The Curbsiders Internal Medicine Podcast

#338 LIVE! Medical Cannabis: Is it still dope?

May 30, 2022
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INSIGHT

Differentiate Adult Use From Medical Use

  • Separate 'adult use' from 'medical' cannabis when counseling patients to keep the conversation clinical.
  • Medical cannabis should focus on specific doses and formulations, not dispensary flower recommendations.
ADVICE

Avoid Smoking; Use Measured Formulations

  • Advise patients to avoid smoking and prefer tinctures or edibles for medical cannabis use.
  • Recommend measured products (e.g., 2.5 mg THC/CBD) so dosing is predictable and titratable.
ANECDOTE

Baked Goods Are Not Considered Medicine

  • Patients often treat baked goods as medicine, but Dr. Arnsten rejects them as reliable dosing forms.
  • She prescribes measured tinctures or capsules so dosing is reproducible and safe.
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