{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/thc/25","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_10730-markdown","title":"What is the difference between cannabinoids and terpenes?","slug":"what-is-the-difference-between-cannabinoids-and-terpenes","content":"\"I hear people talk about cannabinoids and I know a little bit about CBD and THC, mainly the difference between them. But what is the difference between terpenes and cannabinoids and why should I care? My bud tender has never mentioned terpenes to me when I buy flower from him.\"\n_____________________\nCannabinoids and terpenes are found in every strain of marijuana and it’s these synergistic elements that create the ‘entourage effect’. This means we know that when cannabinoids work in conjunction with terpenes that the sum of the whole is greater than the individual parts. Some argue that when you divorce one element from the rest, that the medicine becomes less effective. No doubt, cannabinoids seem to have a much higher profile in the dialogue surrounding cannabis. This is due to the fact that cannabinoids are more known to create a certain effect such as CBD is a known anti inflammatory or THC can often treat insomnia by helping you sleep.\n\nTerpenes however are connected to the overall aroma and the individual flavors you may taste when you smoke. It is due to this that terpenes are more often discussed when we are talking about flower, rather than say a sub lingual spray. Terpenes come from the oils on the cannabis plant and each one yields a different flavor which is why some my be minty and yet others taste like citrus. The synergy that happens between cannabinoids and terpenes relate back to the endocannabinoid system in our body. This is the system that is literally built to receive cannabinoids. So for instance when you inhale THC this binds to unique receptors in your brain stimulating a certain effect. Likewise, terpenes have their own effect. A well known terpene limonene is known to create a happier mood and decrease a feeling of depression (for some).\n\nThe bottom line is that both are important even though terpenes may be lesser known and not talked about as much. Cannabinoids and terpenes work hand in hand it seems. If you are really interested in knowing what terpenes are in your flower most lab test will reveal this.\n\nmark","image":null}},{"node":{"id":"Question_10699-markdown","title":"I have muscle pain and depression, what is the best CBD strain for me with the lowest THC?","slug":"i-have-muscle-pain-and-depression-what-is-the-best-cbd-strain-for-me-with-the-lowest-thc","content":"\n_____________________\nI'm aware of two strains that are extremely low in CBD; AC/DC and Charlotte's Web.  AC/DC is a sativa strain with a CBD:THC ratio of 20:1 while Charlotte's Web is a hybrid which has less than 0.3% THC!  These strains were developed to help treat pain, anxiety, epilepsy, multiple sclerosis, and chemotherapy side effects without intoxication. Charlotte's Web was created specifically for a young epileptic named Charlotte by Colorado growers and may be more difficult to find. \n\nRemember that THC can have uplifting effects, so you might consider something with more THC that is still relatively low on the psychoactive scale, such as the sativa Harlequin.  Harlequin has a 1:1 ratio of CBD:THC so may counteract depression while still maintaining cognition. \n\ndredmunds","image":null}},{"node":{"id":"Question_10695-markdown","title":"I would like advice on the use of CBD, CBN and THC for insomnia; what is best?","slug":"i-would-like-advice-on-the-use-of-cbd-cbn-and-thc-for-insomnia-what-is-best","content":"\n_____________________\nThere isn't a simple \"best\" answer, and patients react differently to different strains, but I'm happy to offer some general information. \n\nCBD is very effective at treating anxiety and can have a sedating, relaxing effect. If your insomnia is due to anxiety or racing thoughts, a higher ratio of CBD:THC may be helpful.  \n\nTHC can be energizing and uplifting for some patients and can worsen anxiety in others.  Strains lower in THC may be better for insomnia.  CBD also counteracts some of the effects of THC.\n\nCBN is sedating, and CBN levels increase as marijuana ages, so you might consider older cannabis!\n\nIn general, patients find that indica strains tend to work better for insomnia than sativa strains. \n\nAlso, while vaporizing is faster-acting, edible cannabis is longer-acting; so an edible indica might be the solution for maintaining sleep and comfort for a full 6-8 hour rest period.  \n\ndredmunds\n_____________________\nYou might try: Alta California's Botanicals: Insomnia Relief Tincture. It has a good percentage of CBN, which is good for sleep.\n\neden","image":null}},{"node":{"id":"Question_10680-markdown","title":"Is there any similarity between \"Marinol\" & CBD? Or is Marinol a Synthetic form of THC? ","slug":"is-there-any-similarity-between-marinol-cbd-or-is-marinol-a-synthetic-form-of-thc","content":"\n_____________________\nYou are correct in that Marinol (dranabinol) is synthetic THC. It is prescribed most commonly for nausea & poor appetite associated with chemotherapy and AIDS. It is sometimes used for intractable chronic pain.Unlike natural occurring THC, it does not lower intraoccqular pressure or exhibit anti-inflammatory properties.  It bears no resemblance to CBD, which is cannabidiol, the other major component of cannabis. CBD is non-psychoactive and is a pain reliever, anti-inflammatory, anti-oxidant, muscle relaxant, anti-emetic (decreases nausea), autoimmune modulator, mood stabilizer, appetite suppressant, and anxiolytic (decreases anxiety).