To some it’s the classic “gateway drug”, to others it is a harmless way to relax, or provide relief from crippling pain. Some fear it is a dangerous drug with addictive properties; to others still it is a legal anomaly and should be decriminalized. Whatever the viewpoint, and by whatever name it is known, cannabis–or marijuana, hashish, dope, pot, weed, grass, ganja–incites debate at every level, and the effect it has on the cultures and economics of every corner of the globe is undeniable.

Welcome to the complete guide to cannabinoids. You have probably read about cannabinoids elsewhere online, and your search brought even more questions leaving you feeling more confused and overwhelmed by all the information.

It is difficult to cut through the marketing hype and get to the truth about CBD oil when you can find someone, somewhere, willing to claim that CBD fixes just about every human condition you can imagine. That’s why we have created this guide.

We are starting from the beginning and will walk along the theoretical path of nature’s own solution to provide absolutely all of the information that you need in order to make an informed decision about CBD and RSO.

“I will never give up the Ganja – God’s own weed” 
~Morgan Freeman

Table of Contents

1. What Is CBD?

Cannabidiol (CBD) is one of the +100 known cannabinoids found within the cannabis plant. CBD is one of the major components of any full-spectrum extract of cannabis. It interacts with the body’s endocannabinoid system when it enters the bloodstream via the lungs, the digestive system or another route.
Over the past several years, researchers have committed immense resources toward researching the potential benefits that CBD may hold for human health. Many clinical studies of CBD have produced extremely promising results. The research has already culminated in the creation of one prescription drug – Epidiolex – which has received FDA approval as a treatment for certain rare seizure disorders.

2. Isn’t Cannabis the Same Thing as Marijuana?

Cannabis, also known as marijuana among other names, is a plant that responds to selective breeding by exhibiting a wide variety of potential chemical profiles. It is used for medical or recreational purposes. The main psychoactive part of cannabis is tetrahydrocannabinol (THC). Cannabis comes in all sorts with various names fancy names. Each flower looks a little different from the rest, and each one acts on the body in a slightly different way – but each one comes from the same plant.
Industrial hemp – the source of CBD – is just another variety of the cannabis plant.
Industrial hemp is one of the world’s most useful plants. It’s used to produce fabric, biofuel, building materials, paper, food and more. Psychoactive tetrahydrocannabinol (THC) – the cannabinoid that makes you feel high – has been bred almost completely out of it. Thanks to laws such as the Hemp Farming Act of 2018, the U.S. federal government no longer treats industrial hemp the same as marijuana. In Europe, hemp has a long history, it is documented that medieval monks used hemp in dishes, including a hemp soup. It is legal to cultivate and supply cannabis plants for hemp fibre. Producers derive CBD oil from industrial hemp that contains less than 0.2 percent THC by weight. No matter how much CBD oil you consume, you will not feel high. It is even possible to buy completely THC-free CBD oil made from purified CBD crystals.

3. Pharmacology of Cannabis Oil

The cannabis plant is one that seems uniquely useful to humans because it interacts directly with the human endocannabinoid system. That’s the system by which the human body regulates functions such as reward sensations, appetite and certain cognitive functions. Have you ever felt a sense of total-body euphoria after an intense workout? The famous “runner’s high” is the endocannabinoid system at work.

The endocannabinoid system includes cannabinoid receptors, and the body produces endocannabinoids that transmit messages across those receptors. The cannabinoids in cannabis act on those same receptors.

The full extent to which cannabinoids interacts with the body remains the focus of extensive current research. One of the reasons why we still have so much to learn is because the endocannabinoid system is itself a recent discovery. As scientists continue collecting evidence of the potential benefits.

4. Chemistry of a Cannabis Oil

An extract made from the aerial parts of the cannabis plant contains as much as 40 percent CBD. In order to obtain CBD from hemp, though, you need to expose the plant material to a solvent. CBD is not water soluble.

CBD Oil Extraction Methods

Supercritical CO2 Extraction

CBD oil has achieved true mainstream popularity. To remain in the industry in the face of increasing competition, CBD oil producers have had no choice but to upgrade their production methods and use the cleanest, safest extraction system available: CO2 extraction.

Supercritical CO2 extraction is the most common extraction method for CBD oil today. In this method, an extraction machine injects pressurized liquid carbon dioxide into a chamber of ground hemp plant material. The CBD oil drips down to a collection vessel, and the machine reclaims the CO2 for later use. CO2 extraction is the same method that companies use to produce the essential oils used for perfumery. The CBD oil resulting from this extraction method contains absolutely no trace solvents and are therefore .

