I am sure there are some medications that do not benefit from dosing, but nearly everyone does. Even when we are drinking alcohol “medicinally” we generally know what our dose is based upon the alcohol content. We ALL know we can drink more wine/beer before our blood levels are potentially too high than liquor because we know the % of the medicine in the bottle.
Think about this for a moment. Many of us know how many shots of liquor or how many glasses of wine we can drink and expect to “blow negative” if stopped by the police. Can we control our smoking dose to know really “where we are”?
When patients are dosing themselves at home with cannabis, or with alcohol for that matter, the dosing is much more flexible. It is more flexible because there are way less consequences of taking a bit too much at home vs on the road or at work.
When I first began practicing cannabis medicine, I was troubled by the general lack of patients being able to use the medicine I was advising, during the day. There were/are lots of situations where using smoked cannabis cannot be done. Period. However, even if it were totally socially acceptable and convenient to smoke anywhere and any time, most of us would not be inclined to do so during the day for many reasons.
1.What if the cannabis used during the daytime were not smoked?
2. What if the cannabis used during the day generally required only once or twice daily
to be fully effective; not smoked every hour or two?
3. What if this medicine were in a little bottle and just required a spray under the tongue
or a capsule swallowed?
4. What if the molecular composition of the cannabis plant the extract was derived from
were rich in the cannabinoid “CBD” – CANNABIDIOL – and seriously helped anxiety,
pain and many other conditions while leaving the patient feeling very well focussed,
alert and feeling better in general with their anxiety/pain much more under controlled?
How would it be possible for any whole plant extracts, as I am “alluding” to, to be very effective if they are not dosed? To obtain consistent results, the medicine has to be consistent. If it is not consistent, there is nothing the patient nor physician can do to help the patient very much. Do you just try less and then try more? Titration is always necessary for every disease and every patient, but without any consistency in the medicine, reproducible results are very difficult.
Hey, as my friends know, it is no secret that I enjoy more casual cannabis use as well, but we can help a lot more patients by knowing what medicine our patients are taking.