\n\ndrfrye","image":null}},{"node":{"id":"Question_10674-markdown","title":"I have been experimenting with oils how does the potency amounts translate to inhales?","slug":"i-have-been-experimenting-with-oils-how-does-the-potency-amounts-translate-to-inhales","content":"\"I am looking for the best help for inlammatory neurogenic pain.  I don't understand the potency results They\nDon't add up and what do they mean?\nFor example Chem Dawg THC 65%,CBN  .42%, CBD .39%\nBlue Dream THC 63.7%, CBN 0.41%, CBD/a .45%\nGreen Dragon THC/a 64.0%, CBN 0.41%, CBD/a 0.51%\nStrawberry Cough THC 52.84%, CBD 0.68%, CBG .62%\nThank you for any clarification.\"\n_____________________\nIt looks like you are using oil concentrates based on the information provided here.  The reason the percentages don't add up to 100% is primarily because most the rest of the solution is the oil itself! There are also small amounts of many other cannabinoids and terpenes. Every strain is unique, and lab-testing is helping us to better understand the therapeutic benefits of different products.\n\nTHC, CBD, and CBN are 3 cannabinoids that have been found to be helpful in the treatment of pain, including neuropathic pain. THC is the primary psychoactive cannabinoid, while CBD and CBN are non-psychoactive.  For pain control without the \"high,\" it is common for physicians to recommend high CBD-containing medicine. \n\ndredmunds","image":null}},{"node":{"id":"Question_10658-markdown","title":"What is recommended for daytime nerve pain?","slug":"what-is-recommended-for-daytime-nerve-pain","content":"\"My doctor recommended \"A good starting dose for pain might be 2.5-5mg CBD\". She went on to say \"CBD alone without any THC may not be as effective for pain\", but gave not guidance on THC. \"\n_____________________\n     I have a great deal of personal and professional experience in the safe and effective management of neuropathic pain, having served as a spine trauma researcher. I suggest you start with a CBD enriched transdermal body balm, lotion or massage oil. This makes sense because research has proven there are cannabinoid receptors in human skin in nerve and inflammatory cells. By stimulating them with a Cannabidiol (CBD) enriched topical that penetrates the skin, the transmission of nerve cell mediated pain signals to the spinal cord and brain are blocked! CBD was patented by the Federal Government for it's neuroprotective benefits and bench research in an esteemed pharmacology journal showed CBD promoted neurogenesis...the creation of new nerve cells! The distribution of the neuropathic pain is important. If you have a carpal tunnel syndrome due to occupational repetitive strain or sports overuse, it is easy to apply a CBD enriched transdermal to the wrist and median nerve distribution of the thenar eminence, thumb, index and long finger. If you suffer from a diabetic peripheral neuropathy in a stocking and glove distribution you can apply the transdermal to your feet and lower legs or to your forearms and hands.\n     I advocate for the use of transdermal topicals for athletes and people working in public safety and emergency response capacities because in the concentrations available in most preparations, cannabinoids do not absorb into the blood stream to trigger undesirable psychoactive or sedating impacts on human cognitive performance. Memory, reaction times, psychomotor coordination and balance are not impaired by use of transdermal body balms, lotions and massage oils in standard preparations available at most dispensary's and collectives throughout the State of California.\n     \n\ndrsumchai","image":null}},{"node":{"id":"Question_10656-markdown","title":"What can you recommend for someone that suffers from Alzheimer's?","slug":"what-can-you-recommend-for-someone-that-suffers-from-alzheimers","content":"\"Should they use marijuana products that contain both THC and CBD? Or, is one more effective than the other? Are there better routes of administration (i.e. vaping, edibles, tinctures)?\"\n_____________________\nCannabis is an extremely safe herb with no potential for overdose or toxicity. There is no danger in using cannabis oil in high doses for extended periods of time. I would try a whole plant tincture extract of cannabis that contains CBD and THC as well as the other naturally occuring components. A good starting dose would be 10 milligrams of cannabinoids two or three times per day. Observe closely for effects and adjust the dose as needed.\n\nandrewvanmd\n_____________________\nRemove excess saliva from the mouth. Allow the tincture to absorb in the mouth, to ensure direct absorption into the bloodstream. A good starting dose would be 10 milligrams of cannabinoids two or three times per day. Observe closely for effects and adjust the dose as needed.\n\nandrewvanmd\n_____________________\nI think Dr. Vanderveer's recommendation for administering CBD oil to be spot on.  If you wanted to try another option, you can try putting the same dosage/dropper amount in hot tea or drinks.  Many of my patients report that the time to onset is just as rapid as if it were dosed sublingually.  I hope this helps!