When it comes to cannabis, two of the most well-known compounds are cannabidiol (CBD) and tetrahydrocannabinol (THC). While both are cannabinoids derived from the cannabis plant, they have distinct effects on the body and are often used for different purposes. Understanding the differences between CBD and THC can help you make more informed decisions about cannabis products, whether for therapeutic or recreational use.
What Are Cannabinoids?
Cannabinoids are naturally occurring compounds found in the cannabis plant. These compounds interact with the body’s endocannabinoid system (ECS), a network of receptors that play a role in regulating mood, pain, appetite, and other functions. While there are over 100 cannabinoids in cannabis, CBD and THC are the two most prominent and well-studied.
What is CBD?
CBD, short for cannabidiol, is a non-psychoactive compound. It doesn’t cause the “high” typically associated with cannabis use. Instead, CBD is praised for its potential therapeutic benefits, including reducing anxiety, managing pain, and improving sleep. CBD is commonly found in products such as oils, tinctures, capsules, and edibles, and it is legal in many countries due to its lack of intoxicating effects.
What is THC?
THC, or tetrahydrocannabinol, is the psychoactive compound in cannabis responsible for the “high” feeling associated with marijuana use. THC interacts with the brain’s cannabinoid receptors, particularly CB1 receptors, which leads to the euphoric and mind-altering effects. While THC is legal in some places for medical and recreational use, it remains illegal or restricted in many parts of the world due to its psychoactive properties.
CBD vs. THC: Chemical Structure
CBD and THC have the same molecular structure: 21 carbon atoms, 30 hydrogen atoms, and 2 oxygen atoms. However, their atoms are arranged differently, leading to different effects on the body. Both CBD and THC interact with cannabinoid receptors in the body, but the way they bind to these receptors varies, which is why THC causes a high and CBD does not.
Effects on the Brain and Body
The key difference between CBD and THC lies in how they interact with the ECS:
- CBD: CBD is thought to work indirectly with the ECS, influencing receptors but not binding to them directly. This is why CBD does not produce intoxicating effects. Instead, it can help regulate processes like anxiety, inflammation, and pain without altering perception or cognition.
- THC: THC binds directly to CB1 receptors in the brain, leading to the euphoric and psychoactive effects commonly associated with cannabis use. This direct interaction is what causes the high that THC users experience.
Medical Uses of CBD and THC
Both CBD and THC have been studied for their potential medical benefits, though their applications differ:
- CBD: CBD is widely used for its potential to relieve anxiety, manage chronic pain, reduce inflammation, and improve sleep. Some research suggests it may help with neurological conditions such as epilepsy and multiple sclerosis (MS). In fact, the FDA has approved a CBD-based medication, Epidiolex, for treating certain types of epilepsy.
- THC: THC is often used for pain relief, muscle relaxation, and as an appetite stimulant. It’s particularly effective for patients undergoing chemotherapy or those with chronic conditions such as fibromyalgia or multiple sclerosis. However, its psychoactive effects limit its use for some people who prefer non-intoxicating treatments.
Side Effects
Both CBD and THC can have side effects, though they differ in severity and nature:
- CBD: CBD is generally well-tolerated, but some users may experience dry mouth, drowsiness, or diarrhea. These side effects are usually mild compared to those of THC and typically resolve once the body adjusts to the compound.
- THC: THC’s side effects can include increased heart rate, coordination problems, dry mouth, red eyes, slower reaction times, and memory issues. In high doses, it may cause anxiety or paranoia in some individuals.
Legal Status
The legal status of CBD and THC varies by country and even by state or region:
- CBD: In many countries, CBD is legal as long as it contains less than 0.3% THC. This is the case in the United States, where the 2018 Farm Bill legalized the production and sale of hemp-derived CBD products. However, some countries or states have stricter regulations.
- THC: THC is illegal in many parts of the world because of its psychoactive effects. However, it is legal for recreational or medical use in certain U.S. states, Canada, Uruguay, and a few other places. In countries where THC is illegal, products containing THC are subject to strict regulations and penalties.
Conclusion: Choosing Between CBD and THC
Both CBD and THC have unique properties and can offer significant benefits, depending on the user’s needs. For those seeking therapeutic relief without the high, CBD is a suitable choice. On the other hand, THC may be more effective for individuals dealing with chronic pain, nausea, or appetite loss, especially in medical settings.
When choosing between the two, it’s essential to consider your health goals, the legal status in your area, and any potential side effects. Consulting a healthcare provider is always recommended before starting any new supplement regimen.
References
1. Izzo, A. A., Borrelli, F., Capasso, R., Di Marzo, V., & Mechoulam, R. (2009). Non-psychotropic plant cannabinoids: new therapeutic opportunities from an ancient herb. *Trends in Pharmacological Sciences*, 30(10), 515-527. Link to study
2. Devinsky, O., Cross, J. H., Laux, L., Marsh, E., Miller, I., Nabbout, R., … & Wright, S. (2017). Trial of cannabidiol for drug-resistant seizures in the Dravet syndrome. *New England Journal of Medicine*, 376(21), 2011-2020. Link to study
3. U.S. National Library of Medicine. (2020). Cannabidiol (CBD) — what we know and what we don’t. Link to study

