How to Use Medical Marijuana
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The following information regarding medical marijuana use has been drawn from personal experience reported by patients. We hope you find it useful and of benefit. Please feel free to contact us with your feedback, it may be useful to another patient.

When using Medical Marijuana, every individual will experience different effects, just as is true with any medication. Temper your use and consider marijuana another medicine that may serve to alleviate some of your symptoms and may enhance other aspects. How it works for you and the manner in which it is of benefit is what is important. Tell your doctor that you use medical marijuana and make sure this fact is entered into your medical records. Patient/Physician Confidentiality and HIPAA are your safeguards. An informed doctor will better serve your health (for more information on the laws that protect your doctor, please visit our legal section).

Smoking MarijuanaSmoking Marijuana

The most expedient method of using medical marijuana is to smoke or vaporize. The effects are more controllable and easier to gauge in these forms. Always smoke the female buds and only use medicine that is organically grown and free of molds, chemicals, pesticides, and additives. If you use a water pipe (or any pipe), keep it clean by soaking it in alcohol and salt. If inhaling smoke is a concern, use a vaporizer. Moderation appears to be a key to successful relief. Use a small amount at first, 1-3 puffs, wait before inhaling more. Onset is fairly quick and can happen instantly to 5 minutes. Wait then use more if necessary to achieve desired relief.

Ingesting Marijuana

Another method of using medical marijuana is ingestion, which can be an effective approach. However, cooking marijuana produces a significantly stronger effect. Use caution when you eat! It can be baked directly into foods or made into butter that is used to prepare foodstuffs. You must be aware that it takes considerably longer to experience the effects; sometimes the result will “come-on” rather suddenly. Very occasionally, this may cause uneasiness, which might lead to nausea (refer to section on Uneasiness). It may also affect a patient’s stomach if the leaf material itself is eaten. Another feeling may be of weight or heaviness, or perhaps even grogginess. It is appropriate to allow time to rest in order to assess how you will respond. Use cold water or slow breathing if this occurs. Don’t panic. Just relax and it will end. Remember that every batch of baked goods will vary with the potency of the marijuana that is used and how it is prepared.

Length of the Effects

Many people often ask how long the effects of Medical Marijuana last. This is an EXCELLENT and important question without an excellent (or consistent) answer. Like with any other medicine, its effects are dependant on potency, strain, your specific medical condition, and the way it is ingested. As a general rule of thumb, with all else being equal, if smoking a particular strain of medical marijuana lasted 1 1/2 hours for you, ingesting it as an edible might last 4 hours. This is just an example to indicate that smoking it would act more quickly but have a shorter duration of effect than eating the medical marijuana.

Marijuana Flour: Preparation and Use

Sieve the leaf through a large strainer, picking out the stems as you go (do this several times). You should end up with a course powder. Put this mixture into a blender or food processor and grind. Then sift and put into coffee grinder – this will produce fine flour. You should end up with 1.5 to 2 cups of finely ground leaf flour Place a cube of butter in a frying pan and add leaf flour to melted butter stirring constantly, do not let this burn! Add a little water or add an extra egg to your recipe if you want. Re-invent your favorite recipe or mix.

Marijuana ButterMarijuana Butter: Preparation and Use (alternative preparation)

Fill a large pot or crock-pot with a gallon of water and bring to a boil. Add one pound of butter and a half-pound of plant material and reduce to simmer for several hours, adding to the mixture more water to total 5-7 gallons over a 48-hour period. This mixture remains on the lowest possible heat for the duration. The last gallon of water is added in the final 5 hours of the cooking process. Press the plant material to the bottom of the pot with a steamer basket or sieve. Let cool, then scrape the butter from the top of the mixture and save. Discard the water and the plant material. This method must be kept cooking for the duration and might be inconvenient for those without a crock-pot or an electric stove. Use this butter in any recipe that you think appropriate. Bake 1 to 1½ CUPS of Marijuana Butter into a batch of cookies, muffins, or any other recipe. Experiment, create your own recipes – and remember to share with other medical marijuana patients.

Eating Muffins

Begin by ingesting a 1/4 muffin. Wait at least 45 minutes before taking more. If you choose to take more medicine, then increase by a 1/4 of a muffin at a time. Be certain to always ingest judiciously, increasing the amount you take slowly and carefully. May cause drowsiness. Refrigerate or freeze remaining baked good(s) to keep fresh for future use.Marijuana Cookies

Eating Cookies

Begin with 1/4 of a cookie. Wait at last 45 minutes prior to increasing dosage. Please refrigerate or freeze remaining baked good(s) to keep fresh.

Ingesting Capsules

Begin by using a ¼ to ½ of a capsule. Increase accordingly until you have achieved the desired relief. If you decide to increase the amount you take, wait at least 45 minutes before ingesting more. May cause drowsiness. Have been reported to help sleep, relieve pain and anxiety. Keep refrigerated.

Using Elixir

Begin with ½ – 1 dropper full. Increase as needed (pro re nata). Wait for at least 30 minutes before increasing dosage. Please refrigerate. Most patients report that this does not cause a 'high' effect, and is reported to relieve neuropathic pain.

Marijuana TeaTeas: Preparation and Use

Teas can be made from water. Since the useful properties contained in marijuana are oil soluble, it is preferable to use a liquid that contains some fat or oil (milk, soy milk, seed oil, nut oil, or rice milk), although hot water will have some mild effectiveness. This method takes a few minutes if a flower top is being used, it may be saved and used on one or more occasion. Otherwise let the tea steep for 1-2 hours and add a tsp. of butter. The effects might be strong so begin by leaving the leaf in for a short period of time, increasing as needed.
Using the milk form requires an all day cooking period, or overnight if you have a crock-pot. Add a cup of ‘milk’ and a large handful of marijuana leaf to the pot and simmer on a low heat. You can take your “milk” with you in a thermos or reheat in a microwave.

Tincture: Preparation and Use

Preparing a tincture with vodka can be used topically, sublingually or internally. Use one part Everclear 180 proof to five parts fresh marijuana or cover the marijuana completely. If you have dried marijuana then use one part Everclear 180 proof to ten parts dried marijuana. Use glass or earthenware to store your preparation. You can let the mixture stand for two months to one year depending on the results you desire. Shaking daily will activate the mixture.Tincture
Begin by using three drops to several droppers full, adding to warm pure water or to tea (of your choice). You may choose to use as much as three or more droppers full at a time, but always begin judiciously, with a small portion, increasing accordingly until you reach the desired effect. Patients may experience pain relief by using this medicine, but most report no “high” effect. Dilute in warm tea, water, or juice.

Using as a Compress

Make the preparation as you would tea made with water, or the tincture made with vodka. Thoroughly soak a compress in the mixture and apply directly to affected area. Allow the compress to remain for at least a half hour. Compresses are often used to alleviate the pain caused from bursitis and arthritis or sore and aching joints.

Rub-A-Dub

Make Rub-A-Dub the same way you would a tincture, only prepare by using ISO alcohol instead. Apply topically (only on your skin). Use this liberally and as often as you want. DO NOT DRINK. May stain clothes.

Salve

Prepare a salve by using coconut oil and plant material and cooking in the same fashion as the butter. Adding other medicinal plants like Aloe, Comfrey, Yarrow, etc, will greatly help with the healing qualities. The more plant material the better. After separating the oil from the water by allowing cooling overnight, heat the oil one more time to boil off any additional water. From there, pour the oil into a glass jar (wide mouth, half pint jars work great).
Apply to area with pain, spasm, or damage. Use a nice amount but don’t try to over-saturate area. Your clothes may absorb some of the salve. For best results, apply after a hot shower. WAMM’s salve has helped with poison oak, neuropathy, spasms, skin conditions, and other external (and internal) conditions.

MarinolMarinol: What is it?

This ‘synthetic petrochemical analog’ is only one of the over 400 components found in the whole marijuana plant. Some patients said this costly synthetic form aids in the relief of nausea. It is said to take up to an hour to be made available for use by the body. Marinol has potential for overdose and must be used under the supervision of a physician.


