Learn how to use Mayo Clinic Connect
Request an Appointment
Does Medical marijuana work for chronic pain. Looking for alternatives to Vicodin.
Interested in more discussions like this? Go to the Chronic Pain group.
Chris–thank you for your help on figuring out cannabis. I have just started using CBD and THC, with tinctures. The ratio of CBD/THC doesn't make sense to me without talking about the mg's, or dosage strength. The difference between 1 mg of THC versus 3 mg of THC is major regardless of any ratio with CBD. Can you discuss in terms of mg's? My results with gabapentin are unimpressive as well, and I am looking for a different form of help. Thank you so much.
Jump to this post
Good evening @rebsue. Let me see if I understand what you would like me to say. If you buy a tincture that is a 2:1 CBD/THC then the manufacturer has placed 50% CBD and 25%THC in the tincture along with some coconut oil that isn't part of the active ingredients. Use the dropper which will be marked in ml, e.g. 25%ml, 50%ml, 75ml. Now is when you must be your own prescriber. When I first began, I filled the dropper to 25%ml….knowing that regardless of the amount I choose to use, it will be 50%CBD and 25%THC.
As your body adjusts to that small dosage, you can begin to increase the amount. It has been a few years now and I now use my basic 2:1 CBD/THC tincture at 75ml. All of this including additional ways to calculate are on the bottle and on the box. You can then keep a record if you wish that includes every increase in dosage and how your body reacted.
If you are using a licensed dispensary, they will have staff who are trained to help you. They also can have special cannabis pharmacists who will explain every change in the quantity you use. For example, I now use three different tinctures…….1:1 CBD/THC for daytime. 2:1 CBD/THC for bedtime and my heavy-duty topical balm which is 1:3 CBD/THC for acute pain and 3:1 CBD/THC for chronic pain.
I hope this helps. You may want to go to the Papa and Barkley website. They do a great job of explaining the ins and outs of making these choices.
I can make mistakes you know so let me know if you have issues or additional questions. Do you think this will be helpful for you and make it possible for you to give it a try?
May you be safe, protected, and free of inner and outer harm.
I have to go back to basics. The main fact in using Cannabis is that is really helps lessen the pain from Neuropathy. Since my state of PA has only had this product approved since 2018, it is very difficult to find a product and stay with it. Because there are very few growers here, we can seldom get the same product every purchase. The demand is higher than expected and for a variety of reasons, most of us are having to change products on a regular basis. Some Dispensaries have consultation available with an appointment. Perhaps you can try that and get better information? Best wishes!
My state of Montana just made cannabis legal one week ago. I have lots of family in Colorado and California who are helping me sort it all out–just need to find the proper dispensary here in my home state. I do appreciate all the help here! Thanks.
Good evening @fala, Oh dear…..I think I have failed you. Knowing the ratio of CBD and THC in your chosen medical cannabis is the best I can get and give you. Then you can use the mg or ml printed right on the dropper to make sure you are staying within the suggested or recommended dosage. You use the same ratio and then adjust the mgs.
When CA passed the recreational law we had the same problem. Products had to be able to prove that they met the regulatory rules. Fires in CA disrupted the growing areas by either infiltrating them with contaminants or totally destroying them. I casually met the owner of one of the dispensaries. He was older and understood what I needed for neuropathy. He became my guide and I am quite grateful.
At this point, you may want to stay with a particular strains….sativa or indica and then create your own dosage. I learned that way and was glad when the droppers were introduced and I could measure precisely.
May you be free, protected and safe from inner and outer harm.
@artscaping is aware I’ve had very good success using THC/CBD in tincture and vape form to cease my need for oxycodone/Tylenol 5/325. I was taking 6 daily for breakthrough pain from my main control from buprenorphine patch. I’m now using maybe one a month and still have my October prescription 1/2 full. But it took me a year of experimentation to get to where I am. What works for one does not always fit another. I use combos of 2:1, 1:2, 4:1 for vapes, a 10:1 CBD:THC tincture 1mi in AM and 1/2ml at 12:30 and 17:30, a full strength THC 1cc bedtime plus a 5:1 CBD:THC tincture and I use an RSO (Rick Simpson Oil) 4:1 CBD:THC 3x day. I no longer get a buzz from cannabis but being relatively pain free for the first time since 1988 is worth it. BTW the person who stated that specific types and strengths were limited in Pa is wrong as I live in Montgomery County and have a tremendous selection of same products week after week.
