CBD Side Effects • Complete Guide for Informed Consumption

CBD side effects illustrated by a person experiencing mild discomfort

Cannabidiol (CBD) is recognized by the World Health Organization (WHO) as a substance that is generally safe, well-tolerated, and not associated with a significant risk of abuse or dependence. In its 2017 Pre-Review Report on Cannabidiol (CBD), the WHO also states that CBD does not have the psychotropic effects linked to THC (tetrahydrocannabinol), but notes that mild to moderate side effects may occur in some users.

Like any active compound, CBD can cause side effects—typically mild—but they vary depending on the dosage, individual sensitivity, and possible drug interactions. A study published in the Journal of Clinical Medicine by Brown et al. (2019), titled Potential Adverse Drug Events and Drug–Drug Interactions with Medical and Consumer Cannabidiol (CBD) Use, reports that 31% of CBD users experienced at least one adverse reaction, such as dry mouth, temporary fatigue, or digestive issues.

Understanding these effects, knowing why they occur, and applying best practices is essential for safe and effective use of CBD. This guide will give you all the tools you need to get the most out of CBD while minimizing potential risks.

What is CBD, how does it work, and why can it have side effects?

CBD, extracted from Cannabis sativa, is known for its relaxing and anti-inflammatory properties. Unlike THC, it does not produce psychotropic effects or alter perception. However, its indirect action on the endocannabinoid system (ECS) influences several physiological processes such as sleep, appetite, and emotional regulation.

Although generally well-tolerated—according to a study by Iffland & Grotenhermen (2017) in Cannabis and Cannabinoid Research titled An Update on Safety and Side Effects of Cannabidiol—CBD may lead to side effects like fatigue, digestive discomfort, or dry mouth, especially when taken in high doses or alongside other medications.

Understanding how CBD interacts with the body and what factors influence side effects is essential to getting the most benefit while minimizing potential discomfort.

What is cannabidiol and how does it work in the body?

Cannabidiol (CBD) is one of the main cannabinoids in Cannabis sativa. Unlike THC, CBD works indirectly on the endocannabinoid system, influencing processes such as sleep, chronic discomfort, appetite regulation, and inflammation.

A meta-analysis by Chesney et al. (2020) published in Neuropsychopharmacology, titled Adverse Effects of Cannabidiol: A Systematic Review and Meta-Analysis of Randomized Clinical Trials, confirms that CBD does not cause addiction, but can sometimes result in mild fatigue, appetite changes, or digestive disturbances.

CBD can also affect liver metabolism by inhibiting certain enzymes (particularly those in the CYP450 family), which may lead to interactions with medications. This is especially important for individuals taking blood thinners or anti-inflammatory drugs, as noted by Brown et al. (2019) in the Journal of Clinical Medicine.

Endocannabinoid system • How CBD influences your biological receptors

The endocannabinoid system (ECS) is a biological regulatory network found in all mammals. It helps maintain internal balance (homeostasis) and includes two primary types of receptors:

  • CB1 receptors – Located mainly in the brain and central nervous system
  • CB2 receptors – Found in the immune and digestive systems

According to a review by Huestis et al. (2019) in Current Neuropharmacology, titled Cannabidiol Adverse Effects and Toxicity, CBD acts as an indirect modulator of both CB1 and CB2 receptors, affecting mood, stress response, and discomfort perception.

However, this mechanism can also explain some side effects. By influencing neurotransmitter activity, CBD may slow down digestion, causing gastrointestinal issues such as nausea or diarrhea. It may also cause slight drops in blood pressure, potentially leading to lightheadedness, especially when standing up.

Diagram of the endocannabinoid system with distribution of CB1 and CB2 receptors
Distribution of CB1 and CB2 receptors in the endocannabinoid system, influencing the effects of CBD on the body

Why might potential risks occur?

Side effects from CBD aren’t guaranteed—they depend on several individual factors.

According to dos Santos et al. (2020) in Expert Opinion on Drug Metabolism & Toxicology, in the article Serious Adverse Effects of Cannabidiol (CBD): A Review of Randomized Controlled Trials, the main risk factors for CBD side effects include:

  • CBD dosage: Lower doses are usually well-tolerated, while higher doses may cause fatigue, sedation, or digestive problems.
  • Method of use: Oils, capsules, and e-liquids affect how quickly and strongly the effects occur. For instance, inhalation results in fast absorption but may cause respiratory irritation.
  • Medication interactions: CBD may interfere with the metabolism of some drugs, especially blood thinners and antiepileptics, increasing the risk of adverse reactions.
  • User profile: Pregnant individuals, those on medications, or people with chronic conditions should consult a healthcare professional before using CBD.

These potential risks do not mean that CBD is dangerous. They simply highlight the importance of responsible and informed consumption. By understanding these factors, users can minimize side effects and get the most from their CBD experience.

What are the most common side effects of CBD and adverse reactions (and why)?

CBD is widely known for its relaxing potential and various wellness benefits, but it can also cause side effects in certain users. These reactions depend on CBD dosage, individual sensitivity, and the method of consumption.

The most commonly reported cbd side effects include:

  • Dry mouth (xerostomia)
  • Drowsiness or fatigue symptoms
  • Altered appetite
  • Digestive discomfort, including diarrhea or nausea

While these reactions are usually mild, they stem from CBD’s interaction with the endocannabinoid system, which plays a key role in regulating physiological functions like saliva production, sleep cycles, digestive processes, and metabolism.

Table of CBD Side Effects: Mechanisms and Frequency According to Scientific Studies
CBD is generally well-tolerated, but some side effects may occur depending on the dose and the user’s profile. This table summarizes the 5 most common side effects, their causes, and their prevalence according to scientific research

1. Dry mouth (Xerostomia) • Mechanism and frequency of occurrence

Dry mouth, also known as xerostomia, is one of the most common side effects of CBD. This dry sensation occurs when CBD binds to CB1 and CB2 receptors in the salivary glands, temporarily reducing saliva production. The result? A noticeable increase in thirst and oral discomfort.

A study by Brown et al. (2019), published in the Journal of Clinical Medicine and titled Potential Adverse Drug Events and Drug–Drug Interactions with Medical and Consumer Cannabidiol (CBD) Use, found that 20% of users reported experiencing this side effect.

Dry mouth tends to occur more frequently with CBD e-liquids or CBD oil under the tongue, due to their fast absorption rate through mucous membranes. Staying hydrated is an effective strategy to counter this temporary discomfort.

2. Drowsiness and fatigue • Factors influencing intensity

Thanks to its calming effects, CBD is often used for anxiety reduction and better sleep. But for some users, especially those taking higher doses, it can also cause drowsiness, reduced alertness, or a sense of low energy.

A meta-analysis by Chesney et al. (2020) in Neuropsychopharmacology, titled Adverse Effects of Cannabidiol, reported that 15 to 25% of users feel sleepy or sedated, particularly when using large doses or combining CBD with other medications such as blood thinners or anti-anxiety drugs.

While this effect is often desirable at night—for instance, to help fall asleep—using CBD during the daytime may lower concentration levels and alertness, especially in first-time users or those sensitive to cannabinoid interactions, highlighting the effects of CBD on sleep.

💡 Tip: If you experience noticeable drowsiness, try lowering your CBD dosage or taking it at a different time of day to better align with your biological rhythm.

3. Appetite changes • Why CBD affects your hunger

CBD has a biphasic effect on appetite—meaning it can increase or decrease hunger depending on the dose and your individual metabolism. Unlike THC, which is known to stimulate appetite, CBD might have an appetite-suppressing effect in some people.

