Finding the Best CBD:THC Ratios and Products for Pain

How Different CBD:THC Ratios and Types of Products Can Help with Pain

Last week, we overviewed different types of pain and shared how cannabis might help.

When it comes to treating pain with cannabis, both the type of product and the ratio of cannabinoids matter. The two primary cannabinoids are tetrahydrocannabinol (THC) and cannabidiol (CBD), though the cannabis plant contains many other cannabinoids, terpenes, plus other compounds that contribute to its therapeutic effect.

CBD: This cannabinoid is the star player in hemp products which are federally legal. CBD hemp products are required to have below 0.3% THC, which is such a small amount that it’s not intoxicating and won’t get you high. You’ll also find CBD in cannabis products that contain higher levels of THC.

THC: The cannabinoid responsible for the “high,” if used in large enough amounts. Cannabis products containing over 0.3% THC remain illegal at the federal level and can only be legally purchased in states that have legalized recreational or medical marijuana.

Understanding the roles that both CBD and THC play in managing pain can help you find the best product for your needs. If you need a quick refresher on the types of pain that CBD and THC work best on, check out our previous post here.

Timing Your Dose: How Different Cannabis Products Reduce Pain

Whether you’re looking at CBD hemp or cannabis containing higher levels of THC (sold legally in dispensaries), you have several different routes of administration to choose between:

  • Inhalation (smoking, vaping): Takes effect immediately and lasts 2-4 hours. This is a great choice for instant relief and for treating breakthrough pain (a flare-up in pain when you’re already taking longer-acting cannabis products). You can also layer inhaled cannabis with a longer-acting method (more on layering below) to help get you through the night.
  • Transdermal (patches, gels): Extended release option that takes effect quickly, since the cannabinoids are absorbed directly into your bloodstream. The time of onset is rapid, sometimes within 20 minutes. Transdermal products provide a consistent dose of medicine for up to 12 hours. The transdermal patch or gel is used on an area where the veins are near the skin’s surface—like the inside of your wrist or on your ankle.
  • Sublingual (placed under the tongue): Sublingual administration can provide rapid relief, but there are few true oromucosal (sublingual) products on the market. Cannabinoids are fat-soluble and, in their natural state, do not absorb well into the oral mucosa. Moreover, cannabis products are often extracted into oils, and these products are not water-soluble. Patients often expect rapid onset when using tinctures, only to wait 1-3 hours for the dose to take effect. Many products marketed as tinctures will end up being swallowed and absorbed via the digestive system, regardless of how long they are held under the tongue. A true sublingual (a product in which the cannabinoids are formulated to be more water-soluble) absorbs rapidly into the mouth. The effects can be perceived in 15-20 minutes and can last 4-6 hours.
  • Edibles (gummies, capsules): Edibles take effect in between 30 minutes and 2 hours. You’ll feel their effects between 5-8 hours. They provide a discreet, portable long-acting option.
  • Topicals (creams, salves): Topicals provide short-term localized relief. They can take effect within minutes, and may last for up to an hour.

Understanding CBD:THC Ratios

Most marijuana flower sold at legal dispensaries is THC-dominant, with very little CBD. Of course there are exceptions, such as The Wife strain or even some CBD hemp flower strains. However, odds are that if you’re using flower, you won’t find ratios connected to the strain.

Once you start looking at other cannabis products, including vapes, you’ll notice ratios on many—but not all—product labels. Common ratios include 1:1, 5:1, 10:1, and even 20:1. What do these numbers mean? And how do they help with your pain?

The ratio indicates the amount of CBD compared to the amount of THC.

  • A 1:1 ratio is when the amount of CBD and THC are the same in each dose.
  • On the other hand, if a product has a 5:1 ratio, that means there’s five times as much CBD as THC in each dose.

It’s important to note that the ratio is not the same as the amount of CBD and THC. Our supporting member 1906 makes several different products, including their Midnight drops and Genius drops, that are designed to be swallowed. The ratio of each of these recreational products is 1:1—but the amount of CBD and THC in each is different.

  • The 1906 Midnight 1:1 drops have 5 mg of CBD and 5 mg of THC per dose.
  • The 1906 Genius drops are also a 1:1 ratio; however, they have 2.5 mg each of CBD and THC.

What if a product doesn’t list a ratio? In that case, look closely at the product label. The chances are good that the product either contains all CBD, with little or no THC (legal CBD hemp products fall in this category), or the product contains all THC.

What’s the Best CBD:THC Ratio For Your Pain?

The CBD and THC cannabinoids work individually to target different types of pain. By combining them in different ratios, though, you can achieve different effects to fit your specific needs. 

While everyone is different, the following guidelines work for most people:

1:1 – Equal amounts of THC and CBD. A good option to try for all kinds of pain, including neuropathic pain. Products with a 1:1 ratio can be uplifting but this ratio will most likely cause impairment if using the suggested serving size. Always start low, go slow, to avoid intoxicating effects.

2:1, 4:1, 5:1 – A balanced product that can provide optimized levels of both CBD and THC for medicinal use, based on the fact that higher doses of CBD are often needed for relief. Can be intoxicating. 

10:1 – A high CBD alternative for people who find the 5:1 ratio to be too intoxicating.

20:1 – High CBD levels along with very low THC levels provide a good option for managing inflammation pain. Very rarely intoxicating.

Leaf411’s supporting members offer many different CBD:THC ratios to meet different needs.

Be sure to closely look at the product label to make sure you understand the ratio! While it’s not as common, some manufacturers state the ratio reflecting the THC first and the CBD content second, like our member incredibles 10:1 THC:CBD tincture.

Layering Different Cannabis Products

Have you ever woken up in the middle of the night when your pain medication wore off, and suffered as you re-dosed and waited for the medicine to kick in? Fortunately, with CBD and THC products, you can layer different product types to reduce the changes of this happening.

For example, you might use a shorter-acting sublingual pill or vape to bring instant relief, together with an edible or transdermal patch to get you through the night.

If you’re using products containing THC (the cannabinoid that can be intoxicating and make you feel “high”), you’ll want to be careful with your dosing to make sure you don’t get end up with too much THC. The best approach is to start low and slow.

While you cannot overdose on THC, the feeling of being “too high” can be uncomfortable. Our website provides tips for what to do if you feel too high.

Cannabis as an Adjunct Therapy

Depending on how you use cannabis and other medications, there can be possible medication interactions. Our Leaf411 library offers guidance on specific medication interactions here

We recommend consulting with a clinician before combining cannabis (which includes CBD hemp products!) with pharmaceuticals or over-the-counter pain medications.

Our Leaf411 cannabis-trained registered nurses can help with questions specific to medications you’re taking, and our service is FREE! Call us at 844-LEAF411 (844-532-3411).

We’re Here to Help!

We realize that it can feel overwhelming when researching cannabis for pain. There are so many options—different types of products and different ratios. 

Research on cannabis as a safe alternative for treating pain continues to grow. As nurses, we’ve heard and seen firsthand the power of this plant-based medicine, and we stay up-to-date on the latest findings and clinical guidelines for using cannabis for pain. 

Our Leaf411 hotline nurses have both specialized training and experience helping people to find the best option for their particular situation. We’d love to share our expertise with you as well! Reach out to us on our free, anonymous hotline at at 844-LEAF411 (844-532-3411).

The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.


Cannabis May Help with Different Types of Pain

How Cannabis May Help with Different Types of Pain

We receive many calls on the Leaf411 cannabis nurse hotline from people who are curious to learn how cannabis might help with their pain.

In today’s post, we’ll share some information based on the questions we hear. We also provide suggestions on how to match the right cannabis product to your pain.

Our goal to help callers find a solution allows them to be functional. Of course, you’re always welcome to call our hotline with questions as well!

Much like any other medicine, cannabis is not a magic pill but it’s a tool. From the research and our own experiences working with patients, we believe that the cannabis plant may be an effective alternative to opiates or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and acetaminophen, which can carry unwanted side effects if overused.

Cannabis for Pain: A Powerful Tool

When it comes to pain, everyone is different. How you experience pain, as well as your pain tolerance level, is shaped by a lot of different factors.

In the same way, people respond to medicines differently. That’s one reason why so many different painkillers are on the market today!

Cannabis is emerging as a different option, proving to be a powerful new tool for controlling pain. The cannabinoids in the cannabis plant, especially cannabidiol (CBD) and tetrahydrocannabinol (THC), have been shown to reduce inflammation and pain. Other cannabinoids and plant compounds like terpenes also play a role in reducing pain. (You can read more about terpenes in one of our past posts ).

Federal restrictions in the United States continue to limit research on how cannabis impacts pain; however, other countries such as Israel have completed considerable research on cannabis’s therapeutic benefits.

xray of broken collarbone, a source of acute pain.

Quick Primer on Types of Pain

Understanding the different types of pain and their sources can help you find the best cannabis options.

