HelloMD

What is the maximum dose of CBD than can be used for pain and leg spasms?

"I have severe RLS and want to figure out a mixture of CBD and Indica as opposed to having to start on Opiods. What is the maximum CBD that can be used for pain and leg spasms. "


This all depends on your previous exposure to cannabinoids (if any) and various products you've tried in the past. For example, a topical may contain 300-400mg of cannabinoid a jar; if one application is used every day for a month, this is @30-40mg of cannabinoid that is being administered (but not necessarily absorbed). Oil cartridges are sold in 1/2 gram and 1 gram measures and can contain from 20-60% cannabinoid by weight. If this is used every day for a month that's 200-600mg divided by 30--> @7mg to 10mg of cannabinoid per usage. I advise patients to search for the "minimum effective concentration" that is the lowest @ dosage of cannabinoid that works for symptom relief. Given that you have RLS, I would also venture that sleep is an issue as well? In this case, you might want to give edibles a chance. Various products range from 10- 250mg per product, so I would urge to start low w/ a test dose on a Friday/ weekend and only starting off at 1/2 or less of what the recommended adult dose that is listed on the package. "low and slow" dosing of vape-pens and topicals should also work. Also; it's been my observation and some other MD's here that CBD in too high a dose for some people may make it harder for you to sleep (if this is a goal of yours). More of the indica (w/ cBN and THC) as you mentioned before should help out. Don't forget to get your potassium level checked; there is also evidence that mild stretching nightly will also be helpful. I hope this helps!

drpark