Pain and inflammation are part of life. If you’re someone who struggles with pain often, then ibuprofen is probably a good friend of yours. In recent times, however, more and more folks are turning to CBD oil to help manage pain in a more natural way.
This raises the question – can CBD oil be taken with ibuprofen?
Let’s take a look…
CBD Oil vs. Ibuprofen: How Does Ibuprofen Manage Pain?
Ibuprofen is one of the most common non-steroidal anti-inflammatory drugs (NSAIDs), first discovered in 1961. Today, it’s an active ingredient in numerous over-the-counter pain-relief drugs, including household names like Motrin and Brufen. Ibuprofen is very effective at eliminating most forms of pain that result from inflammation. It also works well as a fever reducer.
Ibuprofen works by blocking a specific type of hormone known as prostaglandin. Unlike normal hormones, prostaglandins are not secreted by any kind of gland. Rather, they form via chemical reaction at the site they’re needed. This is typically a site in which there has been infection or tissue damage (hence the resulting pain, inflammation, fever, etc).
Ibuprofen limits the number of enzymes produced by cyclooxygenase-2 (COX-2). This results in decreased prostaglandin release when the body experiences injury, leading to lowered inflammation and pain.
It’s important to note that ibuprofen comes with some serious potential side effects, especially when taken in large quantities. Some of these include heartburn, dizziness, high blood pressure, stroke, ulcers (stomach bleeding), and heart attack.
What Makes CBD Different?
Cannabis has been consumed for centuries to help alleviate pain, and now scientists are aiming to find the link between cannabinoids and their anti-inflammatory and analgesic (pain-relieving) potential.
As one of more than 100 cannabinoids found inside the cannabis plant, CBD offers many potential health benefits without causing users to feel “high.” The primary difference between CBD and ibuprofen is the way in which they interact with pain response pathways. CBD binds to CB1 and CB2 receptors, while ibuprofen blocks the COX-2 from producing extra prostaglandins.
The analgesic mechanism of CBD is complex and not as well understood as that of ibuprofen. However, it appears to offer pain relief by inhibiting the action of neurotransmitters.
The analgesic mechanism of CBD is complex, and not as well understood as that of ibuprofen.
According to a 2018 publication in Frontiers of Pharmacology, cannabinoids (like CBD) have an inhibitory effect on neurotransmitters and neuropeptides that are involved in the “activation of descending inhibitory pain pathways, [as well as] reduction of neural inflammation.”
So, as you can see, the differences between CBD and ibuprofen for pain relief are quite distinct. Of course, ibuprofen and CBD are often not enough by themselves to combat pain completely. This leads many to want to use the two drugs in combination. But is using ibuprofen and CBD oil together safe?
How Does CBD Interact with Ibuprofen?
Currently, not much is known about how CBD could interact with other medications – including ibuprofen. More research needs to be done, but research has shown that CBD poses inhibitory action on some enzymes that galvanize drug metabolism.
This means that the risk of experiencing adverse side effects linked to ibuprofen use may increase when the drug is used in conjunction with CBD.
When looking at CBD drug interactions, there are two basic categories:
- Those that can create a dangerous interaction and therefore, should never be used in conjunction with CBD
- Those that require you to be cautious when using the two together
Ibuprofen falls into the second category – you should be cautious when using it together with CBD. Since the interaction between the two may either increase or decrease how quickly liver enzymes are able to break down drugs, the overall effects of the ibuprofen may be reduced or intensified.
Dosing and Timing Could Influence How CBD Interacts with Ibuprofen (And Other NSAIDs)
The time at which you take both CBD and ibuprofen may influence how the two drugs interact in your body. This is because spacing out doses of medication helps to reduce the workload on the liver.
For instance, depending on a drug’s half-life (and the dose of the drug), it has the potential to inhibit liver enzymes for a variable timeframe. Therefore, liver enzymes could regain sufficient function by the time the second drug (i.e. CBD) is taken.
The risk of experiencing adverse drug interactions may be lower if you consume ibuprofen and CBD at different times of the day.
The dosage used may also have an effect on any potential interaction of ibuprofen with CBD. When large amounts of CBD and ibuprofen are used together, there may be an increased risk of danger (such as increased stomach bleeding). Some medical experts have speculated that taking low amounts of CBD doesn’t seem to affect the way the liver metabolizes ibuprofen.
Of course, it’s worth noting that everyone responds to drugs differently. Some individuals may be sensitive to certain substances, while others may have little to no reaction. Ultimately, how the body processes medication – and the effect it has – is very much influenced by genetics, body size, age, and so on.
Final Thoughts on CBD and Ibuprofen
While taking low amounts of ibuprofen and CBD will likely not produce severe adverse effects on the body, more research needs to be conducted on the topic. Due to interaction with enzyme activity, there is the potential that CBD may either intensify or reduce the effects of ibuprofen.
Ultimately, it’s best to consult with a doctor or healthcare provider before using CBD oil in conjunction with ibuprofen. They will be able to help you decide whether it’s safe to use CBD oil, and may also be able to offer medical advice regarding the dosage of CBD oil that may be effective without causing any adverse effects.