A review by Huestis et al. (2019) in Current Neuropharmacology, titled Cannabidiol Adverse Effects and Toxicity, states that 9% to 15% of CBD users report a reduced appetite or a shift in their normal eating patterns after use.

This is due to CBD’s modulation of the endocannabinoid system, which regulates metabolic function. In particular, CBD may lower levels of ghrelin, the hormone that triggers hunger, thus leading to decreased food intake or earlier feelings of fullness.

✏️ Some users may find this helpful for weight management, though clinical trials on the subject are still ongoing.

4. Digestive issues • From gastrointestinal discomfort to diarrhea

Digestive discomfort is another frequent side effect of CBD, especially when consumed in oil or capsule form. Users may experience:

  • Mild nausea
  • Bloating
  • Gastrointestinal distress
  • Loose stools or diarrhea

These digestive issues are generally temporary and may occur when the CBD dosage is too high or when the body isn’t used to processing fat-based compounds like carrier oil used in many CBD products.

A systematic review by dos Santos et al. (2020) in Expert Opinion on Drug Metabolism & Toxicology, titled Serious Adverse Effects of Cannabidiol (CBD), confirms that oral consumption can cause temporary discomfort, especially in the digestive tract.

Fortunately, these effects tend to subside after a few days of use, once your body adjusts to CBD absorption methods and the rate of metabolism involved.

Can the phytocannabinoid CBD also cause serious adverse effects?

CBD is generally regarded as having a favorable safety profile, as highlighted in the 2017 WHO report on CBD. However, more serious side effects may occur in certain cases—especially due to liver impact, drug interactions, or rare allergic reactions. For individuals on medication, medical monitoring is strongly advised, particularly when using anticoagulants, antiepileptics, or antidepressants.

Liver impact • What recent studies reveal about the effects of CBD on the liver

At high doses, CBD may affect liver function by altering key liver enzyme markers, such as ALT (alanine aminotransferase), AST (aspartate aminotransferase), and alkaline phosphatase—all of which are used to monitor hepatic health.

A study by Huestis et al. (2019) in Current Neuropharmacology, titled Cannabidiol Adverse Effects and Toxicity, found that high doses of CBD could lead to elevated liver enzymes, which may indicate potential liver stress.

Additional research, including Brown et al. (2019) in the Journal of Clinical Medicine, confirms that CBD may interfere with liver enzymes, affecting the metabolism of other drugs and increasing the risk of serious side effects in certain users. This makes regular monitoring particularly important for those already taking hepatically processed medications.

CBD drug interactions • Mechanisms and real risks

One of the primary risks linked to CBD is its interaction with medications—especially those metabolized by cytochrome P450 enzymes. These enzymes are essential in breaking down many pharmaceutical compounds, and CBD can inhibit their activity, which slows drug metabolism, potentially increasing blood concentrations of the medication and its side effects.

In Neuropsychopharmacology, Chesney et al. (2020) identified several drug categories affected by this interaction in the article Adverse Effects of Cannabidiol: A Systematic Review and Meta-Analysis of Randomized Clinical Trials:

Drug ClassInteraction with CBDPotential Risk
Anticoagulants (e.g., warfarin)Higher risk of internal bleedingRequires enhanced medical supervision
Antidepressants & anxiolytics (e.g., fluoxetine, benzodiazepines)Increased sedative effectsMay lead to excessive lethargy
Antiepileptics (e.g., clobazam, valproate)Slower elimination, higher blood levelsIncreased drowsiness and motor impairment

A more recent study by Lachenmeier et al. (2020), titled Are Side Effects of Cannabidiol (CBD) Products Caused by Tetrahydrocannabinol (THC) Contamination?, also suggests that some reported effects may not stem from CBD itself, but from low-quality CBD products contaminated with THC.

👉 A complete list of Cannabidiol drug interactions should be consulted by anyone taking anti-inflammatory drugs, blood pressure medication, or immunosuppressants.

