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CBD pour Insomnie

A

Basé sur 9 études (1 meta-analysis, 3 RCTs) avec 1,152 participants au total. Les résultats sont mitigés entre les études.

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A

En conclusion

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

Review
Therapeutic Use of Cannabis and Cannabinoids: A Review.
Dose: None vs: None Outcome: None Effet: 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
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 Effet: -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)

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 Effet: 1570 insomnia reports (most frequent) None

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

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 Effet: Median 2.7 vs 42.3 mg/day <0.05 (ITT)

Population: Chronic non-cancer pain patients on opioids

Other n=27 56 weeks Open-label
Is highly purified cannabidiol a treatment opportunity for drug-resistant epilepsy in subjects with typical Rett …
Dose: 5-20 mg/kg/day vs: None (single-arm) Outcome: Seizure frequency reduction Effet: 66.6% had seizure reduction, 25.9% >75% None

Population: Rett Syndrome and CDKL5 patients with drug-resistant epilepsy

Randomized Controlled Trial n=30 2 weeks Double-blind
The effect of nightly use of 150 mg cannabidiol on daytime neurocognitive performance in primary …
Dose: 150 mg CBD daily vs: Placebo Outcome: Daytime neurocognitive performance Effet: None >0.05

Population: Adults with primary insomnia

Key Statistics

103

Études

41554

Participants

Mixed

A

Note

Referenced Papers

Clinical psychology review 2025 5 citations
Clinical breast cancer 2025 1 citations
Psychopharmacology bulletin 2025 1 citations
Current psychiatry reports 2024 8 citations
Cannabis and cannabinoid … 2023 28 citations
Journal of primary … 2022 28 citations
Current opinion in … 2021 15 citations
Internal medicine journal 2020 18 citations
Schmerz (Berlin, Germany) 2020 8 citations
Current treatment options … 2019 20 citations
The Medical letter … 2019
Current psychiatry reports 2017 394 citations
Cannabis and cannabinoid … 2016 77 citations
International journal of … 2016 16 citations
Pharmaceuticals (Basel, Switzerland) 2012 194 citations
Occupational medicine (Oxford, … 2012 33 citations
The Urologic clinics … 2002 20 citations

Dosage & Usage

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

Posologies couramment utilisées

sleep:
25-150 mg, 1 hour before bed

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

Posologies étudiées dans la recherche

Posologie Durée Effet N
None -- Mixed --
10 mg THC and 200 mg CBD -- Negative 20
None -- Mixed 3118
Median 15mg THC + 15mg CBD daily 52 weeks Positive 155
5-20 mg/kg/day 56 weeks Positive 27
150 mg CBD daily 2 weeks Neutral 30
10 mg/kg/day CBD oral during pregnancy -- Negative --
None -- Positive 141

Moment optimal de prise : 1 hour before bed

Safety & Side Effects

Effets indésirables signalés

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

Interactions connues

  • 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

Apport maximal tolérable : Not established; FDA max studied ~20 mg/kg/day

Consultez toujours votre professionnel de santé avant de commencer tout complément alimentaire.Consultez toujours votre professionnel de santé avant de commencer tout complément alimentaire.

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

Avertissement FDA: Ces déclarations n'ont pas été évaluées par la Food and Drug Administration. Les produits et informations sur ce site ne sont pas destinés à diagnostiquer, traiter, guérir ou prévenir quelque maladie que ce soit. Les notes de preuve présentées sont basées sur notre analyse de la recherche publiée et évaluée par des pairs et ne constituent pas un avis médical. Consultez toujours votre professionnel de santé avant de commencer tout régime de compléments alimentaires.