Can CBD Cause Vertigo? What to Know and What to Do

Cannabidiol (CBD) is a compound from the cannabis plant, explored for its potential wellness applications. This article examines the relationship between CBD use and vertigo, discussing how CBD might influence balance and what steps to take if such symptoms arise.

What Vertigo Is

Vertigo is a sensation where you feel like you or your surroundings are spinning or moving, even when you are still. It is a specific type of dizziness, distinct from general lightheadedness or unsteadiness. While dizziness can result from various factors like dehydration or low blood pressure, vertigo often indicates an issue with the balance system. The feeling can range from mild to severe, sometimes accompanied by nausea, vomiting, or balance problems. Common causes include inner ear issues, such as benign paroxysmal positional vertigo (BPPV), inner ear infections like labyrinthitis, or certain medical conditions affecting the brain.

Potential Links Between CBD and Vertigo

CBD is generally considered to have a favorable safety profile, though it is not typically a direct or common cause of vertigo for most individuals. However, certain indirect mechanisms could explain why some people might experience vertigo-like sensations after using CBD. These potential links often involve how CBD interacts with the body’s systems, especially at higher doses or when combined with other substances.

Blood Pressure

CBD can influence balance by lowering blood pressure. For individuals prone to low blood pressure or taking blood pressure medications, this effect could lead to dizziness or lightheadedness, which might be perceived as vertigo. If blood pressure falls too low, the brain may not receive sufficient blood flow, contributing to these sensations.

Medication Interactions

CBD can also interact with medications by affecting liver enzymes, particularly the cytochrome P450 (CYP450) system. This enzyme system is responsible for metabolizing many prescription and over-the-counter drugs. When CBD inhibits these enzymes, it can slow the breakdown of other medications, leading to higher concentrations of those drugs in the bloodstream. This increased concentration could intensify the side effects of those medications, including dizziness or vertigo, especially with drugs like sedatives or blood pressure medications.

Individual Sensitivity and Dosage

Individual sensitivity and dosage also play a role in how CBD affects a person. Some individuals may be more sensitive to CBD’s effects, experiencing side effects even at lower doses. Higher doses of CBD are more likely to result in side effects such as fatigue, changes in appetite, or gastrointestinal issues. While vertigo is not a commonly reported direct side effect, feeling unwell or drowsy from a higher dose could contribute to a sense of imbalance or disorientation.

Product Quality

Another consideration involves the quality of CBD products. The CBD market remains largely unregulated, meaning product quality can vary significantly. Some unregulated or impure CBD products might contain contaminants such as heavy metals, pesticides, or residual solvents. These impurities, rather than the CBD itself, could cause adverse reactions, including symptoms that mimic vertigo. Additionally, some products may be mislabeled regarding their CBD or THC content, can lead to unintended effects.

What to Do If Vertigo Occurs

If you experience vertigo or severe dizziness after using CBD, taking immediate steps to ensure your safety and well-being is important. First, stop using the CBD product immediately. Find a quiet, dark place to lie down, as this can help reduce the spinning sensation and alleviate nausea. Staying hydrated by drinking plenty of fluids is also advisable, as dehydration can worsen dizziness. Avoid sudden movements, especially when standing up or turning your head, as these can trigger or intensify vertigo.

When to Seek Medical Attention

It is important to seek medical attention if vertigo symptoms are severe, persistent, or accompanied by other concerning signs. You should contact a healthcare provider if the vertigo does not subside, keeps recurring, or significantly impacts your daily life. Seek emergency care if vertigo occurs alongside symptoms such as a sudden, severe headache, double vision or vision loss, difficulty speaking, weakness or numbness in an arm or leg, or loss of consciousness. These symptoms could indicate a more serious underlying medical condition requiring prompt evaluation.

Consulting a Healthcare Provider

Consulting a healthcare provider is crucial, especially if you are taking other medications or have pre-existing health conditions. Discuss your CBD use with your doctor, as they can assess potential drug interactions and advise on whether CBD is suitable for you. They can also help determine if your symptoms are related to CBD or another cause. If your symptoms are mild and you wish to continue using CBD, your doctor might suggest adjusting the dosage or reviewing the product’s quality and source. They may also recommend specific exercises, such as the Epley maneuver, which can help reposition inner ear particles causing certain types of vertigo.