Smoking is the most common method of using cannabis (though vaporization is catching up). Cannabinoids, such as THC, in smoked cannabis reach the bloodstream within five seconds of inhalation. Peak blood levels of cannabinoids are achieved within five to ten minutes after smoking. The biggest advantages to smoking cannabis are the speed of effects and the ability to accurately gauge the dose.
Smoking cannabis can produce adverse lung effects. Chronic cannabis smoking can trigger bronchitis, lung and throat inflammation. However, there is no current, published evidence that cannabis smoking leads to emphysema or cancer.
Cannabis cigarettes (joints or blunts) are not very efficient, since only about a third of the available cannabinoids is absorbed by this method. Experienced cannabis smokers tend to be twice as efficient as novices at extracting cannabinoids from cannabis cigarettes. Waterpipes (bongs) are more efficient than cigarettes, delivering over 50% of available cannabinoids. Because waterpipes deliver large volumes of smoke, the dose is difficult to gauge. Small glass pipes are the most efficient smoking method, as their small bowls encourage manageable doses. All glass pipes should regularly be cleaned of cannabis tar by scrubbing them with 90% rubbing alcohol and salt, then rinsing with water.
Effective Smoking Technique / Strategies
To properly smoke cannabis, you must both inhale and exhale normally. Studies have shown that breath holding beyond ten seconds does not increase cannabinoid absorption. Use the smallest dose of cannabis that produces medicinal effects. Wait at least ninety minutes between doses of smoked cannabis. When smoking, herbal cannabis flowers with higher cannabinoid content reduces exposure to irritating tars.
There are over 1500 constituents in cannabis smoke, and some of these are known carcinogens.If you choose to smoke cannabis, try these harm reduction approaches. Only smoke medical cannabis that has been screened for the absence of pathogenic molds. Medical cannabis stored while wet can become moldy. Some of these molds, such as aspergillus, can be harmful, even fatal, if ingested. At Phytologie, all cannabis is screened for these molds.
Know the potency of your cannabis and control your dose. A UCLA study, “Effects of varying marijuana potency on deposition of tar and delta 9-THC in the lung during smoking” suggests that smoking cannabis with higher THC content reduces exposure to irritating tars, since less cannabis is smoked to deliver the effective dosage. Regardless, always use the smallest dose of medical cannabis that provides symptomatic relief. Use a pipe and avoid blunts. Cannabis cigarettes are inefficient and only deliver 10 to 27% of their THC content. THC collects in the butt of the joint, condensing up to 50 percent of its THC, making consistent dosage difficult. Blunt wraps contain highly addicting nicotine and tobacco byproducts, and should never be used for medical cannabis administration. Instead, use a clean glass pipe with enough cannabis for a single inhalation, as it reduces waste and enables more consistent and predictable dosage.
Bong pipes can deliver too much medicine and too much tar. Always use less cannabis when smoking a bong pipe, since bongs are designed to deliver smoke deep into the lungs, increasing the likelihood of over medication and coughing. Coughing is not a sign of effective dosage, only overdosage. While water used in bongs can reduce throat irritation caused by smoking, the water also removes more THC than it reduces the amount of inhaled tar. Water bongs are not that efficient, because THC tends to condense in the pipe’s water. If throat irritation is an issue, try using ice instead of water to cool the smoke.
Don’t hold your breath. Holding your breath to absorb more THC from smoked cannabis doesn’t work. THC quickly passes through the human lung into the bloodstream. Breath holding only coats your lungs with potentially irritating tars. Simply inhale deeply, and then exhale. Breath holding is a difficult habit to break, but you’ll expose yourself to fewer irritating tars.
Cannabis vaporizers heat cannabis flowers or concentrates to a temperature at which cannabis active ingredients boil off, forming a vapor, below the temperature at which cannabis burns. When cannabis burns, over 1500 compounds are formed including toxic chemicals such as benzene and carbon monoxide. Vaporization does not produce these toxins. Vaporization delivers THC and other cannabinoids to the human bloodstream as rapidly as smoking.
Poorly flushed cannabis can contain high amounts of nitrogen fertilizer residues. These nitrogen residues can form ammonia when vaporized. We work closely with our providers to assure your cannabis is correctly flushed at the end of cultivation to remove these residues.
