it useful in the treatment of depression.  

It is important to be aware that much of this research is still in the early stages. More work needs to be done to explore the effects of CBD, what conditions it may treat, and what doses may be the most effective.

If you are thinking of taking CBD, you should also be aware that while it is usually well-tolerated, it may lead to some side effects.

Potential Side Effects

CBD oil may cause a number of side effects. Although many of these symptoms are mild, it’s important to note some of the common complaints:

  • Appetite changes
  • Drowsiness
  • Headaches
  • Mood changes
  • Nausea
  • Stomach upset

Side effects may be more common at higher doses, although research suggests that CBD appears to be safe and well-tolerated at doses up to 1,500 mg per day.   It is also important to note that CBD can impact the metabolism of certain medications.

In addition to the most common side effects, there are also concerns about the potential worsening of some ADHD symptoms. Some of the effects associated with marijuana use are also common symptoms of ADHD.

While CBD oil does not have psychoactive properties, it may also contain small amounts of THC, which could potentially exacerbate some ADHD symptoms.

The memory and attention impairments that are associated with the use of cannabis are one potential concern.

In an article published in the New England Journal of Medicine, Dr. Nora Volkow, director of the National Institute on Drug Abuse (NIDA), points out many of the potential negative side effects of marijuana use.   Among these are impaired attention and memory, problems that can be long-term and become worse with chronic cannabis use.

Another concern is that ADHD can be a risk factor for drug and alcohol misuse. Having impulsive symptoms may cause people to be more likely to misuse cannabis or develop a cannabis use disorder. This presents concerns when it comes to using cannabis or cannabis-related products in the treatment of ADHD symptoms.  

Whether the use of CBD oil might contribute to later marijuana use remains unknown. However, marijuana can potentially have negative effects on things like attention and motivation. Young people who smoke marijuana can also experience lasting detriments to cognitive ability and IQ.

Some research suggests that very high doses may pose a risk of liver damage. In a study where mice were given very high doses of CBD, researchers observed that there was an increased risk for liver toxicity. Of course, more research is needed to determine if these same risks apply to humans.  

Considerations

So should you try CBD oil for ADHD? Some important things to remember:

  • It shouldn’t be a substitute for other treatments. While there is evidence that CBD may have mental health uses, this does not mean that it is the best option for the treatment of ADHD. There are a number of effective treatments currently available to manage the symptoms of this condition. Until further evidence demonstrates the usefulness of CBD for this purpose, it is better to stick to known treatments that have a solid track record of effectiveness.
  • Just because something is perceived as being more “natural” does not mean it is the best choice. CBD oil appeals to some people because it is seen as a natural product. But it is important to remember that “natural” does not necessarily mean that it will be safe. While CBD oil appears to have few or minor side effects in the short-term, researchers still are not sure about any long-term impacts it may have.
  • We don’t know if it actually works. The jury is still out on whether CBD might be effective for treating ADHD and answers won’t become clear until further research is done.
  • CBD oil and other CBD products are not regulated. When you purchase these products, you have no way of knowing if you are getting what you think you are getting. There are no regulations or manufacturing oversight that allows consumers to feel secure about the purity of the products that they are purchasing.

There are different types of CBD oil to choose from and it is unclear which CBD products might be helpful in the treatment of ADHD. These types vary depending on what they contain. CBD oil isolate contains only CBD. Broad-spectrum products contain CBD as well as other cannabinoids, but not THC. Full-spectrum products, on the other hand, contain CBD, THC, and other cannabinoids.

Some research has found that CBD may play a role in counteracting some of the negative side effects associated with THC.  

When it comes to ADHD, people who are thinking of trying CBD oil need to understand that there is a major lack of research on the topic. There are no randomized controlled trials that indicate whether it is effective or ineffective. There is also no research comparing CBD oil to other treatments for ADHD.

How to Use CBD Oil

If you decide to try CBD oil for ADHD or other reasons, it is important to purchase it from reputable sources. Products containing CBD are frequently mislabeled, and since there is no federal regulation over these products, it is difficult to know exactly what you are getting.

There is also no research comparing the effects of different forms of CBD. In addition to being available as an oil, CBD can also be purchased as capsules, gummies, sprays, tinctures, candies, beverages, and vaping oils.

Is It Legal?

While CBD is growing in popularity, its legal status varies depending on where you live. All states permit CBD, but many have restrictions based on the THC levels found in the product. It is important to note that while many states have passed laws legalizing CBD and other cannabis products, any product containing more than 0.3% THC is illegal according to federal law.

The FDA has also issued warnings about companies illegally selling unapproved CBD products boasting unsupported claims about their effectiveness in the treatment of ADHD and other conditions including Alzheimer’s disease and autism.

The Federal Trade Commission Act prohibits manufacturers from claiming that a product can prevent, treat, or cure a disease unless such claims are backed by reliable scientific studies.

The FDA warns that consumers should be wary of such claims. “This is especially concerning when companies are peddling unproven CBD products for use in vulnerable populations like infants and children,” explained FDA Acting Commissioner Ned Sharpless, M.D.

A Word From Verywell

While CBD oil and other CBD products may show promise for relieving some symptoms of ADHD, there simply is not enough evidence to support using it as a treatment for ADHD. If you do decide to try it, be sure to talk to your doctor first. Your doctor will be able to suggest the most effective and safest ways to help you better manage your symptoms.

Can CBD Help With ADHD? Everything You Need to Know

Kelly Burch is a freelance journalist who has covered health topics for more than 10 years. Her writing has appeared in The Washington Post, The Chicago Tribune, and more.

Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more.

Keri Peterson, MD, is board-certified in internal medicine and has her own private practice on the Upper East Side of Manhattan. She holds appointments at Lenox Hill Hospital and Mount Sinai Medical Center.

Attention deficit hyperactivity disorder (ADHD) is one of the most common neurodevelopment conditions among children, affecting an estimated 11% of U.S. children. The condition is characterized by having trouble sitting still, an inability to focus, forgetfulness, and disorganization.

Adults can also be diagnosed with ADHD, and about 75% of kids with ADHD will continue to have ADHD symptoms as adults.

These days, more ADHD patients and parents of children with the condition are curious about whether cannabidiol (CBD), a non-psychoactive extract of the cannabis plant, can be beneficial in managing ADHD symptoms.

CBD has shown promise for treating some health experts, and many experts believe its calming effects could help those with ADHD. However, research is still emerging and caution should be used.

This article will review the potential benefits of CBD for ADHD, the side effects, and how to source the best CBD products.

Vanessa Nunes /iStock/ Getty Images Plus

Using CBD for ADHD Symptoms

The federal prohibition on all cannabis products, including hemp, prior to 2018 has limited research on CBD and ADHD. However, there are some studies about the effects of CBD or cannabis on ADHD symptoms. Here’s what they’ve found:

  • A 2020 scientific review gave a grade B, or moderate, recommendation supporting CBD for ADHD treatment.
  • A small 2020 study of 112 adult medical cannabis patients with ADHD found that those who took a higher dose of CBD took fewer other ADHD medications.
  • A small 2017 study involving 30 individuals found that those who used a CBD nasal spray had a small reduction in hyperactivity, impulsivity, and inattention. However, the improvement was not big enough for researchers to definitely say that CBD spray was more effective than a placebo. The researchers called for further investigation.

The Food and Drug Administration (FDA) has only approved one prescription CBD medication, which is used to treat epilepsy. Research is ongoing for CBD formulate to treat other conditions.

Benefits of CBD

Unlike THC, which acts on cannabinoid receptors in the brain, CBD acts on opioid and glycine receptors. These receptors regulate pain and the neurotransmitter serotonin, which helps us feel good. Unsurprisingly, then, research has shown that CBD can have lots of benefits. These include:

  • Reducing inflammation
  • Regulating the immune system
  • Reducing pain
  • Providing antipsychotic effects
  • Reducing seizures
  • Reducing anxiety

CBD products sometimes claim many additional benefits. However, those listed above have been scientifically proven, while other benefits are often anecdotal or overstated.

Potential Side Effects of CBD

A perk of CBD is that it has very few side effects. CBD does not have any psychoactive effects and it doesn’t have any risk of addiction or abuse. A 2020 scientific review of 22 research studies found no reports of serious adverse side effects.

However, some people who take CBD will experience minor side effects including:

  • Drowsiness
  • Headache
  • Changes to appetite
  • Stomach pain or nausea

Things to Consider Before Using CBD

Although many CBD products make claims about treating ADHD, there is no definitive research that shows CDB will help most people with ADHD. It’s best to keep your expectations realistic and remember that even if CBD worked well for someone you know, it will not necessarily improve symptoms for you or your child, and it is not a replacement for treatments recommended by your healthcare team.

You should also consider the legality. It’s important to only use a CBD product that contains less than 0.3% THC, in order to comply with federal law. If you are considering CBD for a child, consult laws in your state and consider using an isolate that contains no THC, which is illegal for people under 21 even in states that have legalized cannabis. Be sure to purchase your CBD products from a reputable dispensary or drugstore so that you know exactly what’s in them.

How to Use CBD

There are no guidelines on how to use CBD for ADHD. CBD oil is widely available and is usually consumed by placing a few drops under the tongue or stirring into coffee or tea. There are also many CBD products available, ranging from supplements to gummies to packaged drinks.

There is also no known dosage for treating ADHD. Many people find they need to experiment to find the right daily dose to manage their symptoms.

If you’re curious about using CBD to treat ADHD, you should talk with your healthcare provider. Although CBD is generally considered safe, it is still a chemical compound that can interact with other supplements or medications.

Remember that CBD oils are mostly unregulated, so there’s also no guarantee that a product is safe, effective, or what it claims to be on its packaging. Your healthcare provider should be able to offer dosage and product recommendations that work with your individualized treatment plan.

Summary

CBD shows some promise for helping to manage ADHD symptoms. However, the research is limited and more research needs to be done to confirm effectiveness, dosage, and safety. CBD is generally considered safe and has few if any side effects. If you are considering trying CBD, talk with your healthcare provider and seek out a quality product for the best results.

A Word From Verywell

The symptoms of ADHD can have a big impact on your life, so it’s normal to look for alternative treatments to supplement your medical treatment plan or manage minor symptoms.

While early research on CBD for ADHD is promising, there are no definitive conclusions yet. If you want to try CBD for ADHD, talk with a trusted healthcare professional. They’ll be able to answer your questions without judgment and craft a treatment plan that is right for you.

Frequently Asked Questions

CBD is generally considered very safe. It has no psychoactive properties and is not addictive. Some people experience minor side effects like an upset stomach or drowsiness.

The FDA has approved one prescription CBD medication for treating epilepsy in children. Outside of that, CBD is considered generally safe, but you should consult your healthcare provider and laws in your state before giving CBD to children.

CBD is legal at the federal level as long as it is in a form that contains less than 0.3% THC, the other active ingredient in marijuana. The legality of CBD at the state level varies, so be sure to look at laws in your state.