Cannabis bioavailability — what actually arrives

The label says 10 mg CBD. But how much ends up in the blood? Anywhere from 0.4 to 3.5 mg — depending on the route.

Bioavailability = fraction of dose reaching systemic circulation. Inhaled 20–35 %, sublingual 15–20 %, oral 4–20 %, rectal 50–70 %, transdermal < 1 %.

What bioavailability means

Fraction of an administered dose reaching systemic circulation unchanged. IV = 100 % reference.

Cannabinoids are highly lipophilic and undergo first-pass metabolism when swallowed.

By route

Inhalation: 20–35 %. Peak 3–10 min.

Sublingual: 15–20 %. Peak 60–90 min.

Practical implications

10 mg CBD sublingual ≈ 2 mg systemic.

10 mg CBD oral ≈ 0.5–2 mg systemic depending on stomach.

Nano and liposomal formulations

Nano-emulsions (< 100 nm) and liposomes package cannabinoids in water-like vehicles — 2–5× higher oral bioavailability.

Found in cannabis drinks and some premium oils. Price premium is significant.

FAQ

Why do edibles last longer despite lower bioavailability?

11-OH-THC has a longer half-life.

Does food change CBD oil bioavailability?

Yes, fat ×4 orally (Birnbaum 2019). Sublingual is unaffected.

Are CBD creams a waste?

No — locally effective, systemically poor.

Why is oral so variable?

CYP enzyme variants plus stomach contents plus carrier oil.

Cannabis bioavailability — how much actually arrives (2026)