  • Acute pain usually comes about as the result of an injury, overuse, or medical procedure. While the initial pain can be mild or severe, it gets better over time as your body heals. Slamming your finger in a door results in acute pain. Post-workout soreness, broken bones and surgery recovery also fits into this category.
  • With chronic pain, “the pain itself becomes the disease,” explains Eduardo Fraifeld, MD, in this article. Doctors typically categorize pain lasting over 3-6 months as chronic pain. Chronic pain can be associated with arthritis, migraines, diabetes or multiple sclerosis (MS), among other conditions. It can be a side effect of chemotherapy or other long-term medical treatments. When an injury heals yet the pain remains, that also fits the description for chronic pain.

Pain can also be broken down into the following categories:

  • Nociceptive pain: Pain in soft tissues, tendons or joints caused by injury, overuse, stress or illness. Arthritis and other types of inflammatory pain also fit in this category. Nociceptive pain tends to get better over time, except for arthritis. With this type of pain, inflammation triggers nearby nerves, resulting in aching or throbbing pain. 

  • Neuropathic pain: Neuropathic pain, or nerve pain, originates in the nervous system, and is chronic in nature. It often feels like pins and needles, an electric shock, or a burning sensation. Some common causes of neuropathic pain are carpal tunnel syndrome, post-shingles symptoms, sciatica or pinched nerves, diabetes, and chemotherapy treatment. 

  • Nociplastic pain: A relatively new category for pain that doesn’t fit well into the other two categories. Fibromyalgia, non-specific low back pain, irritable bowel syndrome, and pain associated with and exacerbated by centralized and peripheral sensitization are all examples of nociplastic pain.

THC or CBD? It Depends on the Person and the Type of Pain

Before we jump into the pros and cons of THC versus CBD, we have to mention that to some extent, every human body is different. Cannabis plant compounds (cannabinoids) work on the CB1 and CB2 receptors in your body’s endocannabinoid system (yes, that’s a real thing!). Your body even makes its own cannabinoids.

Everyone’s endocannabinoid system is just a bit different, just like everyone has their own pain tolerance levels. Keep this in mind if your neighbor recommends a specific product that ends up not working for you.

However, we can share some general guidelines for using CBD and THC for pain.

CBD: Many people successfully use CBD products to reduce inflammation-based pain . Full spectrum CBD hemp products containing all the plant compounds, including less than 0.3% THC, tend to be the most effective, since minor cannabinoids, terpenes, flavonoids and essential fatty acids work together synergistically to create the “entourage effect.”

CBD has potent anti-inflammatory properties that can help reduce either acute or chronic inflammation. CBD also works as a muscle relaxant and has been shown to reduce muscle spasms associated with MS and other health conditions.

By reducing inflammation, CBD indirectly helps reduce pain. However, it doesn’t bind directly to the receptors that control pain like an opioid does. For that, you need a different cannabinoid, THC.

THC: We’ve heard a lot of people immediately rule out products with THC because they’re concerned that it will make them act silly or that they’ll get too high.

It’s important to know that small amounts of THC may have minimal intoxicating effects. At the same time, THC—even small amounts—can be a gamechanger when it comes to pain.

THC acts on the same receptors in your body that opiates do; however, you don’t get some of the problematic side effects that opiates can bring—nausea, constipation, and risk of physical addiction.

Close-up of clinician’s hands, with one hand holding cannabis flower and the other holding pills, showing different options.

Cannabis Compared to Opiates

Ironically, long-term use of opiates for chronic pain can make you more sensitive to pain—an effect called opioid-induced hyperalgesia. What’s the recommended protocol in response to opioid-induced hyperalgesia? To wean off of opiates and find a safer alternative for managing pain. Cannabis is showing promise on this front, based on emerging research.

Cannabis does not cause pain sensitization but in fact can help treat it. While THC and other cannabinoids work through the same receptors that opiates do, the way that they reduce pain—their chemical process—is different.

Neuropathic pain is difficult to treat even with conventional pharmaceuticals. Generally, opioid use for chronic neuropathic pain is ineffective. One study considered the risk and benefits of opioids for the treatment of neuropathies and stated that “long-term opioid therapy didn’t improve the functional status but rather was associated with a higher risk of subsequent opioid dependency and overdose.” 

If you are going to try cannabis for your neuropathic pain, many different ratios and cannabinoids may need to be explored before finding something that may ease some of the pain so you need to manage your expectations accordingly.

Group of five young adult friends with two dogs walking across field at sunset, healthy and happy.

The Goal: To Restore Function

We wish that we could tell you that CBD or THC products will completely eliminate all pain; however, that’s not the case. If there were a magic one-size-fits-all cure for pain, the pharmaceutical companies would’ve discovered and patented it by now!

Instead, when we talk to people on the hotline, we always set the goal to reduce pain to a manageable level and restore function. When you restore function, you open the possibility of adding on additional supportive activities such as exercise and relaxation that further promote healing.

In our next post, we’ll take a closer look at the best CBD:THC ratios and products for pain. We’ll also talk about how to layer different products to provide optimal short-term and long-term pain relief. Check back next week for more information!

Can’t wait to get started? Our FREE Leaf411 hotline is available now to answer your questions about using cannabis to manage pain. Call us at 844-LEAF411 (844-532-3411).

The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.


Talking to Your Partner about Cannabis

Cannabis has gone mainstream. Medical marijuana is legal in over half the states. Also, recreational use is legal in 11 states as well as in the District of Columbia and all of Canada.

Cannabidiol (CBD) hemp products containing less that 0.3% tetrahydrocannabinol (THC) are legal at the federal level, and widely available online and in retail outlets in almost all states. Compliant CBD hemp products should not get you high (cause impairment or intoxication), but offer many health benefits.

As legalization has spread, so has acceptance. According to a November 2019 Pew Research poll,  67% of Americans say marijuana should be federally legalized. This support exists across all age groups except for the Silent Generation, made up of people over the age of 75.

The shifting public attitudes might not be reflected in your own home, though.

How do you talk to your significant other if you’re curious to try cannabis but don’t know what they’ll think? This can be especially tricky when your partner has negative experiences, fear or preconceptions about cannabis.

Know Why You Want to Use Cannabis

Before you broach the topic with your partner, take stock of why you want to try cannabis. Are you “canna-curious” and interested in seeing what options exist in the legal marketplace? For example, some people are turning to THC-infused drinks and other products as alternatives to wine or beer.

Many people also seek out cannabis based on growing research about the plant’s health benefits.

Remember that cannabis is not a cure-all or magic pill. However, it can serve as a powerful tool.

Anticipate your Partner’s Concerns

Many of us had less-than-ideal experiences with marijuana in the past, when it was illegal everywhere. Product quality was iffy at best, and you never quite knew what was in the flower (buds) you were smoking. If you got caught, you faced legal charges, fines and even jail time, along with a criminal record.

Keep this recent history in mind when you bring up cannabis to your partner. Even someone with past cannabis experience may respond with skepticism at first, given the nature of their previous experiences.

You can address these concerns by talking about how state regulations provide more oversight and consistency in products sold at legal dispensaries.

While CBD products sold in retail outlets and online are not subject to this same level of oversight, most high-quality manufacturers provide Certificates of Analysis (COAs) with test results for their products to see exactly what makes up that particular product. 

Stigma: The Elephant in the Room… On the Couch Eating Chips

Cannabis still suffers from stereotypes, despite the fact that more athletes, businesspeople, and other high achievers are openly embracing the plant.

When you tell your partner you want to try cannabis, they may immediately picture you glued to the sofa with a bag of Doritos. Those old stereotypes are tough to shake!

Dr. Dave Gordon, founder of 4Pillars Health & Wellness, addressed some of these stereotypes in his recent interview with Leaf411.

“A lot of the cannabis propaganda that people have heard over time is just wrong,” he says. “The perfect example is when someone asks, ‘Is cannabis going to cause me to lose my brain cells?’ … Actually, the science shows that cannabis is probably going to protect your brain.”

You can read more from Dr. Dave on common misconceptions and what the research says about cannabis here.

Putting Cannabis in Context of Lifestyle Changes

When talking with your partner, put your interest in cannabis in context with other areas of your life, explaining how it fits with other goals and priorities. For example, if your goal is to improve your sleep, share other lifestyle changes you’ll be trying along with cannabis, like limiting screen time before bed.

Also, you can point out that while we try many new things in our lives, very few (if any) become all-encompassing. For example, when you took up running, it didn’t mean you were suddenly skipping work to spend all day out on the trails. Your experience with cannabis will likely follow a similar path, becoming a balanced activity, not a problematic one. 

Religion and Cannabis

Cannabis prohibition in the United States has always carried a strong moral undercurrent, using language such as “devil’s lettuce,” and stereotyping cannabis users as lazy stoners.

Most of today’s religions are against recreational use. Medical marijuana, on the other hand, is where many religions (but not all!) have shown more openness.

If your partner’s concerns are based on religion, try to understand their perspective. They may be concerned that you are not treating your body with respect, or that your use will be excessive and sinful.

If you’re only interested in using cannabis for recreational purposes, you’ll have a tough argument to make.

However, if you’re seeking cannabis for health purposes, consider framing your perspective to address your partner’s concerns. For example, talk about how you are seeking alternatives to prescription painkillers that have harmful side effects.

Also, you can point out that your goal is to heal, not to get high, and what that means for you.

For example, you might be starting with CBD hemp products that are federally legal and have no intoxicating effects. If you’re using products with THC, you might talk about how you plan to start low and go slow with dosing, an approach recommended by Leaf411 nurses, Dr. Dave and other cannabis health practitioners. A big misconception is that you need to feel high (intoxicated) to reap the medicinal benefits. This is not the case for most people using THC.

Talking About Substance Abuse Concerns

Substance abuse is a complex issue. You only need to look as far as a set of siblings, where one sibling becomes an alcoholic while the other does not, to see it’s not just a matter of genetics or upbringing. 

Your partner may understandably be concerned if they’ve had friends or family members who abused marijuana. Anything can have an abuse potential, from food to alcohol to cannabis, so explaining your intention is key.

It doesn’t help, either, that the Food and Drug Administration (FDA) lists marijuana as a Schedule 1 drug along with heroin, despite significant evidence that it is not nearly as harmful and has much lower potential for addiction. Part of the Schedule 1 designation is based on the FDA’s position that marijuana has no medical value.

This designation, ironically enough, limits the abilities of academic and medical professionals to conduct research on cannabis’s potential health benefits.

In other words, the FDA requires clinical research to support moving a drug down to a lower level on the schedule; however, due to FDA restrictions, it’s extremely difficult for researchers to conduct the very studies that the FDA requires.

Can someone become dependent on cannabis? According to Dr. Robert Navarra, a psychologist at the Gottman Institute, substance use and addiction fall on a spectrum. About 9% of people who use cannabis will develop cannabis use disorder which means they are dependent on—but not addicted to—cannabis. To put that in perspective, researchers estimate that approximately 30% of Americans have alcohol use disorders.

Respond to your partner’s concerns by talking about what your overall goals are in using cannabis, as well as how this plant-based tool fits in with other strategies you’re trying. If you’re embracing the start low and go slow approach, you can share that knowledge with your partner as well. Your goal is to find the right amount for your purposes.

CBD and Marijuana Health Concerns

In January 2020, new research came out from the American College of Cardiology showing that cannabis may interact with certain cardiac medications.

If your partner saw that study in the news, or other past news about the FDA questioning the safety of CBD, they might have hesitations, especially if you regularly take prescription medications.

We agree that it’s imperative to check with a medical professional before adding any new medicine to your ongoing regimen. You can check out our recent post on the subject here.

Our Leaf411 registered nurses are also available to talk to you or your partner about potential medication interactions with cannabis.

Legal Cannabis and the Workplace

First, we’ll say that if you live in a state without legal recreational or medical marijuana, then we strongly encourage you to limit yourself to CBD hemp products which are federally legal. CBD hemp products may provide many cannabis plant benefits, minus the intoxicating effects of THC.

CBD hemp is also legal at the state level nearly everywhere. (Idaho, Nebraska and South Dakota are the exception.)

Even in a fully-legal state with recreational and medical marijuana, your partner may have legal concerns.

For example, a med card or state legalization doesn’t serve as a defense against positive drug test results in the workplace.

If you work in a job that requires drug testing, then we recommend looking for CBD products that clearly state “No THC” on their label. Verify the product quality and contents, as well, by reviewing the manufacturer’s COA listing the lab test results. Be sure to share this information with your partner as well, so they can understand how you’re taking steps to use safe products.

Is your partner worried that secondhand marijuana smoke could cause them to fail a drug test? This is a common concern. We’ve reviewed the research and haven’t been able to find any published studies that passive or incidental exposure will result in a positive drug test.

Offer Cannabis Resources and Education

Does your partner know the difference between full-spectrum CBD hemp containing under 0.3% THC versus marijuana products with higher THC levels? Do they understand that you don’t need to smoke marijuana for it to be effective?

Check in with your partner to make sure that you’re both talking about the same thing. They might assume that you plan to smoke or vape marijuana flower that will get you high, while you’re actually planning to start with an edible or oil that contains more CBD than THC.

Your first instinct might be to answer your partner’s questions with “Google it.” However, there are thousands of websites offering misinformation on both sides of the cannabis debate.

That’s one reason we formed the Leaf411 nonprofit hotline—to provide a trustworthy resource to the public, providing medically-sound, balanced information.

Our Leaf411 library is a good starting point, offering a list of resources providing a balanced view.

Our registered nurses who staff the FREE Leaf411 hotline are also a great resource. You don’t have to be a cannabis user to call us. We take calls from many non-cannabis users, including spouses, family members, and clinicians who are simply seeking more information to help their patients.

Creating Shared Expectations Around Cannabis Use

It’s important to talk to your partner about how, when and where you plan to use CBD hemp or marijuana, coming up with a plan that both of you can live with.

Some people simply don’t like the smell of marijuana. They may worry that it will cause everyone in the house to smell like they’ve been smoking, or that neighbors will notice the smell. This is a legitimate concern!

Fortunately, there are many alternatives to smoking, including vapes which produce less odor, as well as edibles, tinctures, and even transdermal and topical products.

Other areas you’ll want to discuss are listed below. Your decisions will likely be shaped in part by why you’re using CBD hemp or marijuana. For example, if your goal is to reduce social anxiety, then it won’t be especially helpful if your partner insists that you only use cannabis at home after everyone else is in bed.

Kids: Whether or not to use cannabis around your children is both a highly personal decision, and also a hotly-debated issue. Pediatricians express concerns about secondhand smoke, as well as risks with parents being intoxicated with any substances, including cannabis, while caregiving. On the other hand, more parents like Kaycee Bawdon are speaking out about responsibly using cannabis while parenting. Many parents point out that drinking alcohol around kids is widely accepted, even though it is a more dangerous substance. As a starting point for discussing this issue with your partner, check out this article to read rules different parents have set around using cannabis at home.

Visitors: For many of us, marijuana was a common presence in our younger days. Visit a friend’s dorm room, and they might offer you a hit off their bong. Of course, many dorm room relics no longer fit in our lives.

While many adults enjoy the social aspects of modern cannabis culture, others prefer to keep their use private. Talk to your partner about how to handle this issue in your home, recognizing that different situations may call for different rules.

A Few Final Thoughts on the Importance of Trust

Your partner may not be the biggest fan of cannabis, but hopefully they will respect and support your right to use CBD hemp or marijuana products in a legal, safe, responsible manner. You can help the cause, so to speak, by being truthful about your use. Nothing creates mistrust faster than sneaking around and lying.

Respect is a two-way street. If your partner chooses to not use CBD hemp or marijuana, it’s important for you to respect their decision. Resist the urge to pressure them to try your new vape “just one time” even if you think they’d love it.

Need Help Starting the Conversation?

Our Leaf411 cannabis-trained nurses are available to provide balanced education and guidance on safe, legal cannabis use. We’ve even had couples call and put us on speaker phone, so they could both be part of the conversation!

We encourage you or your partner to call us with your questions at 1-844-LEAF411 (844-532-3411).

The Leaf411 cannabis nurse hotline provides free education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.


Planning Your First Dispensary Visit

If you’ve never visited a recreational or medical marijuana dispensary before, it can be stressful knowing where to start. How do you choose the best dispensary for your needs? What methods of payment do they take?

We’ve all been there at one point! Leaf411 board member Ella Cressman recalls her first dispensary visit in the video below. Ella is the founder of HHP Collective, and is a licensed esthetician who has extensive training and experience formulating cannabidiol (CBD) topical products.

Finding a Good Dispensary

It seems like Google has everything covered these days, and marijuana dispensaries are no exception. You can search “dispensary near me” to find nearby options. The results typically include Google reviews and photos that provide a sense of product quality and store atmosphere. The dispensary website will also be listed, where you can find more information on the type of dispensary (recreational or medical), hours of operation and other details.

The Leaf411 resource guide is also a great place to check. Our supporting members have been fully vetted to ensure they are compliant with all regulations, and are committed to providing consistent, high-quality products along with attentive customer service.

There are a few online directories like Leafly that list dispensaries along with reviews and product menus from many locations. It’s important to know that companies pay to be listed and promoted on Leafly, so the amount of information about specific dispensaries may vary. 

Want to make new friends while visiting a dispensary? Consider taking a tour!

Katherine Golden, RN, Leaf411 CEO, touring the Seed & Smith’s cannabis cultivation facility.

A Great First-Time Option: Tour a Dispensary

A growing number of dispensaries offer free tours where you can learn more about their products. Leaf411 member Seed & Smith offers 40-minute tours showing their grow facilities, and how they harvest, process and extract cannabis for concentrates. You can even smell fresh terpenes on the tour!

Many community centers and senior programs also offer guided tours of local dispensaries (only in states with legalized marijuana, of course). These tours are popular with seniors who are curious about cannabis for health and wellness. 

