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sublingual administration of medical cbd tincture

How to Use Sublingual Cannabis Products Effectively
One reason the usefulness of sublingual cannabis has been called into question pertains to incorrect administration. It’s imperative that the sublingual product stay in contact with the mucosal membranes under the tongue for as long as possible. The mistake most patients make is holding it under the tongue for only a few seconds. When educating patients, emphasize that for maximum absorption, they should hold the product under the tongue for 10 minutes. While this may seem difficult, there are a few steps to follow to make it easier:

Anecdotally, patients have successfully used sublingual cannabis products to treat occasional mild panic attacks because the fast-acting sublingual can mute the panic attack before it escalates into something that affects normal daily activities. When the panic attack has been averted and the effects of cannabis have worn off, patients can go on with their day. If the anxiety continues, precise doses can be administered to help control the physical and mental symptoms. This is superior to edibles, which may take too long to avert the panic attack and because the effects may last longer than necessary.

Because this small amount is used to keep cannabinoid signaling constant (avoiding peaks and valleys), it’s important that microdoses be used consistently over time. For instance, in one patient using microdosing to control chronic low-level anxiety, a CBD:THC tincture (containing 2.5 mg CBD and 2.5 mg THC per half dropper) was administered every six hours during the day plus a dose before bed to control symptoms on a daily basis. It took 14 days to see maximum anxiety relief. When microdosing was discontinued, anxiety symptoms returned within two days.

References

Tinctures
By definition, a tincture is an herbal solution made with alcohol as the primary extraction solvent. In commercial cannabis products, the term tincture is often used to describe any concentrated liquid preparations that are meant to be applied topically or sublingually. Sublingual products prepared in alcohol can be absorbed through the mucosal membranes of the mouth quickly, providing symptom relief in as little as 15 minutes, while oil preparations may take up to 30 minutes for full onset of symptom relief.

2. Weed J. As new cannabis products gain traction, ‘pass the joint’ may turn to ‘pass the eye-dropper.’ Forbes. April 1, 2019. https://www.forbes.com/sites/julieweed/2019/04/01/pass-the-joint-may-trun-to-pass-the-weed-eyedropper/#6e1d57ecde03. Accessed January 21, 2020.

Conclusion
The availability and price of sublingual products vary from state to state. In order to provide the best advice to patients, inquire with local dispensaries as to the type and price of the sublingual products they sell. It’s also important to research the quality of the raw cannabis used, the solvents used to extract cannabinoids, the carrier solvents, and the testing done to determine cannabinoid content. As with any medical cannabis treatment, the goal is maximum symptom relief with minimal or acceptable intoxicating effects. Start treatment with a small dose, no more than 5 mg THC, and keep track of symptoms for two to three hours. If more relief is desired, patients should be advised to increase the dose by no more than 5 mg THC at a time.

1. U.S. cannabis market size, share & trends analysis report by cannabis type (medical, recreational), by product type (buds, oils, tincture), by medical application, (chronic pain, mental disorder, cancer), and segment forecasts, 2019–2025. Grand View Research website. https://www.grandviewresearch.com/industry-analysis/us-cannabis-market. Published July 2019. Accessed January 21, 2020.

So which is the best? The method of cannabis consumption that suits your current needs.

Oral ingestion of cannabis, on the other hand, does not offer quick results. What it does offer are longer, often stronger highs. As the cannabinoids become available at a slower rate, and the THC is converted into a more psychoactive form, it can feel like a much punchier, stronger experience. The problem with it is that it can be hard to dose evenly between portions.

Brand name high THC edibles are essentially being regulated out of existence in the US. And never had much of a foothold elsewhere, to begin with. So if you want to go deep and consume a high dose of THC you’ll have to bake your own dank delicacies.

HOMEMADE HIGH THC EDIBLES

CBD oil is the most widely available sublingual tincture on the market. The best products utilise carrier oils to improve both the taste and the bioavailability of the organic CBD oil. Infusing carrier oils also makes it possible to produce a variety of concentrations of CBD oil. The most popular CBD oil products are olive oil and hemp seed oil-based.

Sublingual means under the tongue. By applying a few drops of cannabis tincture or CBD oil under the tongue, the user will experience the beneficial effects within about 20 minutes. In contrast, to simply swallowing the oil or tincture this method avoids the first pass effect of the liver.

Moreover, as the CBD oil is sourced from hemp and non-psychoactive, CBD oil is legal in most European countries. Supplementing Cannabidiol with a few drops of CBD oil under the tongue is already a top wellness trend of 2018. Convenient dropper bottles and CBD oil softgel capsules are discreet ECS (endocannabinoid system) supplementation solutions.

Smoking and vaping are the most popular methods of cannabis consumption for recreational users. Inhaling cannabinoids directly through the lungs is efficient and increases bioavailability to 50% or above. The effects are felt rapidly, usually within tokes. The THC high can also last for an hour or more if your stash is potent bud.