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Can CBD cause dry mouth and what are the possible remedies?

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Can CBD cause dry mouth and what are the possible remedies?

  • 4 min read

Cannabis (CBD) consumption is currently legal for medicinal purposes widely in the UK, provided it has been EU-approved. Cannabidiol (CBD) is a chemical found in marijuana that does not contain tetrahydrocannabinol (THC), the psychoactive ingredient found in the cannabis plant that produces a certain high. Anecdotally, prescription cannabidiol oil has been identified by numerous researches to be an effective treatment for a wide range of conditions, including Parkinson’s disease, epilepsy, diabetes, and dental anxiety. This claim has been backed by the Harvard Medical School that reiterates its health benefits.

Currently, the only CBD (derived from an industrial hemp strain) that has been approved by the European Medicines Agency (EMA) is a prescription cannabidiol oral solution called Epidyolex. Although CBD usage has been seeing a persistently rise of users, it cannot be disregarded that cannabis or CBD may be responsible for one of the most common and potentially deteriorative oral problems, dry mouth.

Is CBD safe to use?

The use of CBD oil is typically advocated by the pharmaceuticals as a health supplement. The NCBI published a review paper on the safety and side effects of cannabidiol that demonstrates that controlled CBD administration is safe and non-toxic in humans and animals. It also does not induce changes in food intake nor does it affect physiological parameters like heart rate, body temperature, or blood pressure. High doses up to 1,600 mg/day of CBD has been reportedly well-tolerated in humans.

Furthermore, CBD is generally not habit-forming. According to a report by the World Health Organization, “CBD appears to have little effect on conditioned place preference or intracranial self-stimulation… [It] exhibits no effect indicative of any abuse or dependence potential.”

Does CBD cause dry mouth?

CBD has been condemned by many to be a prime culprit of dry mouth. A common complaint among cannabis users is the unpleasant feeling of dry or sticky mouth, often referred to as cottonmouth or “the pasties” that does not go away. Cottonmouth (also known as dry mouth or clinically called xerostomia) is usually not a major issue when you limit the use of cannabis. However, the intensity of oral health problems may significantly rise with the increased intake of cannabis.

Some of the commonly occurring symptoms of cottonmouth are:

  • Bad breath (halitosis)
  • Persistent thirst
  • Hoarseness of voice and sore throat
  • Inflamed, red tongue
  • Cracked lips
  • Tingling or burning sensation in the mouth
  • Red, swollen, tender, bleeding gums (gingivitis)
  • Sores at the corners of the mouth
  • Mouth ulcers and canker sores

The science behind CBD-induced dry mouth

Originally dry mouth associated with CBD consumption was attributed to the harsh smoke irrigating the permeable oral membranes to cause irritation and decreased salivary flow, but upon rigorous studies, it has been understood that the natural response of the salivary glands to CBD components factors in much of the cause for dry mouth. Cannabinoids, the active components in cannabis, interacts with the human Endocannabinoid System (ECS), a complex biological network of receptors and neurotransmitters distributed all over the body. The ECS regulates different cognitive and physiological processes in the body.

Our submandibular salivary glands (located under the jaw bone) are responsible for 70% of healthy saliva production in the mouth. These glands contain cannabinoid receptors to which cannabinoids begin to bind when you imbibe cannabis or CBD. This prevents your ECS from communicating to your parasympathetic nervous system to institute active saliva production. This causes poor saliva production in the mouth with the use of CBD.

Remedies of dry mouth

Cannabis frequenters may be used to feeling a little parched when smoking or doing edibles. However, proper caution must be taken to de-escalate this seemingly minute dental issue before it proliferates into something critical.

American Marijuana published an article directing CBD users to follow these remedies for cottonmouth:

  • Sip water, ideally through a straw to keep yourself hydrated.
  • Chew St Andrew’s Trust xylitol infused dry mouth chewing gum to stimulate saliva production.
  • Chew on dry fruits, citrus fruits, or beef jerky to increase saliva production.
  • Use lozenges and toothpaste that promote saliva production. Try St Andrew’s Trust Dry Mouth Lozenges or toothpaste to get rid of your dry mouth.
  • Suck on a lollipop, take a cough drop, or some hard candy.
  • Try demulcent cough drops that coat the mucous membranes with a moist film to prevent the feeling of dry mouth.
  • Drink herbal teas to rid yourself of a sore or irritated throat.

Avoid these foods if you have dry mouth

  • Black and green teas (anything containing caffeine) can dry your mouth further
  • Salty crackers and snacks may worsen cottonmouth
  • Alcohol causes dehydration, further drying out the mouth
  • Tobacco products can lead to lowered saliva production

The takeaway

In the wake of the booming cannabis market, many experts advise CBD users to take stringent actions against dry mouth caused by CBD to mitigate the condition. Be wary that today’s minor inconveniences may become tomorrow’s major headaches if you choose to do nothing. The American Dental Association also encourages all CBD consumers to visit the dentist regularly and maintain proper oral hygiene by brushing twice a day with St Andrew’s Trust dry mouth ingredients and fluoride enriched toothpaste.

