Can CBD Reduce Alcohol Cravings? Insights from a New Study

Alcohol cravings can be one of the biggest challenges for people trying to cut back on their alcohol consumption or quit drinking. These cravings often feel overwhelming, especially in situations that trigger stress or remind someone of drinking. For many, the journey to managing alcohol use is filled with ups and downs, and finding effective ways to support this process is crucial.

Cannabidiol, commonly known as CBD, a natural extract from the hemp plant, is gaining attention for its potential to help in this area. Unlike THC, the compound in cannabis that causes a “high”, CBD is non-intoxicating and not addictive. Research suggests that CBD may have benefits for reducing cravings and managing stress, making it an interesting option for those struggling with alcohol-related issues.

A new study, which we will discuss today, looked at how CBD might help reduce alcohol cravings. The results were promising: participants who took CBD experienced fewer cravings and showed calmer brain activity. 

The Alcohol Use Disorder Study in Simple Terms

Alcohol Use Disorder (AUD) is a condition where a person struggles to control their alcohol intake, leading to negative impacts on their health, relationships, and daily life. The ICONIC trial, carried out in Germany, tried to explore how CBD can help with alcohol withdrawal. 

The study included adults with varying levels of AUD, from mild to severe. Participants were divided into two groups: one group received CBD, while the other was given a placebo (a substance with no active ingredients). The CBD was administered as four oral capsules, each containing 200 mg of highly pure cannabidiol, for a total dose of 800 mg. This dose was chosen because previous research suggested that higher doses might be more effective for reducing cravings.

To measure its effects, participants were first given their dose and then monitored over several hours. Three hours after taking CBD or a placebo, participants were exposed to triggers designed to induce cravings, such as images of alcohol or stress-inducing situations. Researchers then measured the participants’ brain activity using an advanced imaging technique called functional MRI (fMRI).

The results were clear:

• Reduced Cravings: Those who took CBD reported feeling fewer cravings compared to those who took the placebo.

• Brain Activity: The study also showed that CBD calmed down a part of the brain called the nucleus accumbens, which is closely linked to cravings and addiction.

• Quick Effects: The effects were noticeable just a few hours after a single dose of CBD, suggesting it works relatively quickly in the body.

These findings highlight CBD’s potential as a natural option that could help manage cravings and support people working to reduce their alcohol intake.

What Happens in the Brain During Alcohol Cravings?

When someone craves alcohol, it’s not just about willpower—it’s a reaction happening deep inside the brain. Specific regions, like the nucleus accumbens, play a central role. This area is part of the brain’s reward system, which releases "feel-good" chemicals like dopamine when you drink alcohol. Over time, this creates a cycle where seeing a drink or feeling stressed triggers the brain to crave that reward again.

Stress makes this process even stronger by activating other parts of the brain linked to emotional responses. Combined, these signals create powerful urges that can be hard to resist.

Here’s where CBD might help. Research suggests that CBD may calm activity in the nucleus accumbens, making triggers like stress or alcohol cues feel less overwhelming. By reducing this particular brain activity, CBD could potentially help people feel more in control when faced with cravings.

What Makes CBD a Unique Option to Reduce Alcohol Cravings?

CBD stands out because it’s non-intoxicating, meaning it won’t make you feel “high” like THC, the psychoactive compound in cannabis. This makes it a safe option for people looking to manage alcohol use without just replacing it with other mind-altering effects.

Another benefit of CBD is its mild side effect profile compared to some traditional treatments for alcohol cravings, which can sometimes have more significant drawbacks. CBD is derived from hemp and is gaining attention as a natural way to support overall balance and well-being.

While CBD isn’t a cure for addiction, it could complement other recovery strategies, such as therapy, counseling, or support groups. It may serve as an additional tool in a broader recovery plan, helping people feel calmer and more capable of resisting cravings.

It’s important to note that what works for one person may not work for another. CBD is one of many options people can explore as part of their journey toward overcoming alcohol use.

How Can You Use Cannabidiol Safely?

If you’re considering the use of CBD for alcohol cravings, it’s important to approach it thoughtfully and safely. Here are some practical tips:

1. Start with a Low Dose: The ICONIC trial used a high single dose of 800 mg, which is much higher than what’s typically available in standard CBD oils or capsules. Most people start with a much lower dose, such as 10–20 mg, and use it consistently and regulary while gradually increasing the dosage only if needed. Always follow the instructions on the product label.
   
   

2. Choose High-Quality Products: Look for CBD products that are third-party tested to ensure they’re free from contaminants. Opt for hemp-derived CBD from reputable brands to ensure you’re getting a safe and effective product.
   
   

3. Consult a Healthcare Professional: Before trying CBD to treat alcohol use disorder, talk to your doctor or a healthcare provider, especially if you’re taking other medications. They can help you determine if CBD is a good fit for your needs and how to incorporate it into your treatment plan.
   
   

CBD may offer a natural way to support your wellness, but it’s essential to prioritize safety and quality when incorporating it into your routine.

Limitations of the Addiction Research

While the ICONIC trial offers exciting insights into CBD’s potential for reducing alcohol cravings, it’s important to recognize its limitations:

1. A Single Study: This research represents one trial with a relatively small number of participants. While the results are very promising, more studies are needed to confirm these findings and explore how CBD works for a wider group of people.
   
   

2. Short-Term Effects: The trial focused on the impact of a single dose of CBD, meaning we still don’t know how using CBD regularly over weeks or months will affect alcohol cravings.
   
   

3. Variability in Responses: Everyone’s experience with CBD can be different based on factors like body weight, metabolism, and individual biology. This variability means the effects seen in the trial may not apply to everyone.
   
   

4. No Standalone Solution: CBD is not a replacement for professional treatment or support. It’s a potential tool to complement other strategies, but it’s not a cure for alcohol use disorder.
   
   

Understanding these limitations helps set realistic expectations and encourages more research into how CBD might be used safely and effectively in the future.

Can CBD Reduce Alcohol Cravings? Conclusion

CBD is emerging as a promising option for those looking to manage alcohol cravings. Research like the ICONIC trial suggests that CBD may help reduce cravings and calm brain activity linked to addiction, offering a potential natural tool for those seeking support in overcoming alcohol use. Its non-intoxicating nature and mild side effect profile make it an appealing choice for many.

While these findings are exciting, it’s important to stay mindful of the research’s limitations. More studies are needed to confirm CBD’s long-term effects and to understand how it can best be used as part of a broader recovery plan. What works for one person may not work for another, and CBD should be considered as one piece of the puzzle rather than a standalone solution.

If you’re curious about how CBD might fit into your journey, keep an open mind and explore the possibilities. 

Sources

[1] Zimmermann S, Teetzmann A, Baeßler J, Schreckenberger L, Zaiser J, Pfisterer M, Stenger M, Bach P. Acute cannabidiol administration reduces alcohol craving and cue-induced nucleus accumbens activation in individuals with alcohol use disorder: the double-blind randomized controlled ICONIC trial. Mol Psychiatry. 2024 Dec 12.