Medical Marijuana Side Effects

Marijuana is one of the oldest natural herbs known to human beings. It is also one of the safest, as it is impossible to consume enough to produce a toxic effect in the body. However, if you are unfamiliar with it, there are some effects which you should be aware of so that you can use it more effectively.

Uneasiness
Marijuana usually has a soothing and comforting effect on the mind. Sometimes, however, people do experience feelings of anxiety. If this happens to you, there are several things you can do. Try to stay in environments where you feel naturally comfortable. You may want to avoid busy, noisy, or unattractive places. If your environment is safe and comfortable, and you still have some anxiousness, sit or lay down, breathe deeply, and relax. Think loving thoughts. If you have a pet, hold or stroke it. Eating will often quickly reduce the feeling of anxiety. Then, the next time you use it, try reducing your dosage. Because of our social training, you may have feelings of guilt. Know that you have a right to your medicine.

Hunger
Many people become hungry after using marijuana, and those who need their appetite stimulated use it for this very reason. If you are not using it for this purpose, drink water or juice. If you do wish to eat, eat good nourishing food rather than sweets.

Thirst
Marijuana often makes people feel thirsty. Because of this, it helps those who need it to rehydrate themselves. Drink all the water you wish. Fruit juices are better than coffee, tea, or soft drinks.

Redness in the eyes
This will not hurt you. You do not need to use any of the commercial preparations that "get the red out" for cosmetic reasons. If you must go out in public and are concerned about others' reaction to the redness, wear sunglasses.

Drowsiness
Some people find that marijuana makes them sleepy. If you can and wish to, go ahead and take a nap. As with all medicines that can produce drowsiness, don't drive or operate heavy machinery.

Insomnia
Some people find that they can't sleep for a while after using marijuana. If this happens to you, try reducing your dosage, and avoid using it for about two hours or so before you want to sleep.

Short-term memory loss
Sometimes people find it difficult to carry on a complicated conversation, keep track of details, or perform complex tasks. If this happens to you, schedule your time so that you don't have to do these things when using your medicine. Long-term memory is not affected.

Giddiness
Many people find that things which normally don't seem funny become quite amusing when they use marijuana. Most people enjoy this effect. A good laugh helps the healing power of your body and mind. If you must go to the bank or deal with other situations where humor would be inappropriate in your judgment, schedule your time so that you don't have to deal with them when you are taking your medicine. Don't worry, this will pass.


Patients Speak on How to Use Marijuana

I put about 1/8 of a gram into a water pipe and inhale slowly, holding my breath approximately ten seconds, then exhale. Relief is nearly immediate. My muscles relax and I feel more in control. This lasts for about two and a half hours.

Dixie Romagno
Multiple Sclerosis
Bakersfield, CA

There was a time in my illness that I was unable to smoke marijuana. During that time, I ate two cookies per day containing approximately one and a half grams of leaf marijuana. It helped restore my appetite, allowing me to regain my health.

Gidget
AIDS survivor
Portland, OR

Because of my HIV, I am taking many drugs; all with severe side effects. Marijuana is the only drug that helps with the nauseous feelings I so often have. A typical dose of marijuana for me is a small bong hit (approximately 1/10 of a gram) inhaled deeply and held in for about five seconds. It takes about ten minutes to work. The "munchies" take about one and a half hours.

Jerry Leatherman
AIDS patient
San Francisco, CA

I use marijuana for my arthritis and rheumatism. It seems to relieve the pain at the joints, which most affects me. I'm seventy-one years old and marijuana helps me relax. I know many senior citizens who could use this medicine greatly. I eat one brownie per day, containing approximately two grams each of high-grade leaf marijuana.

Mary Rathbun
AIDS Volunteer
WARD 86
SF General Hospital
San Francisco, CA

My joints hurt and the doctor has prescribed pain pills, but they make me drowsy. I use a warm compress, filled with leaf marijuana, placed directly on my knees. I leave it there for about three hours, taking away the pain.

Byron Statemate
Arthritis sufferer
75 years of age

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