The Pros and Cons of Synthetic THC vs. Natural THC

Introduction

Tetrahydrocannabinol (THC) is the most well-known and abundant psychoactive compound in cannabis. It is responsible for the "high" that users experience, as well as a range of potential therapeutic effects, including pain relief, appetite stimulation, and anti-nausea properties. While natural THC derived from the cannabis plant is the most common form, synthetic versions of THC have been developed in laboratories to mimic the effects of natural THC. Synthetic THC is used primarily in medical settings, where it has been approved by the FDA in certain formulations to treat conditions like chemotherapy-induced nausea and appetite loss in AIDS patients.

In this article, we’ll explore the differences between synthetic THC and natural THC, along with their respective benefits and drawbacks.

What Is Synthetic THC?

Synthetic THC refers to a laboratory-produced compound that mimics the structure and effects of natural THC found in cannabis. The most well-known synthetic THC drugs include Dronabinol (Marinol) and Nabilone (Cesamet), both of which have been approved by the FDA for specific medical purposes. These synthetic cannabinoids are used primarily to treat nausea and vomiting caused by chemotherapy and appetite loss in patients with AIDS or other serious illnesses.

Synthetic THC is developed by recreating the chemical structure of THC in a lab, allowing for a controlled environment and consistent production. This form of THC can be taken orally in the form of a pill or liquid, offering an alternative to smoking or consuming natural cannabis.

What Is Natural THC?

Natural THC, on the other hand, comes from the medical cannabis plant itself. This THC is extracted from cannabis flowers or leaves through various methods, including solvent extraction or CO2 extraction. Natural THC is present in various forms, including cannabis flower, oils, tinctures, edibles, and concentrates. Many patients and recreational users prefer natural THC for its full-spectrum effects, meaning it includes a variety of cannabinoids, terpenes, and flavonoids in addition to THC.

Natural THC is consumed in a variety of ways, such as smoking, vaping, edibles, tinctures, and topicals. It is often chosen for both recreational use and medical purposes, including pain relief, anxiety reduction, and improved sleep.

The Pros of Synthetic THC

A. Consistency and Dosing

One of the main advantages of synthetic THC is that it offers consistent dosing. Because it is produced in a lab, each pill or liquid formulation contains a precise amount of THC, allowing patients and doctors to know exactly how much THC is being consumed. This makes it easier to monitor its effects and adjust doses accordingly.

This consistency is especially important for medical patients, such as those undergoing chemotherapy or managing chronic conditions, as it helps avoid under- or over-consumption, which could lead to unwanted side effects or inadequate symptom relief.

Related: The Science Behind Microdosing THC: Benefits and Best Practices

B. Legal and Regulatory Approval

Synthetic THC has been approved by the U.S. Food and Drug Administration (FDA) for specific medical uses, which gives it a level of legitimacy in the medical community. As a result, synthetic THC medications like Marinol and Cesamet can be prescribed by doctors and obtained at pharmacies, bypassing many of the legal challenges associated with medical cannabis in states or countries where cannabis remains illegal.

For patients in regions where cannabis is not legalized, synthetic THC offers a legally accessible option for treating specific symptoms like nausea and appetite loss.

C. No Psychoactive “High”

Some synthetic THC products, such as Nabilone, have been developed to minimize the psychoactive effects of THC. This is beneficial for patients who want the therapeutic benefits of THC without the intoxicating "high" that natural cannabis can produce. This is especially relevant for older adults, those new to cannabis, or individuals who need to avoid impaired functioning during the day.

The Cons of Synthetic THC

A. Limited Cannabinoid Profile

One of the most significant drawbacks of synthetic THC is that it isolates THC without including other cannabinoids, terpenes, or compounds found in natural cannabis. Many researchers believe in the entourage effect, a theory that the various compounds in cannabis work together synergistically to enhance its therapeutic effects. When THC is used in isolation, it may not be as effective as full-spectrum cannabis extracts, which include CBD, terpenes, and other cannabinoids.

This lack of synergy can result in weaker therapeutic effects and may limit the ability of synthetic THC to address a broader range of symptoms.

B. Higher Risk of Side Effects

Because synthetic THC is taken in an isolated form, some patients report experiencing more severe side effects compared to natural THC. These side effects may include dizziness, confusion, hallucinations, and even increased anxiety or paranoia. Synthetic THC medications, like Marinol, are often associated with a slower onset of action, meaning it may take longer for patients to feel relief from their symptoms, and when they do, the effects can be more intense and unpredictable.

