Can CBD Cause Vertigo or Dizziness?

Cannabidiol (CBD) is a non-intoxicating compound derived from the cannabis plant, available in forms like oils, capsules, and edibles. While generally well-tolerated, CBD interacts with the body’s internal systems and can produce some side effects. A common concern for users is the possibility of experiencing dizziness or lightheadedness after consumption, which requires understanding the compound’s physiological effects.

The Link Between CBD and Dizziness

Dizziness is a recognized, though mild, adverse effect reported in clinical studies evaluating oral CBD use. This sensation is generally described as lightheadedness or feeling disoriented, rather than true vertigo. True vertigo involves an intense, debilitating sensation that the environment is spinning, a condition CBD is not primarily associated with causing. Lightheadedness often occurs shortly after taking a dose, particularly with higher concentrations, and is commonly likened to the brief disorientation felt when standing up too quickly.

In clinical trials, dizziness is listed among common side effects, alongside fatigue, decreased appetite, and gastrointestinal discomfort. The incidence of this side effect can vary depending on the dosage, product type, and individual user sensitivity. Its presence in safety data confirms that it is a documented physiological response for some users.

How CBD Affects Blood Pressure

The primary physiological cause behind CBD-induced dizziness is its effect on the cardiovascular system, specifically its ability to reduce blood pressure. This reduction is known medically as hypotension. CBD interacts with the endocannabinoid system, which plays a role in regulating many bodily functions, including vascular tone.

This interaction can lead to vasodilation, a widening of the blood vessels, which allows blood to flow more easily and reduces the pressure within the arteries. A single high dose of CBD, such as 600 milligrams, has been shown in some studies to reduce resting blood pressure in healthy individuals. While reduced blood pressure is beneficial for those with hypertension, it can cause symptoms in people whose blood pressure is already normal or low.

The lightheadedness is frequently a result of orthostatic hypotension, a temporary, sharp drop in blood pressure that occurs when a person changes posture. When blood pressure drops too quickly, the brain momentarily does not receive sufficient blood flow, leading to the brief dizzy sensation.

Managing Dizziness When Using CBD

Users who experience lightheadedness can manage this side effect by adjusting their routine or dosage.

Dosage and Titration

A primary recommendation is to begin with the lowest possible dose and increase the amount slowly over time, a process known as titration. This allows the body to gradually adapt to the compound’s effects and may prevent the sudden drop in blood pressure that causes dizziness.

Posture and Hydration

Maintaining adequate hydration is an effective strategy, as dehydration can independently lower blood pressure and worsen CBD’s hypotensive effect. Users should be mindful of their movements, avoiding rapid changes in posture, such as abruptly standing up from a chair or bed. Taking a moment to sit on the edge of the bed before rising allows the circulatory system time to adjust.

When to Consult a Doctor

If dizziness persists or feels severe, stop use and consult a healthcare provider. This is important for individuals taking medication for high blood pressure or other cardiovascular conditions, as CBD may interact with these pharmaceuticals and intensify their effects. A physician can monitor blood pressure and determine if continued CBD use is appropriate.