A different molecule: CBDVCBDV is not CBG. Its safety record is its own.
The subject here is CBDV (cannabidivarin), a compound with a human record of its own, and a much larger one than most minor cannabinoids carry. Nothing in this section describes CBG, and the CBG cautions on the safety page do not transfer to it.
Three things to know first
CBDV is the propyl homolog of CBD: the same cannabidiol scaffold, two carbons shorter. Three things follow from that, and all three are easy to get wrong.
CBD's record does not transfer. CBD has an approved prescription medicine. CBDV has no approved use in any jurisdiction, for any indication. The two were tested separately and got different results. A shared scaffold means shared chemistry, not shared evidence.
CBG's record does not transfer either, in either direction. The α2-adrenoceptor blood-pressure note on the safety page is a CBG finding and says nothing about CBDV. The food-effect finding on the safety page comes from a CBG pharmacokinetic study and does not extend to CBDV. Equally, none of the CBDV signals below tells you anything about CBG.
CBDV has been given to people repeatedly, in registered trials. Few minor cannabinoids can say as much, and that record gives this section something to report. The main findings follow; the full account is on the CBDV pillar.
What the Phase 2 trial found: both halves · Off-registry · carries no evidence grade
In a randomised, double-blind, placebo-controlled Phase 2 trial (Brodie et al., 2021), 162 adults with inadequately controlled focal seizures took CBDV or placebo as add-on therapy, titrated to 800 mg twice daily. CBDV did not outperform placebo. Seizure frequency fell 40.5% on CBDV and 37.7% on placebo (p = 0.648), and the primary efficacy endpoint was not met.
CBDV also produced substantially more adverse effects than placebo. Treatment-emergent adverse events were reported by 72.8% of the CBDV group against 48.1% on placebo. The three most common were diarrhoea, nausea and somnolence. Serious adverse events were uncommon in both arms: 3.7% on CBDV against 1.2% on placebo. The trial reported little or no effect on vital signs, physical examination or ECG. (Brodie et al., 2021, Cannabis Cannabinoid Res 6(6):528-536, PMID 33998885, trial registration NCT02365610.)
Read the two halves as one finding; we never print either alone. An adverse-event profile on its own invites the obvious assumption: this is what a working drug costs. In fact it is what CBDV cost the people who took it while not separating from placebo. Put together, the strongest evidence anyone has produced shows a cost with no measured benefit to set against it.
Verified against its PubMed record and cited in prose. The paper has yet to become a graded entry in the CBG Atlas registry, so it stays ungraded here. Disclosed interest: this is a sponsor study. The authors are affiliated with GW Research Ltd and Greenwich Biosciences, Inc.
Liver enzymes: the same signal in two independent studies · Off-registry · carries no evidence grade
If one CBDV finding sticks, make it this one. In the Phase 2 trial, alanine or aspartate aminotransferase rose above three times the upper limit of normal in three participants taking CBDV, two of whom discontinued as a result, against one participant on placebo. None met the criteria for a potential Hy's Law case, the pattern regulators treat as a marker of serious drug-induced liver injury. (Brodie et al., 2021, PMID 33998885.)
A second, entirely separate study saw the same organ system respond. In an open-label Phase 1 study in five girls with Rett syndrome and drug-resistant epilepsy, a transient transaminase rise, smaller and staying below one and a half times the upper limit of normal, prompted a dose reduction. (Hurley et al., 2022, Epilepsia 63(7):1736-1747, PMID 35364618.)
Two independent research groups, working with different populations and designs, saw the same signal. None of it amounts to a diagnosis or shows that CBDV damages livers: the numbers are small, most participants were unaffected, and nobody has characterised any of it over the long term. What it does justify is treating CBDV as a research-stage compound and not a benign ingredient. Anyone with liver disease, or taking a medicine that is watched for liver effects, should raise a CBDV product with a clinician before taking it, not after.
Verified against their PubMed records and cited in prose. Neither paper is yet a graded entry in the CBG Atlas registry, so neither carries an evidence grade here.
An EEG signal, and a paper that disagrees with itself · Off-registry · carries no evidence grade
In that same open-label study (five participants, no control arm, no blinding, no randomisation, doses up to 10 mg/kg/day), the EEG worsened in two of the five. Spike-wave activity doubled in one participant and rose more than 500-fold in another, with a rhythm the investigators considered likely ictal.
The paper reports this inconsistently, and we cannot resolve it for you. Its abstract summary line records no significant change in EEG; its Results section reports the worsening described above. Both readings stand, and neither wins. The published record leaves the authors' intent unclear, and quietly picking one, especially the reassuring one, would hide a discrepancy readers are entitled to see. If this matters to a decision you are making, read the paper itself. (Hurley et al., 2022, PMID 35364618.)
