
I have previously written about using cannabis for seizure disorders. I thought I would share some of my recent experiences and some knowledge I have gained.
To begin with, overall, the efficacy of rich CBD dosed extracts to help treat seizures, particularly in treatment resistant seizure disorders, is well established. I have seen two children, under the age of 7 in the past two weeks alone, where their seizures, both having 3-4 grand mals per day, go to having less than one limited seizure per week. Can you imagine how this changes the life of the child as well as parents and other family members? It certainly always places a big smile on my face.
The ratio of cannabinoids and dosing is clearly somewhat debated. I know that groups in Colorado are using a CBD dose of 1 mg per pound. I think this is pretty excessive for most kids and have spoken with one mother whose child was becoming sedated. Remember, although CBD may not be psychoactive, the whole plant version of CBD with all the other cannabinoids and minor cannabinoids makes the medicine somewhat psychoactive – particularly in higher doses.
The average daily dose I have seen work very effectively for most kids is around 12-15 mg of whole plant CBD per 24 hours in divided doses. I have seen some exceptional responses even at doses of 6 mg whole plant CBD per day.
There are also some reports where CBD is either not so effective or becomes less effective for some reason. In some of these patients it is probably prudent to add some THC to their daily dosing as it has been reported to help. I would always VERY slowly increase the daily THC by 1 mg every two days.