\n\ndrpark\n_____________________\nSince we are likely talking about a person who's health has already been compromised, you must use caution administering any cannabis. The Alzheimer's patient must have a recommendation and you must be the caretaker in order to administer the medicine. Please start with a low dose of around three drops, sublingually, four times per day and every 2 to 3 days you may add three more drops until you are up to 20 drops per day. At the second week as long as the blood pressure is steady you can try going to 10 drops twice daily and stay at that dose for 2 to 3 weeks. Ultimately the dosage may need to be increased just 30 drops per day and three divided doses. Since every person responds differently, please monitor and log this patient's response to the medication an adjusted dosage appropriately and give us feedback on how this patient is doing. I do wonder about the other potential medical issues that caused the Alzheimers since this disease does not just fall out of the sky. Alzheimer's has an underlying cause and appropriately targeting that cause will produce the best outcome, is it low Vitamin D3, diabetes, toxic chemicals, too many western drugs like statins or bladder medicines that are known to cause Alzheimers as the culprit?\n\ndrolson\n_____________________\nThe lowest effective doses of THC (that cause observable biologic change) are approximately 2.5mg, however, most patients do not report subjective of \"self-perceivable\" change until about 5mg. Elderly patients new to cannabis, may be more sensitive to the effects of THC due to body composition changes that occur with age as well as lack of exposure. THC has been show to be \"neuroprotective\" and is known to be anti-inflammatory as well as promotional of neurologic recovery in acute neurologic insults. \n\nWhile THC shows benefit, the \"whole plant\" may be beneficial in producing relief for multiple symptoms that accompany Alzheimer's Disease due to the \"entourage\" effect of the other cannabinoids and terpenes in the plant. There are many ways to obtain cannabis, but sublingual elixirs and tinctures or edibles may be the easiest delivery for elders. \n\nEdibles are excellent and last longer, but use with caution in seniors as THC converts to a more potent derivative (11-hydroxy THC) after ingestion. I always recommend adults over the age of 70 start with lower than recommended doses of THC when using edibles until impact is determined. \n\nRemember that it may take between 1-2 hours to see the effects of edible cannabis and the effects can last up to 8 hours. Sublingual (under the tongue) delivery takes effect in 10-20 minutes and may last an average of 4-6 hours. Edibles may work best for nighttime in some patients due to prolonged drowsiness. \n\nAlzheimer's patients, depending on stage of disease, may have severely impaired ability to discern reality versus cognitive experience, and I recommend you observe you Mother closely as you work out dosing as some hallucinatory effects of THC and 11 hydroxy-TCH could be disturbing. You may want to keep a journal of symptoms and behaviors over time to determine dosing and effectiveness.\n\nAs a Geriatrician by training, I am excited about the possibilities that cannabis may hold for treatment of age-related neuro-degenerative diseases and; look forward to more detailed studies and recommendations in this area. \n\ndrgerhart\n_____________________\nThere have been several preclinical studies showing that small amounts of THC can slow the production and inhibit the aggregation of beta-amyloid proteins, the hallmark of Alzheimer's and  key  contributors to the progression of the disease.  There is abundant anecdotal evidence that, in many patients, cannabis helps mitigate  symptoms  associated with Alzheimer's - agitation, depression, anxiety, poor appetite, and insomnia. One recently published Israeli study, while small (10 patients), reported a significant  decrease in the severity of delusions, agitation/aggression, irritability, apathy, sleep and caregiver distress. And they concluded that adding cannabis oil was safe and a promising treatment option. \n\ndrfrye\n_____________________\nWe are not qualified medical professionals to adequately assess the condition, but I did find an interesting article that might help shed some light on the subject: http://www.alzheimers.net/6-15-15-effects-of-medical-marijuana-on-alzheimers/\n\nmari\n_____________________\nHere is some more information on using marijuana and its effect on Alzheimers Disease:\n\nhttps://www.hellomd.com/search/Alzheimer/articles\n\nhttps://www.hellomd.com/search/Alzheimer\n\nmark\n_____________________\nJust to reiterate, I am not a medical professional and you should always speak with your doctor before adding cannabis or any medicinal herb into your health care regime.  I have heard of patients having success with combining other herbs with cannabis to support healthy brain function. \n\nkivaanastasia\n_____________________\nThere was a study performed that showed promising results for Alzheimers resulting in a decrease in Alzheimer plaques. I would recommend a CBD:THC ratio of 20:1 twice daily every day. Any ratio of CBD:THC >10:1 will not make you \"high.\" It will take about 2-3 weeks for full efficacy. Titrate your dose up as you see fit as you will build tolerance (1 drop twice daily, may increase to 2 drops twice daily for instance and more).  This ratio also helps with decreasing aggression as seen with autistic children and is also used for anxiety, depression and muscle tension.  For aggression, you may use it every 3-6 hours as needed on top of twice daily.\n\ndrb\n_____________________\nA preclinical study published in the Journal of Alzheimer’s Disease found that very small doses of tetrahydrocannabinol (THC), a chemical found in marijuana, can slow the production of beta-amyloid proteins, thought to be a hallmark characteristic and key contributor to the progression of Alzheimer’s.\n\nThe study, published in 2014, is among others to support the effectiveness of THC in prohibiting the growth of toxic amyloid plagues.