San Francisco Chronicle

Everything you need to know about the transderma­l patch.

- By Emily Earlenbaug­h

The future of cannabis as a medicine looks nothing like what you might imagine. Case in point: the trend in transderma­ls — skin patches infused with THC and cannabidio­l (CBD). The second most common active ingredient in cannabis, CBD can treat inflammati­on, muscle spasms, pain and anxiety. These patches are applied to any venous area of the body, and provide consistent, continuous and relatively long-term pain relief and relaxation.

How they work:

Like nicotine and opioid patches, transderma­ls use a carrier substance that moves the cannabinoi­ds from the skin into the bloodstrea­m. While the patch is on, it can provide relaxation and pain relief throughout the body. It doesn’t cause the lift in mood one gets from smoking THC-rich flower. (Transderma­ls work near the site of the patch and generally do not cause psychologi­cal effects.)

The benefits:

Transderma­ls are discreet, with no smoke and no high. They work fast and last for a long time. And they come in exact doses.

Who’s using them:

Patients use these transderma­ls to manage chronic pain, muscle spasms, inflammati­on and sports injuries. A 2017 National Academies of Sciences report supported these claims of pain relief, saying that there is significan­t evidence that CBD and THC can effectivel­y reduce pain and spasms.

Downsides:

While transderma­ls are fast acting, they do not affect you as fast as inhaling cannabinoi­ds. Those who need immediate relief may not find them the right fit. Transderma­ls may not be as widely available as other cannabis products. Once you do find them, they may be more expensive as well. And the manufactur­ing process often destroys some of the plant’s aromatic compounds, called terpenes, which can play a role in cannabis therapies.

Brands to try:

Mary’s Medicinals makes 10-mg and 20-mg patches in a variety of cannabinoi­d blends. Pure Ratios is a good choice for reservoir patches. These transderma­ls deliver cannabinoi­ds to your system for up to 96 hours.

Cost:

Transderma­ls typically cost $15 to $20 per patch. But price can vary brand to brand, and even dispensary to dispensary, so check with the dispensari­es near you.

Did you know?

Patches can also include other, more exotic cannabinoi­ds and terpenes, like THC-A, which offers the pain relief of THC without the lift in mood of THC. Emily Earlenbaug­h is an East Bay freelance writer and cannabis educator.

 ?? Santiago Mejia / The Chronicle; modeling: Dan Dieguez ?? Transderma­l patches are fast-acting and can provide relaxation and pain relief throughout the body.
Santiago Mejia / The Chronicle; modeling: Dan Dieguez Transderma­l patches are fast-acting and can provide relaxation and pain relief throughout the body.

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