CBD Oil vs. THC Oil: What’s the Difference?

Noah Fishbane
CBD Oil vs. THC Oil: What’s the Difference?

CBD oil and THC oil are easy to lump together. They both come from cannabis and often come in similar little dropper bottles. But there’s one difference you’ll probably care about first: THC oil can get you high, while CBD oil won’t.

Key Takeaways

  • CBD oil doesn’t get you high, while THC oil does. That’s the biggest difference between the two and often the deciding factor when choosing one.
  • CBD oil and THC oil have some overlapping potential uses. Both are used for things like pain and sleep, while research has also looked at CBD for anxiety and THC for nausea and appetite loss.
  • CBD oil can still contain THC. Full-spectrum CBD oils may contain small amounts, which is worth knowing if you’re concerned about drug testing or local cannabis laws.

CBD Oil vs. THC Oil at a Glance

Comparison

CBD Oil

THC Oil

Gets you high?

No

Yes

Effect

May promote relaxation without a high; typically doesn’t impair perception or coordination

Can cause a high, euphoria, relaxation, altered perception and impaired coordination

Potential uses

Anxiety, sleep, inflammation and certain types of pain

Pain, nausea, appetite loss, sleep and muscle spasms

Common side effects

Drowsiness, diarrhea, nausea and appetite changes

Dry mouth, red eyes, dizziness, increased heart rate and anxiety

Can show up on a drug test?

Yes, if the CBD oil contains THC

Yes

Federal legality

Legal if hemp-derived and federally compliant 

Marijuana-derived THC remains federally illegal

Best fit

People who want to relax, support sleep or manage everyday discomfort without getting high

People seeking a noticeable high or THC’s potential effects on pain, nausea or appetite

What Is CBD Oil?

CBD oil is a cannabis extract that contains cannabidiol (CBD), a cannabinoid that doesn’t get you high. CBD can come from hemp or marijuana, though most CBD oils sold in the U.S. are hemp-derived. The extract is usually combined with a carrier oil, such as MCT or hemp seed oil.

Depending on how it’s made, CBD oil may contain CBD alone or other compounds from the plant. Full-spectrum CBD oil, for example, can contain small amounts of THC, while broad-spectrum and CBD isolate products are generally made without THC.

We see customers assume CBD oil means THC-free all the time. It doesn’t. If you want to avoid THC, look for CBD isolate or a product labeled THC-free, and check the lab report to be sure.

What Is THC Oil?

THC oil is a cannabis extract that contains tetrahydrocannabinol (THC), the cannabinoid best known for getting you high. Like CBD oil, it typically combines a cannabinoid-rich extract with a carrier oil, such as MCT oil.

Unlike CBD oil, THC oil can get you high, with effects that can include euphoria, relaxation and changes in perception.

THC oils can vary considerably in potency, and some contain CBD and other cannabinoids alongside THC. How much THC is in the bottle, and how much you take, plays a big role in the effects you experience.

When comparing THC oils, don’t let a big milligram number scare you. We recommend looking at how much THC you’re actually getting per serving, not just the total in the bottle.

CBD Oil vs. THC Oil: Chemical Structure

Here’s where CBD and THC are surprisingly similar. Both have the exact same molecular formula: 21 carbon atoms, 30 hydrogen atoms and two oxygen atoms. The difference is how those atoms are arranged.

That different arrangement changes how each cannabinoid interacts with receptors in your body. THC binds to and activates CB1 receptors in the brain, which is closely tied to its intoxicating effects. 

CBD has much less affinity for these receptors and interacts with the body differently, so it doesn’t produce a high.

CBD Oil vs. THC Oil: Effects

If you’re looking for a buzz, CBD oil isn’t going to give you one. Its effects are usually much more subtle, and depending on the person and dose, you might feel more relaxed or not notice much of anything at all.

THC oil is the one that can get you high. It activates CB1 receptors in the brain and can leave you feeling relaxed, euphoric or a little more tuned into your surroundings. It can also affect your perception, coordination and reaction time. 

And the more THC you take, the more intense the high can be [1]. Finding your sweet spot can take some trial and error, since more THC doesn’t always mean a better high.

We’ve found that people new to THC sometimes assume feeling more means it’s working better. With THC, that isn’t necessarily the case. The right amount can be very different from the strongest amount you can handle.

CBD Oil vs. THC Oil: Potential Benefits and Uses

People use CBD oil and THC oil for many of the same reasons, though each has been studied for different potential uses.

CBD oil may help with:

  • Anxiety [2]
  • Sleep
  • Inflammation
  • Certain types of pain

CBD is also the active ingredient in Epidiolex, an FDA-approved prescription medication used to treat seizures associated with certain conditions.

THC oil may help with:

  • Pain
  • Nausea and vomiting
  • Appetite loss
  • Sleep
  • Muscle spasms

The FDA has also approved THC-based prescription medications for chemotherapy-related nausea and vomiting and appetite loss associated with AIDS.