Looking for Specific Cannabis Products?

If you’re looking for a specific product, you can use Leafly or the product manufacturer’s website to find nearby dispensaries that sell what you’re looking for. Check out Leaf411’s cannabis manufacturer listings to find high-quality products made by our supporting members.

Remember that marijuana products containing over 0.3% THC cannot be shipped for sale across state lines. If you’re eyeing a high-THC edible made by a company based in Oregon, chances are that it won’t be available outside of Oregon unless the company is a multi-state operator (MSO) with licensed production facilities in other states. For example, our supporting member Altus produces gummies and tablets that are sold in both Colorado and Nevada, and the incredibles brand is available in Colorado, Illinois and Oregon.

Making Your List Before You Go

Visiting a dispensary can feel a bit like being a kid in a candy store, especially when you’re checking out the edibles!

We suggest that you review the dispensary’s menu online before visiting. Use it to make a list of products you’re interested in. You can also list your questions and priorities—like wanting a flower strain that has high amounts of linalool (the terpene that’s also found in lavender).

Need help sorting out all the options? Our Leaf411 nurses can help at no cost to you through our hotline 844-LEAF411 (844-532-3411). Our priority as an education-focused nonprofit is always to find the best options for our callers. We don’t get commissions for recommending one product over another.

Things to Take on Your First Dispensary Visit

You’ve made your list and found a dispensary that you’re excited to visit. Before you head out the door, make sure you have the following:

  • Government-issued identification: Valid government-issued photo identification is required to verify you are 21 or over (or 18 or older with a med card). Your ID will be checked several times during your dispensary visit (more on that below)
  • Med card: Depending on the dispensary, you may need to bring a medical marijuana card. In states with only legal medical marijuana, a med card is required to shop at dispensaries and legally possess marijuana.
  • Cash: Cash is king at most dispensaries. This is in large part due to federal banking restrictions preventing dispensaries from accepting credit card payments. Some dispensaries provide onsite ATMs in their lobbies, or even the ability to use your debit card and pin at the register. However, ATMs can break down or run out of cash. Your best bet is bring enough cash to cover your purchase.
  • Don’t forget sales tax when planning on how much cash you’ll need! Sales tax on recreational marijuana is much higher than sales tax at the grocery store. States set their own tax rate, then counties and local municipalities add on additional taxes as well. The marijuana sales tax rate can range from 5% to almost 50% sales tax, depending on the dispensary’s location. When you visit a dispensary, be sure to ask if their prices include sales tax, or if it’s added on at the end when you check out.

When You Arrive at the Dispensary

Walking through the dispensary door can be a scary moment. Odds are that you’ll find a smiling, helpful face on the other side, though!

  • When you first arrive, a receptionist will check your government-issued ID. They may also scan it into their system. This is so they can track the total amount of product you’ve purchased from their company within a day. States have different limits on how much residents and out-of-state visitors can buy each day. Dispensaries can face stiff fines and even jail time if they allow customers to abuse the daily limits.
  • If you are a medical marijuana patient, you’ll also need to share your med card
  • After you check in, a budtender will be assigned to help you. If the dispensary is busy, you may have to wait a few minutes before one is available. Many dispensaries like our members Lightshade, Seed & Smith, and Smoking Gun have comfortable waiting areas with clean restrooms, cannabis periodicals, dispensary menus, and educational information to read.

A Different Shopping Experience

Your budtender will meet you in the waiting area and take you into the main dispensary area. Many states require the budtender to check your ID again, and even ask you questions to verify the ID really belongs to you. Don’t be surprised if you get asked your zip code, eye color or other details from your ID.

After your identity is confirmed, the budtender will ask what you’re looking for. This is where your list comes in handy! You might also want to mention that it’s your first dispensary visit, so that the budtender can make sure to explain the buying process as well as any limits on how much you can buy in a day.

Dispensary Dos and Don’ts

Shopping at a dispensary is different than any other retail experience. This is mostly due to laws which vary from state to state. In Colorado, for example, budtenders can hold open a jar of marijuana flower (buds) for you to smell. In California, though, the laws require flower to be packaged and sold in sealed containers. 

No matter where you’re shopping, the following list of dos and don’ts apply.

Do:

  • Bring a positive attitude and open mind. Budtenders help a lot of people who are new to cannabis. They don’t expect you to be an expert!
  • Bring your list along with your questions. While budtenders cannot provide medical advice, they can share product information and other customers’ experiences with different products.
  • Ask the budtender if they’ve tried a product that you’re curious about. You may be surprised at how candid their reviews are.
  • Ask before reaching out to touch or smell a product. 

Don’t:

  • Don’t talk about buying products for other people unless you are the designated caregiver shopping for a medical marijuana patient. State laws prohibit you from sharing your own medical marijuana with others. Recreational marijuana can be gifted to another adult within the same legal state; however, it cannot be sold, even at cost. Why is this? State regulators are concerned about products ending up on the black market or in the hands of young people.
  • Don’t ask about taking product out of state. It’s illegal to transport marijuana across state lines, since federal laws prohibit interstate transport.
  • Don’t ask for samples. Onsite consumption of products is strictly prohibited at dispensaries. 
  • Don’t feel pressured to buy something that doesn’t feel right for you. This is where your list comes in handy, keeping you on track. If the budtender is pushing a product you’re not interested in, you could say, “Thanks for that suggestion. I’ll check it out at a different time. But today, I’m looking for something else.”
  • Don’t ask for medical advice. Budtenders are prohibited from providing medical advice, and the majority do not have a medical background. However, the cannabis-trained RNs at Leaf411 are qualified to answer your medical questions!

Our Leaf411 button for budtenders to wear. It says “Not a Doctor. Ask a cannabis nurse for free at 844-Leaf411”
Our Leaf411 buttons remind budtenders and customers about our free nurse hotline.

Join us on our Facebook page to share your first dispensary visit stories or questions!

The Leaf411 cannabis nurse hotline provides free education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.


Terpenes and THC: Why Terpenes Matter More Than You Think

If you visit internet forums, you’ll find countless questions like, “What’s the best marijuana strain for pain?” or “What’s the best daytime strain for me?”

In this post, we’ll help you find the best product for your specific needs by taking a look at the role that terpenes play in cannabis’s effects. (Not sure what terpenes are? Check out our previous post here.)

Why do terpenes matter? Isn’t it just a matter of finding the plant with the most THC? 

The short answer: No. It’s not all about THC or even the type of strain.

Many people compare the THC or CBD to a singer in a rock band. Sure, they lead the show, but without all the other instruments, the experience would be very different!

Different Cannabis Types: Sativa, Indica, and Hybrid

Step into a legal marijuana dispensary or look online at their menu, and you’ll find many different product choices. (We use “marijuana” when talking about cannabis containing >0.3% THC.)

Cannabis is usually divided into three general groups—sativa, indica, and hybrid. Within each of these groups, you’ll find different strains (scientifically referred to as “chemovars”).

What makes all these strains’ effects so different from one another? You might be surprised to find out it’s not whether the strain/chemovar is classified as a sativa, indica or hybrid, or even the amount of THC.

Illustration showing differences between cannabis sativa, indica and ruderalis plants.

Sativa, Indica or Hybrid Plants: The Scientific Perspective

There’s ongoing debate if the cannabis plant includes several distinct species or not: cannabis sativa, cannabis indica, and cannabis ruderalis. Scientifically speaking, these three different types of cannabis have a lot to do with how the plants grow, and not so much on the plants’ therapeutic effects.

Sativa plants grow taller with narrower leaves, while indica plants tend to be shorter and bushier with wider leaves. Ruderalis is a much smaller low-THC plant that you won’t likely find in dispensaries.

Indica plants tend to be easier to grow due to their compact size and shorter flowering season. This has made indica more popular among growers. Indica plants are crossed with sativa plants to create hybrids that improve plant growth and harvest yields. In other words, most cannabis today is a hybrid, combining genetics from indica and sativa strains.

If that’s the case, then why do so many people reference various cannabis strains/chemovars as being sativas, indicas or hybrids?

When most people reference a particular strain/chemovar as being a sativa, indica or hybrid, what they are really talking about is the therapeutic effects the plant will deliver.

Sativa strains/chemovars have a reputation for being uplifting and energizing, while indica strains/chemovars are known to be more sedating. Hybrid strains combine elements from both sativa and indica strains/chemovars.

Those effects are the result of all the plant compounds working together, including the plant terpenes, not simply the particular strain or THC/CBD content.

How Marijuana Strains Are Alike

All cannabis strains contain THC and CBD. In fact, a recent study showed that the levels of THC and CBD are almost the same in about 75% of marijuana, regardless of strain or even whether it’s classified as a sativa, indica or hybrid. (A few high-CBD marijuana strains exist that are the exception to this rule.)

The Blue Dream strain/chemovar and the Sour Diesel strain/chemovar both contain about 19% THC and very little CBD. However, your experience using these two strains will likely be very different. Why is that?

