Skip to main content

Sleep Disorders and Insomnia

Living with a sleep disorder can significantly impact your quality of life, affecting everything from your physical health and cognitive function to your emotional wellbeing and daily performance. Sleep disorders affect up to 40% of Canadians and can lead to serious health risks over time. Sleep, like eating healthy and exercising, is a crucial component in your body and brain’s ability to function normally.

“Long working days, social and family responsibilities, irregular shift work and illness can lead to self-imposed sleep restriction, while an untreated or undiagnosed physiological condition may cause a chronic disorder that disrupts the quantity or quality of sleep,” said Dr. Frank Ryan, a consultant to the Sleep Disorders Program at UBC Hospital.

While traditional sleep medications offer relief for some, many Canadians experience unwanted side effects or find these treatments inadequate for their needs. Medical cannabis has emerged as a potential alternative approach that many people are exploring to help improve their sleep quality and duration.

Understanding Sleep Disorders

Sleep disorders is an umbrella term which encompasses a variety of conditions that affect the ability to sleep well regularly. These conditions can impact both the quality and quantity of sleep, leading to daytime sleepiness, difficulty functioning, and an increased risk of various health problems.

Common Types of Sleep Disorders

Insomnia

  •  Difficulty falling asleep
  •  Trouble staying asleep
  •  Waking up too early
  •  Non-refreshing sleep
  •  Daytime consequences like fatigue, mood disturbances, and cognitive impairment
  •  Can be acute (short-term) or chronic (lasting months or years)

Restless Leg Syndrome (RLS)

  •  Uncomfortable sensations in the legs, often described as crawling, creeping, or tingling
  •  Strong, often irresistible urge to move the legs
  •  Symptoms typically worse in the evening and night
  •  Relief with movement, but returns when movement stops
  •  Can significantly delay sleep onset

Sleep Apnea

  •  Repeated breathing interruptions during sleep
  •  Loud snoring, gasping, or choking sounds
  •  Morning headaches
  •  Excessive daytime sleepiness
  •  Difficulty concentrating
  •  Associated with serious health risks, including cardiovascular issues

Narcolepsy

  •  Excessive daytime sleepiness
  •  Sudden sleep attacks
  •  Cataplexy (sudden loss of muscle tone)
  •  Sleep paralysis
  •  Hypnagogic hallucinations (vivid dream-like experiences when falling asleep)
  •  Disrupted nighttime sleep

Other Sleep-Related Concerns

  •  Chronic Fatigue
  •  Low Energy
  •  Nightmares and Night Terrors
  •  Circadian Rhythm Disorders
  •  Parasomnias (sleepwalking, sleep talking, etc.)

Impact of Sleep Disorders on Health

Chronic sleep problems can lead to significant health consequences, including:

  •  Increased risk of cardiovascular disease
  •  Weakened immune function
  •  Weight gain and metabolic issues
  •  Elevated blood pressure
  •  Higher risk of diabetes
  •  Mental health issues like depression and anxiety
  •  Cognitive impairment and memory problems
  •  Reduced quality of life
  •  Increased risk of accidents and injuries

Given these serious potential outcomes, effective management of sleep disorders is crucial for overall health and well-being.

The Science Behind Cannabis and Sleep

Although medical cannabis research is in its infancy, the applications of cannabis for sleep disorders is promising. There have been numerous subjective reports on how cannabis is beneficial to improving sleep quality and duration, and many individuals are turning to cannabis to achieve better sleep.

The effectiveness of cannabis for sleep may be linked to several mechanisms:

Endocannabinoid System Involvement

  •  The endocannabinoid system plays a role in regulating sleep-wake cycles
  •  Cannabinoid receptors are present in brain regions involved in sleep regulation
  •  Cannabis compounds interact with this system, potentially helping restore balance

Effects on Sleep Architecture

  •  THC may reduce the time it takes to fall asleep (sleep latency)
  •  May increase deep sleep in the short term
  •  CBD may have alerting properties at low doses but could help reduce anxiety that interferes with sleep
  •  Different cannabinoid ratios can have varying effects on different sleep stages

Additional Mechanisms

  •  Anti-anxiety effects may help quiet an overactive mind
  •  Muscle relaxant properties can reduce physical tension
  •  Pain-relieving effects may improve sleep for those with pain-related sleep disturbances
  •  May help regulate circadian rhythms in some individuals

Research in this area continues to evolve, with studies examining both the short and long-term effects of various cannabis compounds on different aspects of sleep.

