What Is the Endocannabinoid System (ECS)?
If you want to take a dive into CBD oils, here is a list of 6 featured on Huffpost’s list of best CBD products (15). The following brands offer more than just CBD oils however for the purpose of this blog topic surrounding Hand tremors we will be looking specifically at brands that offer CBD products in Oil form.
Cannabidiol (CBD) is the second most prevalent active ingredient of cannabis (marijuana). While CBD is an essential component of marijuana, it is derived directly from the hemp plant, which is a cousin of the marijuana plant. The hemp plant has two major components; the Cannabidiol (CBD) and Tetrahydrocannabinol (THC), CBD is extracted and made into an oil with very low concentrations of THC therefore exerting no psychotropic effects (4). CBD however, does have a number of non-mood-altering effects including fatigue, nausea, irritability, and it can also increase the amount of blood thinner in your blood. (5) THC is known to relax, enhance sensory activity, reduced aggression, and most often lead to a sense of fatigue and hunger, CBD on the other hand is proposed to have many therapeutic properties with low risks (3). CBD studies have connected its ability to alleviating symptoms and side effects for chemotherapy, multiple sclerosis (MS), epilepsy, calming anxiety, glaucoma, controlling tremors associated with Parkinson’s Disease (PD), brain and spinal injuries, and contains anti-inflammatory properties (3). Essential tremor is another condition that is being tied to CBD use however, its application has not been proven to be effective just yet, it is under research (6). It is notable that the Food and Drug Administration (FDA) has acknowledged CBD’s medicinal benefits (1). The epilepsy drug Epidiolex is the first-ever CBD-based drug the organization has approved (1).
How Can CBD Play A Role in Your Hand Tremor Management?
Essential tremor (ET) is a disorder of the nervous system that is characterized by involuntary and rhythmic shaking within the body. Most commonly, it occurs in the hands making simple takes such as eating and drinking difficult (1). However, it is known to also affect the arms, head, face and larynx. These tremors can start at a mild range and grow to become severe overtime (6).
With COVID, we have never been more aware of critical shortages of masks, ventilators, hospital beds, etc., all leading to rationing. In this BLOG, Dr Frankel, examines how rationing in our medical care is a much bigger problem than just face masks.
In addition to another Parkinson’s disease patient doing very well with THC-V, a 70-year-old woman came in for treatment of Essential Tremor. This was the most severe case of Essential Tremor or ET, I have seen in 39 years. Due to how advanced it was, she could hardly walk and was thrown off by her severe tremor. She was not able to write her name and had trouble swallowing food.
A follow up phone call was very surprising. Within 24 hours of taking three doses of sublingual THC-V, her speech was nearly normal and control of her tremor was highly improved. Also she was able to easily eat, which was very rare for her. I would strongly encourage any patients who failed with CBD to consider THC-V. We still don’t know how much added benefit CBD would have upon the tremors. We should note that the THC-V strain had equal amounts of THC and THC-V. It is fortunate that THC-V takes the edge off of THC in a big way. For sure, in 1:1 amounts of THC:THC-V, there is much less psychoactivity and the psychoactivity that remains is much more pleasant.
Cookie Bekkar is a cancer survivor and patient of Dr Frankel's. She has created a website to share her story, what worked well for her and as a resource help inspire/educate other patients.
I have now seen three Parkinson’s disease patients responding well to THC-V, without CBD, and am becoming very optimistic. Again, it needs to be noted that the THC-V strain contains equal amounts of THC and THC-V, but does not cause nearly the same psychoactive effect and is tolerated well in low doses.
Dr Frankel talks about Trigeminal Neuralgia and the positive effect he has seen cannabis have on patients dealing with it. Some feedback received by three recent patients is also included.
There are "acid" and "neutral" forms of every cannabinoid molecule. Early man knew the difference and would either just eat the cannabis raw, or heat it to convert to the neutral or "active" forms of the cannabinoids.