The Federal Drug Administration does not regulate CBD, so you should always be diligent when selecting a source. Always buy your product from a reputable company that offers organic CBD. Look for companies that offer third-party testing to make sure that the product is accurately labeled and dosed. Start with 5–10 mg per day for anxiety reduction and increase your dose by 5 mg a day to find your sweet spot.
Xanax is taken orally and metabolized in the liver by an enzyme called P4503A4.
There hasn’t been much research yet to determine what is considered a safe dose of CBD when taking it with drugs like Xanax. A 2013 clinical study using a CBD sublingual spray found that there were no interactions with liver enzymes with doses up to 40 mg (6). However, more work is needed to look at CBD in forms such as full-spectrum oil, vape, and smoked herbal flowers. All of these forms of administration are metabolized by the liver and therefore carry some risk of interactions.
Can CBD Help with Xanax Addiction?
Xanax is meant to be prescribed as a short-term solution for anxiety, but many people end up taking it much longer than is recommended.
Xanax also uniquely affects dopamine function and the brain’s reward system, similar to many stimulant drugs. As a result, people are more likely to seek out the drug for that surge of feel-good chemicals. This drug-seeking behavior is common among addictive substances.
Make sure you read this article before you attempt to mix Xanax and CBD.
CBD is not only useful for anxiety; it may also help curb substance addiction.
People considering or taking CBD products should always mention their use to their doctor, particularly if they are taking other medications or have underlying medical conditions, such as liver disease, kidney disease, epilepsy, heart issues, a weakened immune system, or are on medications that can weaken the immune system (such as cancer medications). A pharmacist is a great resource to help you learn about a potential interaction with a supplement, an herbal product (many of which have their own drug interactions), or an over-the-counter or prescription medication. Don’t assume that just because something is natural, it is safe and trying it won’t hurt. It very well might.
Absolutely. Inhaled CBD gets into the blood the fastest, reaching high concentration within 30 minutes and increasing the risk of acute side effects. Edibles require longer time to absorb and are less likely to produce a high concentration peak, although they may eventually reach high enough levels to cause an issue or interact with other medications. Topical formulations, such as creams and lotions, may not absorb and get into the blood in sufficient amount to interact with other medications, although there is very little information on how much of CBD gets into the blood eventually. All of this is further complicated by the fact that none of these products are regulated or checked for purity, concentration, or safety.
Products containing cannabidiol (CBD) seem to be all the rage these days, promising relief from a wide range of maladies, from insomnia and hot flashes to chronic pain and seizures. Some of these claims have merit to them, while some of them are just hype. But it won’t hurt to try, right? Well, not so fast. CBD is a biologically active compound, and as such, it may also have unintended consequences. These include known side effects of CBD, but also unintended interactions with supplements, herbal products, and over-the-counter (OTC) and prescription medications.
The bottom line: Talk to your doctor or pharmacist if using or considering CBD
CBD has the potential to interact with many other products, including over-the-counter medications, herbal products, and prescription medications. Some medications should never be taken with CBD; the use of other medications may need to be modified or reduced to prevent serious issues. The consequences of drug interactions also depend on many other factors, including the dose of CBD, the dose of another medication, and a person’s underlying health condition. Older adults are more susceptible to drug interactions because they often take multiple medications, and because of age-related physiological changes that affect how our bodies process medications.
Researchers from Penn State College of Medicine evaluated existing information on five prescription CBD and delta-9-tetrahydrocannabinol (THC) cannabinoid medications: antinausea medications used during cancer treatment (Marinol, Syndros, Cesamet); a medication used primarily for muscle spasms in multiple sclerosis (Sativex, which is not currently available in the US, but available in other countries); and an antiseizure medication (Epidiolex). Overall, the researchers identified 139 medications that may be affected by cannabinoids. This list was further narrowed to 57 medications, for which altered concentration can be dangerous. The list contains a variety of drugs from heart medications to antibiotics, although not all the drugs on the list may be affected by CBD-only products (some are only affected by THC). Potentially serious drug interactions with CBD included
While generally considered safe, CBD may cause drowsiness, lightheadedness, nausea, diarrhea, dry mouth, and, in rare instances, damage to the liver. Taking CBD with other medications that have similar side effects may increase the risk of unwanted symptoms or toxicity. In other words, taking CBD at the same time with OTC or prescription medications and substances that cause sleepiness, such as opioids, benzodiazepines (such as Xanax or Ativan), antipsychotics, antidepressants, antihistamines (such as Benadryl), or alcohol may lead to increased sleepiness, fatigue, and possibly accidental falls and accidents when driving. Increased sedation and tiredness may also happen when using certain herbal supplements, such as kava, melatonin, and St. John’s wort. Taking CBD with stimulants (such as Adderall) may lead to decreased appetite, while taking it with the diabetes drug metformin or certain heartburn drugs (such as Prilosec) may increase the risk of diarrhea.
Many drugs are broken down by enzymes in the liver, and CBD may compete for or interfere with these enzymes, leading to too much or not enough of the drug in the body, called altered concentration. The altered concentration, in turn, may lead to the medication not working, or an increased risk of side effects. Such drug interactions are usually hard to predict but can cause unpleasant and sometimes serious problems.
But we’re currently undergoing a sea change in how we talk about mental illness in this country; if we can be open about that, we should also be open about treatment options. CBD has a stigma attached to it because of its origins, but the fact that it’s a non-addictive alternative to benzodiazepines and opiates makes it worth researching and taking seriously. It’s not just for potheads.
I soon picked up a few bars of Grön CBD chocolate (found after some intense Googling) and Sunday Scaries gummies after the owner reached out to Hello Glow via Instagram. Now I have a stockpile ready for any time of day: honey for stirring into morning tea, a bottle of gummies to go with me in my purse, and chocolate to have after dinner to help me sleep better.
Anxiety has been part of my life for so long that I don’t really know who I am without it. I have obsessive-compulsive disorder and also just a high-strung, anxious nature. When things are going well, I tend to take a glass-half-full perspective and link my drive and work ethic to the ever-present anxiety that pushes me to always do more. But when things are going badly, sometimes it’s hard to function like a normal person because I’m so paralyzed with fear.
CBD for anxiety—does it work?
It feels a little strange—even kind of scary—to be talking about this because CBD isn’t yet mainstream. And while slathering it on your skin is one thing, actually ingesting it is another.
Just to be clear, CBD doesn’t get you high. The compound that gives you that feeling when you use marijuana is called THC . And if you feel high after taking CBD, you’re probably taking a product that’s impure or mixed with other elements for that purpose [ source ].
For those times, I’ve been prescribed Xanax. And it helps, for sure. But the thing is, I get nervous about taking it. (Yes, that’s right—I get anxious about taking the medication that’s supposed to make me less anxious. I am a disaster, y’all.)
A mom friend who, like me, suffers from OCD, mentioned she was taking CBD for anxiety. My interest was piqued based on her experience—when her anxiety felt particularly out-of-control, the CBD would put a stop to the spiraling.