What Makes Strains Different: Terpenes

Remember how we said that THC and CBD are like a lead singer in the band?

To continue that example, the other plant compounds are like the rest of the band, adding to the experience. And if you change up the band, then the experience can be very different.

If you’ve ever heard a singer do a special performance with a symphony instead of their regular band, then you know the difference that the other instruments play in setting the mood and shaping the experience.

Likewise, marijuana strains with similar THC and CBD amounts have different minor cannabinoids and terpenes which create very different effects.

Let’s look again at Blue Dream and Sour Diesel, the two strains/chemovars with very similar amounts of THC and CBD, to see how this works:

In the Blue Dream strain, the myrcene terpene is dominant, with pinene as well. The myrcene creates a relaxing, anti-inflammatory effect, while the pinene also addresses inflammation and pain.

Leaf411 member Lightshade’s Blue Dream hybrid strain features a blend of myrcene and a-pinene terpenes
Lightshade’s Blue Dream Strain (Blueberry x Hybrid Haze)

Sour Diesel, on the other hand, is dominated by caryophyllene and limonene terpenes. The caryophyllene and limonene contribute to this strain’s reputation for being energizing and uplifting, reducing depression and pain.

Leaf411 member Lightshade Dispensary’s Sour Diesel hybrid strain includes β-caryophyllene and limonene terpenes.
Lightshade’s Sour Diesel Strain (Original Diesel x DNL)

Finding the Right Terpenes

How do you find a strain/chemovar that contains a specific terpene? Leafly offers a “Find Your Strain” tool that can help you identify strains by terpene profile.

A few dispensaries, including our supporting member Lightshade,  include terpene profiles online with their flower products; however, many dispensaries do not.

Budtenders should be able to help answer questions about strains which feature specific terpenes. In some states, including Colorado, you can even smell the flower in the dispensary, allowing you to identify the dominant terpene strains with your own nose.

Max Montrose from Trichrome Institute explains how smell can lead you to the strongest terpenes in the video clip below.

Growing Seasons and Conditions

If you eat fresh fruit or vegetables, you know that growing conditions and the time of year can make a big difference in the flavor. The same goes for marijuana flower.

Each state with legal recreational and/or medical marijuana has different laws restricting who can grow and where they can grow. Growing outdoors is a popular option, though companies face challenges posed by weather, pests and disease. While growing indoors provides more control, it’s also quite a bit more expensive. Indoor growers also face challenges with mold and spider mites.

How Terpenes Are Affected by Growing Methods

Individual growers can end up with very different results from the same strains based on where and how they grow and harvest their plants.

Let’s go back to our Sour Diesel example. Imagine that two different companies are growing this strain.

  • One grower might be focused on producing the most flower for the lowest price. Their Sour Diesel flower will contain all the cannabinoids and other plant compounds found in this strain/chemovar. However, it’s very likely that their product will lack the strong terpenes that come from careful cultivation and harvesting.
  • Another grower might take those same Sour Diesel seeds, but use different growing methods designed to maximize all the plant compounds, including the terpenes. It takes more time and effort (and money!) to create high-quality flower. Though this flower costs more, you get bigger benefits and may even have to use less to achieve your health goals.

You may even notice some variation in the same strain/chemovar sold at the same dispensary over time. These variations shouldn’t be extreme in high-quality products, however.

Tips for Finding the Right Marijuana Strain for Your Needs

The different options may have you feeling overwhelmed at this point! However, it’s a big improvement from the old days of buying a bag of mystery buds without any knowledge of where they came from or what they contain.

Here are some tips to help you find the best flower strain/chemovar for your needs:

  • Start with your specific goals and then find a product that fits, not the other way around.  
  • If you need help matching your goals to terpenes and cannabis strains/chemovars, give Leaf411 a call at 1-844-LEAF411 (1-844-532-3411). Our cannabis-trained nurses are happy to help with your questions!
  • Remember that the THC levels are similar across most strains/chemovars, unless the strain is specifically grown to be high CBD. The terpenes are what create different effects. 
  • Focus on plant terpene profiles, not whether the strain/chemovar is listed as an indica, sativa or hybrid.
  • Ask a budtender for help finding strains with specific terpene profiles.
  • Find dispensaries that have a reputation for selling high-quality flower. You can check the Leaf411 member directory for dispensaries we’ve vetted that are committed to sourcing top-of-the-line products. Online reviews are also helpful.

In our next post, we’ll provide more information to help you prepare for your first dispensary visit. Be sure to check back next week!

Subscribe to our newsletter below and stay up-to-date on Leaf411 events and information. 

Have questions about terpenes? Our nurses can help! Call our free, anonymous hotline at 844-LEAF411 (844-532-3411).

The Leaf411 cannabis nurse hotline provides free education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.


What Are Terpenes?

You likely have heard of cannabidiol (CBD) and tetrahydrocannabinol (THC).

But how about terpenes? These compounds play an important role in the cannabis plant’s health benefits.

Understanding the therapeutic effects of specific terpenes can help you find the right cannabis product for your needs.

Lemons, black pepper, basil, rosemary, cinnamon and other herbs on a table. Many spices and herbs contain beneficial plant compounds called terpenes.

Terpenes: The Plant Compounds You Already Know

Do you use lemon peel in your baking? Or have you found that lavender products help you relax?

Lemon, lavender and many other plants contain terpenes. Terpenes are aromatic molecules that help give certain plants their distinctive smells. These compounds also have therapeutic benefits.

For example, you’ve probably seen essential oils, candles, and even sleep masks that contain lavender for relaxation. The terpene linalool is one source of both lavender’s distinctive scent and relaxing effects.

Many people also use citrus-based scents, like lemon, for a mood lift and energy. The lemon smell comes in part from limonene, a terpene contained in citrus peels.

Cannabis also contains many familiar terpenes, including linalool and limonene. These terpenes add to the plant’s therapeutic benefits.  

Terpenes and the Entourage Effect

Cannabis flower (buds) and full spectrum products contain many other cannabinoids in addition to CBD and THC. They also contain different beneficial plant compounds, including terpenes, flavonoids and fatty acids. All these plant compounds work together to create an “entourage effect,” providing synergistic benefits beyond what a single compound could provide.

Boosting Your Health with Plant-Powered Terpenes

Have you heard of forest bathing? This practice involves spending quiet time in a forest, engaging all your senses, including your sense of smell. The practice began in Japan, where it’s called shinrin-yoku. Forest bathing reflects research showing how we benefit physically and mentally from time in nature. In fact, scientists are finding that both plant essential oils and terpenes—airborne plant compounds—play a central role in nature’s positive impact on human health.

The terpenes alpha-pinene and beta-pinene are found in many evergreen forest trees, contributing to forest bathing’s positive health impact. They’re also present in some cannabis plant strains.

Pinene isn’t the only terpene out there, though! Thousands of different terpenes exist in nature, and many different terpenes have been found in the cannabis plant.

Common Cannabis Terpenes

Some of the most common terpenes found in cannabis are listed below. It’s important to note that plants can contain multiple terpenes.

  • Myrcene: Commonly found in cannabis strains/chemovars as well as in basil, lemongrass and ylang ylang. Myrcene helps promote sleep and may also reduce inflammation.
  • Limonene: Well-known for providing a mood lift while reducing stress and anxiety, all by elevating serotonin levels in the brain.
  • Linalool: Shown to reduce anxiety and depression, while also improving sleep quality. Linalool is also being tested in clinical settings to help reduce pain and nausea following surgery.
  • Pinene: Found in evergreen trees, and also in many cannabis chemovars, pinene has anti-inflammatory and respiratory benefits.
  • Beta-Caryophyllene: Found in black pepper, oregano, and cloves as well as cannabis. Beta-caryophyllene (also referred to as “caryophyllene”) is unique among terpenes found in cannabis, because it can bind directly to CB2 receptors which are located throughout your body. Caryophyllene is being studied for its impact reducing inflammation and pain, as well as its potential to protect age-related cognitive decline.
  • Alpha-Caryophyllene (Humulene): Also found in hops, humulene works together with caryophyllene to reduce inflammation. It also can suppress appetite.

Terpenes and Heat

Terpenes are affected by temperature. 

The evaporation point is when terpenes start releasing volatile compounds, usually between 70-100 degrees Fahrenheit (°F). If you’ve ever walked through an herb garden on a sunny day, you’ve likely noticed you can smell the plants more strongly. That smell is in part due to terpenes.

When plant terpenes reach their boiling point, they are fully vaporized. This is at a much hotter temperature, over 300°F, though boiling points vary between different terpenes.

Terpenes are released when cannabis is smoked. Lighters need to produce a very hot flame in order to ignite materials—in fact, the temperatures on a lighter flame can range from 430°F to over 2,000°F. The temperature of a lighter flame is hard to control. Also, combustion can destroy many of the beneficial plant compounds as a result of the high heat.

