Clinical studies have demonstrated that cannaboids are helpful in reducing neuropathic pain. However, cannabis is not considered first line treatment; a multi-pronged approach to managing neuropathic pain yields best results for decreasing symptoms. There is little evidence in peer reviewed literature available that specifically explores how CBD oil compares to smoked dry cannabis. One should keep in mind if you are considering the ingestion route, the onset of CBD related action can vary from 30 to 90 minutesbut has a longer duration in comparison to smoking. You should always wait 2 hours before consuming additional food containing medical cannabis due to the slow onset of action. Oral cannabis may impair you up to 8-12 hours. As always, when using medical cannabis you should be aware that cannabis may cause dizziness, drowsiness, confusion, and impaired motor function. You should not drive a motor vehicle or operate equipment when under the influence of cannabis.
Hi! aside from the clinical evidence that cannabis can ease pain, I have anecdotally seen it work in a variety of situations in the patients I treat complaining of various forms of pain. The caveat is that pain is both objective and subjective and that everyone experiences pain in their own very personal way. Given that understanding, patients have often had to experiement to find the appropriate "strain" or chemovar that worked best for their particular experience of pain. I have definitely seen it work effectively in neuropathic pain…and have been able to reduce or discontinue altogether the use of other medications like Carbamazepine (brand name Tegretol), Gabapentin (brand name Neurontin), Oxcarbazepine (brand name Oxtellar XR, and Trileptal), Pregabalin (brand name Lyrica), Topiramate, Topamax (brand name Qudexy XR, Topamax, and Trokendi XR). Check out this 3 part series "Medical Cannabis for Neuropathic Pain" from the Neuropathy Journal. Hope this helps!