Benefits of Medical Cannabis for Sleep Disorders

For Canadians struggling with sleep disorders, medical cannabis may offer several potential benefits:

Primary Symptom Management

Many patients report improvements in sleep-related symptoms, including:

  •  Reduced time to fall asleep
  •  Fewer nighttime awakenings
  •  Longer total sleep time
  •  Improved sleep quality
  •  Decreased anxiety around bedtime
  •  Better dream recall or reduced nightmares for some
  •  More consistent sleep-wake schedule

Complementary Therapy

Others find cannabis helpful as a complementary treatment to address the limitations or side effects of conventional sleep medications:

  •  Alternative for those who cannot tolerate traditional sleep medications
  •  Option when other treatments have provided inadequate relief
  •  Potential for fewer morning after effects compared to some sleep medications
  •  Possible reduction in use of multiple medications

Potential Advantages Over Traditional Medications

Traditional Sleep Medication Concerns Potential Cannabis Benefits
Next-day grogginess Some formulations may produce less residual sedation
Risk of dependence with benzodiazepines Different mechanism of action
Complex sleep behaviors with Z-drugs Potentially different side effect profile
Limited long-term options May be suitable for longer-term use in some cases

While not everyone experiences these benefits, many patients report meaningful improvements in their sleep when incorporating medical cannabis into their treatment plan under proper medical supervision.

Effective Forms of Cannabis for Sleep Disorders

Product selection is extremely important when using medical cannabis for sleep. There are two main varieties of cannabis, indica and sativa, and they have very different effects.

Cannabis Varieties for Sleep

Indica-Dominant Strains

Cannabis indica is known for its sleep-inducing qualities and relaxation effects. Indica strains are more appropriate for night-time use and help to relax the muscles and mind, producing a deeper sleep. These strains typically:

  •  Provide more body-centered effects
  •  Promote relaxation and sedation
  •  Help reduce physical tension
  •  May increase drowsiness
  •  Are generally recommended for evening/nighttime use

Sativa-Dominant Strains

Cannabis sativa is well known for its energizing and uplifting effects and is great for daytime use. Sativa strains would be an excellent choice for individuals who suffer from daytime fatigue due to lack of sleep. These strains typically:

  •  Provide more cerebral, mind-centered effects
  •  Can be energizing and uplifting
  •  May help with daytime fatigue
  •  Are generally not recommended close to bedtime
  •  Can address daytime symptoms resulting from poor sleep

Consumption Methods for Sleep

Oils and Tinctures

  •  Longer-lasting effects (6-8 hours)
  •  Good for maintaining sleep throughout the night
  •  More gradual onset (30-90 minutes)
  •  Precise dosing capabilities
  •  Can be taken 1-2 hours before bedtime

Capsules

  •  Pre-measured doses for consistency
  •  Extended-release options available
  •  Similar to taking traditional sleep medication
  •  Convenient for established bedtime routines
  •  Also features longer duration for overnight effects

Dried Flower (for vaporization)

  •  Faster onset (5-10 minutes)
  •  Shorter duration (2-4 hours)
  •  Useful for falling asleep quickly
  •  May not last throughout the entire night
  •  Allows for immediate dose adjustment

Edibles

  •  Very long-lasting effects (6-12 hours)
  •  Delayed onset (45-90 minutes)
  •  Good for those who wake up in the middle of the night
  •  Should be taken well before bedtime due to delayed onset

Many sleep disorder patients find that a combination approach works best – perhaps using a faster-acting method to help fall asleep combined with a longer-acting method to maintain sleep through the night.

Your healthcare provider can help determine which forms might work best based on your specific sleep issues, lifestyle, and previous experience with cannabis.

How to Get a Medical Cannabis Prescription for Sleep Disorders in Canada

If you’re considering medical cannabis for sleep disorders in Canada, here’s how to begin the process:

1. Consider if medical cannabis may be right for you

To determine if medical cannabis may be appropriate for your situation:

  •  You experience regular sleep difficulties that impact your quality of life
  •  You may have tried conventional treatments with inadequate results or experienced significant side effects
  •  You must reside in Canada
  •  Provincial age requirements typically align with the legal cannabis purchase age (19 in most provinces, 18 in some)

2. Book an online consultation

Our streamlined process makes it easy:

  •  Schedule a video consultation with a healthcare provider
  •  Complete a brief triage questionnaire about your sleep issues
  •  Discuss your sleep disorder symptoms, treatment history, and goals

3. Receive your online prescription

If approved, you’ll receive:

  •  A personalized treatment plan
  •  A legal medical cannabis prescription
  •  Guidance on product selection and dosing
  •  Registration assistance with licensed producers

4. Ongoing support

Our care doesn’t end with your prescription:

  •  Follow-up consultations to monitor progress
  •  7 day a week support by phone and email
  •  Dosage adjustments as needed
  •  Access to healthcare professionals for questions
  •  Educational resources about cannabis and sleep

Starting medical cannabis treatment for sleep disorders is a significant decision. Our team of healthcare professionals specializes in cannabis medicine and can help you navigate this process safely and effectively through online prescription services across Canada.

Cannabis and Sleep Hygiene

For optimal results, medical cannabis should be used as part of a comprehensive approach to sleep health that includes good sleep hygiene practices:

Environment Optimization

  •  Keep your bedroom dark, quiet, and cool
  •  Use your bed only for sleep and intimacy
  •  Remove electronic devices or use blue light filters
  •  Consider comfortable bedding and pillows that support good sleep posture

Routine Development

  •  Establish consistent sleep and wake times, even on weekends
  •  Create a relaxing pre-sleep routine (reading, gentle stretching, warm bath)
  •  Avoid stimulating activities close to bedtime
  •  Allow 30-60 minutes of wind-down time before sleep

Lifestyle Considerations

  •  Limit caffeine after noon
  •  Avoid large meals close to bedtime
  •  Exercise regularly, but not within a few hours of sleep
  •  Manage stress through relaxation techniques
  •  Limit alcohol, which disrupts sleep quality even if it initially causes drowsiness

Medical cannabis works best when combined with these healthy sleep practices, rather than being relied upon as the sole solution for sleep issues.

Dosing Medical Cannabis for Sleep Disorders

Finding the right cannabis dosage for sleep management is a personalized process requiring individualized guidance. While we recommend consulting with a healthcare professional for personalized advice, here are some general principles:

Starting Your Cannabis Treatment:

  •  Begin with minimal doses
  •  Start with 2.5mg THC or less if using THC
  •  Consider starting with an indica-dominant strain or product
  •  Take oil or capsule formulations 1-2 hours before bedtime
  •  Use inhalation methods closer to bedtime due to faster onset

Gradual adjustments:

  •  Increase by small increments (1-2.5mg)
  •  Allow several days between adjustments to assess the effects
  •  Focus on finding the minimal effective dose
  •  Consider adjusting timing based on how quickly you fall asleep and whether you stay asleep

Tracking response:

  •  Document dosage, timing, and effects
  •  Keep a sleep diary noting time to fall asleep, nighttime awakenings, and total sleep time
  •  Track how you feel upon waking and throughout the following day
  •  Note any unwanted effects like morning grogginess

These general guidelines are based on standards from The College of Family Physicians of Canada but must be tailored to your specific needs by a healthcare provider during your online consultation.

Remember that cannabis affects everyone differently, and finding your optimal dosage may take time and patience. Working with a healthcare provider experienced in cannabis for sleep can significantly improve your results when getting an online prescription in Canada.

Is medical cannabis legal for sleep disorders in Canada?

Yes, medical cannabis is legal in Canada with a valid prescription. Sleep disorders, particularly insomnia that hasn’t responded adequately to conventional treatments, can qualify for a medical cannabis prescription when assessed by a healthcare provider.