As an alternative, some people prefer vaping cannabis flower so they can more precisely control the temperature to maximize terpene release. Some cannabis users describe this control like having a volume control on a radio. Lower temperatures create a quieter, more subdued effect, while hotter temperatures will give you a more intense result, in large part due to which terpenes are released. 

Our “How to Use Cannabis” post provides more details.

Terpene Benefits in Topical Products

Terpenes provide  numerous benefits without the addition of heat. After all, you don’t have to smoke the forest to gain benefits from forest bathing!

As we mentioned before, terpenes become available through evaporation that occurs at lower temperatures than smoking or vaping. 

Research supports aromatherapy’s impact on the body’s limbic system to positively impact mood and recovery. And one of the key components in aromatherapy essential oils is terpenes! 

Our understanding of how these plant compounds contribute to the therapeutic benefits of cannabis is growing every day. Experts such as Jordan Person, LMT, LPN, continue to look at how to combine the benefits of cannabinoids such as THC and CBD with specific terpene profiles to achieve maximum relief. For example, she discusses how a cream containing both CBD and limonene helps to provide uplifting recovery following vigorous outdoor activities.

Using Terpenes in Edibles and Tinctures

The cannabinoids (THC and/or CBD, along with other cannabinoids) provide the strongest effect you feel with edibles, tinctures and swallowed pills. However, terpenes also add nuanced effects.

How does this work?

A full-spectrum CBD tincture made for sleep might be made from hemp with high levels of linalool. On the other hand, a full-spectrum CBD tincture designed for focus may have higher amounts of caryophyllene and limonene. The amount of CBD in each product may be the same, but the effects are different thanks to terpenes. (We’ll dive deeper into the connection between terpenes, cannabinoids and different cannabis strains in our next post.)

This video below provides a good explanation of the science behind terpenes in edible products.

The Connection Between Terpenes and Cannabis Strains/Chemovars

You may be wondering about the connection between terpenes and cannabis strains (also called chemovars). Does an indica strain contain more linalool than a sativa? What strain has the highest caryophyllene amounts?

In our next post, we’ll look at the connection between terpenes and cannabis strains/chemovars.

Subscribe to our newsletter below and stay up-to-date on Leaf411 events and information. 

Have questions about cannabis? Our nurses can help! Call our free, anonymous hotline at 844-LEAF411 (844-532-3411).

The Leaf411 cannabis nurse hotline provides free education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.


Do You Need a Medical Marijuana Card?

“Should I get a medical marijuana card?” We hear that question a lot on the Leaf411 cannabis nurse hotline, as callers seek out the best way to access legal cannabis.

We can help you sort out your options based on your needs as well as what options exist where you live. Check out our Leaf library for your state’s current cannabis laws.

Is Legal Recreational Marijuana an Option for You? Then You Might Not Need a Med Card

Many of our callers are just starting out using cannabis and only require small doses of THC. Lower dose products are more easily found in recreational dispensaries. You don’t need a medical marijuana card (often called an “MMJ card” or “med card”) to visit recreational (rec) dispensaries, though you’ll need a state-issued ID as proof that you are 21 or older.

Also, it’s worth noting that cannabidiol (CBD hemp) containing less than 0.3% THC is federally legal. (Each state still has the authority to allow CBD hemp sales or not). CBD hemp products are available over-the-counter and online in nearly every state, no med card required! We’ll talk more about CBD later in this post.

If you’re just starting out with cannabis and live in a fully legal state that has both rec and medical marijuana, we suggest reaching out to a cannabis-trained clinician first for advice on the best routes, ratios and products. Our free Leaf411 hotline is a good resource! 

In many cases, these products will be available to you without a med card, saving you both the time and cost of applying for a card.

David Gordon, MD, a Leaf411 advisory board member and integrative medicine practitioner notes that, “In Colorado, a lot of the products that we might use for medicinal purposes are only available on the rec side. Companies aren’t making as many products for the medical side because it’s not as profitable.” 

While it can be challenging to find products made specifically for the medical market, we’re proud to have incredibles brand as one of our supporting members. The incredibles brand is committed to providing consumers with safe, consistently high-quality products.

Clinician writing a medical assessment on a clipboard

Understanding Med Card Qualifications

Before we get into cases when a med card makes sense, it’s important to talk about the qualifications for getting a medical marijuana card. Covered conditions vary from state to state. For example, in Colorado, the state list includes specific disabling or debilitating conditions. Oklahoma, on the other hand, is one of the least restrictive states. Their law leaves it up to the doctor to determine if cannabis is a good treatment option.

Check this link for an updated list of different states’ qualifying medical conditions.

When a Med Card Makes Sense

Some states only legalized medical marijuana, not recreational use. If you live in one of these states, then your only option for accessing legal cannabis is by qualifying for a med card.

Med cards are also the only option for people under the age of 21 to access legal cannabis.

Keep reading for information on how to get a card, as well as how it’s different from getting a prescription for other medications.

It’s important to know what a med card gets you, as well as what protections it does not provide (you might be surprised!).

What a Med Card Provides in Some States

  • Access to products at lower cost than recreational dispensaries
  • Lower sales taxes when buying at a medical dispensary
  • Higher doses and higher limits on how much you can buy in a day
  • The ability to legally grow your own cannabis for personal use in some (but not all) states 

What the Med Card Doesn’t Do

It’s important to remember that all marijuana—medical and recreational—remains federally illegal, even when legalized at the state level.

Other Considerations Before Getting a Med Card

Will a med card restrict your right to own firearms? The answer is a tricky one.

Cannabis is federally illegal, and the feds oversee gun licensing and ownership. By the letter of the law, anyone using a federally illegal drug, or addicted to an illegal drug, is prohibited from owning or buying firearms. 

If you’re buying a gun, you typically must complete a background check—specifically, the Firearms Transaction Record, or Form 4473. This form includes a question specific to marijuana use, and reinforces the federal prohibition, asking:

Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?

Warning: The use or possession of marijuana remains unlawful under Federal law regardless of whether it has been legalized or decriminalized for medicinal or recreational purposes in the state where you reside.

In other words, if you answer truthfully (and you should—lying on Form 4473 is considered a felony offense!), then your background check may fail. 

At Leaf411, we’re nurses, not lawyers. We recommend that you consult with an attorney if you have concerns about whether your cannabis use will impact your right to own or buy firearms. 

A number of law firms now specialize in marijuana law. In fact, our board member David Wunderlich, Esq., Senior Attorney at McAllister Garfield, P.C., played a key role in improving Colorado’s laws around medical marijuana, and regularly speaks on cannabis and hemp issues. 

Medical marijuana use may also impact state-administered public assistance benefits such as Temporary Assistance to Needy Families (TANF) in states that drug test welfare recipients. Interestingly, in Missouri, having a med card can actually protect your benefits. However, the rules vary from state to state and are frequently being updated. We strongly suggest you ask your social service agency whether holding a med card would impact your public assistance benefits.

How to Apply for a Med Card

You’ve weighed the pros and cons, as well as options available in your area, and have decided to get a med card. Where do you start?

  • Search online using “med card” and your state to find state-specific information for obtaining a medical card in your area. Our Leaf411 nurses can also help via our free anonymous hotline at 1-844-LEAF411 (844-532-3411).
  • Check your eligibility, making sure you have a qualifying medical condition.
  • Confirm any special requirements, such as if you’re applying as the legal representative of another adult or someone under 18.
  • Note the process for obtaining a card, including required fees. In some cases, discounts may be available for specific patient groups. For example, Oklahoma provides a discount to 100% disabled veterans.
  • Find a doctor who provides medical marijuana evaluations. Your regular primary care provider may provide this service, though many primary care doctors may be unfamiliar with the med card evaluation process. Some states require that evaluations take place in-person, while other states allow phone or online evaluations.

Clinician holding pills in one hand, cannabis flower in other hand, visualizing how med card is different than prescription

How a Med Card and a Prescription Are Different

You may think that the med card evaluation process will be a lot like getting a prescription from your primary care doctor. In fact, that’s rarely the case! The doctor’s certification simply tells the state that you qualify for a med card based on their assessment of your health history and conditions. It doesn’t tell you which products to start with or how much to take.

When you schedule a med card consultation, it’s worth asking whether the provider provides guidance on using cannabis to treat your health condition. If they do not, you may want to seek out a cannabis doctor who provides this service, such as Dr. David Gordon, who we recently interviewed

You can also reach out to a resource like the cannabis-trained nurses at Leaf411 for suggestions on where to start.

A Note for Patients Living in States Without Legal Cannabis

Cannabis containing over 0.3% THC remains completely illegal in 17 states. However, federally-legal CBD hemp products containing less than 0.3% THC are legal in almost all states. Full spectrum CBD hemp products contain many beneficial plant compounds shown to impact a variety of health conditions. In fact, even in states with legal cannabis, we sometimes suggest starting with CBD hemp products for certain health concerns.

At Leaf411, our cannabis nurses emphasize the safe legal use of cannabis. When you call, we listen to your specific needs and concerns. We will help  find options and guide you to resources that best fit your lifestyle and health goals.

