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Cannabis Pharmacokinetics: How Your Body Processes Medical Cannabis

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Why Pharmacokinetics Matters

  • Route of administration is the most important determinant of cannabis effects
  • Individual variation in metabolism means standard doses affect patients very differently
  • Understanding PK helps explain why formulations behave differently
  • First-time patients often make dosing errors due to PK misunderstanding — particularly with oral products

Pharmacokinetics explains why the same cannabis product may work very differently for two patients — and is essential for safe dose titration.

Inhalation vs Oral vs Sublingual

  • Inhalation: peak plasma 5-15 min, duration 2-4 hrs, bioavailability 15-35%
  • Oral (swallowed): peak 1-4 hrs, duration 6-10 hrs, bioavailability 4-20% — THC becomes 11-OH-THC in liver (more potent)
  • Sublingual (under tongue): peak 15-45 min, duration 4-8 hrs, more predictable than oral
  • High-fat meals significantly increase oral cannabis absorption

The delayed, prolonged onset of oral cannabis is the most common source of patient dosing errors — leading to overconsumption. Start low, go slow.

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