CBD Reduced Seizures in Most Children with Drug-Resistant Epilepsy

Among 50 children with drug-resistant epilepsy who took CBD for at least six months, 56% achieved meaningful seizure reduction and 16% became seizure-free.

Gowda, Vykuntaraju K et al.·Indian pediatrics·2025·Moderate EvidenceRetrospective Cohort
RTHC-06573Retrospective CohortModerate Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Retrospective Cohort
Evidence
Moderate Evidence
Sample
N=32

What This Study Found

In a retrospective review of 50 children with drug-resistant epilepsy (mostly Lennox-Gastaut syndrome), CBD as add-on therapy produced complete seizure response (>90% reduction) in 10 children, partial response (30-90% reduction) in 18, and no response in 14. Eight children became entirely seizure-free. Adverse effects occurred in 44% but none required hospitalization. Eight children discontinued treatment.

Key Numbers

50 children; mean age 7.8 years; complete response in 10 (20%), partial in 18 (36%), no response in 14 (28%); 8 (16%) seizure-free; adverse effects in 22 (44%); 8 discontinued (4 for lack of efficacy, 3 for adverse effects, 1 for seizure worsening)

How They Did This

Retrospective chart review of children with drug-resistant epilepsy who received CBD for at least six months at a single center. Assessed seizure frequency reduction, parent-reported adverse effects, and discontinuation rates. Epilepsy types included Lennox-Gastaut syndrome (n=32), Dravet syndrome (n=4), and tuberous sclerosis complex (n=2).

Why This Research Matters

Drug-resistant epilepsy leaves families with few options. This real-world data from a clinical setting supports the growing evidence that CBD can meaningfully reduce seizures in children who have not responded to standard treatments.

The Bigger Picture

CBD (as Epidiolex) is already FDA-approved for certain seizure disorders. Studies like this one extend the evidence base to broader clinical practice, showing consistent results outside of controlled trial settings.

What This Study Doesn't Tell Us

Retrospective design without a control group. Single center. Parent-reported outcomes subject to recall bias. No standardized dosing protocol described. Heterogeneous epilepsy types grouped together.

Questions This Raises

  • ?Which seizure types respond best to CBD add-on therapy?
  • ?Could optimized dosing improve the 28% non-response rate?

Trust & Context

Key Stat:
Evidence Grade:
Moderate: retrospective cohort at a single center with meaningful follow-up period, but no control group.
Study Age:
2025 publication
Original Title:
Cannabidiol in Drug-Resistant Epilepsy (DRE) in Children: A Retrospective Study.
Published In:
Indian pediatrics, 62(7), 501-505 (2025)
Database ID:
RTHC-06573

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Looks back at existing records to find patterns.

What do these levels mean? →

Read More on RethinkTHC

Cite This Study

RTHC-06573·https://rethinkthc.com/research/RTHC-06573

APA

Gowda, Vykuntaraju K; Simin, Halima; Kinhal, Uddhava V; Basavaraja, G V; Sanjay, K S. (2025). Cannabidiol in Drug-Resistant Epilepsy (DRE) in Children: A Retrospective Study.. Indian pediatrics, 62(7), 501-505. https://doi.org/10.1007/s13312-025-00075-9

MLA

Gowda, Vykuntaraju K, et al. "Cannabidiol in Drug-Resistant Epilepsy (DRE) in Children: A Retrospective Study.." Indian pediatrics, 2025. https://doi.org/10.1007/s13312-025-00075-9

RethinkTHC

RethinkTHC Research Database. "Cannabidiol in Drug-Resistant Epilepsy (DRE) in Children: A ..." RTHC-06573. Retrieved from https://rethinkthc.com/research/gowda-2025-cannabidiol-in-drugresistant-epilepsy

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.