Allergic reactions to CBD • Distinctive signs and frequency

While rare, allergic reactions to CBD have been documented in medical literature. In a 2020 study published in F1000Research, Lachenmeier et al. highlighted possible hypersensitivity symptoms related to CBD use:

  • Skin rashes, redness, or hives
  • Swelling of the lips, tongue, or throat
  • Respiratory distress, in extreme cases mimicking anaphylaxis

The WHO (2017) considers these cases exceptional, but advises caution for individuals who are allergic to plants in the Cannabaceae family. These users should avoid CBD unless advised otherwise by a healthcare professional.

When to immediately consult a healthcare professional

Medical consultation is strongly advised if you experience unusual or persistent symptoms after taking CBD. You should seek immediate medical attention if you notice:

  • Persistent abdominal pain combined with elevated liver enzyme levels
  • Extreme fatigue or unusual lethargy, especially if you’re on medication
  • Severe allergic reactions, such as throat swelling or breathing difficulties
  • Sudden drop in blood pressure, causing dizziness or fainting

🩺 In such cases, rapid intervention is crucial to prevent serious complications.

Why do some people experience more negative effects than others?

Not everyone reacts to CBD in the same way, and that’s mostly due to differences in biology, health status, and medication use. The likelihood of experiencing CBD side effects such as dry mouth, digestive discomfort, or reduced alertness depends on a range of individual factors, including:

  • Genetic variation in the endocannabinoid system
  • Differences in liver metabolism via cytochrome P450 enzymes
  • Age and weight considerations
  • Co-occurring symptoms or underlying health conditions
  • Medication interaction risk

People with slower metabolism, weakened liver function, or those taking multiple prescriptions are more likely to be affected by the duration of effects and adverse reactions from CBD.

Tracking your response to CBD over time can help you fine-tune your dosage and avoid unnecessary discomfort—something we’ll explore more in the practical advice section later on.

How does the consumption method influence side effects?

CBD can be used in several different ways, and each delivery method affects its absorption rate, duration of effects, and side effect profile. Whether you choose oral consumption, vaporization, topical application, or sublingual administration, the bioavailability and physiological response to CBD vary significantly.

Let’s explore how each method influences CBD side effects and what to expect based on your personal preferences and sensitivity.

Comparative table of CBD consumption methods: action time, duration, and side effects
Comparison of different CBD consumption methods and their potential side effects

Sublingual oils • Bioavailability and specific CBD oil side effects profile

Sublingual administration involves placing a few drops of CBD oil under the tongue, allowing it to absorb through the mucous membranes. This bypasses the digestive system and liver metabolism, offering:

  • Fast onset time (15–45 minutes)
  • Moderate to high bioavailability
  • Prolonged effects (up to 6 hours, as reported by Millar et al. in Frontiers in Pharmacology, 2018)

This method tends to produce fewer digestive issues, making it ideal for sensitive users. However, side effects such as dry mouth, temporary drowsiness, or changes in alertness may still occur, depending on the dosage, such as a few drops of CBD oil.

Ingestible products • Impact of digestive metabolism on effects

CBD teas and infusions, as well as capsules, gummies, or other edibles, must be digested before reaching the bloodstream. This means:

  • Slower onset time (up to 90 minutes)
  • Lower bioavailability due to first-pass metabolism
  • Longer duration of effects (often 6–8 hours)

While this method provides extended relief, it is also more likely to cause digestive issues, especially in first-time users. Common complaints include bloating, mild nausea, loose stools, or altered appetite.

According to Iffland & Grotenhermen (2017), about 9–15% of users report digestive discomfort following oral consumption.

