# Attitudes toward cannabidiol use among Bulgarian patients with neurodegenerative … > **Author:** Benjamin Caplan, MD (ABFM Board Certified, MA Lic. #240562, NPI: 1962722637) > **Publisher:** CED Clinic (https://cedclinic.com) > **Canonical URL:** https://cedclinic.com/attitudes-toward-cannabidiol-use-among-bulgarian-patients-with-neurodegenerative/ > **Published:** 2026-07-17T07:21:47-04:00 | **Last Modified / Clinically Audited:** 2026-09-28T10:48:56-04:00 > **Clinical Summary:** CBD neurodegenerative disease attitudes reveal patient interest outpacing clinical evidence. What clinicians should know about counseling. --- ✦ New CED Clinical Relevance #67 Notable Clinical Interest Emerging findings or policy developments worth monitoring closely. CBDNeurologyResearchSafety[Mental Health](https://cedclinic.com/cannabis-psychiatric-research-findings-depression-anxiety/)AnxietyAging Why This Matters Clinicians treating patients with neurodegenerative diseases need to understand patient demand and expectations around CBD, as this Bulgarian cohort study documents growing patient interest in a compound with plausible but still-limited [clinical evidence](https://cedclinic.com/academic-partnerships-cannabis-research/). Knowledge of patient attitudes toward CBD use informs shared decision-making discussions and helps clinicians address misconceptions while acknowledging the gap between preclinical promise and proven clinical efficacy. For patients seeking complementary or alternative options for conditions like Parkinson’s disease or ALS, this research provides context on how CBD attitudes vary across populations and what clinicians should discuss regarding safety, efficacy, and [drug interactions](https://cedclinic.com/cannabis-liver-interactions-study-insights/). Clinical Summary This cross-sectional study assessed attitudes toward cannabidiol (CBD) use among Bulgarian patients with neurodegenerative diseases, building on preclinical evidence suggesting CBD’s potential neuroprotective effects through oxidative stress and neuroinflammation reduction. The research reveals patient interest in CBD as a complementary therapeutic option despite limited [clinical evidence](https://cedclinic.com/academic-partnerships-cannabis-research/) in this population, reflecting growing global demand for [alternative treatments](https://cedclinic.com/citral-cannabinoid-receptor-2-activation-pain-relief/) in progressive neurological conditions where conventional therapies have limited efficacy. These findings highlight an important gap between preclinical promise and clinical validation, as patients express openness to CBD use while robust human trials remain sparse for neurodegenerative indications. The study underscores the need for clinicians to engage in informed discussions with neurological patients about CBD’s theoretical benefits versus current evidence limitations, particularly in Eastern European populations where regulatory frameworks may differ from Western standards. Clinicians should be prepared to counsel patients realistically about CBD for neurodegenerative disease, acknowledging patient interest while emphasizing the absence of definitive efficacy data and the importance of future [clinical trials](https://cedclinic.com/endocannabinoid-system-emotional-memory-ptsd-treatment/). Dr. Caplan’s Take “The preclinical data on CBD’s potential neuroprotective mechanisms are interesting and worth monitoring, but we need to be clear with patients that these are laboratory findings—we don’t yet have the human [clinical evidence](https://cedclinic.com/academic-partnerships-cannabis-research/) to support recommending CBD as a treatment for neurodegenerative disease. What matters now is funding and conducting rigorous trials in actual patients to see whether these theoretical benefits translate into clinical benefit.” Clinical Perspective 💊 While preclinical evidence suggests cannabidiol may have neuroprotective properties in neurodegenerative conditions through anti-inflammatory and antioxidant mechanisms, clinicians should recognize that positive patient attitudes toward CBD use do not yet translate into robust clinical trial data in this population. The gap between in vitro promise and real-world efficacy remains substantial, particularly given heterogeneous neurodegenerative disease pathophysiology and the lack of standardized dosing or formulation guidelines. Important confounders include potential drug-drug interactions with existing neurological medications, variable CBD bioavailability across products, and the risk that hopeful patients may defer evidence-based treatments while pursuing CBD as a primary intervention. When patients inquire about CBD for neurodegenerative conditions, clinicians should provide honest communication about current evidence limitations, counsel against replacing established therapies, and if patients choose to use CBD, recommend transparent disclosure to allow monitoring for interactions and 💬 Join the Conversation Have a question about how this applies to your situation? [Ask Dr. Caplan →](https://benjamincaplan.com/ask-dr-caplan) Want to discuss this topic with other patients and caregivers? [Join the forum discussion →](https://cedclinic.com/interact/discussion-forums/forum/cannabis-related-research/) Have thoughts on this? 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