Routes of administration | Definitions | Examples | Questions regarding cannabis use |
---|---|---|---|
Oils and oral solutions | Solution (e.g., oil) containing synthetic or homemadse component of cannabis, generally administered with a liquid dropper | •Dronabinol oral solution (Syndros™, Benuvia Therapeutics Inc., Chandler, United States) | •How would you describe the effects of this treatment on your symptoms? |
Capsule | Soft gelatine capsules containing synthetic components of cannabis | •Dronabinol capsule (Marinol™, Solvay Pharmaceuticals, Inc., Georgia, United States) •Nabilone (Cesamet™, Valeant Canada Ltd., Laval, Canada) •Cannabics™ (Cannabics Pharmaceuticals Inc., Maryland, United States) | •What benefits do you experience when taking a capsule containing cannabis (eg, Dronabinol)? •What side effects do you think are associated with taking cannabis capsules (eg, Nabilone)? |
Tablet | Solid dosage form containing synthetic components of cannabis | •Namisol™ (Echo Pharmaceuticals, The Netherlands) | •Does the dose of Namisol™ provide adequate relief from your symptoms? •What could your interprofessional team do to help you manage your symptoms with Namisol™? |
Edibles | Food products or liquid infused with cannabis extract | •Brownies, lozenges, cookies, candies, gummies, chocolate bars, cakes, tinctures (cannabis-infused alcohol) and beverages | •Have you produced or used edibles containing cannabis to relieve your cancer symptoms? •What were your reasons for choosing to ingest cannabis edibles? |
Oromucosal spray | Administration with a sprayer under the tongue, inside the cheek or within the mouth of a cannabis extract | •Nabiximols (Sativex™, GW Pharmaceuticals, Carlsbad, United States) | •Does the frequency and dose of spray you receive each day seem adequate? •How does the oromucosal spray modify your symptoms? |
Smoked | Inhalation of fresh or dried cannabis leaves, fresh or dried cannabis leaves with tobacco, resin, or hashish | •Bong •Cigarette (‘joint’) •Pipe •Hookah | •What are your reasons for using cannabis by inhalation? •What compromise would you be willing to make to avoid using cannabis by inhalation? |
Vaporized (‘vaping’) | Use of distillate or oil with a vape pen or heating cannabis with a vaporizer | •Not applicable | •What are the reasons that would lead you to use another route of administration than the vaporizer? |
Suppository | Rectal administration of a tablet or a capsule containing cannabis oil | •Not applicable | •What are your reasons for using cannabis-containing suppositories? •How would you like to receive your cannabis to avoid using a suppository? |
Topical | Application of a lotion, a cream, an ointment, a transdermal patch, or a gel on a body part | •Not applicable | •What are your reasons for using creams/lotions/ointments containing cannabis? •What are the advantages and disadvantages of using creams/lotions/ointments containing cannabis? |
Intramuscular | Administration of synthetic components of cannabis | •Levonantradol | •What route of administration would you like to use to receive your cannabis dose? |
Percutaneous endoscopic gastrostomy | Administration of a concentrated hash oil, hemp oil or cannabis oil inserted in a percutaneous endoscopic gastrostomy | •Not applicable | •What were the reasons for your administration of cannabis derivatives through your gastrostomy? •By which route of administration, other than your gastrostomy, would you like to receive your cannabis? |