For those that have trouble with transportation, another increasingly available option would include delivery-based options. However, while convenient for senior patients, these options are not available in every city or town.
CBD in all forms is prohibited in Idaho and South Dakota. After July 1, 2021, however, CBD and other cannabinoids will be legal for personal use in South Dakota. Idaho will be the only state where possession of cannabis remains illegal for all residents.
2) CBD is a sedative and reduces awareness or alertness
Even in high doses (600mg), CBD has not produced sedating effects in healthy humans. CBD usually makes humans feel more awake and alert without negative impact on sleeping patterns. What is more likely happening is that cannabis strains being used by a patient that have high levels of CBD also contain a potentially sedating natural oil (terpene) such as myrcene.
There are several ways CBD can work to improve health outcomes for persons with dementia: by reducing inflammation, by reducing oxygen buildup, by working as a brain stimulant and neuroprotectant, and by eliminating dead brain cells and the protein tangles that are believed to cause brain ailments including dementia. From a user’s perspective, CBD may improve movement while reducing stress and anxiety in the individual with dementia, as well as reduce the decline of memory and other brain functions.
CBD should not be confused with Marijuana or the THC (Tetrahydrocannabinol) compound which is known for generating a “high” with users. CBD is derived from Cannabis plants, similar to how caffeine is derived from the coffee bean, or aspirin from the bark of a Willow tree. CBD oil is the most common form of administration of the compound, with the oil contained in a gel cap or dropper bottle.
Like CBD, CGB is non-psychotropic and won’t get you high. A key difference between CBD and CBG is that CBG is harder to extract and therefore more expensive.
Should one proceed in testing CBD’s impact on a loved one’s dementia, it’s best to start with the gel cap form of administration as the levels of CBD are consistent (when compared to a dropper) and the act of swallowing a pill is familiar. A further benefit is the once-daily scheduling. While many of CBD’s hypothetical benefits cannot be easily observed, loved ones should pay careful attention for behavior changes. Persons with dementia who appear calmer or experience less severe sundowning symptoms may be benefitting from CBD. Another area in which CBD’s impact may be observed is in reducing sleeplessness.
Legal Status of CBD in the U.S. (as of May 2021)
According to researchers at California’s Salk Institute, their 2016 study found evidence that cannabinoids such as CBD could help remove dementia from, and increase connections between, brain cells. Those results were validated by other laboratories. While the US Food and Drug Administration has yet to approve a CBD drug for the purposes of treating dementia, it has approved a CBD-based drug called Epidiolex for treating epilepsy.
The World Health Organization (WHO) stated that “no public health problems… have been associated with the use of pure CBD,” and there has been no known association with potential for dependence or abuse, unlike most pharma alternatives. The most commonly reported potential side effects of CBD usage were diarrhea and bloating, with some also reporting nausea. About 3% of patients in studies reported liver problems and had to discontinue CBD use. Specifically, in dementia, some patients reported increased tremor with high doses of CBD. As with any new treatment, patients and caregivers should monitor effects and outcomes closely.
There are actually multiple types of dementia. Alzheimer’s, the most common form, accounts for two-thirds of all dementia. However, other cases, according to the review are vascular dementia, mixed dementia, Lewy body dementia, frontotemporal dementia, and young-onset dementia.
Types of Dementia
According to Dementia Care Central, fortunately, CBD has been shown to either reduce or remove the impact of inflammation. The inflammation is responsible for a lot of the negative effects of Alzheimer’s. The inflammatory response occurs when the brain’s immune cells are not able to clear disorienting blockages. Oxygen is released and starts building up. According to the article, “Important brain functions such as memory are decreased as more oxygen is released in the brain’s cells. Memory loss and other brain deterioration indirectly leads to increased oxygen in the brain”. CBD acts as an antioxidant and counteracts the effects of oxygen stress on the brain.
CBD for Vascular Dementia
Dementia with Lewy Bodies refers to a disease characterized by an abnormal amount of alpha-synuclein otherwise known as Lewy bodies deposited in the brain. According to the Alzheimer’s Association, these deposits, though microscopic, damage the brain cells. Dementia with Lewy bodies results in a decline in thinking, reasoning and independent function. Fortunately, CBD can be helpful. According to Dementia Care Central, “CBD can be an effective anti-inflammatory agent, reduce motor symptoms (tremor, rigidity, bradykinesia) and maintain circadian (sleep) rhythms”. It was also noted that it doesn’t block acetylcholine which this disease preys on. Acetylcholine is essential for memory and learning. The fact that CBD doesn’t block acetylcholine is great. Traditionally, patients suffering from this disease are given a cholinesterase inhibitor drug which prevents the breakdown of acetylcholine.