The machines necessary for CO2 extraction are very costly, but are today’s market standards.

Solvent-Based Extraction

Cannabis oil first rose to prominence when a man named Rick Simpson told the world that he had applied oil extracted from cannabis indica strain topically to rid his arm of cancerous growths. Simpson’s method for extraction involved exposing the cannabis plant material to a solvent and boiling away the solvent after extraction. Before long, companies everywhere were using solvents to produce their own “Rick Simpson Oil” or RSO.

The problem with solvent-based CBD extraction is that it’s virtually impossible to extract from hemp with a solvent without any trace of that solvent remaining in the final product. The safest solvent used is food graded ethanol. New modern machines are being re-introduced as this extraction method has the benefit to create a more complete or full spectrum of cannabinoids in the end-product.

Cannabis Oil Types

Full-Spectrum Oil

A full-spectrum oil is a full-plant extract containing all the beneficial compounds of the hemp used to create the extract. A full-spectrum extract usually contains CBD as the largest part, combined with traces of other cannabinoids like THC from the cannabis as well as its terpenes, which may also have potential benefits.  Regardless of how much you consume, full-spectrum CBD oil from true industrial hemp will not get you high. However, the trace THC could potentially cause a positive result in a drug test.

Oil From CBD Isolate

To create CBD isolate, a CBD oil producer subjects raw CBD oil to additional filtering and processing until nothing but a white crystalline powder – over 99-percent pure CBD – remains. Since CBD powder is oil soluble, it’s easy to make CBD oil from that powder by simply mixing the powder with a carrier such as MCT coconut oil or hemp seed oil. While the final product will have the same CBD as a full-spectrum CBD oil, it will lack the terpenes of a full-spectrum oil. However, CBD oil from CBD isolate should contain absolutely no THC.

5. History of Cannabis

Discovery of CBD

CBD was first discovered and isolated from full-spectrum cannabis oil by Roger Adams, Madison Hunt and J. H. Clark. They worked in collaboration with the federal government and Cornell University. The researchers used methanol to extract the oil from the hashish of wild cannabis indica plants found growing in Minnesota. Mixing the oil with ammonia yielded a pure white powder that the researchers named cannabidiol. The researchers quickly noticed that the CBD powder didn’t affect the body in the same way that full-spectrum cannabis oil would. They published their findings in 1940. CBD was the first cannabinoid successfully isolated from cannabis.

Dr. Raphael Mechoulam

Due to legal restrictions on the growth, distribution and possession of cannabis, research into its properties was slow for many years. Many doctors simply didn’t want to deal with the stigma of working with “illegal drugs.” Some doctors, however, persevered. Most notably, Israeli-born Dr. Raphael Mechoulam spearheaded the research that led to a deeper understanding of the differences between THC and CBD in the 1960s. He isolated for the first time THC in 1964

In 1978, Dr. Mechoulam published the results of an experiment generally regarded as the first major discovery in the field of CBD-based medicine. Dr. Mechoulam sought to evaluate the potential of CBD as a treatment for epilepsy. He administered CBD to eight epileptic patients for a period of four weeks. All patients reported fewer seizures. Half of the patients stopped having seizures entirely.

Although his discoveries didn’t receive the publicity they deserved at the time, Dr. Mechoulam lived long enough to enjoy the breakthroughs to which his research ultimately led. He is 88 at the time of writing.

Popularization and Continued Research

Research into the benefits of cannabis continued throughout the 1980s and 1990s. It wasn’t until 1996, though, that researchers were really able to kick their efforts into high gear. In that year, California became the first state to legalize medical marijuana. Researchers initially focused on the potential benefits of THC. However, stories such as those of Rick Simpson and Charlotte Figi – a girl whose severe seizure disorder was helped by CBD – brought CBD oil to the forefront of people’s minds.

Today, there is an extensive body of clinical evidence proving that CBD is an effective medication for certain types of seizure disorders. In addition, researchers have found that CBD may hold promise as a treatment for a variety of other conditions ranging from anxiety to inflammation. We’ll discuss that research next.

6. Exploring Cannabinoids

THC and CBD are the two most prominent cannabinoids found within a cannabis plant, but both have different roles. While THC give psychedelic effects, CBD can actually counters this, calming the effect down and enhancing the strain’s medical value. As CBD interacts with cannabinoid receptors within the body, it activates and boosts the body‘s natural response to pain, anxiety and stress etc within the nervous system; for example, CBD causes the nervous system to reduce inflammation and pain. On the other hand, research has shown with HIV patients that THC can reduce pain, improve sleep and stimulate appetite.