Call our free anonymous hotline today at 844-LEAF411 (844-532-3411).


Your New Year’s Resolutions – And How Cannabis Might Help

Look at the top New Year’s resolutions and you probably won’t be surprised. Most goals are focused on healthy choices—eating better, sleeping more, exercising. At their core, our resolutions are about finding better balance in our lives.

You might be surprised to learn that legal cannabis and hemp CBD can support your goals for better balance. The key is to use these products in moderation together with other positive lifestyle changes.

You Have an Endocannabinoid System – And It’s Made for Balance!

Your body already has a built-in system for maintaining internal balance (also called homeostasis)—the endocannabinoid system (ECS). This system exists in humans and most animals. It plays an important role in regulating metabolism, sleep, mood, and immunity, along with other functions.

Your body’s ECS contains two types of cannabinoid (CB) receptors: CB1 and CB2.

  • CB1 receptors are found in your central nervous system—primarily your brain and spine. These receptors play a role in memory, behavior, appetite, motor control, and perception of pain.
  • CB2 receptors exist throughout the body, helping to control inflammation and immune response.

Your body makes endocannabinoids which bind to the CB1 and CB2 receptors, signaling when your body’s system needs to take action to maintain or restore internal balance.

You can also use products which contain cannabinoids that interact with these same CB1 and CB2 receptors to help bring balance.

There are many different cannabinoids. These include cannabidiol, better known as CBD, and tetrahydrocannabinol, or THC. Both are present in cannabis. THC provides the “high” that many people associate with cannabis, while CBD doesn’t have any Intoxicating effects.

When thinking about the connection between your ECS and cannabis, it’s helpful to look at how you already use medicines to help your body. For example, your body generates pain-killing endorphins in response to pain, but you can also take ibuprofen to reduce pain and inflammation. With cannabis, the difference is that endocannabinoids (produced by your body) and cannabinoids (produced by the cannabis plant) are very similar to one another, which minimizes unwanted side effects.

Kickstarting Your Resolutions with a Good Night’s Sleep

Better sleep may not be on your list of New Year’s resolutions. However, being well-rested will definitely help you achieve your goals!

While many of us get the recommended amount of sleep each night, the quality of that sleep isn’t great for a lot of folks. The National Sleep Foundation reports that over a third of Americans report low-quality sleep.

Many people are discovering that cannabis and CBD hemp products help them relax, fall asleep, and wake up more well-rested. However, finding a product that works for you may take time, and the options can feel overwhelming!

If you are interested in using flower (the plant buds), start with indica-dominant or hybrid cannabis strains that are known to promote good sleep. These strains also contain beneficial plant compounds called terpenes that help with sleep as well.

Cannabis edibles designed for sleep are also an appealing option for many people. While edibles take longer to kick in than smoking or vaping, their effects also last longer. This means that if you wake up in the middle of the night to use the restroom, you might feel unexpectedly high. Edibles also have a reputation for causing brain fog in some people when they wake up, though this isn’t the case for everyone. Timing is key when consuming your product. Our nurses at Leaf411 can help guide you in the right direction for the best edible dosage and timing. 

Also, you’ll want to check the label on any edibles or tinctures for the full list of ingredients. Manufacturers sometimes add melatonin, valerian or other herbs to boost their product’s sleep-inducing power. It’s up to you to decide whether those added ingredients are needed or not.

Our founding members at 1906 have put exhaustive research and refinement into their formulation, Midnight, because sleep issues are one of the most prevalent health problems Americans face. Midnight’s key ingredient, corydalis, has been used for millennia, and works in several crucial ways which maybe why it’s 1906’s best-selling product!

Cannabis plays a useful role in improving sleep quality, though too much THC and CBD can be counterproductive, increasing alertness or anxiety, or leaving you feeling groggy the following day. If you experience any of these symptoms, you may want to look for a product with lower THC and CBD concentrations or try CBD hemp products instead.

Some people prefer products that don’t contain THC, either due to employment-related concerns with drug testing, anxiety or personal preference. CBD  isolate products provide a great alternative—but make sure you ask for a COA (Certificate of Analysis) prior to purchasing to ensure it has zero THC.

It’s important to note that CBD is not a sedative. It will not knock you out like a prescription sleep medication. Instead, CBD’s power comes from its potential to reduce anxiety and pain while also helping to regulate sleep. Hemp-based products are widely available online and in retail stores, eliminating the need to visit a dispensary (though many dispensaries may carry CBD products as well). Remember to look for reputable manufacturers who provide COAs to back up their product quality.

Our founding member Altus’s mission is to empower you to make the most educated and personal choice when selecting a cannabis product. They created helpful Pillars to categorize their products based on users’ needs. Their Ritual products are low-dose thc or non-intoxicating products designed for daily lifestyle needs. That includes maintaining endocannabinoid system balance, managing minor issues, and helping to get better rest. 

If you’ve ever talked to our Leaf411 nurses, you’ll know that cannabis is only part of the picture when it comes to better sleep. We also encourage you to look at underlying issues and bedtime habits that may be keeping you up at night. Even the strongest indica can only do so much, if your nighttime routine includes scrolling through drama-filled threads on Twitter, Facebook or Instagram

Our Leaf411 hotline nurses are happy to discuss the pros and cons of different cannabis sleep products with you. Call our free, anonymous hotline at 844-LEAF411 (844-532-3411) for guidance specific to your needs.

CBD-Powered Workout Recovery

Exercise tops many peoples’ lists of resolutions. Sadly, it’s a resolution that many people quickly abandon for well-known reasons: the goal isn’t specific enough; it’s not stated positively; or it doesn’t answer the “why”—that is, why the goal is important to you. Many articles provide helpful tips for sticking with your exercise goals (like habit tracking or setting specific goals or identifying why you’re doing it).

We have an additional suggestion for keeping your exercise resolutions: CBD. Waking up early on cold, dark winter mornings is hard enough without fighting against soreness from the previous days’ workout. Many professional athletes use CBD products for pain and post-game recovery. You don’t need to be a pro player to tap into the benefits of CBD, though!

Our founding members over at Arcanum have been dedicated to producing products that complement active lifestyles. They were the first company to sponsor a professional sports team in the United States and know a thing or two about recovery!  

Arcanum Edge’s Sarco Freeze topical cooling gel comes in two different strengths, and combines CBD with arnica, menthol and other herbs to provide immediate post-workout relief while also soothing sore muscles. Sarco Freeze received a positive review by the Athletes for Care Tastemakers program, which is made up of professional athletes. 

They also offer Sarco Skin, the first CBD and menthol-infused kinesiology tape and The Coil family of tinctures which are terpene-infused for more benefits and bioavailability.

Arcanum Edge’s best-selling product is The Quill transdermal gel delivery pen. The Quill provides patented transdermal delivery of a precise microdose of full spectrum extract and terpenes. Leaf411 is proud to  support Arcanum Edge as a trusted source for performance-driven CBD products. Arcanum Edge products are third-party tested with their COAs available online. They also provide a 30-day, 100% money back guarantee.

Out of Balance: Too Much Cannabis?

Cannabis is a tool, not a magic cure-all. While we enthusiastically support the benefits that this plant provides, we also caution that you can overdo it with any medicine, including cannabis. If you would like help cutting down on your marijuana use or switching to different types of products (for example, switching from smokable flower to edibles), our Leaf411 cannabis-trained nurses can help by providing non-judgmental, balanced guidance. We also provide resources at our online library.

Are you interested in exploring cannabis or hemp CBD’s health benefits in 2020, but not sure where to start? Our nurses can help! Call our free, anonymous hotline at 844-LEAF411 (844-532-3411).

The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.


Support Leaf411 on Giving Tuesday

The 2018 Farm Bill turns one year old on December 20, 2019. This federal law fully legalized hemp cultivation and sales, making cannabidiol/CBD products widely available online and in retail stores.

Now, everyone and their grandma are trying out hemp products. And with legal medical and recreational cannabis expanding to additional states, many people are also curious about THC-based products.

But what happens when people have questions?

Federal and state laws don’t fully address the need for consumer education on safe, effective cannabis use. In fact, hemp and cannabis producers, manufacturers, retailers and dispensaries are prohibited from making specific health claims about their products.

That’s where we come in. Leaf411 nurses have the professional medical background and training to provide balanced education and support for safe, legal cannabis use.

Donate to the nonprofit Leaf411 nurse hotline today to expand our free service to even more people with questions about hemp or cannabis.

Note: Our Giving Tuesday fundraiser is set up in Facebook. They’re matching the first $7 million in donations made via the platform on Dec 3. Contribute now to boost your donation’s impact!

You may also donate via PayPal. Contributions made via PayPal don’t count toward the Facebook Giving Tuesday challenge; however, we appreciate them just as much!

