How to Take CBD for Fibromyalgia: Methods, Tips, and Best Practices

Living with fibromyalgia can be a daily struggle, filled with pain, fatigue, and a host of other challenging symptoms. If you're searching for options, you might be curious about how to take CBD for fibromyalgia. CBD, or cannabidiol, has gained attention for its potential to ease pain and improve sleep quality, two key concerns for those dealing with this complex condition. As you explore options to manage your symptoms, understanding the best way to take CBD for fibromyalgia could be a game-changer in your journey towards better well-being.

Written by Rowan Bailey
Published on 30th July 2024

*Disclaimer* 

We cannot discuss medical claims with regards to CBD. We regularly get asked by our customers so try to provide the best information we can whilst navigating this strict landscape that we fully support. We link to and quote from studies below, but it is vital to do your own research and to keep an eye out for recent studies. 

From CBD oils to topical CBD balms and creams, the world of CBD offers a variety of application methods suitable for fibromyalgia. Whether you're considering vaping CBD for quick relief in the midst of a flare up or applying a CBD cream directly to targetted areas, there's a lot to learn about using CBD effectively for fibromyalgia.

This guide will walk you through different CBD products, dosage tips, and how to combine CBD with other treatments. You'll discover how to choose the right full-spectrum CBD product and get practical advice on incorporating CBD into your fibromyalgia management plan.

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Understanding CBD and Its Potential Benefits for Fibromyalgia

What is CBD?

Cannabidiol, or CBD, is an oil derived from cannabis that has gained attention for its potential therapeutic properties 1. Unlike tetrahydrocannabinol (THC), another well-known compound found in cannabis, CBD doesn't produce a "high" or psychoactive effect 2. This non-intoxicating nature makes CBD an appealing option for those seeking relief without the mind-altering effects associated with marijuana use.

CBD is one of many cannabinoids found in the cannabis plant. It interacts with your body's endocannabinoid system, which plays a role in regulating various processes such as sleep, appetite, and pain response . This interaction is thought to be at the heart of CBD's potential benefits for conditions like fibromyalgia.

  • How CBD may help with fibromyalgia symptoms:  

    Fibromyalgia is a chronic condition characterized by widespread pain, fatigue, and often accompanied by sleep disturbances, mood issues, and cognitive difficulties 1. While the exact cause of fibromyalgia remains unknown, some researchers have proposed a theory that might explain why CBD could be beneficial for this condition.

    A 2016 study suggested that a deficiency in the endocannabinoid system, known as Clinical Endocannabinoid Deficiency (CED), might be at the root of fibromyalgia and related conditions like irritable bowel syndrome and migraines . This theory proposes that by interacting with cannabinoid receptors, CBD might help regulate the system and potentially reduce associated problems.

    CBD's potential benefits for fibromyalgia symptoms include:

    1. Pain relief: CBD may help alleviate pain by interrupting nerve pathways that send pain signals between the brain and the body 1. Further research is required to confirm this, but as a natural alternative to refined opiates, this shows promise. 

    2. Improved sleep health: Studies have shown that CBD might help improve supporting things that effect sleep quality, which is often disrupted in people with fibromyalgia .

    3. Mood enhancement: Research suggests that CBD has calming properties that may help improve mood.
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R Bailey

I work as a consultant in the CBD and medical cannabis industry whilst also being a medical cannabis patient myself for my Fibromyalgia. I have been in the industry since 2018, and a patient since 2020. Along my journey I have provided educational talks to support groups for fibro across south west Wales, whilst also working in CBD Labs developing products specifically for fibro and other issues.  

Current research on CBD for fibromyalgia

While research specifically on CBD for fibromyalgia is still limited, several studies have shown promising results:

A 2021 survey of fibromyalgia patients using CBD for pain management found that the majority were using it as a substitute for opioids and other pain medications. Those using full-spectrum CBD products (containing more than 0.2% THC) reported the most significant improvements in symptoms.

A study found that CBD reduced pain in fibromyalgia patients by more than 30% compared to a placebo.

A 2023 review of studies on CBD for pain found that while cannabinoids reduced pain in fibromyalgia patients, the evidence was not of high quality due to the limited number of randomized controlled trials. However, it did note positive effects on quality of life, sleep quality, mood, and libido.

It's important to note that while these results are encouraging, more high-quality research is needed to fully understand the effects of CBD on fibromyalgia.