Cannabis contains over 483 active compounds, +100 of which are cannabinoids. This means that there are far more different variables that affect the body than just THC or CBD. Therefore new scientific research is and will be necessary in order to improve our understanding of very controversial plant.

The +100 compounds only found in cannabis are known as cannabinoids. These interact with the receptors in our body to induce effects within our nervous system and brain. Coincidence or not, humans have a system that can interact with cannabinoids, called endocannabinoids system.
We will briefly outline below the 8 major cannabinoids found within marijuana.

THC
TetrahydrocannabinolThis is the most commonly recognized and abundantly found cannabinoid within cannabis; it stands for delta-9-tetrahydrocannibinol. This cannabinoid is responsible to the main psychoactive effect experienced when consuming cannabis, it stimulates parts of the brain causing the release of dopamine – creating a sense of euphoria and well being. THC also has analgesic effects, relieving the symptoms of pain and inflammation. Combined they cause a great sense of relaxation. 

CBD
CBDCannabidiol, or CBD for short, tends to be the second most abundant cannabinoid in marijuana. It has serious implications into the field of medicine, and is the sought after compound by medical users. It is a non-psychoactive component that is believed to reduce and regulate the effects of THC. This means that strains high in THC and CBD will induce much clearer head highs than more hazy, heady strains containing very little CBD. CBD itself has a long list of medicinal properties. The main of which relieve things such as chronic pain, inflammation, migraines, arthritis, spasms and epilepsy and schizophrenia. CBD has also been show to have some anti cancer properties, and new uses are still being discoverd as more research is conducted. 

CBN
CannabinolCannabinol, or CBN for short, is an analgesic that is created from the break down of THC through oxidization. It is mildly psychoactive and is only found in small quantities within fresh cannabis plants. It can be kept to a minimum by keeping harvested cannabis stored in a dark, dry place. The effects of THC tend to be preferred to CBN – as CBN is not as strong as THC and can cause grogginess when found in high concentrates. It is also known to reduce anxiety and relieve pressure behind the eyes.

CBG
CannabigerolCBG, also known as cannabigerol, is an active compound in cannabis that is mostly known for its anti-bacterial effects. However, very recent research has found that, whilst not traditionally though to be very prevalent within most cannabis strains, it is likely to be the “template” or “stem cell” for both THC and CBD. This means that both THC and CBD start out as CBG. CBG has also been found to inhibit the uptake of GABA, this causes a feeling of relaxation that is normally associated with CBD. These findings have spurred new ongoing research into the cannabinoid, meaning it may have even larger implications.

THCV
THCVTetrahydrocannabivarin, or THCV for short, is thought to be a cannabinoid that moderates the intensity of the psychoactive effects of THC. Current research being conducted into THCV also suggests that it can be used to treat metabolic disorders and act as an appetite suppressant. 

CBC
CannabichromeneCannabichromene, or CBC for short, is thought to have anti-inflammatory and analgesic effects, although not much medical research has been conducted into the cannabinoid. Recent research that has been done suggests that it could have a potential role to play in brain cell regrowth.

THCA
TetrahydrocannabinolicacidTHCA is the acid form of THC. It is a raw state in which THC can be found in fresh cannabis plants. It is when cannabis is heated that THCA converts to THC. When it is in this raw form, THCA is not considered to be an active compound.

CBDA
Cannabidiolic_acidMuch like THCA, CBDA is the acid form of CBD. It is currently thought to have antimetic (anti-nausea) effects as well as helping to fight breast cancer. However, more research into its medical benefits is needed.

7. A Peek into the Endocannabinoid System

Perhaps you wondered why and how cannabinoids have benefits to our health.

Our body has a system known as the endogenous cannabinoid system. It is a receptor network within our body and responsible for the maintenance of general health, thus it is possibly one of the most import physiological systems in our bodies. This system, named after cannabis, the plant that led to its discovery, runs through our entire body. It has a multitude of tasks, but its main aim is to maintain homeostasis – the regulation and maintenance of a stable environment within the human body.

Cannabis and the endocannabinoid system

The similarity between the names is the first thing that catches the eye. This is because the cannabinoids contained in cannabis are extremely similar to the ones our bodies naturally produce themselves – the endocannabinoids. „Endo“ is the short form for endogenous, which is greek and means “proceeding from within”, meaning substances the body produces by itself. Outside of a living body, cannabinoids have only ever been found in cannabis, hence the name.