Systems and Techniques
The most extensively tested vaporizer is the Volcano, manufactured by Storz &Bickel in Germany. The Volcano works by blowing temperature-controlled hot air though a screened filling chamber containing finely ground cannabis. The resulting vapor is collected within an inflatable, detachable bag. The patient then inhales the vapor through a valve on the detached bag. There are other vaporizers available including handheld systems. High-quality vaporization requires precise temperature control. Tests indicate that efficient vaporization of cannabinoids from cannabis occurs at 200?C to 210?C in the Volcano.
E-pens are inexpensive portable vaporizers that are usually used to vaporize cannabis oils and waxes. Some e-pens can also be loaded with cannabis flowers or hashish. Cannabis waxes and oils can be very thick and easily clog e-pens. To avoid clogging, some e-pens are loaded with mixtures of cannabisoil and a carrier such as propylene glycol. While propylene glycol is considered safe as a food additive, the FDA has expressed concern that it might not be safe to inhale it. More study is needed to confirm its safety.
Effective Vaporization Techniques / Operation
Operating a vaporizer is straightforward: inhale, hold for three seconds, and then exhale. Coughing usually means the vaporizer temperature is set too high, or that the cannabinoids have been exhausted. It can take three or four inhalations from a vaporizer to exhaust the cannabinoids in a single load of herbal cannabis. Many patients mistakenly assume that all of the cannabinoids have vaporized, once the floral taste diminishes. Vaporized cannabinoids have very little taste, so some patience when vaporizing is warranted.
Phytologie believes that vaporizing cannabis is a safer approach than smoking. Vaporizers work by allowing hot air to flow through ground cannabis or cannabis extracts, below the temperature at which cannabis begins to burn. The hot air boils off these medicinally active ingredients, such as THC, allowing the resulting vapor to be inhaled and absorbed. Vaporizers allow medicinal cannabis to be inhaled and delivered to the bloodstream quickly, while eliminating exposure to the combustion products created by smoking cannabis.
Several studies and many patients indicate that vaporization is much more efficient that smoking. One study indicated that vaporization with a Volcano vaporizer delivered 56% of the available THC, while smoking has been shown to only deliver as little as 27%.
Studies have been conducted in Europe with the Volcano balloon vaporizer system. Various models of vaporizers vary in their performance from the Volcano, but the following information may help to optimize the use of other vaporizers. The optimal temperature for vaporizing THC from ground cannabis flowers in a Volcano is 210° C/410°F. THC begins to boil at 157° C/315° F, so this optimal temperature setting for the Volcano will achieve rapid and more complete THC vaporization from thecannabis. On the “classic” Volcano model, 210°C is reached by setting the device to 7.5. Higher temperatures than 210°C do not appear to increase the dosage of THC per balloon filling. Avoid setting the vaporizer temperature so high that the vapor begins to taste scorched like burnt popcorn. Properly vaporized medicinal cannabis should taste floral, because of the terpene content of the vapor.
After consulting your physician concerning dosage, start with a vaporizer load of 200 milligrams (about one teaspoon) of ground cannabis containing between 13 and 18% THC by dry weight. All Phytologie medicinal cannabis strains are assayed for their THC content. Ask your Phytologie counselor for the THC results of those assays, to help you and your physician adjust your dosage to meet your medical needs.
Some vaporizers use less cannabis per load than the Volcano and may be more efficient.
Don’t pack the cannabis too tightly into the vaporization chamber, since the goal is to allow the hot air to directly contact and flow around the ground cannabis.
In the European study, the Volcano vaporizer set to 210°C filled with 100 mg of 18% THC ground cannabis flowers, produced a dose of 8 mg THC in the first Volcano balloon, approximately 4 mg THC in the second balloon, with approximately 2 mg of THC in the residue.
Because each Volcano balloon can be filled to contain enough vapor for several inhalations, you can limit the size of each inhalation to achieve more careful and precise dosage, therefore avoiding the chance of overmedicating. Start with small inhalations of vapor and wait thirty minutes between each inhalation in order to confirm appropriate dosage. It is possible to maximize symptomatic relief and minimize unwanted psychoactive side effects, though careful vaporization dosage control.
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