Vaporization and inhalation • Rapid absorption and respiratory risks

Vaping CBD or inhaling potent dried cannabis flowers allows for almost immediate absorption via the lungs. Users often feel effects within minutes, which typically last 2 to 3 hours. This method is valued for:

  • Fast relief from stress or acute discomfort
  • A rich terpene profile and natural alternative to isolates
  • High potency and immediate onset

However, vaporization effects aren’t without risk. In a 2020 study, Lachenmeier et al. (Potential Respiratory Risks of CBD Vaporization) identified potential dangers, including:

  • Throat irritation
  • Exposure to residual solvents or chemical agents in low-quality e-liquids
  • Respiratory discomfort in sensitive individuals

🔎 Individuals with asthma, lung conditions, or smoking sensitivity should avoid this method or consult a healthcare professional beforehand.

Topical products • Skin safety and absence of systemic effects

CBD skincare and cosmetic products are applied directly to the skin, making them non-systemic—they don’t enter the bloodstream. This greatly reduces the risk of systemic side effects like drowsiness, digestive discomfort, or drug interactions.

These products are popular for targeted use on localized areas of discomfort or for soothing skin conditions like eczema or acne.

While generally well-tolerated, mild allergic reactions may occur due to essential oils, preservatives, or other ingredients in the formula—not from the CBD itself.

A 2020 study by Baswan et al., published in the Journal of Clinical Aesthetic Dermatology, emphasizes that CBD topicals are safe, but consumers should check for potential allergens in the product’s ingredient list.

How to choose a quality CBD product to limit side effects?

Selecting a high-quality CBD product is one of the most effective ways to limit side effects and enhance your overall experience. Not all CBD products are created equal—factors like extraction method, cannabinoid profile, and product purity play a crucial role in how well your body tolerates them.

At uWeed, the Swiss CBD online shop, all products are third-party tested and comply with Swiss legal and safety standards, ensuring a safer and more effective CBD experience.

Impact of extraction method on purity and tolerance

CBD can be extracted from the hemp plant in several ways. The method used has a direct impact on product purity, residue levels, and the potential for adverse reactions.

  • Supercritical CO₂ extraction: Considered the cleanest and most precise method, it yields a pure extract free of solvent residues while preserving a balanced cannabinoid profile.
  • Solvent extraction (ethanol, butane, propane): More aggressive and cost-effective, but may leave chemical residues if not properly controlled.
  • Oil infusion (e.g., olive or MCT oil): A natural technique, though it’s less efficient at capturing the full spectrum of active compounds.

A study by Rochfort et al. (2020) in Frontiers in Pharmacology, titled Optimizing Cannabidiol Extraction for Medical Applications, confirms that clean extraction techniques lead to better product safety and tolerance.

🧪 Always check for lab test results showing cannabinoid content and absence of solvents or heavy metals before purchasing a CBD product.

Full-spectrum, broad-spectrum or isolate • Which side effect profile?

CBD formulations come in three main types, each with a distinct side effect profile:

  • Full-spectrum: Contains all cannabinoids, including trace amounts of THC (<1%), as well as terpenes and flavonoids. The entourage effect may enhance benefits, but THC-sensitive users may experience drowsiness or test positive in screenings.
  • Broad-spectrum: Similar to full-spectrum, but with THC completely removed. Offers most of the entourage benefits with lower risk of THC-related side effects.
  • CBD isolate: Pure cannabidiol with no other cannabinoids or terpenes. Best for those who want to avoid all THC, but may have weaker effects and reduced synergy.
Comparison of CBD formulations (isolate, broad/full-spectrum): composition, effects, and recommended uses
Comparison of CBD formulations and their side effects to better choose according to individual needs and tolerance

The Full-Spectrum vs Isolate Comparison: Understanding the differences is key when choosing the right product for your needs and sensitivity.

✅ If you’re prone to side effects, start with broad-spectrum or isolate, and gradually test your tolerance.

How to minimize CBD side effects? Practical advice

If you experience CBD side effects, it doesn’t necessarily mean that CBD isn’t right for you. Often, the issue is simply a misaligned dosage, timing, or formulation. With a few simple adjustments, you can reduce side effects and enjoy the full potential of this non-psychoactive compound.