Human Nervous System

It was the particular way cannabinoids from cannabis interact with our system that led to the realization, that we have our own natural form of cannabinoids. When cannabinoids are introduced into our bodies, interacting with the endocannabinoid system, we feel the physiological and psychoactive effects of marijuana. A very basic way of looking at it is like this: the body creates endocannabinoids to regulate and modulate its own system, when we introduce cannabinoids from cannabis, we are effectually putting the system into overdrive, by increasing the amount of cannabinoid presence.

CB1 and CB2 receptors

The endocannabinoid system is composed of different receptors, each interacting with cannabinoids in different ways and causing different results, but all with the same goal in mind – homeostasis. The two main receptors within the system are known as CB1 and CB2 receptors. CB1 receptors are mainly present in the brain and nervous system, whilst CB2 receptors are part of our immune systems. It is the way that these receptors bind and interact with the different cannabinoids within marijuana that cause the holistic and profound effects we can feel from it. It is because of the way THC, CBD and the many other lesser-known cannabinoids interact with our body system – quite often to our benefit. This is what cause cannabis to have such wide implications into medial science.

Receptor

The implications

What all of this shows, is that cannabis is not just on this planet to get us high (although many do love to do so). Quite amazingly, research has shown that cannabis plants use the cannabinoids within their own systems to maintain and promote healthy growth within themselves. It seems like cannabinoids work for us similarly than for cannabis itself. Backed by long historical use, a large body of scientific research seems to affirm the medicinal potential of cannabis in aiding a large range of ailments, such as epilepsy and diabetes.

But due to slanderous politicians and greedy businesses giving cannabis a bad name, much needed research has been suppressed. Fortunately, this negativity is now being slowly unraveled, with more and more grounded, scientific research being conducted into the properties of cannabinoids and how they benefit the body. As a result, many countries, including the US, are now beginning to see marijuana for what it really is. Did you know that recent research has shown that cannabinoids can act as a preventative measure to cancer, as well as help reverse the brain damage caused by alcohol? And this is only scratching the surface, scientists are finding new uses and implications all of the time – we should be in for some pretty exciting times!

8. Sativa vs. Indica: Effects

https://vimeo.com/177212427

Sativa and indica are two distinct species from the same cannabis family. They show different growing characteristics, highs and medicinal effects. Understanding the variation can make all the difference for medical users when choosing a strain.

RSO products are made from a general Indica strain, while CBD products are made from a more Sativa strain.

Sativa vs. indica

On a chemical level, indica and sativa strains are different in their composition of the cannabinoid content, as well as in the balance of other phytochemical compounds, such as terpenes and flavonoids. Sativa strains usually show a high THC content and low CBD content, whilst landrace indica strains tend have a lower THC content, and a somewhat higher CBD content. But thanks to breeding, both indica and sativa strains can be found with varying THC:CBD cannabinoid concentrations.

In general, the effect of sativa strains is often described as a strong and uplifting head high, while indicas tend to produce a more body-centred, stoned effect. While the THC and CBD play a significant role in shaping the effect, other naturally occurring substances also play their part in producing these distinct characteristics. For example, over 120 different terpenes have been found in cannabis, the concentration and balance of which can largely influence the high produced by a particular strain.

After THC, CBD is the second most prevalent and important cannabinoid naturally found in cannabis; and not only is it thought to be medicinally valuable, but it also modifies the way THC interacts with the body, modulating and dampening the effect of THC. Generally speaking, based on the natural variations in plant chemistry, a rule of thumb is that sativa works on the mind, and indica on the body.

Sativa vs. Indica

Sativa traits:

Energizing & Uplifting
Stimulates creativity and thoughts
Promotes sense of well-being
Relieves headaches and migraines
Reduces nausea
Stimulates the appetite
Relieves depression

Indica traits:

Relaxing & Laid back
Relieves pain and aches
Reduces anxiety & stress
Aids sleep
Reduces inflammation
Helps relieve spasms and seizures
Stimulates the appetite

A common mistake is that a strain is pure. However, after some thousands of years breading seeds (we know that for example the Egyptians used cannabis), there are no pure Indica or Sativa strains left. Therefore, all strains are actually hybrids. A Hybrid strains is a combination of both sativa and indica strains, and has been bred to combine traits. There is no generalised list of medical traits for hybrid cannabis strains, as they can literally be bred to encompass a wide range of actions, which vary from strain to strain. Keep in mind that when you read about an Indica or Sativa strain, it actually means that this strain contains a higher percentage of Indica or Sativa, but is not pure.

9. Medical Uses of Cannabis Oil

As CBD is an herbal product and not an FDA-approved medication, we cannot claim that it’s intended to diagnose, treat, cure or prevent any medical condition. We also cannot call it a health supplement. We can, however, cite some of the important medical research that’s taken place – and the body of evidence proving the value of cannabinoids has grown quite large.

