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Cannabis is a plant that can be used in different forms to help people manage symptoms of cancer and its treatment. You may hear terms like marijuana, hemp, THC, and CBD, but they all refer to different parts or chemicals found in cannabis plants. Understanding these differences can help you make informed decisions about what might be right for you.
Cannabis refers to a group of more than 700 plant varieties that come from the Cannabaceae family. Cannabis sativa and Cannabis indica are the two varieties (sometimes called strains) most often used in inhaled, ingested (edible), and topical cannabis products.
A third variety, Cannabis ruderalis is less commonly used in cannabis products because it has lesser effects. But it is usually crossbred (hybridized) with sativa or indica to make hardier, faster-growing plants.
THC and CBD are two of the main chemicals in cannabis that have psychoactive or medicinal effects on the body. They are both part of a group of more than 100 different types of chemicals called cannabinoids, which are found in cannabis plants. Some cannabinoids are also made naturally in the body. They can also be made artificially in a lab.
Because they are found in plants, THC and CBD are sometimes called phytocannabinoids. (“Phyto” refers to anything related to plants.)
THC and CBD affect your body in different ways:
Our bodies naturally make certain types of cannabinoids as needed. “Endo” means “within,” so cannabinoids made by the body are called endocannabinoids. They are found in various organs and tissues. The reason THC and CBD have the effects they do is because the body has receptors (proteins that can change the way a cell acts) that are activated by cannabinoids, whether they are made by the body or come from a plant.
When the body detects pain, hunger, injury, or stress, the endocannabinoid system (ECS) becomes active to help transmit signals between nerve cells. Cannabinoids react by attaching or binding to cannabinoid receptors, such as CB1 and CB2.
THC binds directly to CB1 receptors, which is why it has the effects it does. CBD doesn’t bind to receptors directly. Instead, it supports the body’s own endocannabinoids and helps to regulate the endocannabinoid system.
Synthetic cannabinoids are made in a lab. They are meant to have similar effects of cannabinoids found naturally in plants and the body. Nabilone is an example of an FDA-approved synthetic cannabinoid available as a prescription. However, many others are much stronger and are known to have harmful side effects. These non-prescription synthetic cannabinoids can be hazardous due to uncertain effects that might cause serious health problems.
Marijuana and hemp are both products made from cannabis plants. They differ in which parts of the plant they use and how much THC they contain.
Marijuana is the name given to the dried leaves, flowers, and seeds of varieties of cannabis plants. It goes by many names, including pot, grass, cannabis, dagga, weed, delta, hemp, hash, flower, buds, marihuana, ganja, and many others. Marijuana contains both THC and CBD.
Hemp is made up of the stalks, stems, and seeds from cannabis plants. Like marijuana, hemp contains both THC and CBD. While both can have varying amounts of CBD, hemp has less THC than marijuana does.
According to the US Food and Drug Administration (FDA), “marijuana” is any cannabis product with more than 0.3% THC and “hemp” is any product with 0.3% or less of THC. Marijuana is considered illegal by federal law, even though some states have legalized it. Hemp is not considered illegal by federal law due to its lower concentration of THC. Read more in Is Cannabis Legal in the US?
The American Cancer Society medical and editorial content team
Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as editors and translators with extensive experience in medical writing.
Bie B, Wu J, Foss JF, Naguib M. An overview of the cannabinoid type 2 (CB2) receptor system and its therapeutic potential. Curr Opin Anaesthesiol. 2018; 31(4):407-414. Available at https://pmc.ncbi.nlm.nih.gov/articles/PMC6035094/.
Braun IM, et al. Cannabis and cannabinoids in adults with cancer: ASCO guideline. Journal of Clinical Oncology. 2024; 42(13). Available at https://ascopubs.org/doi/10.1200/JCO.23.02596.
De Brito Siqueira A, et al. Phytocannabinoids: Pharmacological effects, biomedical applications, and worldwide prospection. Journal of Traditional & Complementary Medicine. 2023; 13(6):575-587. Available at https://www.sciencedirect.com/science/article/pii/S2225411023000974.
Food and Drug Administration (FDA). FDA and cannabis: Research and drug approval process. 2023. Accessed at https://www.fda.gov/news-events/public-health-focus/fda-and-cannabis-research-and-drug-approval-process on October 29, 2024.
Food and Drug Administration (FDA). FDA regulation of cannabis and cannabis-derived products, including cannabidiol. 2024. Accessed at https://www.fda.gov/news-events/public-health-focus/fda-regulation-cannabis-and-cannabis-derived-products-including-cannabidiol-cbd on October 29, 2024.
Food and Drug Administration (FDA). What you need to know (and what we’re working to find out) about products containing cannabis or cannabis-derived compounds, including CBD. 2020. Accessed at https://www.fda.gov/consumers/consumer-updates/what-you-need-know-and-what-were-working-find-out-about-products-containing-cannabis-or-cannabis on October 29, 2024.
National Cancer Institute (NCI). Cannabis and cannabinoids (PDQ) - patient version. 2023 Accessed at https://www.cancer.gov/about-cancer/treatment/cam/patient/cannabis-pdq on October 29, 2024.
National Center for Complementary and Integrative Health (NCCIH). Cannabis (marijuana) and cannabinoids: What you need to know. 2019. Accessed at https://www.nccih.nih.gov/health/cannabis-marijuana-and-cannabinoids-what-you-need-to-know on October 29, 2024.
Last Revised: October 29, 2024
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