CBD (Cannabidiol): FDA Status, Liver Risk, Half-Life
[Research compound · Compound guide]

CBD (Cannabidiol): FDA status, half-life and what is known

FDA status · Approval status · Half-life ~56 to 61 hours

Short answer: CBD has a half-life of about 56 to 61 hours. Levels peak about 2.5 to 5 hours after a dose. People vary, so treat these as estimates.

What is CBD?

CBD (cannabidiol) is one of the main compounds in the cannabis plant; unlike THC, it is not the part that causes a "high." It is sold in foods, products labeled as supplements, and cosmetics for many uses, but the only FDA-approved CBD product is Epidiolex, a prescription drug for seizures in three rare conditions.

Also known as: cannabidiol, Epidiolex, hemp extract, CBD oil.

What is in it

The only FDA-approved CBD product is Epidiolex, an oral solution with 100 mg of cannabidiol per mL. Over-the-counter CBD products are not FDA evaluated; FDA tested some and found many did not contain the amount of CBD they claimed.

Approval status and how it is used

FDA's position: FDA has approved only one CBD product, Epidiolex, to treat seizures from Lennox-Gastaut syndrome, Dravet syndrome or tuberous sclerosis complex in people 1 year and older. FDA says it is illegal to market CBD by adding it to food or labeling it as a dietary supplement. In January 2023, FDA concluded that its existing rules for foods and supplements are not appropriate for CBD and said it would work with Congress on a new approach. The 2018 Farm Bill removed hemp from the definition of marijuana, but FDA says CBD products are still subject to the same FDA laws as other products.

Risks FDA lists: CBD can cause liver injury; this was seen in Epidiolex studies, including in people not taking other liver-affecting drugs, and was found through blood tests. CBD can change how other medicines work; the Epidiolex label lists interactions involving CYP3A4, CYP2C19 and other drug-processing enzymes. Using CBD with alcohol or sedating drugs raises the risk of drowsiness and injury. Animal studies showed male reproductive harm, including smaller testes and lower testosterone; what this means for people is not yet known. Common side effects are sleepiness, diarrhea or less appetite, and irritability or agitation.

NCCIH adds that over-the-counter products may contain more or less CBD than labeled and may contain THC. FDA says it is not known what happens with daily long-term use, what amount triggers the known risks, or how CBD affects pregnancy, breastfed babies or the developing brain. Talk to a clinician before using CBD, especially with other medicines.

CBD half-life and time to peak

  • Half-lifeabout 56 to 61 hours
  • Time to peak (Tmax)about 2.5 to 5 hours

The FDA Epidiolex label gives a plasma half-life of 56 to 61 hours after twice-daily dosing for 7 days in healthy people and a time to peak of 2.5 to 5 hours at steady state; a high-fat meal raised peak levels about 5-fold. These figures are for the purified prescription product; over-the-counter CBD products may behave differently.

Numbers shown are taken from the source above. Half-life varies from person to person.

How to track CBD in Dose Track

  1. Add CBD as a custom compound. Start typing its name and Dose Track fills in the details from its research library for you to check, and it sits next to everything else you take.
  2. Log each dose when you take it so your history shows exactly what you took and when.
  3. Set reminders on your own schedule, whether that is daily, weekly or every few days.
  4. Your log is stored on your phone and no account is needed. Data only leaves it for features you choose, like AI answers and lab reading.

How Dose Track handles peptides · Reconstitution calculator · Half-life calculator

Frequently asked questions

What is the half-life of CBD?+
The FDA Epidiolex label gives a plasma half-life of 56 to 61 hours after twice-daily dosing for 7 days in healthy people and a time to peak of 2.5 to 5 hours at steady state; a high-fat meal raised peak levels about 5-fold. These figures are for the purified prescription product; over-the-counter CBD products may behave differently.
Is CBD FDA approved?+
Only one CBD product is: Epidiolex, a prescription oral solution for seizures from Lennox-Gastaut syndrome, Dravet syndrome or tuberous sclerosis complex. FDA says it is illegal to market CBD as a dietary supplement or add it to food.
Can CBD affect my liver or other medicines?+
Yes. FDA says CBD can cause liver injury and can change how other drugs work, which can lead to serious side effects. The Epidiolex label requires liver blood tests before starting. Tell your prescriber if you use CBD.
Can I track CBD in Dose Track?+
Yes. CBD is in Dose Track's research library, so when you add it as a custom compound its details are filled in for you to check. You can then log each dose next to your other compounds, set reminders on your own schedule, and see your history next to your lab results. Your log is stored on your phone and no account is needed. Data only leaves it for features you choose, like AI answers and lab reading.