Epilepsy
Study register · detail Systematische Review · Epilepsy · 2019

A systematic review of cannabidiol dosing in clinical populations

Mixed GRADE Moderate 232 citations
Samplek = 35 Studien
n = 6 Pat.
Durationunclear
EndpointSeizure frequency/severity
Blindingn.a.
DesignSystematische Review
Cannabinoidcbd
Key finding

23 of 35 studies reported significant improvements in primary outcomes (e.g. psychotic symptoms, anxiety, seizures), especially in epilepsy (11/11 studies positive); however no positive effects in smaller RCTs in diabetes, Crohn's disease, glaucoma, fatty liver or chronic pain.

Summary

Systematic review on CBD dosing across 13 medical contexts; k=35 studies. Epilepsy most frequently studied (k=11 studies, all with positive effects on seizure frequency/severity; average dose 15 mg/kg/d in RCTs). Effective doses across all indications: <1 to 50 mg/kg/d. 23 of 35 studies showed significant improvement in primary outcomes (psychotic symptoms, anxiety, seizures). No positive signal in small RCTs (n=6–62) for diabetes, Crohn's disease, ocular hypertension, fatty liver, chronic pain (low doses ~2,4 mg/kg/d).

P
PopulationClinical populations with various diseases (including epilepsy, psychosis, anxiety disorders, diabetes, Crohn's disease, chronic pain), pooled from 35 studies
I
InterventionCannabidiol (CBD) as monotherapy, various dosages (<1 to 50 mg/kg/d), various forms of administration
O
Outcome23 of 35 studies reported significant improvement in primary endpoints; all 11 epilepsy studies showed positive effects on seizure frequency/severity (Ø 15 mg/kg/d in RCTs); no positive signal in diabetes, Crohn's disease, ocular hypertension, fatty liver or chronic pain (Ø 2,4 mg/kg/d)
Confidence in the evidence
Moderate

The third of four GRADE levels, the effect estimate is probably reliable.

Downgraded for
Imprecision
Quality profile
Sample size
Blinding
Effect size Mixed
Citations / year
Authors
Millar S, Stone N, Bellman Z et al.
DOI 10.1111/bcp.14038
Design: Systematische Review
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