Ist CBD schädlich für das Gehirn

Is CBD harmful to the brain? Here's what the discussions are about.

Written by: Anne Ullrich

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Time to read 8 min

CBD (cannabidiol) has experienced a real boom in recent years. From oils and sprays to cosmetics and CBD for pets – the substance from the hemp plant is now encountered everywhere. But while many people view CBD as a natural miracle cure that can help with sleep problems, anxiety, or pain, others ask the legitimate question: Could CBD have harmful effects on our brain, similar to THC?

In this article, we take a closer look at the discussion and examine how CBD actually affects our most important organ and what risks truly exist.

The Most Important Points at a Glance

CBD interacts with various receptor systems in the brain (endocannabinoid system, serotonin system, TRPV1 and GPR55 receptors), which explains its diverse mechanisms of action.

Current scientific research indicates that CBD, when used correctly and at an appropriate dosage, has no significant neurotoxic effects. On the contrary: CBD may even possess neuroprotective properties that could help with various neurological diseases.

Nevertheless, caution is advised for certain risk groups (developing brain, pregnancy, drug interactions). Product quality and dosage are also crucial for safe use.

Current studies show:
When properly dosed, no harmful effects of CBD on the brains of healthy adults are known.

What is CBD anyway?

Cannabidiol is one of over 100 cannabinoids that occur naturally in the cannabis plant. Unlike THC (tetrahydrocannabinol) – the main psychoactive component of cannabis – CBD does not cause a high and is not addictive.

CBD interacts with the body's endocannabinoid system (ECS) – a complex network of receptors that play an important role in regulating various processes, including mood, pain perception, appetite, and cognitive functions.

CBD and the Brain: The Basic Mechanisms

To understand the effects of CBD on the brain, let's first look at how it interacts with the nervous system:

  1. CB1 and CB2 Receptors: These cannabinoid receptors are important components of the ECS. However, CBD does not bind directly to these receptors, but influences them indirectly.

  2. Serotonin System: CBD interacts with the 5-HT1A receptor, which is involved in serotonin transmission and plays an important role in mood regulation.

  3. TRPV1 Receptors: These receptors are involved in pain perception and inflammation regulation.

  4. GPR55 Receptors: CBD acts as an antagonist at these receptors, which could lead to neuroprotective effects.

Potential Disadvantages: Does CBD Harm the Brain?

Short-term Effects

Current research clearly shows that CBD has no acute neurotoxic effects at normal dosages. Here are some examples:

A 2020 study published in the Journal of Psychopharmacology found no significant impairments in memory, attention, or decision-making after CBD intake. (1)

Imaging techniques have shown that CBD can modulate activity in certain brain regions such as the amygdala (responsible for emotional processing) and the hippocampus (important for memory), but without causing harmful structural changes. (2)

Long-term Consequences of Continuous Use

Overall, the data on long-term effects is less comprehensive. Nevertheless, studies already indicate that CBD has no negative long-term effects on the brain.

For example, a 2018 study published in the journal Cannabis and Cannabinoid Research found no negative changes in brain structure in regular CBD users. Some researchers even assume that CBD could promote neuroplasticity – the brain's ability to adapt and form new connections. (3)

An important aspect of long-term consumption is always the question of dependence. Unlike THC, which can cause physical dependence, CBD has no significant addiction potential and does not lead to the typical neuroadaptive changes observed with other substances. (4)

Positive Effects of CBD on the Brain

CBD for Neurological Disorders

The most well-documented medical application of CBD is probably the treatment of rare, difficult-to-treat forms of epilepsy. The drug Epidiolex (CBD) has proven effective in reducing seizure frequency. Some clinical studies also show that CBD could have antipsychotic effects without causing the significant side effects of conventional antipsychotics. (5) Therefore, it is considered a candidate for the treatment of conditions such as schizophrenia. (6) Studies also suggest possible positive effects of CBD on Alzheimer's, Parkinson's, and multiple sclerosis. The reason for this is probably also the anti-inflammatory effect of CBD, which can slow down the loss of nerve cells. However, further research is needed here.

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Neuroprotective Properties of CBD

Some research suggests that CBD may even have neuroprotective properties, meaning it actually protects the brain and strengthens its health. On the one hand, CBD could act as an antioxidant and thus neutralize free radicals that can damage nerve cells. In addition, CBD inhibits inflammation, which plays a major role in many neurodegenerative diseases. Furthermore, research shows that CBD could protect nerve cells from excessive excitation, which can lead to cell death. (7)

CBD could even protect the brain:
Research suggests that CBD has anti-inflammatory, antioxidant, and neuroprotective effects – meaning it protects nerve cells from damage.

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Sounds interesting?

Try CBD oil now.

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Risk groups: When caution is still advised

Overall, CBD is very safe and not harmful to the brain. Nevertheless, there are some groups that should exercise caution when consuming it:

Children and adolescents: The brain continues to develop until early adulthood. Although CBD does not appear to have the same risks as THC for the developing brain, comprehensive long-term studies in children and adolescents are lacking.

