In the end, since the exact nature of how CBD works to help treat psoriasis remains unknown and psoriasis is a serious skin condition, consider this our best advice: Until more studies are done on CBD and psoriasis, be sure to speak with your dermatologist to plan a treatment course that’s right for you.
“The effects of cannabis are relatively weak compared to topical steroids like hydrocortisone,” says Dr. Tishler. “In short, at this time I would not recommend any topical cannabis or CBD products to treat a serious illness like psoriasis.”
Although clinical research connecting the health benefits of CBD oil to cannabis is slow to materialize, there’s still a lot of patient-driven interest in whether CBD, which can be used as an oil, balm, cream, or salve, can help treat psoriasis.
“For dermatological issues such as psoriasis, dermatitis, and eczema, I’ve found CBD to be very effective at decreasing the flare-ups, irritation, and discomfort my patients experience,” he tells Health. “Depending on the severity of the disease, I will use either topical creams or a combination of topical and systemic treatments.”
What we need to learn about how CBD might work
However, other experts aren’t convinced that CBD oil is as effective as current therapies, which include topical steroid creams and ointments, topical vitamin D creams, nonsteroidal anti-inflammatory creams, and ultraviolet light therapy. In addition, psoriasis patients may also take immunosuppressant medications, like cyclosporine and methotrexate, and newer biologic medications to treat their symptoms.
In the study, five psoriasis patients applied CBD ointment to those areas of their skin affected by psoriasis twice a day for three months. After that time, researchers concluded that the ointment was not only safe and effective but it improved the quality of life for psoriasis patients.
“We know that cannabinoids like CBD can reduce inflammation and pain,” David Casarett, MD, chief of palliative care at Duke University in Durham, North Carolina, tells Health. “Again, what we’re seeing right now is that most of the evidence is circumstantial but promising.”
How CBD might improve daily life
That’s why Hervé Damas, MD, a physician at Grassroots Medicine and Wellness, a cannabis medical practice in Miami, says he uses CBD—which has few side effects and is considered safe overall—as a part of the psoriasis treatment plans he recommends for his patients.
In addition to helping to treat skin itching and irritation, CBD may also help psoriasis patients control pain and reduce inflammation.
Fortunately, some research does suggest that changes in diet, skincare routine, and lifestyle can at least help relieve psoriasis symptoms.
CBD, on the other hand, has minimal side effects, including tiredness, diarrhea, and changes in appetite or weight. According to the World Health Organization, CBD is also non-addictive. Across the United States, where state laws permit it, the 2018 Farm Bill has made CBD legal at the federal level, and you can buy CBD products without a prescription.
Inverse psoriasis. Inverse psoriasis mainly affects skin folds near the breasts, groin, and buttocks, and it causes smooth patches of red skin that sweating and friction make worse. This kind of psoriasis can be triggered by fungal infections.
Alternative Therapies for Psoriasis
Remember, before you start anything new for psoriasis (or any health condition), you should talk to your doctor or other healthcare provider. Although CBD is widely understood to be safe, the industry is poorly regulated. Look for third-party testing results, and remember that if you substitute CBD for some other medication, that may have an impact on your health.
So, this is why CBD for psoriasis is now a trend: necessity.
The Pros and Cons of CBD Oil for Psoriasis
The United States (US) Food and Drug Administration (FDA) has only approved CBD for treating epilepsy. For this reason, there is no standard dosage of CBD for treating psoriasis.
Cannabinoids such as CBD are anti-inflammatories, and are therefore a potential treatment for a range of skin diseases. Cannabinoids, especially THC, are also immunosuppressive and reduce cytokines. Cytokines cause inflammation and rapid skin cell development, and psoriasis itself is an immunosuppressive disorder, making cannabinoids and THC of particular interest to psoriasis sufferers.
Before you try a CBD product, ask your doctor if it could interact with any over-the-counter (OTC) or prescription medications or supplements that you take.
CBD is being studied as a treatment for many conditions, including psoriatic arthritis, but research supporting its effectiveness is still limited. There is research demonstrating that CBD can effectively manage and reduce pain, however, so it might help some people with PsA.
Approximately one in four people with psoriasis will develop psoriatic arthritis. Some will develop symptoms of PsA slowly over time, and others will experience the onset of severe symptoms quickly.
There are several types of psoriatic arthritis, which are categorized by the joints they affect.
How much CBD oil should I use for psoriatic arthritis pain?
The five types of psoriatic arthritis are:
Although CBD is generally safe, the industry is poorly regulated. When you are looking for a product that meets your needs, there are a few key factors to consider.
The type of CBD that you use will determine how long it will take to feel the effects. It generally takes 15 minutes to feel the effects after vaping or using sublingual tinctures (those placed under the tongue). Ingesting CBD oil or gummies will take longer (up to two hours). Topicals may take up to an hour for effects to be felt, and they peak around 90 minutes after application.
Best CBD for Managing Psoriasis Pain
Some people are genetically predisposed to developing psoriatic arthritis, and approximately one in three people with psoriasis will develop PsA.
There are three basic types of CBD: