Over the past year I have seen hundreds of patients who have been obtaining and using dosable cannabis medicine.
By dosable, I mean that every time the medicine is taken, the patient and physician know as much as possible about the details of the medication properties, dosing, interval of dosing, etc. Just like we expect with any medication we use.
In recent months, when a patient is doing well or perhaps not doing well, it has been great to be able speak or meet with the patient and decide whether more CBD or more THC or something entirely different might help them further their goal of feeling better. This has been and continues to be a really exciting path with finding early correlations of certain conditions and doses of whole plant CBD rich extract that they respond to.
To begin with, overall, my experience has been incredibly positive. Other than some appetite suppression, which is now known and to be expected, rarely being an issue, it is a pleasure as a physician to work with such a safe medication. Specifically, with some chemotherapy and HIV-AIDS patients, their appetite is not always improved with just rich CBD and they seem to need a bit more THC. With doseable delivery, this has become possible.
For routine anxiety, insomnia and moderate pain, particularly neuritic pain, 2-3 mg of whole plant CBD taken every 8-12 hours seems to work very well.
For all patients, but particularly those with serious inflammatory disease, such as RA and Lupus patients as well as even serious back or neck pain, often an oral dose is turning out to be superior. This is pretty simple to explain. Just as THC is amplified in our livers through “hydroxylation”, CBD is amplified when given by the oral route. Often 5-10 mg of CBD in two ounces of water after breakfast is a great treatment that lasts a full 24 hours.
As capsules are developed, it will be interesting to see if the oral buccal route will still be the best route. I am beginning to think that 5 and 10 mg oral capsules of whole plant CBD will enable a lot more benefit in many patients.