As you consider using CBD to help manage your fibromyalgia symptoms, it's crucial to consult with your GP/ Dr. They can help you understand the potential benefits and risks, as well as guide you in choosing the right CBD product and dosage for your specific needs.

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Different Methods of Taking CBD for Fibromyalgia

When it comes to using CBD for fibromyalgia, you have several options to choose from. Each method has its own advantages and may work differently for different people. Let's explore the various ways you can take CBD for your fibromyalgia symptoms.

Oral CBD Products

Oral CBD products are among the most popular and straightforward ways to use CBD. These include:

1. CBD Oils and Tinctures: You can take these under your tongue for faster absorption. It may take several hours to feel the effects, but this method allows for easy dosage control 5.

2. CBD Gummies: These pre-measured, portable, and discreet options make it simple to know and adjust your dose 5.

3. CBD-Infused Foods and Beverages: This method offers more flavor variety but may delay the onset of effects due to the digestive process 6.

Topical CBD Products

Topical CBD products are applied directly to the skin and can be particularly helpful for localized pain relief:

CBD Creams and Balms: These can be rubbed onto pain points and muscles to potentially eliminate pain and induce muscle relaxation. Many fibromyalgia patients find this method provides fast, sometimes immediate effects 6.

CBD Massage Oil: This can be an excellent option for daily use on tender areas and joints 7.

CBD Calm Stick: A roll-on product that's easy to carry and apply for quick relief from muscle spasms or headaches 7.

It's important to note that topical CBD products often need to be highly concentrated, as CBD doesn't easily pass through the skin barrier 5. It can also be beneficial to use oral CBD as a baseline and then topicals as and when you need a targetted top up. 

CBD Vapes for Fibromyalgia 

Vaping: This involves using a vaporizer pen to convert CBD liquid into vapour for inhalation 6.

It's crucial to approach inhaled CBD options with caution, especially if you have lung sensitivities or live with others who might be affected by secondhand vapour 5.

Remember, CBD affects everyone differently. What works best for one person with fibromyalgia might not be as effective for another. Some individuals find that a combination of methods, such as using CBD oil for anxiety and sleep while applying a topical CBD product for spot relief, works best 7.

It's always advisable to start with a low dose and gradually increase it while monitoring your body's response. Consulting with a healthcare professional before starting any CBD regimen is crucial, especially if you're taking other medications.

Dosage Guidelines and Best Practices

When it comes to using CBD for fibromyalgia, finding the right dosage is crucial for managing your symptoms effectively. It's important to remember that there's no one-size-fits-all approach, as every individual's endocannabinoid system responds differently to CBD 8. Here's a guide to help you navigate the process of finding your optimal CBD dosage.

Starting with a low dose

The golden rule when beginning your CBD journey is to "start low and go slow" 9. This approach allows you to gauge your body's reaction and adjust accordingly. A good starting point is typically between 5 mg to 25 mg of CBD per day dose. This low initial dose helps minimize the risk of side effects while allowing you to observe how your body responds to CBD. It's worth noting that the Food Standards Agency advises healthy adults not to exceed 70mg of CBD in a single day 9. Keep this upper limit in mind as you begin your CBD regimen. 

Gradually increasing dosage

As you become more familiar with how CBD affects your body, you can start to gradually increase your dosage. A safe and effective approach is to increase your daily intake by 5-10 mg every two days after your initial 7 days settling in until you start feeling the desired effects 10. This slow titration allows you to find the sweet spot where you experience relief without overdoing it.

For fibromyalgia specifically, many patients find benefit from what's considered a "high" dose, typically ranging from 100 mg to 150 mg per day 8. In some cases, doses as high as 200 mg per day have been reported to help significantly with fibromyalgia symptoms and chronic pain 8. However, it's crucial not to jump straight to these higher doses without first allowing your body to adjust, especially as these dosages exceed the FSAs recommendation. So it's imperitive to do your own research.

Finding your optimal dose

The key to finding your optimal CBD dose is patience and careful observation. Keep track of how much you take, how often you take it, and rate your symptoms daily on a scale of 1 to 10 10. This will help you identify patterns and determine the most effective dosage for your specific needs.

Remember, the ideal dosage can vary depending on factors such as your weight, what you're treating, and the concentration of the CBD product you're using 10. 

It's also important to consider the method of consumption. Edibles, oils, and capsules typically take 30 to 60 minutes to take effect, while vaping CBD can bring on effects more quickly 10.

