What Is CBD Oil?
What "CBD oil" means on a label, how it differs from hemp seed oil and from the approved CBD medicine, what US regulators say, and the risks and quality problems documented so far.
Content last updated . This page has not been medically reviewed.
In short
"CBD oil" is a retail name, not a legal or scientific category. It usually means a cannabis-plant extract that contains cannabidiol (CBD), dissolved in an edible oil. The US National Cancer Institute describes hemp oil or CBD oil as products made from extracts of industrial hemp, meaning low-THC cannabis plants, and separates them from hemp seed oil, which is essentially free of cannabinoids. [1] It is not the same thing as marijuana, and it is not the same thing as the prescription medicine. This page is information only; it gives no amounts to use and no advice to treat any condition.Evidence labels used here: approved medicine (a regulator has approved a specific product for a specific use), promising but limited, insufficient evidence, evidence of harm, preclinical (cells/animals only) and marketing claim.
What is in the bottle
- A cannabis extract. NCI describes the typical product as a solvent extract of cannabis flowers or leaves dissolved in an edible oil. [1]
- CBD, and sometimes more. Some products also contain other cannabinoids, including THC, depending on how they are made. See full-spectrum, broad-spectrum and isolate products for the terms.
- Not the seed oil. Oil pressed from hemp seeds is a food oil; see hemp seed oil vs CBD oil.
- Not one standard recipe. I found no regulator definition of "CBD oil" in the sources read for this page, so two bottles with the same name can differ a lot.
The approved medicine is a different thing
The US Food and Drug Administration (FDA) says it has approved only one CBD product, a prescription drug to treat seizures linked to Lennox-Gastaut syndrome, Dravet syndrome or tuberous sclerosis complex in people one year of age and older. [2] That is the approved medicine label, and it applies to that product only. The FDA states that other CBD products have not been evaluated for whether they work for a disease or for any other effect that may be claimed. [2] Results from the medicine should not be transferred to over-the-counter oils. For the medicine itself, see approved cannabinoid medicines.Rules in the United States (read 2026-10-22)
- Food and supplements. The FDA says it is currently illegal to market CBD by adding it to a food or labeling it as a dietary supplement. [2]
- Hemp. The FDA notes that the 2018 Farm Bill removed hemp, defined as cannabis with no more than 0.3% THC on a dry weight basis, from the definition of marijuana, but CBD products remain subject to the same laws as other FDA-regulated products. [2]
- Other countries and states. Not verified on this page. Laws change, and this is not legal advice. See safety and legal basics.
What research shows
For disease outcomes, the sound evidence is for the approved medicine in the epilepsy conditions above, and it is covered on the CBD guide. For ordinary CBD oils sold to consumers, the FDA says it has seen only limited data about CBD's safety. [2] Claims on bottles are marketing claims unless a specific, well-run study of that exact product supports them.Risks and side effects
- Liver. In its review of the approved medicine, the FDA identified the potential for liver injury, and it is concerned that this could go undetected outside medical supervision. [2] NCCIH also lists liver injury, male reproductive harm and drug interactions as associated with CBD use. [3] See liver safety.
- Other medicines. Taking CBD with other medications may increase or decrease the effects of those medications. [2] Ask a pharmacist or prescriber; see how interactions work.
- Everyday side effects. The FDA lists changes in alertness, most commonly sleepiness, among effects people may notice. [2]
- Reproductive findings. In laboratory animals, CBD showed male reproductive toxicity; the FDA says it is not yet clear what this means for people. [2] This is preclinical evidence.
- Pregnancy and breastfeeding. The FDA strongly advises against CBD, THC and marijuana in any form during pregnancy or while breastfeeding. [4]
- Children. Keep all cannabis-containing products out of reach of children. If a child may have swallowed one, the FDA says to take the child to a physician or emergency department. [5] In the US, call Poison Help at 1-800-222-1222 or 911 in an emergency; see Poison Help by country.
Quality and labeling
Over-the-counter CBD products may contain more or less CBD than the label says, and may contain contaminants such as THC. [3] The FDA has tested some products and found many did not contain the CBD they claimed. [2]| Study | What was tested | Finding |
|---|---|---|
| Gurley et al., 2020 | 25 hemp oil products bought in one US state | Only three were within 20% of the CBD amount on the label; four vaping-marketed products contained synthetic cannabinoids [6] |
| Miller et al., 2022 | 11 commercial CBD oils | Average CBD matched the label at 91.56%, but individual oils varied widely [7] |
These are small samples from specific markets and dates; they show that variation exists, not how any one product will test. Read certificates of analysis and oil concentration and label interpretation for how to read the numbers.
Frequently asked questions
Is CBD oil the same as hemp oil?
Not always. "Hemp oil" can mean a CBD-containing hemp extract or hemp seed oil, and they are different products. NCI describes hemp seed oil as an edible fatty oil that is essentially cannabinoid-free. [1] Check the ingredient list.
Does CBD oil get you high?
CBD is not intoxicating in the way THC is, but some CBD-marketed products have been found to contain THC. [8]
Is CBD oil approved to treat anything?
Only a prescription CBD medicine is FDA-approved, for seizures in specific conditions. [2] Over-the-counter oils are not approved for any disease.
Can I give CBD oil to my pet?
The FDA has not approved CBD for any use in animals, and its concerns about unproven claims and unknown quality apply equally to pet products. [2] Talk with a veterinarian.
Is it safe to use CBD oil with my medicines?
It can change how other medicines act. [2] Do not stop or change any medicine on your own; ask your prescriber or pharmacist.
References
- National Cancer Institute. Cannabis and Cannabinoids (PDQ), Health Professional Version. Read 2026-10-22.
- U.S. Food and Drug Administration. What You Need to Know (And What We're Working to Find Out) About Products Containing Cannabis or Cannabis-derived Compounds, Including CBD. Read 2026-10-22.
- National Center for Complementary and Integrative Health. Cannabis (Marijuana) and Cannabinoids: What You Need To Know. Read 2026-10-22.
- U.S. Food and Drug Administration. What You Should Know About Using Cannabis, Including CBD, When Pregnant or Breastfeeding. Read 2026-10-22.
- U.S. Food and Drug Administration. FDA Regulation of Cannabis and Cannabis-Derived Products, Including Cannabidiol (CBD): Questions and Answers. Read 2026-10-22.
- Gurley BJ, Murphy TP, Gul W, Walker LA, ElSohly M. Content versus label claims in cannabidiol (CBD)-containing products obtained from commercial outlets in the State of Mississippi. J Diet Suppl. 2020. Read 2026-10-22.
- Miller OS, Elder EJ Jr, Jones KJ, Gidal BE. Analysis of cannabidiol (CBD) and THC in nonprescription consumer products: Implications for patients and practitioners. Epilepsy Behav. 2022. Read 2026-10-22.
- National Institute on Drug Abuse. Cannabis (Marijuana). Read 2026-10-22.