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CBD(大麻二酚) 用于 失眠

A

基于9项研究(1项荟萃分析、3项RCT),共1,152名参与者。各研究结果不一。

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A

结论

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 效果: -24.5 min TST; -33.9 min REM sleep p=0.05 (TST); p<0.001 (REM)

研究人群: 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 效果: SMD=-0.29 (nausea/vomiting); SMD=0.57 (body weight in HIV/AIDS) None

研究人群: 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) 效果: None p<0.05

研究人群: 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 效果: None None

研究人群: 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 效果: Median 2.7 vs 42.3 mg/day <0.05 (ITT)

研究人群: 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 效果: 1570 insomnia reports (most frequent) None

研究人群: Epilepsy patients on ASMs (FAERS Q1 2004-Q2 2025)

Key Statistics

103

研究数量

41554

受试者

Mixed

A

等级

Referenced Papers

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

Dosage & Usage

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

常用剂量

sleep:
25-150 mg, 1 hour before bed

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

研究中使用的剂量

剂量 持续时间 效果 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 --

最佳服用时间: 1 hour before bed

Safety & Side Effects

已报告的副作用

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

已知相互作用

  • 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

可耐受最高摄入量: Not established; FDA max studied ~20 mg/kg/day

在开始服用任何补充剂之前,请务必咨询您的医疗保健提供者。

Frequently Asked Questions

Does CBD(大麻二酚) help with 失眠?
Based on 103 studies with 41,554 participants, there is strong evidence from multiple clinical trials that CBD(大麻二酚) may support 失眠 management. Our evidence grade is A (Strong Evidence).
How much CBD(大麻二酚) should I take for 失眠?
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(大麻二酚)?
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(大麻二酚) and 失眠?
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

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