I've been reading these comments. It seems like medical marijuana helps people who have debilitating chronic pain – it muffles the pain so they can live normal lives again. I hope they will always be able to get it. Some people may call that 'addicted' but we know that it doesn't matter. If pot is the only thing that works for people who live in pain, they should have it.
I also know people who have adult children still living at home smoking pot all day every day, playing video games and getting fat. Pot makes them "not normal"; they don't have any medical issue that pot rectifies. Some of them go on to heroin – it seems that pot is a gateway drug for some people who are using it to make themselves not normal.
"Normal" in this case means: living in the mainstream of life with a profession, home, and friends, maybe a family as well.
Is that about right? Do those of you who use pot for chronic pain have jobs? Families? Homes? Friends?
I am curious, Peggy
Welcome @bonnieh, you are not jumping in you are just joining us as we explore medical cannabis options and opportunities, Do you still see your Mayo doctor? Do you live in a marijuana legal state? In some states like Minnesota you must have a specific diagnosis and chronic pain is one. In other states you can just register with a dispensary. They often have pharmacists who specialize in helping you get started and monitor your experience,
In other states you are your own prescriber and must monitor your own experiences, Choosing medical cannabis doesn’t mean you are replacing prescribed medications,, You only need two products, topicals and tinctures, And you need to memorize this phrase….you can always have more, you cannot have less. Take it easy. Here is a good site to start,
If you would like to get started please let me know where you live and what you are now using for pain.
May you be free of suffering and the causes of suffering,
I'm jumping in also please. I'm interested but I've been told by Noth in Arizona that you can't be on anything with the if you are taking pain meds. Is this true in Arizona?
Good evening @bonnieh218. Since you live in Minnesota and are a Mayo patient, you can follow the guidelines for cannabis use at this link.
Your Mayo clinician can verify that you have a condition that qualifies you for medical cannabis. After you have registered and paid the fee, you can be scheduled for an appointment with the pharmacy specialist. There are 3 options in Minnesota, capsules, topicals, and tinctures. Once you have made a starting decision you can begin treatment. And then you will have support from the staff at the dispensary while a patient.
It might be interesting to know that Minnesota has received awards for the research and development undertaken here. And it might also be good to know that Bachman's has done the development and owns the Leaflne dispensaries.
Good luck. Don't forget to check in with us so others can benefit from your experience.
Is this the same at the Mayo in Arizona?
Thanks- I have been experimenting for years and can’t find the right combo but I must get off these opioids this spring. I have chronic pain and am 6 weeks out from TKR -which is painful.I appreciate the specificity it’s hard to just try Radom amounts!
I was so hopeful Medical Cannabis would give me some pain relief but turned out THC aggravated my Fibro and neck nerve damage pain. Has anyone else experienced this?
And CBD makes me sleepy so I take it at bedtime.
Good morning @irr4et, OOPS……it looks like you may have gone overboard on the THC. Do you remember when folks used THC before they went to a concert or an art show because it enhanced the experience? That is what THC is supposed to do. When you want CBD to be more effective you combine it with THC to get what is called the entourage effect. They work together well when you use medical cannabis quality. @jenatsky has become a good prescriber. You can do that also. It does take some time to evaluate the effectiveness of a combined tincture or topical.
If you use the Search bar at the top of this page, look for my previous posts about medical cannabis. You will be able to review the journey I have been on for about five years now. I use no other pain medications to control my small fiber neuropathy. My choice of dosages and product developers has been pretty thorough and you are also able to develop a similar protocol.
I have found that the Leafy website has accurate and thorough information to get you started. All CBD products are not the same. Tinctures and topicals are the best types of distribution elements. Although vaping is the quickest way to get things going…..it is not great for your lungs. The fastest way to get relief is to place the tincture dosage under your tongue and let it be absorbed through the membrane directly into your brain. By skipping the digestive system, you will have a better and quicker response.
As you gather information from my posts and those of other members……you will begin to see a road to pain relief. I don't know where you live and how medical cannabis is distributed in your state. If you would like me to help you with these issues, I am happy to do that. Our mission here on Connect is to improve the quality of life for every member. You are at the top of my list today.
May you be free of suffering and the causes of suffering.
Good afternoon @saylor478. The answer is basically yes. Here is a link to the Leafly site. http://www.leafly.com/learn/legalization/arizona. Let me know if you have additional questions. I am happy to help you find relief.
Connect with thousands of patients and caregivers for support and answers.
Already have an account? Sign In