Can CBD cause dry mouth?

Dry mouth is a symptom often associated with the use of cannabis (marijuana). Also known by the terms ‘pasty mouth’ and ‘cotton mouth’, dry mouth can prove to be quite an unpleasant feeling. However, many people nowadays are wondering whether hemp-derived CBD can cause dry mouth as well? This post will answer that question, and explain what you can do.

Before we delve into these questions, let’s take a brief look into the science behind the dry mouth.

The science behind dry mouth

The scientific name for dry mouth or cotton mouth is Xerostomia. It is a reduced salivary flow that causes an unpleasant dry sensation in the mouth.

Before cannabis legalisation brought about a wide selection of products seen in pharmacies and shops today, recreational smoking was the primary method of cannabis use. In those times, it was believed that dry mouth was caused by the thick smoke that arose from burning cannabis.

However, as users began vaping cannabis, dry mouth persisted as a side effect. Gummies, oils, and capsules yielded the same results. Scientists thus began to study this problem. In 2006, Juan Pablo Prestifilippo and his colleagues in Buenos Aires, Argentina, began their search for potential causes of dry mouth.

Their study on cannabis-induced xerostomia is the most in-depth study on the subject to date. The researchers carried out experiments on male rats and found that cannabinoid receptors (type 1 and type 2) were located in specific locations in the submandibular glands. These glands are responsible for producing 60-67% of the saliva.

The researchers further discovered that the cannabinoid anandamide (AEA) attaches to these receptors and alters salivary production, resulting in hyposalivation (decreased saliva production). This was the primary reason for the dryness of the mouth.

Does CBD cause dry mouth?

To put it simply, it probably does. Although, it has been noted that THC in Cannabis is far more likely to cause dry mouth as compared to cannabidiol (CBD). However, CBD is not entirely exempt from this side effect. Many hemp-derived CBD oil users also report oral dryness as a side effect.

Moreover, there are a few studies that show that CBD might cause oral dryness. In 1986, one study noted that the side effects of oral CBD administration included dry mouth. Since then, many other studies have also noted cannabinoid-induced dryness of the mouth.

The 2006 study discussed above suggests that the use of cannabinoids such as CBD and THC may play a vital role in inhibiting saliva production. However, one thing still unclear from this study is whether CBD would yield the same results on its own. Therefore, more research is needed to confidently conclude whether CBD alone can cause dry mouth.

Is it dangerous for health?

It is important to understand that a certain level of saliva production is essential at all times. Saliva helps lubricate the mouth and enables us to taste the food, swallow and speak. It also protects the mouth, teeth, and throat from viruses, bacteria, and other unhealthy microorganisms. Saliva levels that are consistently low as a result of cannabis and CBD use can cause oral dryness. If left untreated, it can lead to other potential side effects, like:

  • Sore throat
  • Bad breath
  • Hoarseness
  • Tingling in the mouth
  • Raw or red tongue
  • Cracked lips
  • Mouth sores
  • Tooth decay
  • Cavities
  • Periodontal disease

CBD and dry mouth: What can I do about it?

If you are experiencing a dry mouth, there are several things you can do to help alleviate it. These include:

  • Staying hydrated: Sipping water frequently will help mitigate this issue. Also, avoid alcohol-based beverages like beer or wine. These contain tannins that further dry out the mouth.
  • Chewing sugar- free gum
  • Maintaining a regimen of brushing teeth at least two times per day using fluoride enriched toothpaste.
  • Reducing the intake of citrus-based food and alcohol-based breath sprays and mouthwash. These can further dry out the mouth.
  • Sucking on ice cubes. These can help keep the saliva flowing and break the monotony of drinking water constantly.
  • Eating foods that require prolonged chewing, such as beef jerky or dried fruit. These can help stimulate the production of saliva.
  • Licking lollipops or sucking on sour flavoured hard candy. These actions greatly stimulate saliva production.
  • Using cough medicines, which are also known as demulcents. These help to reduce mouth dryness by covering the mucous membranes with a dewy film.
  • Drinking herbal tea also helps reduce the dry feeling in the throat.

Conclusion

In conclusion, the answer to the question, ‘Can CBD cause dry mouth?’, is yes, it might. There is strong anecdotal evidence from CBD users as well as some evidence from limited studies conducted on this topic. While dry mouth is majorly associated with cannabis use, hemp-derived CBD products are also seen to inhibit saliva production that causes this unpleasant condition. However, there is a need for further research on this topic to come to any definitive conclusion.

If you liked reading this, be sure to check our other blog: : The Ultimate Guide To CBD

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