The form/route of administration may also play a role in the pain effects of cannabis. Medical cannabis comes in herbal (marijuana), tincture, oil, and edible forms. It can be smoked, vaporized, ingested in edible or other oral forms, taken sublingually (under the tongue), or applied topically (oil). Research on the efficacy of different routes of administration for pain is sparse. However, a 2013 randomized, placebo-controlled, double-dummy, double-blind study compared analgesic effects of smoked marijuana and dronabinol. 7 The results indicated that under controlled conditions, marijuana and dronabinol both decreased pain. However, compared with marijuana, dronabinol produced longer-lasting decreases in pain sensitivity and lower ratings of abuse-related subjective effects, which can be predictive of use and abuse patterns. Other studies suggest that smoking cannabis produces rapid effects, while oral forms take longer to work but may last longer. 8
For pain relief, he recommends a dose of 15mg THC (0.0005 oz) to 15 mg CBD. In his experience, doses of THC less than 15 mg generally don’t provide pain relief. Doses may be increased if necessary, best guided under a doctor’s orders, to achieve pain relief without unacceptable side effects.
In PPM online poll, about half of respondents said they had tried medical marijuana to help alleviate their pain and related symptoms.
Be sure to talk with your doctor about the right dose and route of administration before taking any prescribed of dispensed medical cannabis product for pain relief or related symptoms. Note that Medicare does not cover the product; check with your insurer for other program coverage.
These states, as of spring 2019, include: Alabama, Georgia, Indiana, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and Wyoming. It is important to know that consistency and quality of the product received may vary from dispensary to dispensary and from state to state. Stay up to date with the National Conference of Sttae Legislatures which lists current medical marijuana laws at http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx.
7. De Gregorio D, McLaughlin R, Posa L, et al.Cannabidiol modulates serotonergic transmission and reverses both allodynia and anxiety-like behavior in a model of neuropathic pain. Pain. 2019;160(1):136-150.
Vaping has become a popular form of taking CBD. Unlike rolling a joint, vaping involves a CBD oil cartridge that is inserted into a vaping pen. While some may assume that vaping is safer than smoking, there are dangers associated with both practices regarding lung health.
2. Rudroff T, Sosnoff J. Cannabidiol to improve mobility in people with multiple sclerosis. Front Neurol. 2018;9:183.
What is the best CBD oil for pain?
12. Supplements: Nutrition in a pill. Mayo Clinic. 2017. Available at: www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/supplements/art-20044894. Accessed July 2020.
14. Bruni N, Della Pepa C, Oliaro-Bosso S, et al. Cannabinoid delivery systems for pain and inflammation treatment. Molecules. 2018;23(10):2478.
Oral ingestions come in many forms such as:
Tell me all I need to know about using cannabidiol for chronic pain.
You can also use cannabis oil like you would an edible or a capsule by adding it to food and drinks. While this method is effective, the bioavailability of anything you ingest is generally lower, meaning you won’t absorb the cannabinoids as thoroughly because they must pass through the stomach and the liver. Ingesting cannabis oil can take anywhere from 30 to 90 minutes to kick in depending on things like what you’ve eaten and the speed of your metabolism.
You’ve heard a lot about cannabis oil lately – and for good reason. It’s a great method for consuming cannabis with a long list of benefits, and a good option if you are new to medical cannabis or don’t like the idea of inhalation. Figuring out how to use cannabis oil can seem a little complicated at first, but we are here to help. This article will go over the basics of how to use cannabis oil so you can learn how to make it work for you.
While there are many methods of extracting oil from a cannabis plant, some are safer and more effective than others. CO2 extraction is quickly becoming the gold standard because it produces a safe and potent product that is free from chlorophyll, waxes, and any toxic residues that other solvents can sometimes leave behind.
How to Use Cannabis Oil
Cannabis oils are concentrates that are created by extracting cannabinoids like THC and CBD from cannabis plants. Most oils you find at a dispensary are created by a process called “chemical extraction.” These methods use a solvent to extract cannabinoids along with other beneficial compounds like terpenes and flavonoids and add them to carriers like hemp oil or MCT oil.
Start with a few drops and wait at least an hour to see how you feel. Slowly increase the dose until you experience the effects you desire. Keep in mind that more isn’t always better and there could be a tiny dosage window or “sweet spot” that works best for you. You might need to adjust your dosage over time, but many people find that a consistent dose can work for their needs over the long term.
Just like with any cannabis product, dosing depends on the individual. It will take a bit of experimentation to find the right dose for you, but the general rule of thumb is “start low and go slow.” You want to find the lowest dose that provides the effects you are looking for, and that might be lower than what is recommended on the product label.
The most effective way to take cannabis oil is sublingually, where the oil is placed under the tongue with a dropper and absorbed by the mucous membranes that lead directly to the bloodstream. This method allows it to bypass the stomach, which raises the bioavailability (the number of cannabinoids that make it to your bloodstream when your body absorbs the medicine) and takes about 15 to 30 minutes to kick in.