As you work to find your optimal dose, keep in mind that CBD can interact with other medications 8. Therefore, it's crucial to consult with a healthcare professional, particularly a specialist doctor who can prescribe medical cannabis, before starting or adjusting your CBD regimen 8. They can provide personalized advice based on your specific health conditions and any other treatments you're currently undergoing.

By following these guidelines and listening to your body, you can work towards finding the CBD dosage that best supports your journey in managing fibromyalgia symptoms.
CBD's interaction with the endocannabinoid system has been shown to have neuroprotective and antioxidant effects, which could be beneficial in treating neurological disorders 10 if true. While more research is needed to fully understand how this relates to fibromyalgia specifically, these properties suggest potential benefits for overall brain health.

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Choosing the Right CBD Product for Fibromyalgia

When selecting a CBD product for fibromyalgia, it's crucial to understand the different types available and consider various factors to ensure you're getting a high-quality, effective product. Let's explore the options and what to look for when making your choice.

Full-spectrum vs. broad-spectrum vs. isolate

CBD products come in three main types, each with its own characteristics:

Full-spectrum CBD: This type contains all the compounds found in the hemp plant, including CBD, other cannabinoids, terpenes, essential oils, and flavonoids. Full-spectrum CBD also contains trace amounts of THC (less than 0.2%) 4. Many believe that the combination of these compounds creates an "entourage effect," potentially enhancing the therapeutic benefits 4.

Broad-spectrum CBD: Similar to full-spectrum, broad-spectrum CBD contains multiple cannabinoids, terpenes, and flavonoids. The key difference is that broad-spectrum CBD is THC-free 4.

CBD isolate: This is the purest form of CBD, containing no other cannabis plant compounds. It's odourless, tasteless, and THC-free 4.A 2018 study suggested that full/broad-spectrum CBD might be more effective for relief compared to isolate CBD 2. However, CBD isolate might be preferable for those who want to avoid THC entirely or are sensitive to its effects.

Factors to consider when selecting CBD

When choosing a CBD product for fibromyalgia, keep these important factors in mind:

1. Third-party lab testing: Always look for products that have undergone third-party lab testing. These tests assess cannabinoid composition and check for contaminants, ensuring safety and potency 2.

2. Potency: CBD products come in various strengths. Start with a lower dose and gradually increase it until you find the right amount for your needs 1.

3. Additional ingredients: Check the ingredient list for carrier oils like grapeseed, coconut, or MCT oil, which can affect absorption. Be aware of any added flavours or sweeteners if you prefer a more natural product .

4. Consumption method: Consider how you prefer to take CBD. Options include oils for sublingual use, edibles like gummies, topicals for direct application to painful areas, and vapes for quick relief 11.

5. Brand reputation: Research the brand's reputation by reading online reviews and checking their transparency about sourcing and manufacturing processes 2.

Top CBD products for fibromyalgia

While individual experiences may vary, here are some highly-rated CBD products that may help with fibromyalgia symptoms:

20% 2,000MG CBD Tincture: This organic Broad-spectrum oil is a popular choice for its potency and potential effectiveness. The verified reviews support it's effectiveness and can be very cost effective when taking advantage of offers. 

Naturally Cooling Extra Strong CBD Balm for Fibro: This lightly whipped Full Spectrum CBD Balm is second to none when it comes to fibro. Checkout the reviews, and keep in mind a little bit goes a LONG way with this stuff. So it lasts a good while! 


Always consult with a healthcare professional before starting any new CBD regimen, especially if you're taking other medications.
As research in this field continues to grow, it's clear that personalized approaches are key to finding effective relief. To make an informed decision, it's crucial to weigh the benefits and potential side effects of each compound, considering your specific symptoms and lifestyle. Talking with a healthcare provider can help tailor a treatment plan that aligns with your needs, potentially incorporating these cannabinoids as part of a comprehensive strategy to manage fibromyalgia.

Combining CBD with Other Fibromyalgia Treatments

CBD and conventional medications

When considering CBD as part of your fibromyalgia treatment plan, it's crucial to understand how it might interact with other medications you're taking. CBD can affect the way your body processes certain drugs, potentially altering their effectiveness or increasing the risk of side effects.

CBD is metabolized by enzymes in the liver, particularly CYP3A4 and CYP2C19 12. It can also inhibit other enzymes like CYP2D6 and CYP2C9, which play a role in metabolizing various medications 12. This interaction can lead to changes in the concentration of drugs in your system.

