Up until very recently, I always advised patients to use use a “sedating” Indica for sleep. I think the current dogma is that Sativa is for the day and Indica for the night. I truly believed this and wrote much on it. It is still on the back of my cards.
I am not saying this is entire bunk, but it was what we understood at the time. My current understanding, which will always remain open to change, is that whether using allopathic meds (sedatives, tranquilizers, SSRI’s) or cannabis it is just NOT necessary to sedate the patient to help with sleep.
Of course I understand at first blush this seems ridiculous, but I do believe this to be the case for the vast majority of patients. I have already heard back from over 100 patients who have very recently stopped using for sleep at night and are just using 2 mg CBD in the AM and 2 mg at night. They seem to do great and you avoid the munchies. BTW, CBD really, really decreases ones appetite. No wonder the Feds patented it in 2003. !! YES, THIS IS CORRECT. CHECK THE LINK. Let me digress, CAN ANYONE EXPLAIN TO ME HOW/WHY CANNABIS IS CONSIDERED USELESS AND DANGEROUS WHILE BEING PATENTED BY THE FEDERAL GOVERNMENT??? How/why can this be?
Back to Insomnia. In my 34 years of experience as an internist, it has always been clear to me that knocking people out to sleep was ridiculous and more to the point, just not necessary or helpful. If the patient can simply get some help slowing down the “spinning” in their head, they just go to sleep and have a way better quality of sleep.
With regard to Cannabis and Insomnia, this appears to translate to using CBD both during the day and during the night, that is two times/day. This 12 hour dosing seems to work fine and this is what GW Pharma says on it’s package insert.
So, if you have never tried it, for a few days just try using a small amount of balanced CBD/THC AM and PM and see how you feel and how your sleep is. Try not to smoke for some days, although I don’t think it will matter UNLESS you smoke a rich THC flower at night and that could certainly keep you awake. Of course, knowing how much THC you are ingesting by smoking at night is entirely impossible. Even if the patient knew EXACTLY types and levels of cannabinoids and terpenes in their smoke, what in the world is “a puff”?? For sure, no two puffs are ever the same.