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CBD für Insomnie

A

Basierend auf 9 Studien (1 meta-analysis, 3 RCTs) mit 1,152 Teilnehmern insgesamt. Die Ergebnisse sind uneinheitlich zwischen den Studien.

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A

Fazit

The evidence for CBD as a standalone remedy for insomnia is mixed — some studies show benefits while others do not, so more research is needed before it can be confidently recommended.

  • Results are mixed across 9 studies, even at Grade A evidence level due to study volume
  • A 2025 meta-analysis found inconsistent effects of cannabinoids on sleep quality
  • Some studies used medicinal cannabis blends rather than pure CBD, complicating comparisons
  • Individual responses to CBD for sleep may vary significantly

Key Study Findings

Randomized Controlled Trial n=20 Double-blind
Acute Effects of Oral Cannabinoids on Sleep and High-Density EEG in Insomnia: A Pilot Randomised …
Dose: 10 mg THC and 200 mg CBD vs.: Placebo Outcome: Total sleep time and REM sleep parameters Wirkung: -24.5 min TST; -33.9 min REM sleep p=0.05 (TST); p<0.001 (REM)

Population: Patients with DSM-5 insomnia disorder (16F, mean age 46.1)

Review
Therapeutic Use of Cannabis and Cannabinoids: A Review.
Dose: None vs.: None Outcome: None Wirkung: SMD=-0.29 (nausea/vomiting); SMD=0.57 (body weight in HIV/AIDS) None

Population: adults using cannabis or cannabinoids for medical purposes

Randomized Controlled Trial n=20 Double-blind
Effectiveness of a Cannabinoids Supplement on Sleep and Mood in Adults With Subthreshold Insomnia: A …
Dose: 3mg THC, 6mg CBN, 10mg CBD per dose vs.: Placebo (crossover) Outcome: Sleep quality (ISI, PSQI, Bergen Insomnia Scale) Wirkung: None p<0.05

Population: Adults with subthreshold insomnia (mean age 47.4)

Case Reports n=1 Open-label
Green light to sleep: Does cannabis work for insomnia? A case report and brief review.
Dose: None vs.: Prior conventional treatments (failed) Outcome: Insomnia resolution Wirkung: None None

Population: 37-year-old with treatment-resistant insomnia

Cohort Study n=155 52 weeks Open-label
Opioid reduction in patients with chronic non-cancer pain undergoing treatment with medicinal cannabis.
Dose: Median 15mg THC + 15mg CBD daily vs.: Opioids only (separate cohort) Outcome: Opioid consumption reduction at 12 months Wirkung: Median 2.7 vs 42.3 mg/day <0.05 (ITT)

Population: Chronic non-cancer pain patients on opioids

Observational Study n=3118
Real-world disproportionality analysis of sleep disturbances associated with antiseizure medications in epilepsy: a pharmacovigilance study.
Dose: None vs.: None Outcome: Sleep disturbance signals for ASMs in FAERS Wirkung: 1570 insomnia reports (most frequent) None

Population: Epilepsy patients on ASMs (FAERS Q1 2004-Q2 2025)

Key Statistics

103

Studien

41554

Teilnehmer

Mixed

A

Bewertung

Referenced Papers

Clinical psychology review 2025 5 Zitierungen
Psychopharmacology bulletin 2025 1 Zitierungen
Clinical breast cancer 2025 1 Zitierungen
Current psychiatry reports 2024 8 Zitierungen
Cannabis and cannabinoid … 2023 28 Zitierungen
Psychiatry research 2022 43 Zitierungen
Journal of primary … 2022 28 Zitierungen
Journal of medical … 2021 21 Zitierungen
Current opinion in … 2021 15 Zitierungen
Advances in experimental … 2021 14 Zitierungen
Neurodegenerative disease management 2021 12 Zitierungen
Journal of cannabis … 2020 77 Zitierungen
Multiple sclerosis journal … 2020 24 Zitierungen
Internal medicine journal 2020 18 Zitierungen
Schmerz (Berlin, Germany) 2020 8 Zitierungen
Journal of AOAC … 2019 96 Zitierungen
Current treatment options … 2019 20 Zitierungen
Journal of psychosocial … 2019 3 Zitierungen
The Medical letter … 2019
Current psychiatry reports 2017 394 Zitierungen
Cannabis and cannabinoid … 2016 77 Zitierungen
International journal of … 2016 16 Zitierungen
Movement disorders clinical … 2014
Journal of clinical … 2013 93 Zitierungen
British journal of … 2013 14 Zitierungen
Pharmaceuticals (Basel, Switzerland) 2012 194 Zitierungen
Occupational medicine (Oxford, … 2012 33 Zitierungen
The Urologic clinics … 2002 20 Zitierungen

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Übliche Dosierungen

sleep:
25-150 mg, 1 hour before bed

Obergrenze: Not established; FDA max studied ~20 mg/kg/day

In der Forschung untersuchte Dosierungen

Dosierung Dauer Wirkung N
10 mg THC and 200 mg CBD -- Negative 20
None -- Mixed --
3mg THC, 6mg CBN, 10mg CBD per dose -- Positive 20
None -- Positive 1
Median 15mg THC + 15mg CBD daily 52 weeks Positive 155
None -- Mixed 3118
150 mg CBD daily 2 weeks Neutral 30
10 mg/kg/day CBD oral during pregnancy -- Negative --

Beste Einnahmezeit: 1 hour before bed

Safety & Side Effects

Gemeldete Nebenwirkungen

  • Fatigue
  • Diarrhea
  • Changes in appetite
  • Dry mouth
  • Liver enzyme elevation at high doses

Bekannte Wechselwirkungen

  • CYP3A4/CYP2C19 substrates — CBD inhibits these liver enzymes
  • Blood thinners (warfarin) — CBD may increase warfarin levels
  • Clobazam — CBD significantly increases clobazam levels
  • Sedatives — additive drowsiness

Tolerierbare Höchstaufnahmemenge: Not established; FDA max studied ~20 mg/kg/day

Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.

Frequently Asked Questions

Does CBD help with Insomnie?
Based on 103 studies with 41,554 participants, there is strong evidence from multiple clinical trials that CBD may support Insomnie management. Our evidence grade is A (Strong Evidence).
How much CBD should I take for Insomnie?
Studies have used various dosages. A commonly studied range is 25-150 mg, 1 hour before bed. Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of CBD?
Reported side effects may include Fatigue, Diarrhea, Changes in appetite, Dry mouth. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for CBD and Insomnie?
We rate the evidence as Grade A (Strong Evidence). This rating is based on 103 peer-reviewed studies with 41,554 total participants. The overall direction of effect is mixed.

Related Evidence

FDA-Haftungsausschluss: Diese Aussagen wurden nicht von der Food and Drug Administration bewertet. Die Produkte und Informationen auf dieser Website sind nicht dazu bestimmt, Krankheiten zu diagnostizieren, zu behandeln, zu heilen oder zu verhindern. Die dargestellten Evidenzbewertungen basieren auf unserer Analyse veröffentlichter begutachteter Forschung und stellen keine medizinische Beratung dar. Konsultieren Sie immer Ihren Arzt, bevor Sie mit der Einnahme von Nahrungsergänzungsmitteln beginnen.