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.
Where does this leave chronic pain patients interested in trying medical cannabis? Regardless of the strain or form of cannabis, the key is the amount of THC and CBD in the final product, according to Dr. Bearman.
Strains of cannabis may come with names like Purple Diesel and Blue Sky. While the term “strain” is commonly used by dispensaries, medical cannabis users and even physicians, it’s not a term used for plant nomenclature. 9 A strain name may come from a grower, producer, processor, or dispensary. A 2018 study out of Washington state found that commercial Cannabis strains fell into three broad chemotypes (chemically distinct plants that otherwise appear indistinguishable) that were defined by the THC:CBD ratio. 10
The chemical complexity of cannabis itself has made it difficult for researchers to untangle its effects on pain and, at the same time, difficult for clinicians and patients to find the most effective species and route of administration. Cannabis is the genus name for a disputed number of plant species. The two most widely accepted species are Cannabis sativa and Cannabis indica, though hybrid species are also common.
A growing body of clinical research and a history of anecdotal evidence support the use of cannabis for the relief of some types of chronic pain, including neuropathic pain, and spasticity (ie, stiffness or tightness) associated with multiple sclerosis. 1 In a recent comprehensive review of existing data on the health effects of cannabis and cannabinoids, the National Academies of Science concluded that adult patients with chronic pain who were treated with cannabis/cannabinoids were more likely to experience a clinically significant reduction in pain symptoms. 2 They rated these effects as “modest.”
Chemically speaking, cannabis is complicated. To date, 568 unique molecules have been identified in the cannabis; of these, more than 60 are cannabinoids — these are compounds that act on receptors in the body’s endocannabinoid sy stem. This system plays a key role in endogenous pain control. 4
The FDA’s View on Cannabis for Pain
Melinda Misuraca is a Project CBD contributing writer with a past life as an old-school cannabis farmer specializing in CBD -rich cultivars. Her articles have appeared in High Times, Alternet, and several other publications.
According to Dr. Joseph Maroon, a professor at University of Pittsburgh Medical Center, CBD ’s anti-inflammatory and analgesic properties can help with pain conditions that might otherwise be treated with OTC drugs. A 2018 review of studies on cannabis and neuropathic pain found that those taking cannabis medicines achieved 50% or greater pain relief compared with placebo. This tincture combines CBD with other powerful anti-inflammatory herbs to help relive persistent pain.
For most herbal tinctures, adult dosages are typically 30-60 drops in water or tea, three times a day as needed. If you used whole plant cannabis flowers in the recipe (especially with THC in the mix), you’ll want to take things more slowly. Start with the lower dosage, see how you feel, and adjust accordingly.
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450mg per 15ml bottle |
Available in 15 ML and 30 ML.
Dose: 0.25ml of Graduated Dropper
For the fastest results, use the tinctures sublingually by dropping your dose under the tongue and hold for 15 seconds until absorbed. Onset usually begins within 15 minutes to 45 minutes. When taken orally or added to a drink, onset begins within 45 to 90 minutes. Repeat as needed, taking into consideration onset times. Store in a cool to room temperature setting and keep away from direct sunlight.
Our Releaf tinctures provide a flexible option for whole body comfort. One of the speediest ways to feel the benefits of cannabinoids, this fast-acting concentrated liquid offers strong relief from pain and inflammation. Its effects are felt throughout the entire body within fifteen minutes, and dosage can be customized based on personal preference to last over three hours. Add it as an earthy, rich ingredient in craft mocktails and smoothies, or drop it sublingually underneath the tongue. Our tincture stands out because it’s made with MCT oil, which helps your body metabolize the cannabinoids quicker.
900mg per 30ml bottle
Ingredients: MCT Oil, Cannabis.