The Entourage Effect: The Power of Whole Plant Medicine 

chart of major and minor cannabinoids, terpenes, and flavonoids to make up the entourage effect in whole plant medicine

Cannabis is more than just THC and CBD. While these two cannabinoids are most widely recognized, the true therapeutic power of cannabis lies in how all of its components work together. We call this the entourage effect. Follow along as we dive into the entourage effect, how different compounds work together in whole plant medicine, and why it’s important for both medical and recreational cannabis users to understand. 

What is the Entourage Effect? 

The entourage effect is a term used to describe how the different compounds in cannabis — such as cannabinoids, terpenes, and flavonoids — work together to enhance or modify each other’s effects. Instead of relying solely on one isolated cannabinoid, the entourage effect highlights how the whole plant, with all its naturally occurring compounds, provides a broader range of therapeutic effects than isolated compounds alone. 

Cannabinoids: More Than THC and CBD 

Cannabis contains hundreds of cannabinoids, each with unique effects. The most common include: 

  • THC: Psychoactive, pain reliever, anti-nausea, anti-inflammatory, sleep aid 
  • CBD: Non-psychoactive, CBD is often used for its calming effects and its ability to reduce anxiety, stress, and inflammation. 
  • CBG: CBG may relieve pain, support the nervous system and provide anti-inflammatory effects. 
  • CBC: Non-psychoactive, CBC is believed to reduce inflammation, anxiety, and pain. 
  • CBN: CBN is thought to be anti-seizure and help with sleep and inflammation. 

Each cannabinoid affects the body’s endocannabinoid system (ECS) differently, but when used together, they can produce more therapeutic benefits. This synergy is the key principle behind the entourage effect. 

Terpenes: The Aromatic Compounds That Amplify the Entourage Effect 

In addition to cannabinoids, terpenes play a significant role in the entourage effect. Terpenes are the aromatic compounds found in cannabis (and other plants) responsible for the smell and flavor. In addition, they also have their own therapeutic properties and interact with other compounds to enhance their effects. 

For example: 

  • Myrcene: Known for its calming effects, myrcene may help reduce pain and promote muscle relaxation. 
  • Limonene: With uplifting and mood-enhancing properties, limonene may provide anxiety relief. 
  • Caryophyllene: A gastroprotective with a peppery smell and flavor, caryophyllene works as an anti-inflammatory and anti-anxiety aid. 

When combined with cannabinoids, terpenes can modify how cannabis affects the body, further demonstrating the importance of using whole-plant medicine. 

The Benefits of Whole-Plant Medicine 

Whole-plant medicine uses cannabis in its natural, unaltered form, incorporating all cannabinoids, terpenes, and other compounds. Unlike isolated cannabinoid products (such as pure THC or CBD oils), whole-plant cannabis offers a more comprehensive therapeutic effect.  

The benefits of whole-plant cannabis include: 

  1. Enhanced Therapeutic Effects: The entourage effect boosts the therapeutic potential of cannabis, providing a more balanced and effective treatment. 
  1. Lower Risk of Side Effects: Full-spectrum products may help reduce side effects. For example, CBD can moderate the psychoactive effects of THC, making it more suitable for daytime use. 
  1. Versatility in Treatment: Whole-plant cannabis can treat a wide range of conditions, from chronic pain to anxiety, by leveraging the combined power of cannabinoids and terpenes. 
  1. Effective Pain Relief: Studies show that combinations of cannabinoids, like CBD and THC, can be more effective at reducing pain and inflammation than isolated compounds alone. 

How Cannabinoids Work Together in the Entourage Effect 

Cannabinoids interact with the body’s endocannabinoid system (ECS), which regulates various physiological processes like pain, mood, and immune response. The ECS has two main types of receptors: CB1 and CB2. CB1 receptors are mainly found in the brain and central nervous system, while CB2 receptors are located in the peripheral nervous system and immune cells. 

When cannabinoids like THC and CBD are consumed, they interact with these receptors to produce various effects. THC binds especially well to CB1 receptors, which causes the characteristic “high” sensation. On the other hand, CBD interacts more indirectly with both CB1 and CB2 receptors, potentially moderating the effects of THC. 

The entourage effect occurs when multiple cannabinoids and terpenes work together to influence the ECS. For example, CBD can reduce the psychoactive effects of THC, making it easier for users to tolerate higher doses without feeling overly intoxicated. This interaction leads to a more balanced experience, both therapeutically and in terms of side effects. 

Choosing Whole-Plant Cannabis Products 

To experience the full benefits of the entourage effect, it’s important to choose whole-plant cannabis products that provide a broad spectrum of cannabinoids and terpenes. Here’s what to look for: 

  • Full-Spectrum vs. Isolate: Full-spectrum products contain a range of cannabinoids and terpenes, while isolates contain only one compound (such as pure THC or CBD). If you’re seeking the entourage effect, opt for full-spectrum products. 
  • Terpene Profiles: Pay attention to the terpene profiles of cannabis products. Some work best for relaxation, while others may be better for energy or mood enhancement. 
  • Lab Testing: Make sure the products you choose are lab-tested for potency, purity, and safety. Lab results ensure that the product contains the cannabinoids and terpenes advertised. Note: all products sold within the Utah Medical Cannabis program have been thoroughly tested and approved for sale by the state.

Final Thoughts

The entourage effect underscores the importance of using whole-plant cannabis for therapeutic purposes. By understanding how cannabinoids, terpenes, and other compounds work together, users can maximize the therapeutic benefits of cannabis. Whether you’re using cannabis for chronic pain, anxiety, or sleep issues, whole-plant cannabis offers a more balanced, holistic approach to wellness. 

Embracing the entourage effect means tapping into the full potential of cannabis as a natural remedy. If you’re new to cannabis, start with full-spectrum products to experience the combined benefits of cannabinoids and terpenes. For more information on cannabinoids and the entourage effect, explore our website or schedule an appointment with one of our canna-expert QMPs. 

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By UtahMarijuana.org
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Published March 11, 2025

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