Hey, unfortunately I have noticed little effects on my tinnitus or pain hyperacusis so far.
I experienced very few adverse effects from the CBD.
I have recently suffered a hyperacusis setback, but I don't think it was caused by the cannabidiol.
I haven't used Epidiolex for a couple of days now.
I am going to make a new oil mixture with the CBD isolate I have left, which should last me about 10 to 20 days using 25 mg/kg/day.
I will probably not reorder again because I do not think it's worth the cost.
Possible reasons why I haven't experienced much success yet:
- I haven't used a high enough dose for long enough. Some people in the Retigabine threads reported immediate effects on their tinnitus, but this might be due to its GABAA modulating properties. Some said their tinnitus improved after several months of taking it. Although I must have taken cannabidiol for at least a couple months now, I have used a dosage of >= 25 mg/kg/day for less than a month. I haven't raised my doses quick enough and thereby wasted cannabidiol.
- Cannabidiol works as a treatment against tinnitus & hyperacusis but it just does not work for me individually.
- Pharmacokinetical reasons. Systemic oral administration of cannabidiol might not be sufficient for the treatment of tinnitus & hyperacusis, or just not as effective as Retigabine.
- Potassium channel openers are just not effective for long term tinnitus sufferers and people with moderate to severe pain hyperacusis.
- Oral administration of cannabidiol does not significantly open potassium channels in humans. The anticonvulsant mechanism of cannabidiol is not or only partly related to the potassium channels.
- There is a possible effect on tinnitus & hyperacusis but this was offset by my hyperacusis setback or other factors.
- There is a possible effect on tinnitus & hyperacusis but the usual variance in my symptoms made it difficult to discern the effect of cannabidiol on them.
- Potassium channel openers could actually make tinnitus & hyperacusis worse, as was reported in the Retigabine thread.
- Some other factors that I just don't know about.
If you don't want any effects from the THC, your daily cannabidiol dose should contain
at least less than 1 mg of THC, as that is the amount at which psychoactive effects begin to appear, but preferably it should contain way less as everyone reacts to THC differently. Let's say you weigh 70 kg. That means that when you are using 25 mg/kg/day, you are using 1750 mg per day. 1 mg of 1750 mg corresponds to a percentage of
0.06%. So when you are looking at a lab test, the LOQ for the total active THC should be less than 0.06%.
The CBD isolate from Extract Labs I am currently using is claimed to contain less than 0.004 mg total active THC. I don't think I have experienced psychoactive side effects from it. I have investigated at least a dozen brands but none of them near the purity of Extract Labs. For example, the THC LOQ for Lazarus Natural's Bulk Isolate is 0.143%. That equates to 7.223 mg of THC per day, which would make you about as high as taking a few puffs from a joint. I would only trust brands that are double-tested by leafreport.com. Plus the company needs to actually ship to your country. All in all you are left with very few options to chose from.