\n\nAnother study from the Salk Institute in La Jolla, California has also found that tetrahydrocannabinol and other compounds found in marijuana may reduce the amount of beta amyloid in the brain. Beta amyloid is a hallmark characteristic of Alzheimer’s and is commonly thought to cause the neurodegenerative disease.\n\nWhile the findings are preliminary, researchers are optimistic about their findings. David Schubert, professor at the Salk Institute and senior author on the study says, “Although other studies have offered evidence that cannabinoids might be neuroprotective against the symptoms of Alzheimer’s, we believe our study is the first to demonstrate that cannabinoids affect both inflammation and amyloid beta accumulation in nerve cells.”\n\nIn the study, researchers found that by exposing beta amyloid proteins to THC, it reduced the levels of beta amyloid, stopped the inflammatory response from the nerve cells caused by beta amyloid and allowed the nerve sells to survive. Antonio Currais, a postdoctoral researcher and first author on the paper noted:\n\n“Inflammation within the brain is a major component of the damage associated with Alzheimer’s disease, but it has always been assumed that this response was coming from immune-like cells in the brain, not the nerve cells themselves. When we were able to identify the molecular basis of the inflammatory response to amyloid beta, it became clear that THC-like compounds that the nerve cells make themselves may be involved in protecting the cells from dying.”\n\nThe take home from this article is that not only is there evidence that THC can slow the progression of AD, there is also some very exciting preliminary evidence that THC can also treat AD by reducing the levels of beta-amyloid plaques and the resulting inflammatory response which causes the death of brain cells and the resulting symptoms associated with AD.\n\nTherefore, I strongly recommend a product with a healthy amount of THC such as the conventional indicas, hybrids and sativas or also the extract products such as the oils and tinctures. However, as noted, those products should have THC at a higher ratio than is standard for many of the more common maladies CBD oils are being used for.\n\ndrkim\n_____________________\nAlzheimer's can certainly be a devastating illness for both the patient and family, and since \"traditional\" medicines are often ineffective, it makes sense to try cannabis therapy.  THC and CBD, the 2 most prominent active ingredients in cannabis, have quite different effects and are often used in combination for a more balanced effect.  The product you choose will somewhat depend upon what symptoms you are looking to treat, and daytime vs. nighttime use for instance.  CBD by itself does not have known intoxicating/psychoactive effects, and can have a calming effect in those suffering from anxiety/agitation.  THC could be useful to help stimulate appetite and induce sleep, but also has psychoactive effects that can be difficult to predict for a patient who could already be suffering from distressing mental dysfunction.  You would want to start with a small dose of THC, 2.5 mg or less, and increase only as tolerated.  If you choose to use a THC-containing product, it would be wise to make sure it is combined with CBD to help mitigate side effects.  In preliminary studies, cannabis shows promise in slowing Alzheimer's plaque deposits, so in addition to relieving the symptoms of Alzheimer's, cannabis may also be able to slow underlying disease progression.  We wish you the best of luck in pursuing this therapy, and as other physicians have mentioned, it's wise to make sure you have extra help on hand and keep close notes of the medication effects.\n\ndrbultman\n_____________________\nAs my physician colleagues have noted on this thread, cannabis preparations containing THC should be started at low doses when being taken by patients with Alzheimer's disease, cautiously increasing the amount as tolerated.   In addition, there is excellent published evidence showing CBD modifies THC effects, in particular reducing stimulation that can result in anxiety, so I would be careful to include significant amounts of CBD in whatever preparation is being used.  Without knowing the degree of the patient's cognitive impairment it's hard to give more specific advice, and I would advocate significant caution in introducing psychoactive agents if a patient is already displaying severe cognitive impairment.  As has been suggested, CBD may provide some calming effects without being psychoactive, and tinctures or lozenges with a 20:1 CBD:THC ratio might be a reasonable place to start, if medicinal cannabis is deemed appropriate.\n\ndrelkind\n_____________________\nI agree with the other answers that say CBD. From the research I've done, CBD can be useful. I found some research here that might be useful, as well as some more medical studies from NCBI. \n\njudahhanh\n_____________________\n Are you depressed, suffering from cancer,seizure,Anxiety,Panic  attack,Depression, diabetes, glaucoma, headache, insomnia, joint pains,  multiply sclerosis, muscle spasms, nausea, etc and need the best strains  of medical marijuana and Cbd Oil to help ease your pain?? why not try  out our wide range of products today at:( tplug05 at gmail dot com) \n\nalison leton","image":null}},{"node":{"id":"Question_10641-markdown","title":"What's the Correct CBD Ratio for Anxiety","slug":"whats-the-correct-cbd-ratio-for-anxiety","content":"\"If I'm only trying to get the CBD benefits for anxiety what is the ratio I should look for? Last night I had part of a gummy that was supposedly pure CBD and it worked well. But I got another type of gummy that is 10:1 CBD to THC so I'm wondering if that has too much THC. I don't want to have the psychoactive effects or feel high from it. Thanks!