How to Choose Between THC Edibles and Smoking for Medical Use

Introduction

As medical marijuana becomes increasingly accessible, patients are exploring different methods of consumption to manage a variety of conditions. Two of the most popular ways to consume THC, the primary psychoactive compound in cannabis, are through smoking and edibles. Both have their pros and cons, and choosing the right method depends on personal needs, medical conditions, and desired effects.

In this article, we will walk you through the differences between THC edibles and smoking, including their benefits, drawbacks, and how to make an informed choice for medical use.

MUST READ: Smoking vs. Edibles - The Pros And Cons

What Are THC Edibles and Smoking?

THC Edibles refer to food products, capsules, or drinks that are infused with THC. These products deliver cannabinoids into the body through digestion, resulting in a slower onset of effects. Edibles come in various forms such as gummies, chocolates, baked goods, and beverages.

Smoking THC involves inhaling the vapor or smoke of the cannabis plant through methods like joints, pipes, or vaporizers. This provides a quicker onset of effects because THC is absorbed into the bloodstream through the lungs.

1. Speed of Onset

One of the main factors to consider when choosing between THC edibles and smoking for medical use is how quickly you need relief. The speed of onset can be a critical factor for people with conditions like chronic pain, anxiety, or nausea, where fast relief is essential.

  • Smoking: When you inhale THC through smoking, the effects typically begin within minutes. This is because the THC is rapidly absorbed into your bloodstream via the lungs. For patients seeking immediate relief, such as for acute pain or sudden nausea, smoking can be a more effective option.

  • Edibles: The effects of THC edibles take much longer to kick in, usually between 30 minutes to 2 hours after consumption. The delayed onset is due to the digestive process, as THC must pass through the liver before entering the bloodstream. While the slower onset may be a drawback for those needing quick relief, it can be beneficial for those who prefer long-lasting effects or who are managing conditions that benefit from consistent relief over time, such as sleep disorders or chronic pain.

2. Duration of Effects

The duration of THC’s effects is another critical consideration, especially for patients who need sustained relief throughout the day or night.

  • Smoking: The effects of smoking THC usually last for 1 to 3 hours, making it ideal for short-term relief. For patients who need periodic relief but don't want to feel impaired for an extended period, smoking might be preferable. However, for patients who need long-lasting relief, they may find themselves needing to smoke frequently, which could be inconvenient and unhealthy for certain conditions, particularly lung-related issues.

  • Edibles: THC edibles are known for their long-lasting effects, often providing relief for 6 to 8 hours or even longer, depending on the dosage and individual metabolism. This makes edibles an attractive option for patients who need extended relief without having to redose frequently, such as those managing chronic pain, arthritis, or insomnia. For example, patients with sleep disorders may prefer edibles because they can provide sustained relief throughout the night.

Related: How Long Do Edibles Take To Kick In?

3. Potency and Dosing Control

The potency and control over dosage are essential factors, particularly for medical marijuana patients who need to manage specific symptoms without over- or under-medicating.

  • Smoking: Smoking THC allows for more immediate dose control. Patients can stop inhaling as soon as they feel relief, making it easier to avoid overconsumption. However, smoking can also result in inconsistent dosing because it can be difficult to measure exactly how much THC is inhaled with each puff. For patients new to medical cannabis or those who are sensitive to THC, smoking can offer a way to gradually increase their dose until they find the right level.

  • Edibles: Dosing with THC edibles is typically more precise because products are pre-portioned with specific amounts of THC per serving. However, because the effects take longer to onset, it's easy for users to accidentally consume too much while waiting for the effects to kick in. Edibles are better suited for patients who are experienced with cannabis and know their optimal dosage. New users should start with a low dose (typically 2.5 to 5 mg of THC) and wait at least 2 hours before consuming more.

4. Health Concerns

For patients using medical cannabis, the impact on overall health is a significant factor. While both edibles and smoking have therapeutic benefits, each method comes with unique health considerations.

  • Smoking: The primary health concern with smoking cannabis is its effect on the lungs. Even though cannabis is not as harmful as tobacco, smoking anything can irritate the respiratory system and exacerbate conditions like asthma or chronic obstructive pulmonary disease (COPD). Smoking also exposes users to carcinogens and other harmful chemicals produced by combustion, which could pose long-term risks.

  • Edibles: Edibles are a smoke-free option, making them a healthier choice for patients with lung conditions or those concerned about the potential harms of inhaling smoke. However, edibles are often made with sugar and other unhealthy ingredients, which may not be suitable for patients with diabetes or those on restricted diets. Capsules or tinctures may be a better option for those looking for smoke-free alternatives without the added calories.

Read Also: Do Edibles Cause Liver Damage?

5. Discretion and Convenience

The discretion and convenience of consuming medical marijuana may also play a role in determining which method is best for you.

  • Smoking: Smoking cannabis can produce a strong and recognizable odor, making it less discreet, especially in shared or public spaces. It also requires certain accessories like lighters, rolling papers, or a pipe, which can be inconvenient to carry around. Smoking may also not be practical for people who need to medicate frequently during the day, especially in non-smoking environments.

  • Edibles: THC edibles offer a much more discreet way to consume cannabis. They look and taste like regular food or candy, making it easy to medicate in public without drawing attention. Edibles are also portable and easy to dose without any special equipment. This convenience makes edibles a good option for patients who need to medicate while at work or in public settings.

6. Tolerance and Side Effects

Lastly, consider how THC affects your tolerance and side effects, as different consumption methods can have varying impacts on these factors.

  • Smoking: With smoking, the body builds up a tolerance to THC relatively quickly, which means that patients may need to increase their dosage over time to achieve the same effects. Smoking also tends to produce stronger immediate effects, which can lead to side effects like dry mouth, dizziness, or anxiety, especially for novice users or those sensitive to THC.

  • Edibles: Tolerance to THC builds more slowly with edibles, but because the effects are longer-lasting and more intense, patients may be more prone to side effects like grogginess, slower reaction times, and digestive issues. Overconsumption of edibles is a common concern due to the delayed onset of effects, and patients should be cautious to avoid taking too much before the initial dose has fully kicked in.

Related: How Long Does it Take to Feel the Effects of Cannabis?

Conclusion

Choosing between THC edibles and smoking for medical use ultimately depends on your personal needs, condition, and lifestyle. Smoking offers rapid relief and easier dose control, making it suitable for acute conditions and those seeking short-term relief. On the other hand, edibles provide long-lasting effects and a discreet, smoke-free option for patients who need consistent relief throughout the day or night.

If you’re unsure which method is best for you, consult with a medical professional experienced in cannabis therapies to determine the most appropriate approach for your condition. Always start with a low dose, especially with edibles, and gradually increase until you find the right balance that provides effective relief without unwanted side effects.

 

FAQs

  • Edibles offer longer-lasting effects, often up to 6-8 hours, while the effects of smoking typically last for 1-3 hours.

  • Edibles are better for lung health since they are consumed orally, avoiding any respiratory irritation or damage caused by inhaling smoke or vapor.

  • Smoking allows for more immediate dosage control since you can stop inhaling once you feel the desired effects. With edibles, it’s harder to adjust the dose immediately due to the delayed onset of effects, so it’s important to start with a low dose and wait for the effects to kick in.

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This article has been reviewed by Steven Fiore, MD.

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