Alzheimer’s and General Cognitive Decline

A 2006 study published in the Journal of Molecular Medicine suggests that oxidative stress is one of the leading causes of Alzheimer’s disease. The clinicians conducting the study examined the potential effects of CBD on Alzheimer’s-related cognitive decline and found that CBD reduces the classic molecular hallmarks of the disease.

Arthritis

CBD appears to be a potent anti-inflammatory compound, and in 2015, researchers examined the effect that CBD may have on patients with arthritis. The European Journal of Pain published the result. In the study, researchers induced arthritis in the knee joints of rats and applied CBD gel as a treatment. The researchers found that topical CBD treatment reduced joint swelling and arthritic pain.

Cancer

In 2015, the Journal of Neuroimmune Pharmacology published a study examining the potential role that cannabinoids could play in cancer treatment. The study noted that, in animal studies, CBD has demonstrated anti-tumor activity when used to treat cancers of the colon, prostate, breasts and more. The study concluded that CBD could enhance the performance of traditional anti-cancer medications.

Chronic Pain and Inflammation

Out of all the health conditions that exist, chronic pain is among the most common and most debilitating. About 38 million U.S. adults deal with pain on a daily basis. Most prescription medications do a poor job of treating that pain. They also have undesirable side effects such as addiction.

In 2008, Therapeutics and Clinical Risk Management published a review of existing studies of cannabinoids and pain management. The studies examined seemed to indicate that THC is a better pain fighter if CBD is also present. The finding seems to confirm that CBD is a powerful anti-inflammatory compound on its own.

Epilepsy

As mentioned above, research into the effect of CBD on seizure disorders dates back to the 1970s. Research in that area has continued to the present day. A study published in Seizure in 2012 asserted that CBD reduces the severity and frequency of some types of seizures. The study also found that CBD can reduce seizure-related mortality. In 2018, the FDA approved the CBD-based prescription drug Epidiolex for the treatment of Dravet syndrome and Lennox-Gastaut syndrome. The approval of Epidiolex represents a major breakthrough in the acceptance of CBD as a real medicine.

Hypertension

In 2017, JCI Insight published the results of a double-blind study in which nine healthy men were given either a placebo or 600 mg of CBD. The researchers who conducted the study found that CBD lowered both resting and post-exertion blood pressure.

Inflammatory Bowel Disease

In 2008, the British Journal of Pharmacology published a study in which the effect of CBD on mice with inflammatory diarrhea was examined. The researchers induced bowel inflammation by administering croton oil to the mice. The mice then experienced diarrhea. The researchers found that administering CBD to the mice with inflamed bowels normalized their bowel movements. CBD had no effect on mice with normal bowel movements.

Insomnia and Sleep Regulation

The treatment of sleep disorders is an area in which the isolation of CBD from cannabis may have profound benefits. While there appears to be a link between THC and poor sleep quality, CBD seems to have the opposite effect. Current Psychiatry Reports published a review of multiple sleep-related cannabis studies in 2017. According to the review, CBD may help to regulate REM sleep and combat drowsiness during the day.

Macular Degeneration From Diabetes

Retinal cell death from diabetes is a serious problem that has caused blindness in about 16 million Americans. A way to prevent blindness from occurring would be a godsend for anyone suffering from diabetes. In 2006, the American Journal of Pathology published the results of a study in which diabetic rats were treated with CBD. Researchers found that CBD treatment reduced oxidative stress and prevented retinal cell death.

Multiple Sclerosis

In 2018, Frontiers in Neurology published a review of literature documenting the use of cannabis in patients with multiple sclerosis. The review concluded that CBD can improve the quality of life in those with the disorder by eliminating fatigue, pain, depression, inflammation and spasticity.

Panic Disorder

Worldwide, hundreds of millions of people suffer from panic disorder. While prescription medications for anxiety exist, many cause dependency and have other negative side effects. In 2017, Current Neuropharmacology published a review of human and animal studies evaluating CBD’s potential as a treatment for anxiety and panic. The researchers concluded that CBD appears to have a clear anxiolytic effect.

Post-Traumatic Stress Disorder

At the beginning of the article, we discussed the discovery and role of the body’s endocannabinoid system. Scientists have found that the endocannabinoid system plays a role in the conditioned fear response resulting from the memory of a traumatic event. In 2017, Neuropharmacology published the result of a study on post-trauma fear response in rats. In the study, researchers discovered that, if administered immediately after a traumatic event, CBD appears to disrupt the activities of the endocannabinoid system and prevent a long-term fear association from developing. CBD could therefore potentially play a role in the treatment of post-traumatic stress disorder.