\"\n_____________________\nCareful with edibles. The absorption is very unpredictable and if you are sensitive to the THC and ingest too much, you may have an unpleasant 8-10 hours. Best to try, and adjust the doses of, new strains by tincture or vapor. It's much easier to titrate. Start low and go slow! That being said, most patients are able to tolerate CBD:THC ratios as high as 1:1 without anxiety or psychoactivity, so I would not expect 10:1 to exacerbate your symptoms. \n\ndrfrye","image":null}},{"node":{"id":"Question_10636-markdown","title":"What role do terpenes play in helping with pain relief?   ","slug":"what-role-do-terpenes-play-in-helping-with-pain-relief","content":"\"I use cannabis for back pain. Should I be only concerned about THC and CBD, or should I be looking for plants with the right terpenes as well? If so, which ones? Thanks for your help!\"\n_____________________\nIf the variety of cannabis you are using isn't addressing your pain, first make sure that both CBD and THC are present. They work against pain together better than either one does alone: 2+2= > 4. Also make sure you are not using too much. THC is most effective against pain at low to moderate doses and is very ineffective against pain at high doses. You might look at the terpenes associated with pain relief, including muscle relaxation, and decreasing  inflammation. All of these modalities play a role in causing and perpetuating pain. Caryophyllene (black pepper, cloves, oregano, rosemary, cinanamon, basil) is a pain reliever, muscle relaxant, and anti-inflammatory;  linalool  (lavender, citrus fruits, coriander, bay leaves) is a pain reliever; pinene is an anti-inflammatory and pain reliever; myrcene     (mango, bay leaves, hops, thyme, lemongrass) is analgesic and anti-inflammatory and humulene (hops) is a potent anti-inflammatory.  Don't limit yourself to the terpenes in cannabis, but also consider incorporating these terpenes into your diet and aromatherapy as well. \n\ndrfrye\n_____________________\nCleaning houses for a large part of my life has led to back pain for me. I recently started adding the Lime OG terpene from https://www.true-blue.co/products/lime-og-terpenes to my vaporizer and I do feel a difference. \n\n\nAng","image":null}},{"node":{"id":"Question_10621-markdown","title":"Now that I know I want cannabis product that is higher in CBD than it is THC, where do I go to get it?","slug":"now-that-i-know-i-want-cannabis-product-that-is-higher-in-cbd-than-it-is-thc-where-do-i-go-to-get-it","content":"\"Every dispensary that I have gone to (online or offline) has had little to no product that is higher in CBD than THC. The preference seems for them to carry high THC product.  Why is that?\"\n_____________________\nCBD has been found to be helpful for patients with chronic pain, migraine headaches, and epilepsy. It is desirable for a lot of patients to have medicine with a high CBD/THC ratio so that they can treat their disease while having decreased psychoactive effects. \n\nThere are at least two reasons why you may be encountering difficulty finding such products.  The first is that development of flowers and products high in CBD is a relatively new concept and there is a limited supply at this time.  The second is that (because it has been found to be effective for so many patients) the demand is high. As this trend continues, I expect there to be more and more higher CBD products available over time.  \n\nYou are noticing most products are high in THC because most plants naturally have a much higher ratio of THC to other cannabinoids (at least 20:1 in most cases), including CBD, and because growers have endeavored to produce high grade strains for decades.  \n\nBecause the common ratio of THC to CBD is so high, even if you can only find a product that is CBD:THC 1:10, it would contain at least twice the amount of CBD.  Similarly, a product containing CBD:THC 1:1 would contain at least 20 times the amount of CBD.  So, you may be able to derive the therapeutic benefit you are seeking with products that have more CBD than usual but are not actually higher in CBD than THC.  \n\nKeep in mind that a variety of products are available that have higher concentrations of CBD, including flowers and concentrates for vaporizing, oral tinctures, and edibles.  I would recommend calling the dispensary ahead of time to see what they have available on any particular day.  \n\ndredmunds\n_____________________\nI love this question because this is what I am always looking for. Unfortunately, many/most dispensaries still cater almost exclusively to the recreational consumer and this means that the products are mostly high in THC and low or non existent CBD. Historically, people have not asked for CBD products and historically dispensaries have seen a more avid recreational market than a medicinal one. The dispensary believes they are meeting the market where they are, but we believe the overall dynamics are changing fairly quickly and that the product selection you see today in a dispensary will be very different in 2 to 5 years i.e., you will see more CBD products!\r\n\r\nThe question I have for you would be what kind of product are you looking for and how much THC can you tolerate? I can say from my own experience, that products higher in CBD tend to relax me and reduce my overall pain. However, I have also found that some THC is very helpful. I am going to list some products that I routinely enjoy that have higher CBD.