Here’s how to adapt your routine for better results.

What CBD dosage is recommended to limit side effects?

There’s no one-size-fits-all answer—CBD dosage depends on factors like:

  • Your bodyweight ratio
  • Your individual sensitivity
  • Your wellness goals
  • Any medications you may be taking

In Switzerland, some products can legally contain up to 30% CBD, but that doesn’t mean higher doses are always better. To avoid side effects, it’s best to follow a “start low, go slow” approach.

So, How to properly dose CBD according to your weight and sensitivity?

  • If you’re lightweight or new to CBD, a low dose is often enough
  • Heavier users or those with greater tolerance may need a slightly higher amount

Always give your body time to adjust before increasing

CBD dosage guide according to body weight, from beginner to advanced
CBD dosage recommendations according to body weight and experience level. Always start with a low dose and gradually adjust based on your sensitivity

📈 Gradual dosage adjustment helps minimize side effects like drowsiness or digestive discomfort, while still promoting positive outcomes.

Optimizing timing according to your biological rhythm

The timing of consumption can also impact how your body reacts to CBD:

  • Morning or daytime: Best for concentration support or managing chronic discomfort
  • Evening use: Ideal for promoting relaxation and improving sleep patterns

A study by Shannon et al. (2019) in The Permanente Journal, titled Cannabidiol in Anxiety and Sleep, shows that CBD has a biphasic effect:

  • Low doses can have a stimulating effect during the day
  • Higher doses may produce relaxing effects that aid with falling asleep

🕒 Align your dosage and timing with your circadian rhythm to better control both onset time and potential side effects.

Hydration strategies to counter dry mouth

Xerostomia, or dry mouth, is a very common CBD side effect. It occurs when CBD affects the salivary glands, reducing saliva production and causing a dry sensation in the mouth.

💧 Here’s how to reduce that effect:

  • Drink plenty of water before and after CBD use
  • Choose CBD teas and infusions, which help hydrate while delivering CBD
  • Use sugar-free chewing gum to naturally stimulate saliva production

These simple habits can greatly improve comfort—especially for users sensitive to this transient effect.

Personalized monitoring • Keeping a journal of your reactions to CBD

Everyone’s reaction to CBD is different. Tracking your personal experience is one of the best ways to find the right product, right dose, and right timing for your body.

📖 What to write in your CBD journal:

  • How much CBD you took (e.g., a few drops of CBD oil or one capsule)
  • What time you took it, and how you felt after 30 minutes, 2 hours, and 6 hours
  • Any positive effects or side effects observed
  • Any co-occurring medication that might influence how your body reacts

🧠 With this info, you can fine-tune your consumption and confidently choose the product that works best for you.
uWeed offers a broad selection of lab-tested CBD products, from full-spectrum oils to pure isolates, to match your personal tolerance level.

Which populations should be particularly cautious with CBD?

Some groups may experience more pronounced CBD side effects due to age, pre-existing health conditions, or physiological sensitivity. For these individuals, extra caution is necessary to reduce the risk of adverse reactions and ensure product safety.

Let’s look at the key populations that need special guidance and monitoring.

Pregnancy and breastfeeding • Potential risks for development

Pregnant woman illustrating CBD precautions during pregnancy and breastfeeding
CBD use is not recommended for pregnant and breastfeeding women due to potential risks for baby development

Pregnant and breastfeeding individuals are strongly advised to avoid CBD, as there is insufficient clinical research confirming its safety for fetal or infant development.

A review by Huestis et al. (2019) in Current Neuropharmacology, titled Cannabidiol Adverse Effects and Toxicity, found that cannabinoids can cross the placenta and have been detected in breast milk, raising concerns about neurodevelopmental effects.

Animal studies have shown:

  • Lower birth weight
  • Disruption of brain development
  • Potential hormonal imbalances

As a result, authorities such as the FDA strongly caution against the use of CBD during pregnancy and lactation.