CBD Oil vs. THC Oil: Side Effects

CBD oil is generally well tolerated, but it can still cause side effects, especially at higher doses.

CBD side effects can include:

  • Drowsiness or tiredness
  • Diarrhea
  • Changes in appetite
  • Nausea

THC oil has a different set of possible side effects, including several that tend to come with the high.

THC side effects can include:

  • Dry mouth
  • Red eyes
  • Increased heart rate
  • Dizziness
  • Problems with memory and concentration
  • Anxiety or paranoia

THC side effects can become more noticeable as the dose goes up, although some people feel them even with a small amount. CBD can also interact with certain medications, so check with your healthcare provider if you take prescription drugs. 

CBD Oil vs. THC Oil: Legality

CBD oil and THC oil don't follow the same rules. Under current federal law, hemp-derived products can contain up to 0.3% delta 9 THC by dry weight, while marijuana and marijuana-derived THC remain federally controlled.

State laws complicate things. Many states allow marijuana-derived THC for medical or adult use, but others restrict it. States can also place their own restrictions on hemp-derived CBD and THC products, so being federally compliant doesn't necessarily make a product legal everywhere.

Federal hemp rules are changing, too. New restrictions are set to take effect in November 2026, including changes to how THC is measured and limits affecting finished hemp-derived cannabinoid products.

Before buying CBD oil or THC oil, check the current laws where you live.

CBD Oil vs. THC Oil: Drug Testing

If you use THC oil, you can expect it to show up on a standard drug test. Most tests look for THC metabolites, which can remain detectable for days or even weeks after use.

CBD itself usually isn’t included in standard drug screenings, but CBD oil can still cause problems. Full-spectrum CBD oil contains small amounts of THC, and some products may contain more THC than the label claims.

If you’re subject to drug testing, it’s best to avoid THC oil and be cautious with CBD oil, too. Even a small amount of THC can potentially lead to a positive result [3].

CBD Oil vs. THC Oil: Which Is Better?

CBD oil and THC oil can both have their place. If getting high isn’t part of the plan, CBD oil is the easy choice. If you want the intoxicating effects of THC, THC oil is more likely what you’re after. You can also use CBD and THC together rather than picking one.

At Carolina Hemp Cafe, we carry THC-free CBD oil along with full-spectrum tinctures that combine CBD and THC. All of our products are third-party lab tested, so check out our selection and find the formula and strength that works for you.

Looking for more ways to explore CBD, THC, and everything in between? Check out our other guides.

CBD Oil vs. THC Oil: Frequently Asked Questions

Still weighing CBD oil against THC oil? Here are a few more things worth knowing before you pick one.

Is THC Oil Stronger Than CBD Oil?

Not exactly. THC oil is intoxicating, while CBD oil isn’t, so THC’s effects are usually much more noticeable. Strength also depends on the amount of THC or CBD in the product and how much you take.

Is THC or CBD a Better High?

If you’re looking for a high, go with THC. CBD won’t give you the same intoxicating effects.

What Is the Downside of CBD Oil?

CBD oil can cause side effects such as drowsiness, diarrhea and changes in appetite. CBD can also interact with certain medications, and the quality and cannabinoid content of over-the-counter products can vary. 

Is CBD Effective Without THC?

Yes, CBD can have effects without THC. The FDA-approved prescription drug Epidiolex, for example, contains CBD as its active ingredient. You can also find THC-free CBD products if you want CBD without the intoxicating effects of THC. 

Does CBD Oil Contain THC?

It depends on the CBD oil. Full-spectrum CBD oil can contain THC, while CBD isolate products can be made without it. Carolina Hemp Cafe, for example, offers both a THC-free CBD isolate tincture and full-spectrum tinctures containing CBD and THC. 

Sources

1. Spindle, T. R., Cone, E. J., Schlienz, N. J., Mitchell, J. M., Bigelow, G. E., Flegel, R., Hayes, E., & Vandrey, R. (2020). Pharmacodynamic dose effects of oral cannabis ingestion in healthy adults who infrequently use cannabis. Drug and Alcohol Dependence, 211, 107969. https://doi.org/10.1016/j.drugalcdep.2020.107969 

2. Linares, I. M. P., Zuardi, A. W., Pereira, L. C., Queiroz, R. H. C., Mechoulam, R., Guimarães, F. S., & Crippa, J. A. S. (2019). Cannabidiol presents an inverted U-shaped dose-response curve in a simulated public speaking test. Brazilian Journal of Psychiatry, 41(1), 9–14. https://doi.org/10.1590/1516-4446-2017-0015 

3. Dahlgren, M. K., Sagar, K. A., Lambros, A. M., Smith, R. T., & Gruber, S. A. (2021). Urinary tetrahydrocannabinol after 4 weeks of a full-spectrum, high-cannabidiol treatment in an open-label clinical trial. JAMA Psychiatry, 78(3), 335–337. https://doi.org/10.1001/jamapsychiatry.2020.3567 

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