Psychosis

In 2012, Current Pharmaceutical Design published a review of multiple studies evaluating the effect of CBD on psychotic disorders. The clinicians conducting the review found that CBD has a pharmacological profile similar to that of antipsychotic drugs without the side effects that those drugs exhibit. It is therefore possible that CBD could play a role in the treatment of disorders such as schizophrenia.

10. Dosage, Administration and Application

CBD hemp oil comes in seemingly endless forms, each with a different concentration of CBD. Determining how to use CBD oil first starts with choosing your route of administration – in other words, choosing the best way to take CBD oil for your needs and lifestyle.
“Take one drop per day,” is one of the most common dosage recommendations we hear. While this can definitely be a dosage, there’s no way to tell if its the right dosage for the given individual as it doesn’t take into account important factors such as:

  • The concentration of CBD
  • The weight of the individual
  • The individual’s body chemistry
  • The severity of the condition being treated

With that being said, there isn’t a “one size fits all” dosage, and there will be some trial and error while gauging your proper dosage.
Start small and increase gradually. When in doubt, consult your physician or doctor, especially if you have an existing medical condition.
Broadly speaking, there are three types of resin-rich cannabis and cannabis products:

  • Type 1 (THC-dominant) – High THC, low CBD (famously intoxicating cannabis varietals)
  • Type 2 (THC & CBD) – Mixed THC and CBD cultivars (intoxicating, but not as edgy as THC-dominant varietals)
  • Type 3 (CBD-dominant) – High CBD, low THC (non-euphoric marijuana or hemp)

“START LOW, GO SLOW”

The adage “Start small and increase gradually” is apropos for cannabis therapy, in general, and THC titration in particular, as discussed by Caroline MacCallum and Ethan Russo in a January 2018 article in the European Journal of Internal Medicine. The authors, who are both physicians, provide sensible guidelines for health professionals and patients regarding the judicious administration of (Type 1) THC-dominant medicinal preparations.

If a new patient is going to smoke or vape THC-rich cannabis, Russo and MacCallum suggest they start with a single inhalation and wait 15 minutes before inhaling again. The effects of inhaled cannabis usually can be felt within a few minutes, thereby providing quick relief of acute distress. If need be, one can inhale an additional puff every 15 to 30 minutes “until desired symptom control is achieved.”

As for oral administration, one should keep in mind that it can take 60 to 90 minutes before the effects of a single dose are felt.

MacCallum and Russo suggest a carefully titrated regimen for consumption of ingestible THC-rich cannabis products. They recommend that patients with little or no experience using cannabis should start by ingesting the equivalent of 1.25 to 2.5 mg of THC shortly before bedtime for two days. If there are no unwanted side effects, increase the bedtime dose of THC by another 1.25 to 2.5 mg for the next two days. Continue to increase the dose of THC by an additional 1.25 to 2.5 mg every other day until the desired effects are achieved.

If there are adverse side effects, reduce the dose of THC to the prior amount that was well tolerated.

DIFFERENT TYPES, DIFFERENT DOSAGE

TYPE 1 – TITRATING THC

For adequate symptom relief, some patients may need to ingest a cannabis preparation two or three times during daylight hours in addition to their night-time regimen. Cautious titration is urged: On days 1 and 2, start with one dose of the equivalent of 2.5 mg THC; on days 3 and 4, increase to 2.5 mg THC twice a day; and, if well tolerated, up the dose incrementally to a total of 15 mg THC (divided equally throughout the day).

“Doses exceeding 20-30 mg/day [of THC] may increase adverse events or induce tolerance without improving efficacy,” MacCallum and Russo warn.

Adverse events mainly pertain to THC and are dose-dependent. Very high doses are more likely to cause unwanted side effects. “Adverse events mainly pertain to THC and are dose-dependent. Very high doses are more likely to cause unwanted side effects.”

For most medications, a higher dose will pack a stronger therapeutic punch. With cannabis, however, it’s not so simple. THC and other cannabis components have biphasic properties, meaning that low and high doses generate opposite effects. Small doses of cannabis tend to stimulate; large doses sedate.

In practical terms, this means that starting low and gradually upping the dose of cannabis will produce stronger effects at first. But, after a certain point, “dosage increases can result in weaker therapeutic effects,” according to Dr. Sulak, “and an increase in side effects.” It is important to note that every body responds to THC differently, and builds tolerance at different rates. Check in with yourself often while consuming cannabis to gauge the effects and side effects.

