Bei welchen Krankheiten hilft CBD?

Which diseases does CBD help with? Key insights from medicine and research

Written by: Anne Ullrich

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Time to read 7 min

Naturally alleviate all kinds of ailments? That may sound unrealistic - but with Cannabidiol (CBD), we could come a little closer to this dream. Studies show that the active ingredient can help with a wide variety of ailments.

And this without the psychoactive effects of THC or other severe side effects. It's no coincidence that corresponding products are becoming increasingly popular as a natural alternative to medications or other forms of treatment.

Many people already successfully use CBD oil and other CBD products as a supplement to conventional treatments.

But how does CBD actually work, and for which illnesses is the treatment truly promising? In this article, you will find out for which conditions CBD is particularly promising, how it works, and what current research says about it.

The Most Important Things at a Glance

CBD interacts with the body's own endocannabinoid system (ECS), which plays a central role in regulating diverse processes such as pain, mood, appetite and immune response.

The effect of CBD on epilepsy is particularly well-researched – there is even an approved medication (Epidiolex) based on CBD.

For many other indications, such as chronic pain, anxiety disorders, and sleep problems, studies show promising results. However, further research is needed here.

Compared to many conventional medications, CBD has a lower side effect profile and can therefore be a good supplement or alternative to conventional therapies.

How Does CBD Work in the Body?

CBD, a cannabinoid from the hemp plant, primarily acts through the endocannabinoid system (ECS), a complex network of mechanisms and receptors distributed throughout the body. The main receptors are CB1 (predominantly in the nervous system) and CB2 (predominantly in the immune system). Unlike THC, CBD does not bind directly to these receptors but indirectly influences how other molecules interact with them (so-called "modulation").

This indirect mode of action ensures that CBD does not produce psychoactive effects but has many other positive effects on health and well-being:

  • Pain relief through influence on pain receptors

  • Anti-inflammatory effect through regulation of immune response

  • Anxiolytic effect through influence on serotonin receptors

  • Neuroprotection through antioxidant properties

This broad effect makes cannabidiol a promising active ingredient for numerous diseases.

CBD Oils from Hanfgeflüster

Which Diseases Does CBD Help With?

Epilepsy and Seizures

The efficacy of CBD in certain forms of epilepsy is best documented. The CBD-based drug Epidiolex was already approved in Germany in 2019 for the treatment of rare, difficult-to-treat forms of epilepsy such as Dravet syndrome and Lennox-Gastaut syndrome. (1)

Studies have shown that CBD can significantly reduce the frequency and severity of seizures in these conditions. Some patients have even achieved complete seizure freedom.

Chronic Pain

Due to its anti-inflammatory and pain-relieving properties, CBD can help with various types of chronic pain. Its use is particularly promising for:

CBD bei Schmerzen

A 2021 study showed that CBD products led to a significant reduction in pain for 60-70% of subjects with chronic pain. (2) Many pain patients were able to reduce their dosage of conventional pain medications like opioids, which in turn reduces the risk of dependence. CBD also has significantly fewer side effects than opioids.

Mental Illnesses

CBD also shows great potential in treating various mental illnesses:

Anxiety Disorders and Depression

CBD can alleviate anxiety by acting on serotonin receptors – similar to many prescription antidepressants, but without their typical side effects. In a 2019 study, 79% of participants reported a reduction in their anxiety symptoms. (3) At the same time, unlike (even medical) cannabis, CBD does not carry the risk of psychosis or other severe side effects.

Sounds interesting?

Try CBD oil now.

Discover CBD oils now

Sounds interesting?

Try CBD oil now.

Discover CBD oils now

PTSD (Post-Traumatic Stress Disorder)

CBD could help reprocess traumatic memories and reduce anxiety symptoms. Promising initial results have already been achieved in mouse models (4) – however, research is still in its early stages here.

Sleep Disorders

Due to its relaxing but non-sedating effect, CBD can help improve sleep quality. It regulates the sleep-wake rhythm and shortens sleep onset time. (5)

Tip: For sleep problems, take in the evening
CBD can help you relax better in the evening – ideally 30–60 minutes before bedtime.

CBD bei Schlafstörungen

Neurodegenerative Diseases

The neuroprotective properties of CBD make it interesting for the treatment of:

Autoimmune Diseases and Inflammation

CBD can modulate the body's immune response and dampen excessive inflammatory reactions. This makes it valuable for:

Symptoms of Cancer-Related Illnesses

While CBD does not cure cancer, it can alleviate many of the distressing side effects of cancer treatment, thus significantly improving the quality of life for affected individuals:

  • Nausea and vomiting due to chemotherapy

  • Pain

  • Loss of appetite

  • Anxiety and depression

Some laboratory studies even suggest that CBD could inhibit the growth of certain cancer cells, but further research is needed to confirm this effect in humans. (5)

Study Situation on the Use of CBD for Various Diseases

The following table provides an overview of the current state of scientific research on the use of CBD for various diseases:

Condition

Scientific Evidence

Recommended CBD Form

Dosage

Special Features

Epilepsy

Strong (approved medication)

CBD oil, Epidiolex

5-20 mg/kg/day

Especially for treatment-resistant forms like Dravet and Lennox-Gastaut syndromes

Chronic Pain

Moderate to strong

CBD oil, CBD balm

10-100 mg/day

Particularly effective in combination with low amounts of THC ( entourage effect)

Anxiety Disorders

Moderate

Full-spectrum CBD oil

25-75 mg/day

Regular intake with improved effect

Sleep Disorders

Moderate

CBD Sleep Oil

25-150 mg before bedtime

Higher doses tend to promote sleep

Multiple Sclerosis

Moderate

CBD oil, e.g., 15% full-spectrum oil

50-300 mg/day

Relieves spasticity and neuropathic pain

Inflammatory Bowel Diseases

Limited to moderate

CBD oil

30-200 mg/day

Can reduce inflammation and relieve symptoms

Skin Diseases

Limited

CBD balm

Topical as needed

Promising for psoriasis, eczema, and acne

Parkinson's

Limited

CBD Oil

20-300 mg/day

Can reduce tremor and stiffness

Cancer-related symptoms

Moderate

CBD Oil

50-600 mg/day

Mainly relieves nausea and pain

CBD vs. Medical Cannabis

CBD is a better choice for many patients than THC products, even if medical cannabis has been prescribed by a doctor. This is because medical cannabis also contains THC, which can cause severe side effects. The "high" associated with THC-containing products is also not pleasant for all patients. In addition, there is the stigma that comes with cannabis consumption despite (partial) legalization. CBD products, on the other hand, can be easily and uncomplicatedly integrated into everyday life.

Depending on the severity of the symptoms, a combination of CBD and THC products may still be beneficial. Be sure to discuss this with your doctor to develop your optimal cannabis therapy.

Tip: Check quality
Pay attention to laboratory analyses, organic certificates, and the THC content (below 0.2%) of your CBD product.

Tips for using CBD oil for illnesses

If you want to use CBD to relieve illness symptoms, please note the following tips:

  1. Start low, go slow: Start with a low dose (10-25 mg/day) and increase slowly as needed.

  2. Full-spectrum vs. Isolate: Full-spectrum CBD oils contain other cannabinoids and terpenes that can enhance the therapeutic effect through the so-called entourage effect.

  3. Regular use: For many illnesses, regular, daily use over a longer period is more effective than sporadic intake.

  4. Correct use of CBD oil: For best absorption, hold CBD oil under your tongue for 60-90 seconds before swallowing. If you don't like the specific taste of the oil, it is recommended to take it as a spray, for example.

  5. Beware of interactions: CBD can interact with some medications. Therefore, always talk to your doctor, especially if you are already taking medication.

Conclusion

CBD shows enormous potential as an adjunctive treatment for numerous diseases - from epilepsy to chronic pain to anxiety disorders and inflammatory diseases (e.g., Crohn's disease). Research in this area is currently progressing extremely quickly, and more and more clinical studies are confirming the promising results to date.

The great advantage of CBD is that it has very few side effects and is suitable for many groups of people - and even pets. This makes it a particularly valuable alternative or supplement to conventional treatments. However, its use, especially for serious illnesses or if medication is already being taken, should always be discussed with the treating doctor.

Of course, CBD is not a panacea. Nevertheless, it opens up a more natural way for many people to alleviate their symptoms and improve their quality of life - without the often severe side effects of conventional medicines.

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Sources and Studies

(1) Silvestro, S., Mammana, S., Cavalli, E., Bramanti, P., & Mazzon, E. (2019). Use of Cannabidiol in the Treatment of Epilepsy: Efficacy and Security in Clinical Trials. Molecules, 24(8), 1459.


(2) Argueta, D. A., Ventura, C. M., Kiven, S., Sagi, V., & Gupta, K. (2020). A Balanced Approach for Cannabidiol Use in Chronic Pain. Frontiers in Pharmacology, 11, 561.


(3) Shannon, S., Lewis, N., Lee, H., & Hughes, S. (2019). Cannabidiol in Anxiety and Sleep: A Large Case Series. The Permanente Journal, 23, 18-041.


(4) Xie, G., Qin, Y., Wu, N., Han, X., & Li, J. (2024). Single-Nucleus Transcriptome Profiling from the Hippocampus of a PTSD Mouse Model and CBD-Treated Cohorts. Genes, 15(4), 519.


(5) Vigil, J. M., Montera, M. A., Pentkowski, N. S., Diviant, J. P., Orozco, J., Ortiz, A. L., Rael, L. J., & Westlund, K. N. (2018). The Therapeutic Effectiveness of Full Spectrum Hemp Oil Using a Chronic Neuropathic Pain Model. Life, 11(5), 355.


(6) Śledziński, P., Zeyland, J., Słomski, R., & Nowak, A. (2018). The current state and future perspectives of cannabinoids in cancer biology. Cancer Medicine, 7(3), 765-775.