February 2025

Product Formats in Medical Cannabis

Some helpful guidelines for new patients

Medical cannabis comes in various product formats, each with different methods of administration, onset times, and effects. The choice of format depends on the patient’s condition, personal preference, and medical advice. Below are the main types of medical cannabis products and their differences.

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1. Cannabis Flower (Dried Buds)

Description

Cannabis flower consists of dried and cured buds from the cannabis plant. It contains cannabinoids like THC and CBD in their natural form.

Administration

  • Vaporization: Heated in a dry herb vaporizer, allowing patients to inhale the cannabinoids without combustion.

Onset & Duration

  • Fast onset: 1–5 minutes
  • Duration: 1–4 hours

Pros

  • Rapid symptom relief (useful for pain, nausea, and muscle spasms)
  • Easy to dose based on symptom response

Cons

  • Precise dosing is difficult
  • Flower requires grinding and can be challenging for those with certain conditions


2. Cannabis Oils and Tinctures

Description

Cannabis oils and tinctures contain cannabis extracts mixed with a carrier oil (like MCT oil) or alcohol. They allow for more precise dosing than flower.

Administration

  • Sublingual (under the tongue): Drops are placed under the tongue and absorbed through mucous membranes.
  • Swallowed: Can be added to food or drinks, but effects take longer.

Onset & Duration

  • Sublingual onset: 15–45 minutes
  • Swallowed onset: 1–2 hours
  • Duration: 4–8 hours

Pros

  • Discreet and easy to use
  • Allows precise dosing
  • Longer-lasting effects

Cons

  • Slower onset compared to vaporization
  • Effects may be unpredictable when swallowed


3. Capsules and Tablets

Description

Capsules and tablets contain cannabis oil or powder in pre-measured doses. They provide consistent, controlled dosing.

Administration

  • Swallowed with water, similar to regular medication.


Onset & Duration

  • Onset: 1–2 hours
  • Duration: 6–12 hours

Pros

  • Exact dosing for consistent effects
  • Long-lasting relief
  • No taste or odor

Cons

  • Slow onset, not suitable for immediate symptom relief
  • Less flexibility in adjusting doses compared to oils

 

4. Edibles (Cannabis-Infused Food and Drinks)

Description

Edibles include cannabis-infused products such as chocolates, gummies, and beverages. They contain measured doses of cannabinoids.

Administration

  • Consumed like regular food, with cannabinoids absorbed through digestion.

Onset & Duration

  • Onset: 1–3 hours
  • Duration: 6–12 hours

Pros

  • Discreet and convenient
  • Long-lasting effects

Cons

  • Slow and unpredictable onset
  • Dosing errors can occur due to delayed effects


5. Topicals (Creams, Lotions, and Balms)

Description

Topicals are cannabis-infused creams, lotions, and balms designed for localized relief rather than systemic effects.

Administration

  • Applied directly to the skin over the affected area.

Onset & Duration

  • Onset: 10–30 minutes
  • Duration: 2–6 hours

Pros

  • Targets specific areas (e.g., arthritis, muscle pain)
  • No psychoactive effects (doesn’t enter the bloodstream)

Cons

  • Limited to localized relief
  • Less effective for deep-seated pain 


6. Transdermal Patches

Description

Transdermal patches deliver cannabinoids directly into the bloodstream through the skin over a long period.

Administration

  • Applied to the skin for continuous absorption.

Onset & Duration

  • Onset: 30 minutes–1 hour
  • Duration: 12–24 hours

Pros

  • Consistent, long-lasting effects
  • No need for frequent dosing

Cons

  • Limited availability
  • May cause skin irritation in some users


7. Cannabis Inhalers (Oil Vape & Metered-Dose Devices)

Description

Similar to asthma inhalers, cannabis inhalers deliver controlled doses of cannabinoids directly to the lungs.

Administration

  • Inhaled through a device.

Onset & Duration

  • Onset: 1–5 minutes
  • Duration: 2–4 hours

Pros

  • Precise dosing and no messy handling of flower
  • Rapid onset without the risks of smoking

Cons

  • Limited product availability
  • Higher cost than other methods

 
Conclusion

The best medical cannabis product format depends on the patient’s condition, preference, and need for immediate or long-lasting relief. Vaporization and inhalers offer quick relief, while oils, capsules, and edibles provide longer-lasting effects. Topicals are useful for localized pain, while transdermal patches offer steady cannabinoid absorption. Understanding these differences helps patients and healthcare providers choose the most effective option for treatment.

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