Your contribution supports our goals to:

  • Increase our hotline coverage while maintaining our commitment to pay our cannabis-trained nurses a living wage.
  • Increase our community-based outreach. We know that not everyone is online. That’s why we launched the free Leaf411 hotline, and why we’re also focused on in-person events to meet people where they are at.
  • Strengthen our nonprofit’s foundation of support. As we grow, new doors will open. This includes our ability to participate in future Colorado Gives events. However, we need your help to get there! Colorado Gives  and many grant programs require that nonprofits show existing support to qualify. Every dollar you donate today helps us unlock new funding sources.

Are you able to help on Giving Tuesday to support Leaf411’s mission? Donate via our Facebook fundraiser.

Why Leaf411 is a Needed Resource

Manufacturers and retailers are prohibited by law from talking about how CBD and cannabis may impact specific health conditions.

Also, many doctors say they are unprepared to answer patient questions about medical marijuana, despite the majority of those doctors also saying they believed cannabis can serve a legitimate medical purpose for patients, according to a 2019 Mayo Clinic survey. The reality is that less than 10% of medical schools even address medical marijuana, leaving many new doctors unable to answer questions. And older doctors likely don’t have any cannabis education at all.

The Leaf411 hotline provides an important service with cannabis-trained registered nurses ready to answer your questions at no cost to you.

Our hotline nurses are members of the American Cannabis Nurses Association and have completed specialized training on cannabis through Radicle Health. We stay up to date on the latest research to ensure that the information we provide reflects best practice. We also regularly connect with other cannabis clinicians to share knowledge and resources.

Our nurses are committed to Leaf411’s mission to provide callers with balanced education and directional support for safe, legal cannabis use. We are deeply grateful for their dedication and are committed to paying a living wage for their work.

Help support our nurses. Donate to our Facebook fundraiser.

Meeting the Community Where They Are At

Who uses cannabis? While market research shows that younger adults make up the majority of consumers, older adults represent one of the fastest growing groups of cannabis users. It’s no surprise, given the potential benefits of cannabis. However, many seniors struggle to find sound medical guidance for using cannabis, including the best delivery method and dosage, as well as benefits and risks that are specific to older adults.

Our cannabis-trained nurses have the medical background to answer seniors’ questions, but first we need to let them know we’re available.

Older adults are not online in the same way younger people are. We know the most effective way to reach out to this population is by participating in community-based events where we can introduce ourselves, build trust and awareness of the free Leaf411 hotline service.

Our focus isn’t limited to older adults, either. We’ve also partnered with our founding members and veteran’s organizations on outreach events for military veterans. Veterans face unique challenges in accessing medical advice for safe, therapeutic cannabis use, with VA physicians essentially prohibited from discussing cannabis as a treatment option. Through partnering with organizations like Veterans for Natural Rights, we’ve built a deeper understanding of veterans’ unique needs, and are honored to provide support to those who sacrificed for our country.

Veterans visit the Leaf411 cannabis nurse booth during Denver’s Veteran’s Day event.

We have more community outreach planned for the coming year, but we need your support to make it happen.

Can you help us reach more veterans, seniors, and others who are seeking personalized information on safe cannabis use? Donate via our Facebook fundraiser.

We are thrilled to participate in the national Giving Tuesday event on December 3, as a Colorado 501(c)(3) nonprofit. Every dollar raised today helps unlock new funding sources in the future.

The annual Colorado Gives event takes place on December 10, a week after Giving Tuesday. Did you know that in order to participate in Colorado Gives, a nonprofit must show $50,000 in annual revenue?

As a newly launched nonprofit, we’re making good progress on qualifying for next year’s Colorado Gives—but we need your help to get us over the finish line! Contribute today via our Facebook fundraiser.

Qualifying for future Colorado Gives events is important. Our visibility to potential donors and potential callers will increase by participating in the Colorado Gives event. We’ll also be eligible for a portion of the $1.5 million incentive fund shared between participating Colorado Gives nonprofits.

By demonstrating strong community support, we’ll qualify for other grants and in-kind donations as well.

Any amount you give, no matter what that is, moves us closer to our goals. Please contribute to the Leaf411 hotline today. Donate via our Facebook fundraiser where your contribution may be matched, amplifying its impact!.

You may also donate via PayPal. Contributions made via PayPal don’t count toward the Facebook Giving Tuesday challenge; however, they are appreciated just as much!


Welcome to the Leaf411™ Blog

The Leaf411 Cannabis Nurse hotline is a FREE non-profit hotline available to all Colorado residents. We provide easily accessible cannabis education and support from trained medical professionals. When you call our free hotline, you’ll receive individualized answers to your questions. Our hotline phone number is: 1-844-LEAF411 (1-844-532-3411).

We also realize you might not have a specific question yet, or you may only be looking for general information. Our Leaf411 Blog is written for you. We provide information on trusted resources, research, cannabis news, and how-to guides for safely using cannabis and hemp products.

What You’ll Find on Our Cannabis Blog

We’re passionate about providing high-quality balanced information about legal cannabis use. Our blog provides an outlet for us to share cannabis resources to help you on your journey, whether you are new to cannabis or are already using cannabis recreationally or medically.

Not a cannabis user? We still have you covered! Our blog covers issues that impact all of us. Recreational and medical marijuanalegalization continues to spread across the country, and CBD and hemp products have earned their own spot in retail stores.Leaf411 is committed to providing balanced information to help you sort through the products that your patients, family members or friends may be talking about.

The People Behind the Leaf411 Cannabis Nurse Hotline

Our commitment is driven by firsthand experience after seeing the healing power of cannabis in our own lives and in the clinical setting. All of our hotline nurses are members of the American Cannabis Nurses Association (ACNA) and have completed specialized training. You can learn more about our nurses here.

Leaf411’s Founding Members

You’ll notice a growing list of founding members in our Member Directory. Our founding members support our nonprofit’s mission to provide free clinician-based cannabis education to consumers and industry partners. We screen all potential member businesses to ensure they meet our standards. Watch for future blog posts featuring our founding members’ perspectives on cannabis consumers’ needs.

Leaf411’s Cannabis Resource Library

We also offer a robust online resource library where you’ll find FAQs, disease-specific articles, information on how to get a Colorado medical marijuana card, and links to crisis lines and support groups. We always welcome your calls as well!

Sharing Our Cannabis Success Stories

Every day, more people are seeking out cannabis and hemp/CBD products to find relief and improve wellness. While you’ll certainly find those benefits within the space, you’ll also find an incredible community made up of people who have experienced the power of plant-based medicine. By sharing our stories, we help to remove the stigma and outdated stereotypes surrounding cannabis and hemp.

Katherine Golden, RN, Leaf411 co-founder’s story:

My journey in cannabis started 3 years ago when a close family member was suddenly diagnosed with Stage 4 lung cancer. He was in his 40s with kids in high school, and he’d never smoked. The doctors gave him 2-5 years to live. My family was completely devastated.

As a nurse and the medical professional in the family, I immediately researched alternative and less well-known treatment options to supplement my family member’s care. I began looking into the cannabis plant mainly to see how valid the research really was. At the time, I was extremely judgmental about cannabis. However, when I started searching well-known medical research sites like PubMed and ScienceDirect, I found tons of published research supporting the benefits of cannabis. 

I’m happy to say that my family member is going strong 3 years since his cancer diagnosis. We don’t know exactly how the supplemental use of cannabis with his current regimen has helped reduce his tumors. However, everyone—including his non-cannabis physician—is watching his progress closely!

My personal experience led me to work as a lead nurse in a cannabis clinician’s office in Boulder, Colorado, where I met Jennifer, Leaf411’s co-founderEvery day, we saw patients who had benefited from cannabis. However, I realized not everyone had access to cannabis-trained medical professionals. I decided to dedicate myself full-time to my dream of making cannabis information from trained medical professionals readily available to everyone through the Leaf411 hotline. As a nurse, I can assure you that no question is too silly or strange when it comes to cannabis and your health. Give us a call today for help with your cannabis questions.

Jennifer Axcell, Leaf411 co-founder’s story:

I still remember when I started out as a cannabis patient. At the time, my primary care physician had happily prescribed me 13 different narcotics and opiates for chronic pain. However, these medications came with troublesome side effects and risks. When I asked my doctor about using cannabis instead, his answer was, “I don’t know anything about cannabis, I don’t want to know anything about cannabis, it’s federally illegal.” I didn’t know where to go to get answers to my questions about how to use cannabis to treat my chronic pain and PTSD. I was frustrated and confused, but determined to go down this path, even without help from a medical professional.

Three years later, cannabis has undoubtedly changed my life for the better. I also saw how cannabis improved other peoples’ lives while working with Katherine at the cannabis clinician’s office in Boulder, Colorado. Time and time again we saw patients leave with more questions than they came with. For new patients especially, it’s hard to know what questions to ask if you know very little about cannabis. The office we worked at did their best, but we knew much more could be done. After a lot of hard work, we’re thrilled to launch Leaf411 to provide the resource I wish I’d had when I first decided to look into cannabis as medicine.

Check back often as we regularly update our blog with the latest information and resources for the safe use of legal cannabis (marijuana and hemp).