"She just started using the Green Salve from Hummingbird Lane at bedtime for back pain/arthritis in place of an evening dose of Tramadol. She told me she was feeling very tired and groggy this morning after having slept pretty well. 73.85 mg THC, 13/59 mg CBD and 1.37 CBN. Is this too strong to start?"
I would try a CBD:THC tincture with ratio of anywhere from 60:1 to 5:1. Start with a small dose, observe for a few hours and increase the dose slowly, giving three to six times per 24 hour period. Cannabis is non-toxic and well tolerated. She may also benefit from inhaled cannabis.
andrewvanmd
That would seem to be a pretty high dose of THC for someone whose tolerance is likely to be pretty low. But if you drop the total dosage she will get less CBD and CBN-- CBN seems to be the important one for sleep. However I do not know if CBN might contribute to grogginess the next day. So maybe try Alta California Botanicals Insomnia Relief Tincture.
eden