\r\n\r\nHigh CBD Products:\r\nAuntie Dolores 'Chocolate Brownie' -50mg hemp based CBD\r\nAbsorb CBD vape pen 20:1 and 1:1 (CBD to THC)\r\nCare by Design CBD sublingual spray 8:1\r\nAlta California 'Anxiety Relief Tincture' High CBD/Low THC\r\n\r\nHigh CBD flower:\r\nCanna-Tsu - High Cbd pre rolls (from Sava)\r\nACDC - this is a high CBD strain found in many dispensaries\r\n\r\nHope this helps!\r\n\r\n\n\npamelahadfield","image":null}},{"node":{"id":"Question_10562-markdown","title":"I seem to be very sensitive to the effects of THC and I never feel euphoric. How can I get pain relief without smoking?","slug":"i-seem-to-be-very-sensitive-to-the-effects-of-thc-and-i-never-feel-euphoric-how-can-i-get-pain-relief-without-smoking","content":"\"I know marijuana can help with my pain, but whenever I have smoked it, I don't feel good. What other ways can I help manage my chronic pain?\"\n_____________________\nIt has been shown that cannabis can help relieve pain. Since most strains of cannabis can contain various concentrations of THC and CBD, people can react differently to each of the various strains. Everyone has a different level of tolerance to each of components of cannabis and smoking is only one way to help treat your pain.\n\nUsing tinctures and capsules are another way to find the right combination to help alleviate painful symptoms. Each of them can be found with varying levels of THC and CBD. While CBD has the anti-inflammatory component, some products add a small amount of THC for the best relief of symptoms. You can use edibles as well that, while taking 1-2 hours to take effect, can last longer then other methods. While you can feel the effects of smoking or vaping within minutes, these other methods may be better since they will have a more gradual onset and can be more pleasant to help with your pain relief.\n\nPerry Solomon, MD\n_____________________\nI never really recommend smoking if you are looking to control pain. Inhalation is a fine method for pain relief as the analgesic effects are very quick to take effect, but I always recommend vaporizing if you plan to inhale cannabis. \n\nVery generally, cannabis is made up of CBD and THC. THC is the part of the plant that is psychoactive and can result in the ‘high’, the euphoria or even paranoia depending on how you, personally react to it. CBD is the part of the plant that has been identified as being useful in the treatment of pain and inflammation. \n\nIf you smoke bud or flower, you have no way to separate out the THC from the CBD and will be subjected to the psychoactive effects of the THC contained in the strain you use. If you don’t like these psychoactive effects, you could use a product that has been manipulated to contain larger quantities of CBD than THC. These ‘CBD heavy’ products often still include a small quantity of THC. In studies, it has been shown that CBD products with a small amount of THC are more effective at reducing pain that products that contain CBD alone.\n\nHere are some examples of CBD heavy products:\nTopical applications such as creams, salves, balms and lotions, which I find particularly helpful for pain control during the day when you need to be functional and not high. When applied to the skin there is not enough absorption of THC into the blood stream to result in any psychoactive effects. \n\nTinctures can also supply larger amounts of CBD in relation to THC. Some examples are 20:1 or 30:1, CBD:THC.  These are placed on or under the tongue usually and are absorbed through the oral mucosa. They useful for medium term pain relief with the effects starting anywhere from 15-45 minutes usually, they can provide pain relief for 4-5 hours in some cases. Tinctures are also, often nicely labelled with the amounts of CBD in milligrams, making dosing and evaluation of effectiveness easier. \n\nIngested cannabis or ‘edibles’ can also be made into CBD heavy products. These can provide longer term pain relief, sometime for 8-10 hours making them particularly useful for twice daily dosing. Again, they are often nicely labelled with the amounts of CBD in milligrams, making dosing and evaluation of effectiveness easier. \n\n\n\ndrbluto\n_____________________\nI like the tinctures, you can start at a low dose and work your way up until you feel comfortable.the 4:1 ratio is good,\n\nbooboogin","image":null}},{"node":{"id":"Question_10559-markdown","title":"What is the best strain to help with insomnia?","slug":"what-is-the-best-strain-to-help-with-insomnia","content":"\"I have difficulty falling and staying asleep.\"\n_____________________\n\n![Cannabis is a diverse plant.](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2021_11_30_at_6_04_21_PM_3b42af359a.png)\n\nCannabis is a very diverse plant that grows all over the world. Two broad categories exist; Indica and Sativa. Indica is best remember as \"in da couch\" and it is well suited to treat sleep, pain, and aid in relaxation. It is best to try many different strains and products and decide what works best for you!\n\nandrewvanmd\n_____________________\nSome may say that it is the level of THC that will induce great sleep. That said, most people divide the strains into either Sativa, Indica or a hybrid of the two. The popular stereotype is that Sativa dominant strains will promote a more energetic & creative feeling; some might say euphoric. On the other side, Indica dominant strains will induce a much more predictable sleepy sensation. This is often when people feel 'couch-locked. \n\nAnother thing to consider is the presence of cannabinol or CBN, which is a lesser-known cannabinoid also known for promoting sleep. Unfortunately, it is hard to know how much CBN is in the strain you may have purchased without a lab test. \n\nI'll focus on a few  popular Indica-based strains:\n\n- Purple Kush: Pure Indica and is popular for creating physical relaxation\n\n- Bubba Kush: This is an Indica strain known for creating a sleep effect, easing muscles and a happy mood\n\n- Blueberry: A pure Indica known for helping to alleviate the pain it also induces a nice sleep\n\nOne outlier that is minimally psychoactive is Cannatonic. This cannabidiol (CBD) based strain is not an Indica and contains less THC than many other strains. It is great for medical patients seeking pain relief and the need for sleep.  \n\nI feel the need for help with sleep, and generally, I do not smoke. There are many different ways to ingest cannabis that can deliver sleep-inducing effects. I prefer a sublingual THC spray by Absolute Extracts (available in CA) called 'Sleepytime'. For me, one spray is enough to put me out, but I am very sensitive. A lot of people prefer edibles as the dosage is so reliable. One friend of mine swears by Auntie Dolores (available in CA) caramel corn; she eats one piece of caramel corn before bed every night. \n\nAs with anything, always start slowly. Depending on how you react, a small amount may be enough to get you to sleep whereas too much could have the opposite effect. I hope this helps!\n\nPaula H.\n_____________________\n\n![Screen Shot 2021-11-30 at 6.11.09 PM.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2021_11_30_at_6_11_09_PM_3037597187.png)\n\nIf you are having difficulty falling asleep, smoking or vaporizing cannabis can help reduce the time it takes to fall asleep tremendously. I know that there are some traditional heavy Indicas that put people to sleep, but my personal selections for sleep are Skywalker OG, Pennywise (1:1 CBD strain), and Royal Kush. Absolute Xtracts actually makes a great Royal Kush CO2 cartridge for a vape pen, which can be nice to use before bed as it is much simpler than smoking and does not make that telltale cannabis smell if you would rather keep your MJ to yourself.\n\nNow smoking or vaporizing is great for the onset of sleep, but this effect normally wears off within a few hours and can still result in you waking at 3 or 4am. I know that you are asking about which strain would be the best for insomnia, however, I think there is another option that may help you stay asleep longer.\n\n![Wana Brands gummies are a popular edible and can be used as a sleep aid.](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2021_11_17_at_1_08_56_PM_6440bb1268.png)\nEdibles traditionally last longer than smoking or vaporizing and I find that they can keep me sleeping much longer into the morning. You do not usually find strain-specific edibles for sale, however, there are a few brands that sell sleep specific edibles. I've tried Sensi Chew's Insomnia that actually comes with a few mg of melatonin with each dose and I had no issues falling asleep as long as that pack lasted. As pretty much everyone will tell you here - Start low and work your way up with the dosing. You can always take more you can't take less.\n\nryan\n_____________________\n\n![Screen Shot 2021-11-30 at 6.12.43 PM.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2021_11_30_at_6_12_43_PM_9c41255f5c.png)\n\nThe strains that work best for me, where sleep is concerned,  are Deep Sleep OG and Granddaddy Purple. These two always seem to knock me out. Of course different strains hit different people differently. With that in mind, any straight Indica should do wonders in the sleep department.\n\ndarkestjack\n_____________________\nIndicas work best for me! I have problems finding products that will NOT put me to sleep, because then I oversleep & get terrible headaches.\nIndica is 1st to put me away! Good luck on that\n\ndream15x\n_____________________\nThis is an individual choice. Each person's unique internal chemistry responds to cannabis strains differently, however; Indica strains have traditionally been the most common \"go-to\" products for inducing relaxation and sleep. Several Kush varieties were mentioned in the comments below. They are good places to start. \n\nSome individuals do not tolerate indica strains and find that using sativa strains or hybrids actually provide more relaxation but, I recommend stopping use of them about 60-90 min before your actual bedtime to allow for natural sleep induction. \n\nI also recommend you look at edibles for sleep if you can consistently be in bed for 6+ hours.\nI have found Sensi-chews to be helpful but, pay attention to the dosing. Most people only need 5-8mg of TCH to fall asleep and most dosing is higher than that for packaging purposes. I recommend people cut these products in small portions to find the lowest effective dose which is all you need and much more economical.\n\nBest wishes for relaxing and renewing sleep.\n\ndrgerhart\n_____________________\n\n![Cannabis is a great replacement to alcohol](https://hellomd-cms.s3.us-west-2.amazonaws.com/shutterstock_1489624160_min_82fa15736f.jpg)\n\nUsually sleep disturbance issues begin during the day as we build up stress or anxiety, and then our brain does not want to let go at night. If you find there is chronic brain chatter when you're trying to sleep, be sure to put those thoughts down on paper if there are things that you need to accomplish the next day and that we'll get those thoughts out of your mind but the rest of the chatter you want to shut up with CBD Cannabis. \n\nI usually encourage patients to do an Indica they like for sleep but to keep oral spray of a high CBD, non-alcoholic tincture in the refrigerator so if brain chatter continues please put one spray of the CBD tincture under your tongue so you can sleep. The best sleep seems to be at a CBD:THC = 1:1 so that means if you have done Sativa in PM you need a significant amount of CBD to balance the THC so you can quiet your brain. \n\nSince stress oftentimes starts during today and keeps us awake at night you may want to do some very low dose CBD during the day that is also available as a spray in the mouth or in a vape pen (like AC/DC) for immediate relief of anxiety and pain.