🚫 Pregnant women and CBD: what doctors say is clear—avoid CBD unless specifically recommended in a clinical setting.

Patients with liver disorders • Specific monitoring and precautions

CBD is primarily metabolized in the liver, involving enzymes such as cytochrome P450. In individuals with liver disease or hepatic insufficiency, this process may be impaired, leading to:

  • Increased CBD accumulation
  • Elevated liver enzyme levels (ALT, AST, alkaline phosphatase)
  • Higher risk of toxic side effects

The study by Brown et al. (2019) in the Journal of Clinical Medicine recommends regular monitoring of liver function for anyone taking CBD while also being treated for hepatic conditions.

🧪 Experts suggest starting with low doses and checking liver enzyme markers regularly if you have pre-existing liver issues.

Liver model symbolizing CBD precautions for hepatic disorders
CBD can interact with liver metabolism and requires special monitoring in patients with liver disorders

Cardiovascular system • Effects of CBD on blood pressure and heart rate

Person checking heart rhythm, showing potential cardiovascular effects of CBD
CBD can influence blood pressure and heart rate, requiring particular caution in people with cardiovascular disorders

CBD can influence cardiovascular function, especially at high doses. One known effect is mild hypotension, which may cause:

  • Dizziness or lightheadedness, especially when standing up
  • Temporary fatigue or a feeling of weakness
  • Potential changes in heart rate variability

In a study by Jadoon et al. (2017), published in the Journal of Clinical Investigation, titled Acute Effects of Cannabidiol on Human Cardiovascular Function, researchers found a moderate decrease in blood pressure following CBD intake in healthy adults.

However, long-term data on CBD and the heart is still limited. People with hypertension, arrhythmias, or those taking anticoagulants should consult their doctor before using CBD.

Neurodevelopment and CBD • What scientific data reveals

There’s growing interest in using CBD to support children and adolescents dealing with conditions such as epilepsy or autism spectrum disorders. But questions remain about the long-term effects on brain development.

A meta-analysis by Chesney et al. (2020) in Neuropsychopharmacology found that, while CBD may be helpful in treatment-resistant epilepsy, more studies are needed on how it affects:

  • Cognitive function
  • Memory retention
  • Neural maturation

For now, CBD use in minors should be strictly medically supervised and limited to cases with strong clinical justification.

🧠 When it comes to neurodevelopment and CBD, caution is the safest policy until long-term data is available.

Children playing with blocks, illustrating CBD precautions for neurodevelopment
CBD could impact children’s neurodevelopment, requiring cautious and medically supervised use

What are the negative effects of CBD in the long term?

Current research on the long-term effects of CBD is still limited, but available studies suggest that CBD is well-tolerated by most users over extended periods. Nonetheless, some potential concerns have been identified, particularly among those taking daily CBD doses alongside prescription medications.

Here’s what the scientific community knows so far:

  • Elevated liver enzymes: At high doses, cbd side effects liver may appear, especially in users with pre-existing conditions or those taking medications processed by the liver.
  • Medication interaction: Long-term CBD use may alter the effectiveness of medications, including anticoagulants, through liver enzyme interaction (e.g., cytochrome P450 pathway).
  • Tolerance development: While most users don’t experience physical dependence, some may develop a slight tolerance over time, meaning that higher doses are needed to achieve the same effect.
  • Potential hormonal effects: Some preliminary studies suggest possible hormonal modulation, but clinical evidence remains scarce.
  • Mild discomfort: Occasional reports of headaches, digestive issues, or changes in appetite have been observed in long-term users of oral CBD products.

In general, no major neurotoxicity or organ damage has been linked to long-term CBD use in humans under recommended dosage conditions.

⚠️ A responsible approach, ideally with professional guidance, remains the best way to minimize any risks linked to long-term consumption.

