Can CBD Cause Panic Attacks?
CBD (Cannabidiol) is often promoted as a natural remedy for anxiety and stress. However, some users report experiencing panic attacks or heightened anxiety after using CBD products.
This raises a critical question:
Can CBD actually cause panic attacks?
The answer is complex but important to understand, especially if you’re considering CBD for mental health support. In this expert guide, we’ll break down the facts using EEAT principles—Experience, Expertise, Authoritativeness, and Trustworthiness.
Does CBD Typically Cause Panic Attacks?
In Most Cases, No—But Some Exceptions Exist
CBD is generally considered anxiolytic, meaning it may reduce anxiety for many people. Clinical studies support CBD’s potential to:
- Lower cortisol levels (the stress hormone)
- Help with generalized anxiety disorder
- Reduce social anxiety during stressful situations
However, individual responses to CBD vary, and a small percentage of people may experience increased anxiety or panic-like symptoms.
Possible Reasons Why CBD Might Trigger Panic Attacks
Incorrect Dosage
CBD has a biphasic effect, which means:
- Low doses can be calming
- High doses may cause overstimulation in sensitive individuals, leading to anxiety or panic
Solution: Start with microdoses (5–10 mg) and slowly increase only if needed.
Product Quality and Contaminants
Not all CBD products are pure. Some may contain:
- THC (even in trace amounts)—which can cause anxiety in sensitive individuals
- Residual solvents or pesticides from poor manufacturing
- Synthetic cannabinoids or mislabeled products
Solution: Always buy lab-tested CBD from trusted brands with a Certificate of Analysis (COA).
Individual Sensitivity to Cannabinoids
Some people are naturally more sensitive to cannabinoids. For these individuals, even CBD can:
- Cause feelings of being “off” or “disconnected”
- Lead to increased heart rate awareness (palpitations), which can spiral into panic
- Affect blood sugar or blood pressure, which may trigger anxiety-like sensations
Interaction with Other Medications
CBD interacts with the cytochrome P450 enzyme system, affecting the metabolism of medications like:
- Antidepressants
- Anti-anxiety medications (like benzodiazepines)
- Beta-blockers
These interactions can cause unexpected side effects, including heightened anxiety or panic.
Solution: Consult your healthcare provider if you’re taking other medications.
Psychological Factors: Expectation and Anxiety Loops
For people prone to health-related anxiety, body sensations from CBD use (such as dry mouth, dizziness, or mild sedation) can be misinterpreted as signs of danger, triggering:
- Panic attacks
- Anxiety spirals
- Hypervigilance about physical symptoms
CBD vs. THC: Are You Using the Right Product?
Some products labeled “CBD” contain full-spectrum extracts, which include small amounts of THC (tetrahydrocannabinol). THC is known to cause:
- Paranoia
- Anxiety
- Panic attacks, especially in high doses or sensitive users
Solution: If you’re sensitive to THC, opt for CBD isolate or broad-spectrum CBD (THC-free).
What Do Studies Say About CBD and Anxiety?
A 2019 study in The Permanente Journal found that CBD reduced anxiety scores in 79.2% of participants after just one month of use.
However, there are also case reports and anecdotal accounts of people feeling uneasy or panicky after using CBD—especially at high doses or with impure products.
Summary: Can CBD Cause Panic Attacks?
| Cause | Solution |
|---|---|
| High dosage or fast onset | Start low, increase slowly |
| Product quality issues | Use reputable, lab-tested products |
| THC contamination | Use THC-free or isolate CBD |
| Medication interactions | Consult your healthcare provider |
| Psychological triggers | Use CBD in a calm setting, stay mindful |
How to Use CBD Safely If You’re Prone to Anxiety
- Start with a low dose (5–10 mg)
- Choose broad-spectrum or isolate CBD
- Avoid vaping if you’re sensitive to rapid onset
- Monitor your reactions and adjust accordingly
- Talk to a medical professional before using CBD for mental health
Conclusion: Listen to Your Body
CBD is not likely to cause panic attacks for most people, but individual reactions vary. If you’re sensitive to cannabinoids, have underlying anxiety issues, or are using the wrong type of product, you may experience panic-like symptoms.
By using proper dosing, choosing the right product, and consulting with a professional, you can minimize risks and make informed choices about CBD use.