Will cannabis give me a "hangover" effect like some sleep medications?

Individual responses vary. Some people report feeling more refreshed after using cannabis for sleep compared to traditional sleep medications, while others may experience some residual effects. Starting with low doses, using appropriate strains, and proper timing can help minimize morning grogginess.

What's the difference between CBD and THC for sleep?

THC (tetrahydrocannabinol) and CBD (cannabidiol) affect sleep differently:

  •  THC typically has more sedating properties and may help reduce the time to fall asleep
  •  CBD is generally less sedating but may help with anxiety that interferes with sleep
  •  Many patients benefit from products containing both compounds in ratios tailored to their specific sleep issues

Can I become dependent on cannabis for sleep?

As with many sleep aids, there is potential for psychological dependence or habituation with regular use. Using the lowest effective dose, incorporating good sleep hygiene practices, and occasionally taking breaks from use can help minimize this risk. Your healthcare provider can help develop a plan that addresses these concerns.

Will cannabis affect my dream cycles?

THC may reduce REM sleep (where most dreaming occurs) in the short term, which some people find beneficial if they experience nightmares. With regular use, this effect may diminish. When discontinuing regular cannabis use, some people experience a temporary increase in dream intensity as REM sleep rebounds.

How long will it take to find the right cannabis treatment for my sleep issues?

Finding the optimal cannabis regimen for sleep often requires some trial and adjustment. Most patients need 2-4 weeks to determine if a particular product and dosage is effective. During this time, working closely with your healthcare provider and keeping detailed records of your sleep patterns will help guide adjustments.

Will insurance cover medical cannabis for sleep disorders?

Some private insurers now offer coverage for medical cannabis, but coverage varies widely. Check with your insurance provider about specific policies. Many patients also qualify for medical cannabis expenses as tax deductions.

Find out if medical cannabis is right for you.

BOOK YOUR APPOINTMENT

Book Your Free Virtual Appointment From The Comfort Of Your Own Home

If You Are:

  • From Ontario
  • New To Apollo
  • 19 or Older
  • Not a Veteran or Motor-Vehicle Accident (MVA) Patient

Please click here to book your free appointment online

If You Are:

  • From a Province Other Than Ontario
  • Or Under 19
  • Or A Veteran or Motor-Vehicle Accident (MVA) Patient

Please click here to schedule your free appointment

Réservez votre rendez-vous virtuel gratuit dans le confort de votre foyer

Si vous êtes:

  • Du Québec
  • Nouveau chez Apollo
  • Âgé de 19 ans ou plus
  • Pas un vétéran ou un patient victime d'un accident de la route (AVM)

Veuillez cliquer ici pour prendre votre rendez-vous gratuit en ligne

Si vous êtes:

  • D'une province autre que le Québec
  • Àgé de moins de 19 ans
  • Ou un vétéran ou un patient victime d'un accident de la route (AVM)

Veuillez cliquer ici pour planifier votre rendez-vous gratuit

Book Your Free Virtual Appointment From The Comfort Of Your Own Home

If You Are:

  • From Ontario
  • New To Apollo
  • 19 or Older
  • Not a Veteran or Motor-Vehicle Accident (MVA) Patient

Please click here to book your free appointment online

If You Are:

  • From a Province Other Than Ontario
  • Or Under 19
  • Or A Veteran or Motor-Vehicle Accident (MVA) Patient

Please click here to schedule your free appointment

Réservez votre rendez-vous virtuel gratuit dans le confort de votre foyer

Si vous êtes:

  • Du Québec
  • Nouveau chez Apollo
  • Âgé de 19 ans ou plus
  • Pas un vétéran ou un patient victime d'un accident de la route (AVM)

Veuillez cliquer ici pour prendre votre rendez-vous gratuit en ligne

Si vous êtes:

  • D'une province autre que le Québec
  • Àgé de moins de 19 ans
  • Ou un vétéran ou un patient victime d'un accident de la route (AVM)

Veuillez cliquer ici pour planifier votre rendez-vous gratuit