The best CBD:THC ratio for pain

What is the best CBD:THC ratio for pain?

Mar 23, 2023Thomas K

CBD (Cannabidiol) and THC (Tetrahydrocannabinol) are two major cannabinoids found in the Cannabis plant.

While THC is responsible for the psychoactive effects of marijuana, CBD is non-psychoactive and has been shown to have potential therapeutic benefits, including pain relief. 

The use of CBD and THC for pain management has gained popularity in recent years, with many people turning to these cannabinoids as a natural alternative to traditional pain medications.

However, finding the right CBD: THC ratio for pain can be tricky. In this blog post, we will explore the best CBD: THC ratio for pain based on current research and medical papers.

Understanding the Endocannabinoid System

Before diving into the CBD: THC ratio for pain, it is essential to understand the endocannabinoid system (ECS).

The ECS is a complex system of receptors and neurotransmitters that help regulate various bodily functions, including pain perception, immune function, and mood.

The two primary receptors in the ECS are CB1 and CB2. CB1 receptors are primarily found in the central nervous system, while CB2 receptors are in the peripheral nervous system and immune cells.

CB1 & CB2 (CBD:THC Ratio) 

Both CBD and THC interact with the ECS, but in different ways. THC primarily binds to CB1 receptors, resulting in the psychoactive effects associated with marijuana.

CBD, on the other hand, does not directly bind to either CB1 or CB2 receptors. Instead, it works by modulating other receptors and neurotransmitters, including serotonin and vanilloid receptors, which play a role in pain perception.

 

CBD: THC Ratios for Pain

The ideal CBD: THC ratio for pain varies depending on the individual's needs and tolerance. Factors that can influence the optimal ratio include the severity of the pain, the individual's weight, metabolism, and sensitivity to cannabinoids, and the desired level of psychoactivity.

There are three main CBD: THC ratios used for pain management:

 

High CBD, Low THC (CBD: THC 20:1 or higher)

A high CBD, low THC ratio is ideal for individuals who want to avoid the psychoactive effects of THC while still reaping the potential therapeutic benefits of CBD.

This ratio may be suitable for individuals with mild to moderate pain who are new to cannabis or have a low tolerance for THC.

Research has shown that CBD may be effective in reducing chronic pain, neuropathic pain, and inflammation.

One study published in the European Journal of Pain found that CBD applied topically may help reduce pain and inflammation in rats with arthritis.

Another study published in the Journal of Experimental Medicine found that CBD may be effective in reducing chronic pain and inflammation by targeting alpha-3 glycine receptors.

 

Balanced CBD: THC (CBD: THC 1:1)

A balanced CBD: THC ratio is ideal for individuals who want a more balanced approach to pain management.

This ratio may be suitable for individuals with moderate to severe pain who have a higher tolerance for THC. Research has shown that a balanced CBD: THC ratio may be effective in reducing pain, anxiety, and other symptoms associated with various conditions.

One study published in the Journal of Pain and Symptom Management found that a balanced CBD: THC ratio may be effective in reducing pain, anxiety, and other symptoms in cancer patients.

Another study published in the Journal of Clinical Pharmacology found that a balanced CBD: THC ratio may be effective in reducing neuropathic pain in patients with multiple sclerosis.

 

High THC, Low CBD (CBD: THC 1:20 or lower)

A high THC, low CBD ratio is ideal for individuals who want the full psychoactive effects of THC. This ratio may be suitable for individuals with severe pain who have a higher tolerance for THC. Research has shown that THC may be effective in reducing pain, nausea, and other symptoms associated with various conditions, including chronic pain and cancer.

One study published in the Journal of Pain and Symptom Management found that a low dose of THC (2.5 mg) combined with a low dose of CBD (1 mg) was effective in reducing cancer-related pain. Another study published in the Journal of Psychoactive Drugs found that a high THC, low CBD ratio may be effective in reducing chronic pain in patients with fibromyalgia. 

It is important to note that higher THC concentrations may increase the risk of adverse effects, including anxiety, paranoia, and cognitive impairment.

Therefore, individuals should start with a low dose and gradually increase as needed while monitoring for any unwanted effects.

 

Other Factors to Consider

In addition to the CBD: THC ratio, there are other factors to consider when using cannabis for pain management. These include:

Route of Administration: Cannabis can be consumed in various forms, including smoking, vaporizing, edibles, tinctures, and topicals.

The route of administration can affect the onset and duration of the effects and the bioavailability of the cannabinoids.

Strain: Cannabis strains can vary in their cannabinoid and terpene profiles, which can affect the therapeutic properties and psychoactive effects. Some strains may be more suitable for pain relief than others. We find that our signature Hawaiian Haze strain is the optimal strain for CBD products.

Dose: The optimal dose of cannabis depends on several factors, including the individual's tolerance, weight, and metabolism. It is recommended to start with a low dose and gradually increase until the desired effects are achieved while monitoring for any adverse effects.

Medical History: Individuals with certain medical conditions, including heart disease, liver disease, and mental health disorders, may be at a higher risk of adverse effects from cannabis. Therefore, it is important to consult with a healthcare provider before using cannabis for pain management.

 

The Bottom Line

The best CBD: THC ratio for pain management varies depending on the individual's needs and tolerance.

A high CBD, low THC ratio may be suitable for individuals who want to avoid the psychoactive effects of THC, while a balanced CBD: THC ratio may be effective for moderate to severe pain.

A high THC, low CBD ratio may be suitable for individuals with severe pain who have a higher tolerance for THC.

In addition to the CBD: THC ratio, other factors should be considered when using cannabis for pain management, including the route of administration, strain, dose, and medical history.

It is important to consult with a healthcare provider before using cannabis for pain management, especially if you have a medical condition or are taking medications.

Overall, cannabis has shown potential as a natural alternative to traditional pain medications.

 

 

CBD Gummies 

References: 
Ethan B Russo. (2011). Taming THC: potential cannabis synergy and phytocannabinoid-terpenoid entourage effects. British Journal of Pharmacology, 163(7), 1344-1364. doi: 10.1111/j.1476-5381.2011.01238.x
Linares, I. M., Zuardi, A. W., Pereira, L. C., Queiroz, R. H., Mechoulam, R., Guimaraes, F. S., & Crippa, J. A. (2019). Cannabidiol presents an inverted U-shaped dose-response curve in a simulated public speaking test. Brazilian Journal of Psychiatry, 41(1), 9-14. doi: 10.1590/1516-4446-2017-0015
 Lynch, M. E., & Ware, M. A. (2015). Cannabinoids for the treatment of chronic non-cancer pain: an updated systematic review of randomized controlled trials. Journal of Neuroimmune Pharmacology, 10(2), 293-301. doi: 10.1007/s11481-015-9600-6
National Center for Complementary and Integrative Health. (2021). Cannabis (Marijuana) and Cannabinoids: What You Need To Know. Retrieved from https://www.nccih.nih.gov/health/cannabis-marijuana-and-cannabinoids-what-you-need-to-know
National Institute on Drug Abuse. (2020). Marijuana as Medicine. Retrieved from https://www.drugabuse.gov/publications/drugfacts/marijuana-medicine 
Russo, E. B. (2018). The case for the entourage effect and conventional breeding of clinical cannabis: no “strain,” no gain. Frontiers in Plant Science, 9, 1969. doi: 10.3389/fpls.2018.01969

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