Strips are tiny pieces of cannabis film that are placed under the tongue. While they are a relatively new method of administration, the market for them is growing because they’re discreet and fast acting. Strips are about the size of a nickel and as thin as a sheet of paper, making them easy to transport and consume. To use them, patients place the strip under the tongue (not on top—the tongue won’t absorb much; the film needs to stick to the membranes under the tongue) and hold it there for at least five minutes or until it dissolves. Some manufacturers recommend not talking while a strip is in place to avoid moving it around the mouth, which can diminish the strip’s effects.
Anecdotally, patients have successfully used sublingual cannabis products to treat occasional mild panic attacks because the fast-acting sublingual can mute the panic attack before it escalates into something that affects normal daily activities. When the panic attack has been averted and the effects of cannabis have worn off, patients can go on with their day. If the anxiety continues, precise doses can be administered to help control the physical and mental symptoms. This is superior to edibles, which may take too long to avert the panic attack and because the effects may last longer than necessary.
Because this small amount is used to keep cannabinoid signaling constant (avoiding peaks and valleys), it’s important that microdoses be used consistently over time. For instance, in one patient using microdosing to control chronic low-level anxiety, a CBD:THC tincture (containing 2.5 mg CBD and 2.5 mg THC per half dropper) was administered every six hours during the day plus a dose before bed to control symptoms on a daily basis. It took 14 days to see maximum anxiety relief. When microdosing was discontinued, anxiety symptoms returned within two days.
Types of Sublingual Products
1. U.S. cannabis market size, share & trends analysis report by cannabis type (medical, recreational), by product type (buds, oils, tincture), by medical application, (chronic pain, mental disorder, cancer), and segment forecasts, 2019–2025. Grand View Research website. https://www.grandviewresearch.com/industry-analysis/us-cannabis-market. Published July 2019. Accessed January 21, 2020.
Many medical cannabis patients prefer to use sublingual products rather than smoke or vape to avoid the exposure to smoke and other byproducts of combustion. Moreover, for novice users, these products are superior to edibles because they limit first-pass liver metabolism and thus the conversion of delta-9-THC to the more psychoactive form 11-hydroxy-THC, which may cause an extra-intense high that’s been known to make medical cannabis users uneasy. Another benefit of avoiding the digestive system is that the effects of sublingual products can usually be felt within 15 minutes and last for two to three hours, which is more like the bioavailability of smoking or vaping and unlike that of edibles. It makes sublingual products a good choice for fast, short action for patients who need episodic symptom relief without feeling the effects of cannabis all day.
• swallow all the saliva in the mouth;
• put the product under the tongue;
• use the tongue to move oil around the mouth (even the cheeks and gums will absorb the cannabinoids) or stick the tablet or strip to the bottom of the mouth; and
• don’t eat or drink anything for 10 minutes.
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This article was co-authored by Aimée Shunney, ND. Dr. Aimée Gould Shunney is a Licensed Naturopathic Doctor at Santa Cruz Integrative Medicine in Santa Cruz, California where she specializes in women’s health and hormone balancing. She also consults with various companies in the natural products industry including CV Sciences, makers of PlusCBD Oil. Dr. Aimée educates consumers, retailers, and healthcare providers about CBD oil through written articles, webinars, podcasts, and conferences nationwide. Her work has been featured at the American Academy for Anti-Aging Medicine, the American Association of Naturopathic Physicians Conference, and on Fox News. She earned her ND from the National College of Naturopathic Medicine in 2001.
CBD, or cannabidiol, is a natural compound found in hemp and marijuana plants. Unlike THC, the other active component in marijuana, CBD oil doesn’t cause a high. However, early research shows that it may have a variety of health benefits, such as reducing pain, anxiety, nausea, and insomnia.  X Trustworthy Source Harvard Medical School Harvard Medical School’s Educational Site for the Public Go to source While there are several ways to take CBD oil, one of the safest and most effective is to use a tincture that goes under your tongue.  X Trustworthy Source Consumer Reports Nonprofit organization dedicated to consumer advocacy and product testing Go to source Before using a CBD tincture, talk to your doctor about the best dosage and whether you can use it safely.
500mg concentration: Take .5ml (i.e. a half dropper) for 8mg of hemp CBD oil. The 500mg full-spectrum tincture is Populum’s best seller, and for good reason. It provides all the benefits of the 250mg but double the concentration. As a first-time CBD user, you can easily dose the 500mg up or down.
For best results, we suggest taking after a meal. When nutrients are present, our body can more readily absorb additional compounds like vitamins, supplements, or medications. Think about it this way: the body can absorb the CBD oil better when it isn’t hungry for other nutrients. Like your breakfast.
1. Choose your CBD flavor.
If you have chosen a tincture as your preferred form of CBD, there are a few questions that you should ask yourself before taking your tincture. Ask yourself — do you want to take an unflavored or flavored tincture? Because tinctures are oil that are taken orally, unflavored tinctures tend to be an acquired taste. If you’re just starting out with CBD, we would recommend trying a flavored CBD oil, like Populum’s full-spectrum orange-infused tincture.
We recommend 8 to 8.5 mg of hemp CBD oil per day to start. This amount will vary depending on the CBD concentration you purchased. Here’s a short breakdown of how concentration differs among our full-spectrum tinctures:
If you’re new to CBD, it’s important to know how to use CBD oil. The most effective way to administer our CBD is to take it sublingually, which means under your tongue. Here are 4 easy steps: