Pharmacognosy intro
Cannabidiol (CBD) represents one of the most pharmacologically complex plant compounds studied, with a multi-receptor binding profile unlike any other botanical. Present at 1-25% dry weight depending on cultivar, CBD is supported by cannabidiolic acid (CBDA, dominant in raw plant), cannabigerol (CBG, 0.1-2%), the sesquiterpene beta-caryophyllene (which is itself a CB2 agonist), monoterpenes including myrcene, limonene, and linalool, and the unique prenylated flavonoids cannflavins A and B. Three preparation categories exist: full-spectrum (CBD + minor cannabinoids + terpenes + <0.3% THC), broad-spectrum (THC removed), and isolate (>99% pure CBD). CBD's receptor pharmacology is extraordinary in its breadth: it acts as an agonist at TRPV1, TRPV2, and TRPA1 (activating then desensitizing pain receptors), agonist at PPARgamma (mediating anti-inflammatory and neuroprotective effects), positive allosteric modulator at 5-HT1A (enhancing serotonergic signaling for anxiolysis), negative allosteric modulator at CB1/CB2 (reducing CB1 efficacy without direct antagonism), antagonist at GPR55 (relevant to bone density and cancer cell proliferation), adenosine reuptake inhibitor via ENT1 blockade (increasing extracellular adenosine for anti-inflammatory effect), and weak FAAH inhibitor (modestly increasing endocannabinoid tone). FDA-approved as Epidiolex for Dravet syndrome, Lennox-Gastaut syndrome, and tuberous sclerosis complex, with Phase 3 RCTs demonstrating 38.9% reduction in monthly convulsive seizures versus 13.3% placebo. Anxiolytic effects are supported at doses of 300mg or greater.