For instance, CBD might increase the levels of certain antidepressants, antipsychotics, beta-blockers, and opioids in your bloodstream 12. It's particularly important to be cautious if you're taking medications that can cause liver injury, such as acetaminophen. In an animal study, combining high doses of CBD with acetaminophen resulted in increased liver toxicity 12.

Integrating CBD into your overall treatment plan

To safely incorporate CBD into your fibromyalgia management strategy, consider the following steps:

1. Consult your healthcare provider: Always discuss your intention to use CBD with your doctor, especially if you're taking other medications or have underlying health conditions 12.

2. Start low and go slow: Begin with a low dose of CBD and gradually increase it while monitoring your body's response.

3. Consider full/ broad-spectrum products: Some research suggests that CBD may be more effective when used in combination with other cannabis compounds, including small amounts of THC 1. However, this approach may not be suitable for everyone, so discuss it with your healthcare provider.Monitor your symptoms:

4. Keep track of how CBD affects your fibromyalgia symptoms and overall well-being. This can help you and your healthcare provider adjust your treatment plan as needed.

Potential interactions to be aware of

When using CBD, be mindful of these potential interactions:

1. Blood thinners: CBD may interact with warfarin, a common blood thinner, potentially increasing the risk of bleeding 12.

2. Heart medications: CBD could affect the concentration of heart rhythm medications like amiodarone 12.

3. Thyroid medications: Levothyroxine, a thyroid medication, may interact with CBD 12.

4. Seizure medications: CBD might interact with certain anti-epileptic drugs, including clobazam, lamotrigine, and valproate 12.

5. Alcohol: CBD has been shown to lower blood alcohol levels, which could affect how you metabolize alcohol 12. 

It's important to note that older adults may be more susceptible to drug interactions due to age-related changes in how the body processes medications 12. If you have liver disease, kidney disease, epilepsy, heart issues, or a weakened immune system, you should be particularly cautious when considering CBD use and check with your GP 12.

Remember, while CBD shows promise in managing fibromyalgia symptoms, it's not a replacement for conventional treatments. Instead, think of it as a potential complement to your existing treatment plan. Always work closely with your healthcare provider to ensure that CBD is used safely and effectively in conjunction with your other fibromyalgia treatments.

Conclusion - How to take CBD for Fibromyalgia

CBD has shown promise in managing fibromyalgia symptoms in on going studies. While research is ongoing, many individuals find CBD to be a valuable addition to their treatment plan. It's crucial to start with a low dose, gradually increase as needed, and choose high-quality products that suit your specific needs.

As you explore CBD for fibromyalgia, remember to consult with your healthcare provider, especially if you're taking other medications. Everyone's experience with CBD is unique, so patience and careful observation are key to finding the right approach for you.

Check out our range of naturally focused CBD products, developed alongside feedback from a fibromyalgia support group in Pembrokeshire, Wales here. With the right guidance and a thoughtful approach, CBD might become a helpful tool in your journey to manage fibromyalgia symptoms and improve your quality of life.

CBD Products For Fibromyalgia FAQ

References

[1] - https://www.medicalnewstoday.com/articles/321501
[2] - https://www.healthline.com/health/fibromyalgia/marijuana-fibromyalgia
[3] - https://savagecabbage.co.uk/can-i-use-cbd-for-fibromyalgia/
[4] - https://www.healthline.com/health/cbd-for-fibromyalgia
[5] - https://www.healthline.com/health/best-cbd-oil-for-fibromyalgia
[6] - https://cbdqueen.co.uk/cbd-oil-for-fibromyalgia/
[7] - https://infinity-cbd.co.uk/blogs/about-us/cbd-oil-for-fibromyalgia-honest-advice-from-a-fibro-warrior
[8] - https://releaf.co.uk/education/medical/pain/fibromyalgia/the-ideal-strength-of-cbd-oil-for-fibromyalgia
[9] - https://grassandco.com/blogs/pain-relief/cbd-oil-for-fibromyalgia
[10] - https://www.cnet.com/health/nutrition/cbd-dosage-how-much-is-safe-to-take/
[11] - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10295750/
[12] - https://www.health.harvard.edu/blog/cbd-and-other-medications-proceed-with-caution-2021011121743

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Written by Rowan Bailey

CBD lab geek, medical cannabis patient and consultant. 

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