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Cbd oil dosage for 3 year old

Pediatric and Adult CBD Dosing Guidelines

Important note: I have updated the Pediatric and Adult CBD dose guidelines from this blog post that I originally created in January of 2018. Please head over to the new post for the latest CBD info.

The information below in the original post remains sound, but I am working with a new supplier of Colorado grown organic hemp and they have made life easier for parents who want to give CBD by the drop. You can now purchase CBD direct through my affiliation with NuLeaf, click the picture to be taken to the website:

Organic CO Grown CBD from Hemp-Use code “NATMED20” for a 20% discount on purchases.

If you compare the info below to the info in the new Pediatric and Adult Guide to CBD blog post you will see that it is much more simple to work with one concentration of CBD. NuLeaf makes a single product, which means you don’t have to do advanced math to figure out how to give it to yourself or your child. Head over to the new post for the most up to date info:

As a naturopathic doctor, I rarely see cases where CBD alone would be the only therapeutic agent I would use. For those with questions on the use of CBD for ADHD, ASD, anxiety, tic disorder, seizure disorder and other pediatric ‘disease constellations’ the use of CBD should be one part of a larger treatment regime. Therefore I offer 30-minute tele-health consults to help you get to the bottom of CBD dosing and understand the big picture. The fee for a phone consult is $120, put in a contact form and be sure to include your phone number and my office will contact you.

Here is the original blog post as published in January of 2018:

The most common question I get about CBD is: “How much do I take”? CBD is a non-psychoactive component of cannabis that is extracted from CBD rich strains of marijuana such as the Charlotte’s Web strain. The safety profile and the ability of CBD to control pediatric epilepsy without psychoactive or other side effects catalyzed the medical marijuana movement. In the early 2000’s, families who could not get this medicine in their home states moved to Colorado, and the state is now a leader in research and production of CBD and other medical cannabis preparations.

The creator of the Charlotte’s Web strain, CW Hemp-The Stanley Brothers, make a hemp derived CBD extract that is standardized for potency and has near zero levels of THC. This post describes how to start yourself or your child on CBD, but before you undertake any new herbal medicine regimen you should consult a medical professional, preferably a naturopathic doctor.

The CBD dosing regimen below is specifically for the Everyday Advanced product by CW Hemp which has a 25 part CBD to 1 part THC ratio and 50 mg of CBD per ml of oil.

The product label notes to take a single adult dose of .6ml, which is 1/8 of a teaspoon, up to 3 times per day. A single pediatric dose is about .25 ml of Everyday Advanced, equivalent to 1/20 th of a teaspoon, which yields 12.5 mg of CBD. To get accurate dosing you need to convert the teaspoon measures to number of drops.

Everyday Advanced is technically a fat based extract which is very different from an alcohol tincture. A thicker base (coconut oil in this case) will yield bigger drops versus a ‘thin’ alcohol tincture, so here is how to convert this product to drops…

Number of drops per milliliter: Herbal Alcohol Tincture vs. Herbal Infused Oil

  • 75% alcohol based herbal tincture at room temperature = 30 drops per ml
  • Herbal Infused Oil at room temperature = ~15 drops per ml

Everyday Advanced CBD Dose Titration for Children

For pediatric dose titration, start with one drop, 3 times per day. If well tolerated go to 2 drops, wait a few days. If no adverse effects are noted, you can go the therapeutic starting dose with is 4 drops 3X per day.

A good starting point for general pediatric CBD dosing is to start with .5mg CBD per pound of body weight, split across 3 doses per day. This is a therapeutic dose that you can increase under medical supervision and in response to the therapeutic need. CBD has a stellar safety profile but all cannabis products are biphasic which means they could have significant side effects at both very low or very high doses. Use of CBD to treat pediatric epilepsy could employ a 5-10X higher dose but this is obviously an extreme use case. Each condition I treat with CBD necessitates an individual prescription for the patient to achieve exact dose titration.

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Example: A 70-pound child should take 35-40 mg of CBD per day, split over 3 doses taken with food. 4 drops of Everyday Advanced will yield 12.5 mg of CBD.

Everyday Advanced CBD Dose Titration for Adults

A starting dose of CBD for a 140-pound adult is 1.2 to 1.8 ml of oil per day to yield a daily dose of 60-90 mg of CBD. The Everyday Advanced label suggest taking .6ml (one-eighth of a teaspoon) two to three times a day, which provides 30 mg of CBD per dose.

Example: A 140-pound adult should take 70 mg of CBD daily (.5mg of CBD per pound of body weight) split over 3 doses taken with food. If desired results are not obtained and the CBD is well tolerated, you can double the dose after one week and then wait two weeks. If you again have not achieved the desired results you can go as high as 2mg/pound/day.

CBD: What Parents Need to Know

Parents are giving it to kids to combat anxiety and other problems. But there are risks, and little research to support it.

What You’ll Learn

  • Is CBD safe for kids?
  • What are the risks of giving kids CBD?
  • Can CBD help kids who have mental health disorders?
  • Quick Read
  • Full Article
  • What do we know about CBD?
  • Concerns about CBD
  • Is CBD safe?
  • CBD oil for anxiety
  • CBD and autism
  • Research boom

Quick Read

These days, you can find CBD everywhere. Some people believe that it can treat everything from chronic pain and cancer to anxiety and ADHD. But is it safe for kids?

CBD is still pretty new, so there’s very little research about its safety or how well it works, especially for children. So far, there’s only one marijuana-derived medication that has been approved by the Food and Drug Administration. It’s called Epidiolex, and it’s used to treat a rare form of epilepsy in patients who are at least two years old.

Because CBD is so new, there also aren’t a lot of rules about what can and cannot be included in CBD products. So, there’s a huge variety in the quality of products. You may even find different amounts of CBD in different packages of the same product.

Since there isn’t a lot of research about CBD, doctors say there are some risks with using CBD for kids. For example, CBD products may contain things other than CBD, and those things could be harmful. Plus, we don’t yet know if CBD works well with other medications or how much you should give your child.

Although a few studies have found that CBD oil might work for anxiety, they only looked at healthy people who were put in situations that made them anxious. There are no studies yet on people with chronic anxiety. Researchers are also exploring CBD for kids with autism spectrum disorder. The results are good so far, but more research needs to be done before we can know if it’s safe and effective.

CBD is everywhere. From corner stores and bars to medical marijuana dispensaries, it’s being offered for its reputed ability to relieve pain and make people feel better.

Though CBD — full name cannabidiol — is extracted from marijuana or hemp, it doesn’t contain THC, the chemical in marijuana that has psychoactive effects, so it doesn’t make you feel high.

Available in the form of vaping, oils, lotions, cocktails, coffee, gummies — you name it — CBD has been touted as a treatment for complaints as far-reaching as chronic pain, cancer, migraines, anxiety and ADHD. You know it’s gone mainstream when even Consumer Reports has issued guides on how to shop for CBD and tips for safe CBD use.

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Not only are adults experimenting with CBD for whatever is bothering them, increasingly parents are turning to CBD to help their kids focus, sleep, calm down and more.

But popular use of CBD is blowing up with very little research into its safety or its efficacy, especially in children. The first and only marijuana-derived drug approved by the Food and Drug Administration, Epidiolex, is used to treat a rare, severe form of epilepsy in patients two years of age and older. And since cannabis is in the early stages of legalization and regulation, there is a huge variety in the quality and dosage of products — risks associated with using products that have not been vetted by the FDA.

What do we know about CBD?

For millennia, hemp plants have been used for medicinal purposes around the world. In 1851 marijuana was classified by the United States Pharmocopeia as a viable medical compound used to treat conditions like epilepsy, migraines and pain. But since marijuana and cannabis-related products were made illegal in the US in 1970, there has been a dearth of research about either marijuana or CBD. Its classification as a Schedule 1 drug made it nearly impossible to get federal funding to study cannabis.

“The biggest problem is there’s a lot that we still need to know, especially in kids,” says Paul Mitrani, MD, a clinical psychiatrist at the Child Mind Institute. “In regards to treating mental health disorders in children and adolescents, there’s a lack of evidence to support its use.”

Dr. Mitrani, who is a pediatrician and child and adolescent psychiatrist, says it’s an area worthy of investigation but recommends that parents wait until further research is done before giving a child CBD.

Concerns about CBD

While anecdotal evidence of the benefits of CBD is common, there are risks associated with using these products, especially in children. Some of the concerns:

  • Products are unreliable in delivering a consistent amount of CBD. They could have less, or more, than advertised, and most do not offer independent verification of active contents. Analysis of products for sale show that many do not have the amount of CBD that they advertise. “So you can’t depend on the quality of what you’re getting,” notes Dr. Mitrani.
  • How much is absorbed? Very little is known about how much CBD is actually delivered to the brain in a given product. Various delivery systems — vaping, taking it orally, eating it in baked goods, etc. — have different rates of delivery. Even the oils that the CBD is dissolved in can result in varying effects. “Effects can vary a lot based on the delivery system used and the amount people are exposed to can be inconsistent,” Dr. Mitrani says.
  • Products may contain things other than CBD, and they could be harmful. Lab testing — which provides information about CBD levels, THC levels (if any), and contaminants in the product — isn’t mandatory for CBD products in every state. Without a CoA (Certificate of Analysis) it’s that much harder to verify the safety of the product. Bootleg CBD may be connected to recent lung illnesses and deaths that have been attributed to vaping. The CDC and the American Medical Association recommend avoiding vaping entirely while the cause of these illnesses is determined.
  • CBD may be safe itself, but it may interact with other medications a child is taking, that are also metabolized in the liver.
  • If it’s used for sleep, Dr. Mitrani worries that while it may potentially help with sleep, “your child may become tolerant to it and possibly experience worsening sleep problems if stopped.”
  • Since CBD use — especially for kids — is a still so new, few people are familiar with dosing for children, so determining how much to give your child would be tricky. Clinical doses versus what you might find at a coffeehouse could vary dramatically.
  • The legality of cannabis products and CBD is still murky. CBD derived from hemp is federally legal, while CBD derived from marijuana plants is subject to the legal status in each state — and remains federally illegal. Meanwhile, the FDA issued a statement making clear that products that contain CBD — even if they are derived from legal, commercial hemp — cannot claim to have therapeutic benefits or be sold as dietary supplements unless they have been approved by the FDA for that use.
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Is CBD safe?

Last year the World Health Organization, acknowledging the explosion in “unsanctioned” medical uses of CBD, reviewed the evidence for its safety and effectiveness. The WHO report concluded that “CBD is generally well tolerated with a good safety profile.” Any adverse effects could be a result of interactions between CBD and a patient’s existing medications, the WHO noted.

The report found no indication of potential abuse or dependence. “To date there is no evidence of recreational use of CBD or any public health-related problems associated with the use of pure CBD.”

As for effectiveness, the WHO noted that several clinical trials had shown effectiveness for epilepsy, adding: “There is also preliminary evidence that CBD may be a useful treatment for a number of other medical conditions.”

CBD oil for anxiety

In 2015 a group of researchers led by Esther Blessing, PhD, of New York University, investigated the potential of CBD for treating anxiety. In a review of 49 studies, they found promising results and the need for more study.

The “preclinical” evidence (ie from animal studies) “conclusively demonstrates CBD’s efficacy in reducing anxiety behaviors relevant to multiple disorders,” Dr. Blessing wrote. Those include generalized anxiety disorder, PTSD, panic disorder, social anxiety disorder and OCD.

The review notes that the promising preclinical results are also supported by human experimental findings, which also suggest “minimal sedative effects, and an excellent safety profile.” But these findings are based on putting healthy subjects in anxiety-producing situations and measuring the impact of CBD on the anxiety response. Further studies are required to establish treatment with CBD would have similar effects for those who struggle with chronic anxiety, as well as what the impact of extended CBD use may be.

“Overall, current evidence indicates CBD has considerable potential as a treatment for multiple anxiety disorders,” Dr. Blessing concludes, “with need for further study of chronic and therapeutic effects in relevant clinical populations.”

CBD and autism

A group of Israeli researchers have been exploring the use of CBD to reduce problem behaviors in children on the autism spectrum. A feasibility study involving 60 children found substantial improvement in behavioral outbreaks, anxiety and communication problems, as well as stress levels reported by parents.

The researchers, led by Adi Aran, MD, director of the pediatric neurology unit at Shaare Tzedek Medical Center, went on to do a double-blind, randomized, placebo-controlled trial with 150 participants with autism. In this trial, just completed but not yet analyzed, patients were treated CBD for three months.

Research boom

In the US, research has been given a boost by changing guidelines and laws. In 2015 the DEA eased some of the regulatory requirements that have made CBD, as a Schedule 1 substance, difficult to study. “Because CBD contains less than 1 percent THC and has shown some potential medicinal value, there is great interest in studying it for medical applications,” the DEA said in announcing the change.

And in approving the first CBD-based drug, Epidiolex, last year the FDA expressed enthusiasm for the research boom that is sure to come, paired with stern words for the flood of marketers of products claiming unsubstantiated health benefits.

“We’ll continue to support rigorous scientific research on the potential medical uses of marijuana-derived products and work with product developers who are interested in bringing patients safe and effective, high quality products,” the FDA pledged. “But, at the same time, we are prepared to take action when we see the illegal marketing of CBD-containing products with serious, unproven medical claims.”