\n\nI suspect you will start sleeping if you try this but also remember to stop all blue light exposure a couple hours before bed or at least have a blue light filter if you must do computer or phone work close to bedtime. \nSleep is important so do continue in your pursuit of a good night's sleep without pharmaceutical drugs that will suppress your restorative sleep.\n\ndrolson\n_____________________\n\nCannabis has been shown to promote sleep, both falling asleep and maintaining sleep. Typically the THC in cannabis has a sedative effect, especially in the indica varieties. I would avoid sativa varieties for insomnia because they can have a stimulating effect. This being said, the majority of cases of sleep dysfunction are caused by poor sleep hygiene. What this means is that we have developed habits that do not promote a good night's sleep. I recommend changing these habits first, before taking any medicines. \n\nSome examples: Turning off the screens in your life (television, computer, phones, etc) 1-2 hours before bedtime, no caffeine or other stimulants after mid-afternoon, exercise 30-60 minutes preferably earlier in the day, turn off bright lights at sunset, use more candles and low lighting, take a warm bath or shower before bed, have a cup of herbal tea or warm non-caffeine beverage before bedtime, make a to-do list for the next day to get them out of your thoughts, and read some of a novel before sleeping. There's more, of course, but this is just a list to get you started. Good luck!\n\ndrjacquelynlew\n_____________________\nYes, cannabis does help with insomnia. For the best sleep, look for cannabis with the ratio of CBD:THC of 1:1. For more information, visit the \"insomnia\" discussion board on our website.\n\nrachelnp\n_____________________\nThis is probably one of the toughest questions and most likely anyone you ask will have a different answer. I do not believe there is one best strain of cannabis for insomnia. I personally think you must account for any Cannabis you have used during the day, especially if you have used a highTHC strain. If you already have hi THC in your system, say you use a Sativa during the day, you would want to bring in more CBD in the evening. The best sleep seems to be when your THC and CBD's are close to equal inside your body but if you have too much THC you will have a party going on in your head and you will find you can shut the party down by adding more CBD's. If you only intend to use cannabis first sleep you may want to try a 1:1 Vaporizing oil, tincture, tablet or spraying the mouth. Please, remember to always start low and increase the dosage slowly until you have obtained the optimal results.\n\ndrolson\n_____________________\nStudies have shown that cannabis can improve the quality and duration of sleep and help treat various sleeping disorders.\n\nwendynp\n_____________________\nMany people experience insomnia from time to time. Medical marijuana for insomnia can be a safe and an effective alternative for good sleep but either way, prolonged insomnia needs to be addressed. Cannabis can aid sleep without getting you addicted. Like prescription pills, it doesn't even have side effects such as anxiety, depression and fatigue. Here are few medical marijuana strains that are effective to treat insomnia-\n\nSuper Glue (Hybrid)\nSkywalker\nNorthern Lights\nGranddaddy Purple\n\n\n\npotvalet\n_____________________\nGranddaddy Purple\nSkywalker OG\nSuper Skunk\nWhite Widow\nWhite Rhino\nPurple Urkle\nBlueberry\n\n\n\npotvalet","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5037593984962405,"src":"/static/2c6a86d2dbef98dd06895edb62ef67bd/14b42/2bcffccb44112911590f6b3d114f3d4d.jpg","srcSet":"/static/2c6a86d2dbef98dd06895edb62ef67bd/f836f/2bcffccb44112911590f6b3d114f3d4d.jpg 200w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/2244e/2bcffccb44112911590f6b3d114f3d4d.jpg 400w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/14b42/2bcffccb44112911590f6b3d114f3d4d.jpg 800w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/47498/2bcffccb44112911590f6b3d114f3d4d.jpg 1200w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/0e329/2bcffccb44112911590f6b3d114f3d4d.jpg 1600w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/25261/2bcffccb44112911590f6b3d114f3d4d.jpg 7322w","srcWebp":"/static/2c6a86d2dbef98dd06895edb62ef67bd/58556/2bcffccb44112911590f6b3d114f3d4d.webp","srcSetWebp":"/static/2c6a86d2dbef98dd06895edb62ef67bd/61e93/2bcffccb44112911590f6b3d114f3d4d.webp 200w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/1f5c5/2bcffccb44112911590f6b3d114f3d4d.webp 400w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/58556/2bcffccb44112911590f6b3d114f3d4d.webp 800w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/99238/2bcffccb44112911590f6b3d114f3d4d.webp 1200w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/7c22d/2bcffccb44112911590f6b3d114f3d4d.webp 1600w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/68380/2bcffccb44112911590f6b3d114f3d4d.webp 7322w","sizes":"(max-width: 800px) 100vw, 800px"}}}}}]}},"pageContext":{"limit":12,"skip":288,"numPages":25,"currentPage":25,"id":5834,"name":"Thc","slug":"thc","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}