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Rick Simpson Oil Side Effects: What to Expect and How to Manage

Rick Simpson oil side effects can include drowsiness, dry mouth, red eyes, dizziness, increased heart rate, and temporary memory issues. Most are manageable by starting with a low dose and increasing gradually.

Last updated Sep 6, 2026 · Published by RSO Help · Citation License 1.0

RSO Benefits: How It Works for Pain, Sleep, and More

Rick Simpson oil (RSO) is a full-extract cannabis oil rich in THC, CBD, and CBG. It works by interacting with your endocannabinoid system, which helps regulate pain, sleep, mood, and appetite. Many people use RSO for chronic pain, cancer-related symptoms, and sleep issues.

ConditionHow RSO HelpsWhat Users Report
Chronic painTHC and CBD bind to CB1 and CB2 receptors, reducing inflammation and pain signaling.Many find relief from neuropathic and inflammatory pain.
SleepTHC promotes drowsiness and helps with falling asleep and staying asleep.Users often report deeper, more restful sleep.
Cancer-related symptomsTHC may reduce nausea, stimulate appetite, and improve quality of life.Some patients use it alongside conventional treatments (always consult your oncologist).
AnxietyLow doses of THC can ease anxiety, though high doses may worsen it.Start low and adjust to find your optimal dose.
InflammationCBD and CBG have anti-inflammatory properties.May help with autoimmune conditions and joint pain.

RSO is not a cure-all, but its entourage effect—where THC, CBD, and other cannabinoids work together—enhances therapeutic benefits. For a deeper look at what RSO is and how to use it, see our RSO oil guide.

Can You Smoke RSO? Risks and Recommendations

No, you should not smoke or dab RSO. RSO is a thick, sticky oil meant for oral or sublingual use. Smoking it can damage your lungs and may not deliver the intended therapeutic dose.

A good fit if…

  • You want the full entourage effect and precise dosing.
  • You prefer a method that avoids inhalation risks.
  • You need long-lasting relief (oral ingestion lasts longer than inhalation).

Consider another option if…

  • You need immediate onset (sublingual tincture or nasal spray may be better).
  • You dislike the taste of oil (try capsules or edibles).

If you're unsure which method suits you, our team can help you choose during a free consultation.

Safe RSO Dosing: Start Low, Go Slow

To minimize side effects, start with a dose about the size of a grain of rice (roughly 10–20 mg of THC) and increase gradually every few days. This approach lets your body adjust and helps you find your optimal dose.

WeekDoseFrequency
1Rice grain (10–20 mg)Twice daily
2Increase by 10–20 mgTwice daily
3Continue increasing as toleratedTwice daily
4+Maintain or adjust based on effectsAs needed

Always wait at least 2 hours before taking more, as effects can take time to appear. For a precise calculator, see our RSO dosage calculator.

Rick Simpson Oil Side Effects: What to Expect

Common side effects include drowsiness, dry mouth, red eyes, dizziness, increased heart rate, and temporary memory issues. These are usually mild and subside as your body adjusts.

Side EffectWhy It HappensHow to Manage
DrowsinessTHC has sedative effects, especially at higher doses.Take RSO in the evening or reduce your dose.
Dry mouthCannabinoids reduce saliva production.Stay hydrated and chew gum.
Red eyesTHC lowers blood pressure, causing blood vessels in the eyes to dilate.Use eye drops; it's temporary.
DizzinessBlood pressure changes can cause lightheadedness.Sit or lie down until it passes.
Increased heart rateTHC can temporarily raise heart rate.Avoid if you have heart conditions; consult your doctor.
Memory issuesTHC affects short-term memory.Use lower doses and avoid driving.

If side effects are severe or persistent, stop use and consult a healthcare provider.

Tetrahydrocannabinol

Tetrahydrocannabinol, commonly known as THC, is the main psychoactive compound in cannabis. It binds to cannabinoid receptors in the brain and body, producing effects like euphoria, relaxation, and altered perception. THC also has therapeutic uses, such as reducing nausea and stimulating appetite in cancer patients. It can be taken orally, inhaled, or applied topically, with onset and duration varying by method. Side effects may include dry mouth, red eyes, drowsiness, and anxiety, especially at high doses. Understanding how THC works helps you anticipate and manage the side effects of Rick Simpson oil, ensuring a safer and more effective experience.

RSO Onset and Duration: How Long Do Effects Last?

When taken sublingually, RSO effects typically begin within 30–90 minutes and peak around 2–3 hours. If swallowed, onset may take 1–2 hours. Effects generally last 4–6 hours, but can persist longer with higher doses.

MethodOnsetDuration
Sublingual (under tongue)30–90 minutes4–6 hours
Oral (swallowed)1–2 hours6–8 hours
Nasal spray15–30 minutes3–4 hours

Start with a low dose and wait at least 2 hours before taking more to avoid overmedicating.

What Does an RSO High Feel Like?

An RSO high is often described as a deep, full-body relaxation with a strong sense of calm. Because RSO is a full-extract oil, the high can be more intense than smoking flower, especially at higher doses. Some people feel euphoric and talkative, while others may feel sleepy or introspective.

For beginners, the high can be overwhelming, leading to anxiety or paranoia. That's why starting low and going slow is crucial. If you feel too high, try to relax, drink water, and remember the effects will pass.

Who Should Avoid RSO?

RSO is not for everyone. Certain groups should avoid it or use it only under medical supervision.

  • Pregnant or breastfeeding women – THC can affect fetal development and pass into breast milk.
  • People with heart conditions – THC can increase heart rate and blood pressure.
  • Those with a history of psychosis or schizophrenia – THC may worsen symptoms.
  • People taking sedatives or antidepressants – RSO can interact and amplify effects.
  • Anyone allergic to cannabis – Rare but possible.

Always consult your doctor before starting RSO, especially if you have underlying health conditions.

Where to Buy RSO and Legal Status

RSO is legal in many states where medical or recreational cannabis is permitted. You can buy it from licensed dispensaries or online retailers that ship to your state. If you have a medical condition, an MMJ card may give you access to higher-potency products.

  1. Check your state's laws – Visit your state's cannabis regulatory website to confirm legality.
  2. Get a medical card if needed – Some states require an MMJ card for RSO.
  3. Find a licensed dispensary – Search for dispensaries near you that carry RSO.
  4. Consider online options – Some companies ship RSO to legal states; verify their lab tests.
  5. Consult a professional – At RSO Help, we offer free consultations to guide you. Contact us to get started.

For details on services and visits, see the main page about rso oil for cancer.

Sources

Also asked as

  • What are the side effects of Rick Simpson oil?
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  • What to expect when taking RSO?

Frequently asked questions

How long does it take to feel Rick Simpson oil?

When taken sublingually, RSO effects typically begin within 30–90 minutes. If swallowed, it may take 1–2 hours. Start low and wait at least 2 hours before taking more.

Who should not take hemp oil?

Pregnant or breastfeeding women, people with heart conditions, those with a history of psychosis, and anyone taking sedatives or antidepressants should avoid RSO or consult a doctor first.

How long do the effects of RSO last?

Effects generally last 4–6 hours, but can extend to 8 hours with higher doses or oral ingestion. Plan your day accordingly.

What does an RSO high feel like?

An RSO high is often a deep, full-body relaxation with euphoria and calm. At higher doses, it can be intense and may cause anxiety or sleepiness.

Can RSO help with sleep?

Yes, many people use RSO for sleep due to THC's sedative properties. It can help you fall asleep faster and stay asleep longer, but start with a low dose to avoid grogginess the next day.

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