In contrast, natural cannabis often provides a more balanced and smoother experience due to the presence of additional cannabinoids like CBD, which can help mitigate some of THC’s side effects.

C. Limited Medical Applications

Synthetic THC has only been approved for a narrow range of medical uses, primarily nausea and appetite stimulation. While it can be effective for these symptoms, it is not as versatile as natural cannabis, which is used to treat a wide range of conditions, including chronic pain, anxiety, PTSD, epilepsy, and multiple sclerosis.

For patients seeking relief from symptoms outside of the FDA-approved uses, natural cannabis may offer a more comprehensive solution.

The Pros of Natural THC

A. Full-Spectrum Benefits

One of the greatest advantages of natural THC is the entourage effect. When THC is consumed along with other cannabinoids and terpenes found in the cannabis plant, its therapeutic effects can be enhanced. For instance, the presence of CBD may help reduce the psychoactive effects of THC while still allowing patients to benefit from its pain-relieving and anti-nausea properties. Terpenes, which are aromatic compounds in cannabis, may also contribute to anti-inflammatory, anxiolytic, and anti-tumor effects.

This makes natural THC a more holistic option for those seeking a wide range of benefits.

B. Versatile Consumption Methods

Natural THC offers multiple consumption methods, allowing users to choose the option that best fits their needs. Whether it’s smoking, vaping, consuming edibles, using tinctures, or applying topicals, natural THC provides patients with more flexibility in how they manage their symptoms. Different methods offer varying onset times and durations of effects, enabling users to customize their experience.

C. Wider Range of Medical Applications

Natural cannabis, with its full range of cannabinoids, has been studied for a broad spectrum of medical applications beyond nausea and appetite stimulation. Conditions like chronic pain, epilepsy, depression, anxiety, and autoimmune disorders are just a few of the ailments that may respond well to natural THC when combined with other cannabis compounds.

The Cons of Natural THC

A. Inconsistent Dosing

One of the main disadvantages of natural THC is that dosing can be inconsistent. Different cannabis strains contain varying levels of THC and other cannabinoids, making it difficult to know exactly how much THC is being consumed. Additionally, the effects of natural THC can vary from person to person based on individual tolerance, metabolism, and the specific strain used.

This inconsistency may make it harder for medical patients to get predictable and reliable results.

B. Legal Restrictions

While cannabis is increasingly being legalized in many places, it remains illegal at the federal level in some countries, including the United States. This can make accessing natural THC more difficult for patients in regions where cannabis has not been legalized for medical or recreational use. In such areas, synthetic THC may be the only legal option available.

C. Potential Psychoactive Effects

Natural THC is well-known for its psychoactive effects, which can be a downside for some users. Patients seeking relief without intoxication may find that natural THC causes unwanted side effects, such as euphoria, anxiety, or impaired cognitive function, depending on the dosage and strain.

Conclusion

Both synthetic THC and natural THC have their pros and cons. Synthetic THC offers the advantage of precise dosing, legal approval, and minimal psychoactive effects in some formulations. However, it lacks the full-spectrum benefits of natural cannabis and may cause more severe side effects. Natural THC, on the other hand, provides a broader range of therapeutic benefits due to the entourage effect, along with versatile consumption methods, but it comes with challenges like inconsistent dosing and legal restrictions.

Ultimately, the choice between synthetic and natural THC depends on the individual’s needs, their medical condition, and their access to cannabis products. Consulting with a healthcare provider experienced in cannabis medicine can help determine the best approach for each patient.

 

FAQs

  • Synthetic THC is lab-produced and mimics the effects of natural THC, while natural THC is derived directly from the cannabis plant. Synthetic THC offers more precise dosing and is FDA-approved for certain medical uses, whereas natural THC includes a broader range of cannabinoids and terpenes, offering potential full-spectrum benefits.

  • Synthetic THC is considered safer in terms of consistent dosing and legal status, but it may cause more intense side effects like dizziness and confusion. Natural THC, with its entourage effect, tends to offer a more balanced experience, though its dosing can be less predictable.

  • Synthetic THC, like Marinol and Cesamet, is primarily used to treat chemotherapy-induced nausea and vomiting, as well as appetite loss in AIDS patients. Natural THC is used more broadly to treat conditions such as chronic pain, anxiety, and epilepsy.

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This article has been reviewed by Steven Fiore, MD.

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