- Thread starter
- #941
Finding Your Ideal Dose Green Flower Media Fundamentals of Cannabis course
What is cannabis dosing, and why is it so important? (Dr. Michelle Ross PhD)
The right dose is
What is cannabis dosing, and why is it so important? (Dr. Michelle Ross PhD)
The right dose is
- least amount of cannabis
- save money
- limit uncomfortable side effects
- too much cannabis and you may feel unintended effects
- sleepy
- uncharacteristically hungry and overeat
- nauseous (from extreme high doses)
- dizzy
- anxious
- you want the minimum effective dose (MED)
- that gets you the relief or effect you were looking for
- finding your MED will be a worthwhile journey
- find the chemovar, the delivery method and the dose that works for you and life opens up for you
- Wrong dose
- Overdoing it may cause effects like
- sleepiness
- nausea
- anxiety
- paranoia
- Overdoing it may cause effects like
- Right dose is the least amount of cannabis to get you your desired effect
- with pain relief you want the dose that melts away pain without making you
- dizzy,
- unfocused
- any other unintended effects
- this can be tricky as a new patient, but very doable
- with pain relief you want the dose that melts away pain without making you
- slow, steady, consistent dosing
- with new patients you start very low and wait to see what effect that dose and delivery system offers you
- edibles take a longer wait, since they have to be digested and metabolized
- some patients are intimidated by the potency of edibles
- a good starting method is to try a dose one evening and evaluate
- next evening adjust the dose, if the original dose didn't offer your relief
- edibles can take over 90 minutes to feel effects
- tinctures you'll typically feel within 15 - 20 minutes
- if need be take another dose after that wait time
- smokers or vaping consumers can take one puff and wait to see what happens before taking another
- wait time is all about
- delivery method
- medicine formulation used
- MED can change day-to-day depending on (among other variables)
- stress of the day
- what else you consumed
- your level of discomfort or pain
- You want to dial the dose in for your
- specific condition
- specific symptoms
- the understanding that the components in cannabis work better together than as separate entities
- you can't determine the cannabis product's efficacy by looking at a single component
- a 5mg dose of THC with CBD and CBG included will be more effective than one with only THC
- add some terpenes and flavonoids and you improve it even more and get different effects
- you can't determine the cannabis product's efficacy by looking at a single component
- myrcene helps THC cross the BBB, intensifying the THC effects
- CBD inhibits breakdown of THC
- extending the therapeutic window
- decreasing THC's intensity
- turns THC into an extended relief medicine
- combining THC and CBD can offer pain relief in one or two doses instead of multiple doses across the day of THC alone
- then you can focus on those that goes of products
- look for products that have terpene lab results listed on the labels
- the more you know the easier it is to recognize your go-tos for cannabis medicines
- no one-size-fits-all dosing protocols with cannabis
- variables that come into play:
- age
- weight
- history with cannabis
- health of patient
- disease state requiring treatment
- other medications patient is taking
- patient goals
- children take much higher doses than adults do (theory is they don't have as many eCBRs)
- young children have developing ECSs and brains
- will react differently from all other patient populations
- pediatric cancer patients take doses that would lay adults out without adverse effects
- those high doses can counter chemo side effects
- young children have developing ECSs and brains
- senior patients take
- theory is we lose eCBRs as we age (makes me wonder how much this has really been studied and if it might just be that a lifetime of stress compromises signaling efficiency?)
- healthy seniors will tolerate smaller doses
- senior brains have multitude of eCBRs and some with more serious disease can tolerate higher doses, including
- Parkinson's patients
- fibromyalgia patients
- chronic pain patients
- cannabis won't knock down level 10 pain to a 0
- it will knock it down to something manageable (3 - 5)
- to have this level of relief takes a significant amount of cannabis medicines
- many patients may find these levels difficult to live with, using the wrong protocols
- chronic pain patients on cannabis have tolerance levels that they can comfortably operate on doses above 100 mg
- can even drive with safety
- cannabis intoxication isn't like alcohol impairment
- can even drive with safety
- THC is most effective for mild to moderate pain
- it will knock it down to something manageable (3 - 5)
- there is no maximum level of THC in hats too much
- it's all about
- what the patient needs
- what's appropriate
- it's all about
- the safety zone with cannabis is enormous
- you can't overdose on cannabis
- no addiction, toxicity, or mortality concerns with cannabis
- you want what's appropriate for the patient, knowing the patient will be safe with cannabis
- THC only
- what is the context?
- what are the goals?
- enhances creativity
- puts you in that creative mindset and flow
- generates intimacy with partner
- enhances orgasm and sexual experience
- enhances music appreciation (think concerts)
- small doses of THC counter anxiety for some patients
- 1.5 - 3mg doses of THC
- enhances creativity
- CBD only
- stimulates the serotonin receptors to counter anxiety
- 5 - 25 mg per day
- CBD can be used to get away from addictive drugs
- patients uncomfortable with trading one high for another
- patients who can't test positive for THC
- we know THC isn't a gateway drug to addiction
- can be used effectively by some patients to control chronic pain
- 5 - 25 mg doses per day
- has wide range of dosing levels
- at high end we find
- seizure disorder patients
- schizophrenics
- can require 200 - 600 mg per day to control with CBD
- at high end we find
- does product have terpenes or other cannabinoids included?
- if so, doses can be reduced and still have equivalent efficacy
- stimulates the serotonin receptors to counter anxiety
- THC and CBD combined
- the power couple works best together
- CBD
- counters THC's euphoria
- extends THC's therapeutic window for pain, spasticity, etc.....
- CBD
- 1:1 THC:CBD is a good starting point for building a regimen
- patients that respond positively to 1:1 ratio
- autoimmune
- chronic pain
- inflammatory pain
- if you're uncomfortable with the euphoria adjust that ratio to CBD dominance
- either decrease THC or increase CBD
- check your labels that you're reading the ratios correctly
- 20:1 CBD:THC products are used for seizure
- CBD-dominant products are for those not wanting to feel much euphoria
- patients that respond positively to 1:1 ratio
- the power couple works best together
- Can't find the ratio you want?
- combine two products to get the ratio you need
- find your optimal ratio and let it help you dial in the MED
- track
- How does this product make you feel?
- What was significant about this product?
- ratios
- terpene profile
- chosen dose
- When did you take it?
- How did you feel at dosing?
- How did you feel after dosing?
- slight changes can make significant changes in effect
- the better you track, the easier to dial in your optimal regimen