A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study

BACKGROUND. Cannabidiol (CBD) is a nonpsychoactive phytocannabinoid used in multiple sclerosis and intractable epilepsies. Preclinical studies show CBD has numerous cardiovascular benefits, including a reduced blood pressure (BP) response to stress. The aim of this study was to investigate if CBD re...

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Main Authors: Jadoon, Khalid A., Tan, Garry D., O'Sullivan, Saoirse
Format: Article
Published: American Society for Clinical Investigation 2017
Online Access:https://eprints.nottingham.ac.uk/43903/
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author Jadoon, Khalid A.
Tan, Garry D.
O'Sullivan, Saoirse
author_facet Jadoon, Khalid A.
Tan, Garry D.
O'Sullivan, Saoirse
author_sort Jadoon, Khalid A.
building Nottingham Research Data Repository
collection Online Access
description BACKGROUND. Cannabidiol (CBD) is a nonpsychoactive phytocannabinoid used in multiple sclerosis and intractable epilepsies. Preclinical studies show CBD has numerous cardiovascular benefits, including a reduced blood pressure (BP) response to stress. The aim of this study was to investigate if CBD reduces BP in humans. METHODS. Nine healthy male volunteers were given 600 mg of CBD or placebo in a randomized, placebo-controlled, double-blind, crossover study. Cardiovascular parameters were monitored using a finometer and laser Doppler. RESULTS. CBD reduced resting systolic BP (–6 mmHg; P < 0.05) and stroke volume (–8 ml; P < 0.05), with increased heart rate (HR) and maintained cardiac output. Subjects who had taken CBD had lower BP (–5 mmHg; P < 0.05, especially before and after stress), increased HR (+10 bpm; P < 0.01), decreased stroke volume (–13 ml; P < 0.01), and a blunted forearm skin blood flow response to isometric exercise. In response to cold stress, subjects who had taken CBD had blunted BP (–6 mmHg; P < 0.01) and increased HR (+7 bpm; P < 0.05), with lower total peripheral resistance. CONCLUSIONS. This data shows that acute administration of CBD reduces resting BP and the BP increase to stress in humans, associated with increased HR. These hemodynamic changes should be considered for people taking CBD. Further research is required to establish whether CBD has a role in the treatment of cardiovascular disorders.
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spelling nottingham-439032020-05-04T18:50:00Z https://eprints.nottingham.ac.uk/43903/ A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study Jadoon, Khalid A. Tan, Garry D. O'Sullivan, Saoirse BACKGROUND. Cannabidiol (CBD) is a nonpsychoactive phytocannabinoid used in multiple sclerosis and intractable epilepsies. Preclinical studies show CBD has numerous cardiovascular benefits, including a reduced blood pressure (BP) response to stress. The aim of this study was to investigate if CBD reduces BP in humans. METHODS. Nine healthy male volunteers were given 600 mg of CBD or placebo in a randomized, placebo-controlled, double-blind, crossover study. Cardiovascular parameters were monitored using a finometer and laser Doppler. RESULTS. CBD reduced resting systolic BP (–6 mmHg; P < 0.05) and stroke volume (–8 ml; P < 0.05), with increased heart rate (HR) and maintained cardiac output. Subjects who had taken CBD had lower BP (–5 mmHg; P < 0.05, especially before and after stress), increased HR (+10 bpm; P < 0.01), decreased stroke volume (–13 ml; P < 0.01), and a blunted forearm skin blood flow response to isometric exercise. In response to cold stress, subjects who had taken CBD had blunted BP (–6 mmHg; P < 0.01) and increased HR (+7 bpm; P < 0.05), with lower total peripheral resistance. CONCLUSIONS. This data shows that acute administration of CBD reduces resting BP and the BP increase to stress in humans, associated with increased HR. These hemodynamic changes should be considered for people taking CBD. Further research is required to establish whether CBD has a role in the treatment of cardiovascular disorders. American Society for Clinical Investigation 2017-06-15 Article PeerReviewed Jadoon, Khalid A., Tan, Garry D. and O'Sullivan, Saoirse (2017) A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study. JCI Insight, 2 (11). e93760/1-e93760/11. ISSN 2379-3708 https://insight.jci.org/articles/view/93760 doi:10.1172/jci.insight.93760 doi:10.1172/jci.insight.93760
spellingShingle Jadoon, Khalid A.
Tan, Garry D.
O'Sullivan, Saoirse
A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study
title A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study
title_full A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study
title_fullStr A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study
title_full_unstemmed A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study
title_short A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study
title_sort single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study
url https://eprints.nottingham.ac.uk/43903/
https://eprints.nottingham.ac.uk/43903/
https://eprints.nottingham.ac.uk/43903/