The design cuts both ways. With five participants and no control arm, the study cannot attribute any change to the drug: not the worsening, nor the seizure reduction it also reported. It was built as a tolerability and pharmacokinetic study, and attribution lies beyond its design.
Verified against its PubMed record and cited in prose. The paper has yet to become a graded entry in the CBG Atlas registry, so it stays ungraded here. Disclosed interest: the declared conflicts of interest are “none”, but GW Pharmaceuticals supplied the study drug and set the dose ceiling. That relationship is worth naming even though the declaration does not.
A drug-interaction signal in a test tube, not in a person · Off-registry · carries no evidence grade
In laboratory assays, CBDV inhibited CYP2C19 and CYP1A1, two of the enzyme systems the liver uses to clear many medicines. Know what those studies were before you weigh the finding. Both are papers about cannabidiol, in which CBDV is one of several structurally related comparator compounds used to work out which part of the CBD molecule does the inhibiting. In the CYP2C19 work CBDV was slightly less potent than CBD. Beyond that qualitative comparison, the potency figures stay in the papers. (Jiang et al., 2013, PMID 23318708; Yamaori et al., 2013, PMID 23811569.)
CYP1A1, not CYP1A2. They are different enzymes, and mixing them up is a real error that circulates in secondary write-ups. No published CBDV data exists for CYP1A2, CYP2B6 or CYP2C9, so those three stay blank, and a blank is no reassurance. They sit in the same “no primary evidence” state as the gaps set out on the safety page under what we don't know.
Both halves of this matter, and the second matters more. An enzyme inhibited in a test tube is a signal worth acting on cautiously, and not a demonstrated interaction in a person. No CBDV drug-interaction study in people has been published, so the practical size of the effect, including whether it moves the blood level of anything you actually take, is unknown. The stakes run highest for anyone on antiseizure polypharmacy, or on any medicine with a narrow safe range. A pharmacist can check your specific list against CYP2C19. We cannot, and a reference page should not try.
Verified against their PubMed records and cited in prose. Neither paper is yet a graded entry in the CBG Atlas registry, so neither carries an evidence grade here. Both are in vitro enzyme studies in which CBDV was a comparator, not the subject. Read them as a reason for caution, not as a measured interaction.
Not a substitute for prescribed medication
Nothing on this page supports stopping, reducing or replacing a prescribed antiseizure medicine, or any other prescribed medicine, with CBDV. CBDV is not an approved medicine in any jurisdiction, for any indication, and in the trial that tested it for seizures it went on top of existing antiseizure medication as an add-on, where it did not beat placebo. Changes to epilepsy treatment belong with the clinician managing it; stopping an antiseizure medicine without one is dangerous in its own right. This is educational information, not medical advice.
Two things you may have seen that are missing here on purpose
A CBDV food-effect figure. A widely repeated claim says a high-fat meal multiplies CBDV exposure several times over. No published paper reports it; it traces to a trial document, and a number without a published source to check it against stays off this site. The food-effect section of the safety page is about CBG (Story 2024) and does not extend to CBDV, which has no published food-effect study of its own.
Two registered trials, cited as though they produced results. They did not. Both were terminated with a handful of participants between them, which leaves nothing to say about safety or effect. Where the reason for stopping can't be verified, it goes unstated: a plausible cause pinned to an unverified record would be a fabricated fact. Their status is set out on the CBDV pillar.
The CBDV papers cited here, none graded in our registry
Show all 5 papers, with PubMed and DOI
2021
A Phase 2 Randomized Controlled Trial of the Efficacy and Safety of Cannabidivarin as Add-on Therapy in Participants with Inadequately Controlled Focal Seizures
Phase 2 RCT · in people · primary endpoint missed
2022
Efficacy and safety of cannabidivarin treatment of epilepsy in girls with Rett syndrome: A phase 1 clinical trial
Phase 1 · open-label, non-randomised, uncontrolled · n = 5
2013
Cannabidiol is a potent inhibitor of the catalytic activity of cytochrome P450 2C19
In vitro enzyme assay · CBDV as comparator
2013
Structural requirements for potent direct inhibition of human cytochrome P450 1A1 by cannabidiol: role of pentylresorcinol moiety
In vitro enzyme assay · CBDV as comparator
2025
Daily Use of a Broad-Spectrum Cannabidiol Supplement Produces Detectable Concentrations of Cannabinoids in Urine Prohibited by the World Anti-Doping Agency: An Effect Amplified by Exercise
Regulatory & testing status · not an evidence claim
The four sources from this section, plus the paper behind the anti-doping section, which measured CBG and CBDV in the same study. All are real, published and checkable, and all sit outside the CBG Atlas registry, so they are cited in prose and kept out of the study feeds. Under each title sits its study design, the thing that limits it, and never an evidence grade; every grade on this site comes from our evidence registry.