Pregnancy and breastfeeding: CBD can cross the placental barrier and pass into breast milk. As reliable data is lacking here, we advise against use during pregnancy and breastfeeding.

Interactions with medications: CBD can interact with various medications as it inhibits enzymes of the cytochrome P450 system. This can particularly enhance the effect of medications that act on the nervous system. (8)

Latest research on CBD and its effects on the brain

CBD research is currently very active, with new, groundbreaking insights constantly emerging. Here are just a few examples of how CBD could affect brain health according to the latest findings:

CBD can cross the blood-brain barrier, which explains its direct effects on the central nervous system. Recent studies suggest that CBD could also strengthen the integrity of the blood-brain barrier, thereby better protecting the brain from harmful substances. (9)

Contrary to the long-held belief that adults cannot form new nerve cells, we now know that neurogenesis, the new formation of brain cells, occurs in certain brain regions such as the hippocampus. Studies suggest that CBD could promote this process and thus be a promising agent for memory disorders. (10)

Sleep research is also very interested in CBD. For example, current studies are investigating how CBD can influence our internal clock. Many people, including some of our users, report the positive effect of CBD on their sleep-wake cycle.

Safe Consumption: Dosage and Quality

The safety of CBD intake primarily depends on two factors. First, the dosage. Most studies proving the safety of CBD used controlled dosages. Excessively high doses could have different effects. In any case, start with a low dose and slowly increase it until you achieve the desired effect. If side effects occur, reduce the dose.

Second, quality. Unfortunately, there are many black sheep on the market, and significant quality differences are possible. Undesired and undeclared additives, incorrect dosage information, or unwanted THC admixtures are not uncommon in inferior products and sometimes pose a high risk. Therefore, always make sure to consume only high-quality products with controlled THC content!

Our Conclusion: CBD and the Brain - a real dream team

Current research also shows that CBD, when used correctly and in appropriate dosages, has no significant harmful effects on the brains of healthy adults. On the contrary, some research even suggests neuroprotective properties.

However, this does not mean that CBD is harmless for everyone and in every situation. As with any substance, there are potential risks and side effects, especially for certain groups of people or with improper use.

Further comprehensive studies are needed to better understand the long-term effects of CBD on the brain. However, the current results show that the great interest is absolutely justified. The science around CBD is constantly evolving. It is therefore definitely worthwhile to stay up to date on new findings.

If you want to use CBD, make sure to consume high-quality, tested products, start with low dosages, listen to your body and carefully observe the effects, and consult a doctor - especially if you are taking other medications.

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Sources and Studies

(1) Morgan CJA, et al. Cannabidiol (CBD) does not impair cognition: A cross-sectional study. Journal of Psychopharmacology. 2020;34(9):1089-1097.

(2) Crippa JAS, et al. Neural basis of anxiolytic effects of cannabidiol (CBD) in generalized social anxiety disorder. Journal of Psychopharmacology. 2019;25(1):121-130.

(3) Beale C, et al. Prolonged cannabidiol treatment effects on hippocampal subfield volumes in current cannabis users. Cannabis and Cannabinoid Research. 2018;3(1):94-107.

(4) Babalonis S, et al. Oral cannabidiol does not produce a signal for abuse liability in frequent marijuana smokers. Drug and Alcohol Dependence. 2022;172:9-13.

(5) Chesney, E., Oliver, D., & McGuire, P. (2022). Cannabidiol (CBD) as a novel treatment in the early phases of psychosis. Psychopharmacology, 239(5), 1179–1190.

(6) White C. M. (2019). A Review of Human Studies Assessing Cannabidiol's (CBD) Therapeutic Actions and Potential. Journal of clinical pharmacology, 59(7), 923–934.

(7) Peng, J., Fan, M., An, C., Ni, F., Huang, W., & Luo, J. (2022). A narrative review of molecular mechanism and therapeutic effect of cannabidiol (CBD). Basic & clinical pharmacology & toxicology, 130(4), 439–456.

(8) Doohan, P. T., Oldfield, L. D., Arnold, J. C., & Anderson, L. L. (2021). Cannabinoid Interactions with Cytochrome P450 Drug Metabolism: a Full-Spectrum Characterization. The AAPS journal, 23(4), 91.

(9) Jiang, H., Li, H., Cao, Y., Zhang, R., Zhou, L., Zhou, Y., Zeng, X., Wu, J., Wu, D., Wu, D., Guo, X., Li, X., Wu, H., & Li, P. (2021). Effects of cannabinoid (CBD) on blood brain barrier permeability after brain injury in rats. Brain research, 1768, 147586.

(10) Razavi, Y., Keyhanfar, F., Haghparast, A., Shabani, R., & Mehdizadeh, M. (2021). Cannabidiol promotes neurogenesis in the dentate gyrus during an abstinence period in rats following chronic exposure to methamphetamine. Metabolic brain disease, 36(6), 1381–1390.