Myths and scientific realities about CBD safety

CBD use is often surrounded by myths and misunderstandings, largely due to confusion with THC or misinterpretations of scientific studies. Let’s clarify some of the most common misconceptions by reviewing what the scientific literature actually says.

“CBD has psychoactive effects” like cannabis • Factual analysis

Although both CBD and THC come from Cannabis sativa, their effects are fundamentally different. According to the CBD vs. THC comparison, THC is responsible for the euphoric high commonly associated with cannabis, while CBD is non-intoxicating.

  • CBD does not cause sensory alterations, cognitive impairment, or loss of control
  • In fact, some studies suggest that CBD may counteract certain unwanted THC effects like anxiety or paranoia

For instance, Iffland & Grotenhermen (2017) found no evidence that CBD negatively impacts cognitive function, and Boggs et al. (2018) in Psychopharmacology observed that CBD may reduce THC-related discomfort.

✅ In scientific terms, CBD is not psychoactive in the way THC is—and may even have balancing effects.

“CBD is toxic to the liver” • What do studies actually say?

Much debate surrounds the potential liver toxicity of CBD, especially at high doses. Because CBD is metabolized in the liver, some researchers have questioned whether CBD and the liver could be a problematic mix.

A 2019 study by Ewing et al. in Toxicology Reports tested very high doses of CBD in mice and found elevated liver enzyme levels (ALT, AST). However:

  • These doses were far above what humans typically consume
  • The relevance to real-world human usage is therefore limited

Later reviews, such as Millar et al. (2020) in Frontiers in Pharmacology, confirm that no liver toxicity was observed in long-term human clinical trials when CBD was used responsibly.

🧪 That said, individuals with liver disorders or those taking liver-metabolized medications should proceed with caution.

“CBD creates a physiological dependence” • Scientific evaluation

The World Health Organization (WHO) officially classifies CBD as non-addictive, with no evidence of abuse potential. Unlike addictive substances, CBD does not activate dopamine pathways associated with reward and craving.

In a review by Chesney et al. (2020), no withdrawal symptoms, dependency behaviors, or habit-forming tendencies were found, even after extended use.

🚫 CBD does not lead to physiological dependence, making it a safe option for long-term wellness routines when used appropriately.

“Driving after taking CBD is dangerous” • Data and legislation

This concern mostly arises from confusion with THC. Pure CBD has no known impact on reflexes or alertness, as shown in a 2020 study by Arkell et al. in the Journal of Psychopharmacology.

However, products labeled “full-spectrum” may contain trace levels of THC (<1%), which could:

  • Cause mild drowsiness in some users
  • Result in positive drug tests, depending on local laws
  • Present legal risks in roadside checks

So while CBD and driving isn’t inherently dangerous, caution is advised—especially when using full-spectrum products or combining CBD with medications that affect central nervous system activity.

🚘 To stay safe and legal, always verify product composition and avoid driving after high doses of full-spectrum extracts.

“The legal status of CBD is unclear in Switzerland” • Regulatory clarification

One of the most persistent myths about CBD is that its legal status is uncertain. While this may be true in some countries, the legality of CBD in Switzerland is clearly defined:

  • CBD is legal in Switzerland if the THC content is under 1%
  • CBD oils are sold as cosmetics or chemical products, not as dietary supplements
  • Medical claims are strictly forbidden unless supported by approved clinical trials
  • All products must comply with quality control and safety regulations

⚖️ As long as products meet Swiss standards, buying and using CBD is perfectly legal.

Conclusion • Balancing benefits and risks of CBD for a positive experience

Cannabidiol offers a promising natural alternative for stress relief, sleep regulation, and well-being support. While mild side effects like dry mouth or drowsiness can occur, they are typically easy to manage through responsible use. By choosing high-quality products, starting with a low dosage, and adapting to your body’s unique sensitivity, you can fully experience the positive effects of CBD—without unnecessary discomfort.

Loic Aubonney