Cannabis 101

Cannabis Wellness Products Compared: Balms, Lotions, Tinctures and RSO

Balms, lotions, tinctures and RSO often get grouped together, but they work very differently. Here's how each is used, how fast it acts and how to read its label.

Balms, lotions, tinctures and RSO are often sold as cannabis wellness products, a marketing label rather than a promise. None of them is smoked, but they differ in how they enter your body, how fast they act and how precisely you can measure them. Here's a plain comparison to help you read each label.

What “cannabis wellness products” usually means

People choose these formats for practical reasons: no smoke, a measured dose in milligrams, or a topical for one spot without feeling high. None of that makes them health products. None of them is an approved medicine, and research on these consumer formats is limited. Talk with your clinician before using them for a health reason, especially if you're pregnant or take medications.

Balms and salves: concentrated, for one spot

Balms and salves are thick, waxy topicals made to stay where you rub them in. A CBD balm and a THC balm work the same basic way. Cannabinoids are very fat-soluble, which lets them enter the skin's outer layer but makes it hard to go deeper. A review of skin-delivery research found that CBD tends to collect in that outer layer. In one small German experiment, THC salves applied for three days left no detectable THC in three volunteers' blood or urine. Our guide to cannabis topicals covers every type.

Lotions, including transdermal formulas

Lotions spread easily over larger areas, and a regular cannabis lotion works on and in the skin, much like a balm.

Transdermal products are different. A patch, gel or transdermal cannabis lotion uses special carriers to push cannabinoids past the skin's outer barrier and into your bloodstream. So a THC transdermal can act on your whole body. The same route can also keep blood levels steady over many hours. In Michigan, non-oral THC products such as transdermal patches can hold as much as 100 mg of THC per dose. If the label doesn't say transdermal, assume it's a topical.

Tinctures: dropper doses under the tongue or in food

A tincture is a liquid extract in alcohol or oil, sold with a dropper that's often marked in milliliters, so you can measure small, repeatable amounts. Held under the tongue, some of a THC tincture absorbs through the lining of the mouth. Much of it still gets swallowed, though, and that part acts like an edible. Swallowed cannabis usually takes effect within two hours, sometimes in as little as 30 minutes, and full effects can take up to four hours. For adult-use tinctures, Michigan allows no more than 10 mg of THC in a dose and 200 mg in a container. Our cannabis tincture guide walks through dropper math.

RSO: a whole-plant oil that calls for tiny doses

Rick Simpson Oil, or RSO, is a dark, tar-thick, full-extract cannabis oil that usually comes in a small oral syringe. RSO oil is strong: a VA research summary notes that THC in extracts such as oils and tinctures can reach 90%.

Do the math before you dose. A gram of oil at 70% THC holds about 700 mg of THC; compare that with the 10 mg limit on a Michigan adult-use edible serving. Measure RSO in tiny drops, expect it to act like an edible and let two full hours pass before you consider more. Read more on what RSO is and shopping for RSO.

Ratios on the label: CBD:THC and CBN blends

A ratio compares two cannabinoids, most often CBD and THC, so check which one the label lists first. A 20:1 CBD:THC product holds 20 times more CBD than THC, and 1:1 CBD:THC products hold equal milligrams of each. THC-forward products are the most likely to make you feel high. Think of the ratio as the balance; the milligrams per serving are the strength.

Some formulas add CBN and market it for evenings. A 2021 research review found the evidence on CBN dated and limited, too thin to support sleep claims. It also noted that these products usually contain 5 mg or less. See our CBN explainer.

Cannabis balm vs. lotion vs. tincture vs. RSO: comparison table

FormatOnsetDurationDose controlChance of a high (THC versions)
Balm or salveLocal, on the skinVariesLowLow
Standard lotionLocal, on the skinVariesLowLow
Transdermal patch or gelGradualSteady releaseGoodYes
TincturePartly through the mouth, the rest like an edibleOutlasts inhaled cannabisGoodYes
RSO, swallowed30 minutes to 2 hoursOutlasts inhaled cannabisHardYes, even at small doses

How to choose a format, and what to ask

  • Want to avoid a high? Choose a standard topical or a CBD-dominant product, and check the THC milligrams.
  • Want a measured dose? A tincture's marked dropper gives the most control.
  • Experienced with edibles? RSO is the most concentrated of these formats, so start smaller than you think.

Questions worth asking: What's the THC and CBD per serving and per package? Is it topical or transdermal? Which oils and fragrances are in it? At High Society, a budtender can help you read a label in store; health questions belong with your clinician. Cardholders can find more in our patient guide. Recreational shoppers need to be 21 or older, while medical cardholders can buy from age 18. Enjoy cannabis responsibly.

Frequently asked questions

Will a THC lotion get me high?

Usually not, if it's a standard topical. Cannabinoids tend to stay in the skin's outer layer, and a small study of THC salves found none in users' blood or urine after three days of use. Transdermal products are the exception: they're formulated to reach the bloodstream, so they can make you feel high.

How is a balm different from a lotion?

Texture and coverage. A balm or salve is thick and waxy, made for rubbing into one small area. A lotion contains more water, spreads easily and covers larger areas. Both are topicals that act on the skin, and neither is designed to reach the bloodstream unless it's labeled transdermal.

How do I dose RSO?

Start very small. RSO is highly concentrated, so check the label's THC per gram or per syringe and work out the milligrams in each drop. Take the smallest amount you can measure, then wait two hours or more before any second dose, since swallowed RSO acts like an edible. If you take medications, talk with your clinician first.

Are tinctures faster than edibles?

Sometimes, a little. Drops held under the tongue can absorb partly through the lining of the mouth, which may shorten the wait. In practice, much of a tincture gets swallowed, and that part acts like an edible, starting within 30 minutes to 2 hours. Hold off on a second serving until you know how the first one feels.

Sources

  1. Lefebvre E. et al., Transdermal Delivery of Cannabidiol for the Management of Acute Inflammatory Pain: A Comprehensive Review of the Literature, International Journal of Molecular Sciences (2024)pmc.ncbi.nlm.nih.gov
  2. Hess C. et al., Topical application of THC containing products is not able to cause positive cannabinoid finding in blood or urine, Forensic Science International (2017)pubmed.ncbi.nlm.nih.gov
  3. Health Canada: Cannabis, lower your riskscanada.ca
  4. VA National Center for PTSD: Cannabis Use and PTSD Among Veterans (section on active ingredients and route of administration)ptsd.va.gov
  5. Corroon J., Cannabinol and Sleep: Separating Fact from Fiction, Cannabis and Cannabinoid Research (2021)pmc.ncbi.nlm.nih.gov
  6. Michigan Cannabis Regulatory Agency: Technical bulletin on maximum THC concentrations for marijuana-infused products (April 24, 2025)michigan.gov

Michigan's medical card, explained

Michigan's medical marijuana program has its own card and its own rules for patients and caregivers. Our guides explain how to apply and walk through the main product types. For questions about your health, talk with your doctor.

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