There are some negative side effects that can result from over-consumption. Sulak observes that “symptoms of cannabis overdose closely mirror the symptoms one would expect cannabis to relieve at appropriate doses: nausea, vomiting, diarrhea, sweating, spasms, tremors, anxiety, panic attacks, paranoia, dis-coordination, and disturbed sleep. Extreme overdoses can lead to hallucinations and even acute psychosis.”

By introducing small amounts of THC into your system, and increasing the dosage slowly, you minimize the risk of negative side effects. The goal is to take a large enough dose of THC to achieve therapeutic effects and a small enough dose to minimize negative side effects.

TYPE 2 – THC AND CBD: THE POWER COUPLE

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CBD and THC are the power couple of cannabis therapeutics. Both compounds have remarkable medicinal attributes, and they work better in combination than as isolates. CBD can synergistically enhance THC’s anti-inflammatory and pain killing properties, while reducing unwanted side effects.

A  2010 report in the British Journal of Pharmacology analyzed the effects of THC and CBDalone and in combination in an animal model of colitis. This preclinical study concluded that “CBDincreased some effects of an ineffective THC dose to the level of an effective one.”

This is one of the many gifts of CBD: It can magnify the medicinal impact of a small amount of THC so that one need not consume an intoxicating dose to experience THC’s therapeutic benefits.

A clinical study published in the Journal of Pain examined the efficacy of different dosage levels of Sativex, a cannabis-derived sublingual spray with 1:1 CBD:THC ratio, which is an approved medication in two dozen countries (but not in the United States). Of 263 cancer patients who were not finding pain relief with opiates, the group that received 21 mg of Sativex each day experienced significant improvements in pain levels, more so than the group that received 52 mg Sativex daily. And those given even higher doses (83 mg daily) reduced their pain no better than a placebo, but they experienced more adverse effects.

Although many patients do well at the lowest effective dose, some benefit from a high dose cannabis oil regimen. Often these patients engage in a regimen that includes a substantial amount of CBD as well as THC. By reducing THC’s intoxicating effects, CBD makes high potency cannabis oil treatment easier to manage. If high doses are necessary, steady titration over several weeks will help build tolerance to THC’s tricky intoxicating effects.

Cannabis therapeutics is personalized medicine. There is no single CBD:THC ratio or dosage that’s optimal for everyone. As little as 2.5 mg of CBD combined with a small amount of THC can have a therapeutic effect. If necessary, much higher doses of good quality CBD-rich formulations are safe and well tolerated.

For patients new to cannabis, it may be best to start with low doses of a CBD-rich remedy (with little THC) and increase the dosage (and, if necessary, the amount of THC) step-by-step. Take a few small doses over the course of the day, rather than one big dose.

But a low-THC product is not always the best treatment option. A more balanced combination of CBD and THC could have a greater impact than CBD or THC alone.

In essence, the goal is to administer consistent, measurable doses of a CBD-rich remedy with as much THCas a person is comfortable with. Experiment, observe the effects, and adjust the amount of CBD and THC until one finds the sweet spot with the right combination of both compounds.

TYPE 3 – FULL-SPECTRUM CBD-RICH EXTRACTS

Microdosing cannabis is a feasible option for those who prefer not to leap over the intoxicating threshold. High dose CBD therapy is another way of healing without the high.

As a general rule, Type 3 CBD-dominant cannabis (with little THC) won’t make a person feel stoned. Nor will a pure CBD isolate (with no THC). But CBD isolates lack critical aromatic terpenes and other cannabinoids, which interact synergistically to enhance CBD’s therapeutic benefits. Single molecule cannabinoids are simply not as versatile or as efficacious as whole plant formulations.

Preclinical research indicates that full spectrum CBD-rich cannabis oil is effective at much lower doses and has a wider therapeutic window than a CBD isolate. “The therapeutic synergy observed with plant extracts results in the requirement for a lower amount of active components, with consequent reduced adverse side effects,” a 2015 Israeli study concluded. In animal studies, CBD isolates require very high – and precise – doses to be effective. Problematic drug interactions are also more likely with a high-dose CBD isolate than with whole plant cannabis.

In a 2012 clinical trial involving 39 schizophrenics at a German hospital, 800 mg of pure pharmaceutical-grade CBD proved to be as effective as standard pharmaceutical treatments without causing the harsh side effects typically associated with antipsychotic drugs. But a follow-up study at Yale University found little cognitive improvement in schizophrenics who were given a CBD isolate.

11. Health Benefits of CBD Oil Terpenes

One major benefit of using a full-spectrum CBD oil is that the oil will include the terpenes from the cannabis plant in addition to the CBD content. Terpenes are organic compounds found in many different plants, and hemp is rich in them. Like CBD itself, scientists are only just beginning to understand the ways in which terpenes can benefit health.
Research suggests that terpenes may provide many benefits of their own in addition to enhancing the properties of CBD. Some CBD oil makers provide lab reports detailing the terpene profiles of their products. Other makers add specifically selected terpene blends to their CBD oils. These are some of the terpenes that a full-spectrum CBD oil may contain.

Borneol

Borneol has the scent of camphor. It has antimicrobial properties. It’s used in some balms and lotions to provide relief from muscle and joint pains.

Caryophyllene

Caryophyllene smells like a mix of turpentine and cloves. It has anti-inflammatory properties.

Eucalyptol

Being a major component the plant, eucalyptol smells like eucalyptus. It is antimicrobial. It also repels insects. It suppresses coughs and is a bronchodilator. Researchers have studied its potential uses in the treatment of colds and lung disease.

Humulene

Humulene smells like hops. It’s also reminiscent of beer. Researchers have discovered that it may have anti-tumor properties.

Limonene

Limonene has the scent of lemon peels. It fights bacteria and fungus. It may also help to reduce inflammation.

Linalool

Linalool has a floral scent like lavender. It is antimicrobial. When used in aromatherapy, linalool seems to reduce anxiety and depression.

Myrcene

Myrcene smells a bit like allspice. It has sedative properties. It also fights inflammation and pain.

Nerolidol

Nerolidol has a bright floral scent. It is a powerful antimicrobial agent, and it may also fight parasitic infections.

Ocimene

Ocimene smells sweet and floral with a touch of woodiness. It is an insect repellant. It also has anti-inflammatory properties. Ocimene has also been studied for its potential to improve health in diabetics.

Terpinolene

Terpinolene smells like a mix of pine and citrus. In addition to its anti-pest and antimicrobial effects, terpinolene seems to have sedative properties.

Pinene

As the name implies, pinene smells like pine trees. It fights inflammation and increases alertness.

12. CBD Oil Industry

The CBD oil industry grows by leaps and bounds each year. Some predict that the total size of the CBD market will exceed $22 billion within the next few years. Since demand for CBD is showing no signs of slowing, new companies enter the industry seemingly every day. These are some of the key stakeholders in the growing CBD oil industry.
Hemp Growers
Today’s farmers are accustomed to earning around $1 per pound for crops such as corn or kale. For them, CBD-rich hemp – with a price around $35-40 per pound – has proven a godsend. Buyers can’t get enough of it, and farmers are scrambling to devote more of their fields to the crop. Large-scale industrial hemp farmers can potentially earn tens of millions of dollars for their crops each year.
Some farmers, however, have found that earning money from growing industrial hemp for CBD isn’t as easy as it sounds. If a crop doesn’t have a high CBD yield, buyers won’t want it. Meanwhile, federal regulations specify that, after drying, industrial hemp must contain no more than 0,2 % THC. Seeds guaranteed to grow into plants meeting those parameters cost up to $2 each.
An additional challenge of growing industrial hemp as a cash crop is that mechanisation hasn’t revolutionised hemp farming in the way that it has crops such as corn and wheat. Growing hemp requires extensive manual labor, and some farmers aren’t prepared for the expense of taking on additional workers.

CBD Oil Producers

Some CBD oil brands produce their own products in house. Others, however, buy white-label CBD products. White-label CBD oil producers specialise in bulk processing of cannabis and sell only to other businesses. The equipment necessary to extract CBD from large amounts of hemp is prohibitively expensive. Working with a bulk cannabis processor lowers the cost of entry for a new company that wants to enter the CBD industry.
Companies that specialise in bulk CBD extraction can extract CBD oil quickly and efficiently. Thanks to their equipment, they can process mountains of plant material at a time. CBD oil producers can often customise batches to meet the needs of their clients. They’ll process only specific strains of hemp, or they’ll enrich the oil with custom terpene blends. Those customisations result in products that are completely unique. Such companies often also have the capacity to produce other types of CBD products. We’ll discuss some other common CBD products next.

Other CBD Products

CBD oil is the most important CBD product. It tends to have the lowest cost per mg of CBD. It is also the CBD product that’s closest to the original hemp plant in terms of the amount of processing involved. By isolating pure CBD powder from raw CBD oil, though, a company can add a dose of CBD to almost anything.
CBD candies and capsules are available for those who dislike the taste of CBD oil. Lotions, balms and subdermal patches are available for those who want to apply CBD topically. You can find CBD-infused beauty products, baked goods, coffees and just about everything else you can imagine.