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What is RSO?

Rick Simpson Oil explained in plain language — what it is, what patients use it for, and how to take it safely.

Updated June 20267 min readBy the 2nd Star care team
Short answer

What is RSO?

RSO (Rick Simpson Oil) is a thick, highly concentrated cannabis oil taken by mouth. It is full-spectrum — meaning it keeps the plant's natural mix of THC, CBD, and other compounds — and patients use it to help manage pain, sleep problems, nausea, and appetite loss, often during cancer treatment. RSO is used for symptom relief, not as a proven cure.

If you or someone you love is searching for relief and keeps running into the term "RSO," this is the plain-language explanation. No hype, no jargon — just what it is and how patients use it safely.

What RSO actually is

RSO stands for Rick Simpson Oil. It is a concentrated cannabis extract — a dark, thick oil, a little like molasses — that is taken by mouth rather than smoked. It is named after Rick Simpson, who shared the method publicly in the early 2000s after using cannabis oil during his own health struggles.

Because it is concentrated, a tiny amount of RSO contains a lot of active compounds. That is why dosing is measured in amounts as small as a grain of rice — not drops or spoonfuls.

Why "full-spectrum" matters

RSO is full-spectrum, which means it keeps the plant's natural range of cannabinoids — including THC and CBD — along with other compounds called terpenes. Many patients and researchers believe these compounds work better together than any single one alone. This is sometimes called the "entourage effect."

What patients use RSO for

People come to RSO for different reasons, but the most common are relief from symptoms that make daily life hard — especially during serious illness or treatment:

An honest note
RSO is used to help people feel and function better — it is not a proven cure for cancer or any other disease. Talk with your doctor about using it alongside your care.

How RSO is different from other cannabis

Most people picture smoking or gummies when they think of cannabis. RSO is different in three ways:

Does RSO get you high?

It can. Most RSO is high in THC, the compound responsible for cannabis's psychoactive effect. That is exactly why dosing matters so much. The widely used rule is start low and go slow: begin with an amount about the size of a grain of rice, usually at bedtime, and increase only gradually over days and weeks as your body adjusts.

Start low, go slow
A common starting point is a rice-grain-sized dose at night. If you feel too high, you took more than you needed — wait it out somewhere safe and comfortable, and reduce the next dose. You cannot fatally overdose on cannabis, but taking too much can be unpleasant.

Yes. Cannabis is legal in New Mexico for adults 21 and over and for registered medical patients, and RSO is available through licensed channels. The harder problem for many patients isn't the law — it's cost and access. Quality RSO can be expensive, and making it at home is dangerous. That gap is the reason 2nd Star exists.

How to get RSO for free in New Mexico

2nd Star is a New Mexico organization founded by a cancer survivor who lived this struggle firsthand. We provide Medical Grade RSO — free of charge — to qualifying patients, and we pair every supply with clear guidance so you can use it with confidence. "Medical Grade" means it is produced to a consistent, tested standard, not improvised at home.

If you are a New Mexico resident living with a serious or chronic condition, you can make a request through our short, confidential intake form. There is no cost, no insurance, and no catch — free medical cannabis, reviewed by a real person.

People also ask

What does RSO stand for?

RSO stands for Rick Simpson Oil, a thick, concentrated full-spectrum cannabis extract named after Rick Simpson, the Canadian advocate who popularized it in the early 2000s.

What is RSO used for?

Patients most commonly use RSO to help manage chronic pain, insomnia, nausea, and appetite loss, often during cancer treatment. It is used for symptom relief and is not a proven cure for any disease.

Does RSO get you high?

RSO is usually high in THC, so it can cause strong psychoactive effects. Starting with a dose about the size of a grain of rice, taken at night, and increasing slowly over weeks keeps most patients comfortable.

How is RSO different from other cannabis products?

RSO is far more concentrated than smoking, vaping, or most edibles and tinctures. It is full-spectrum and taken by mouth — swallowed directly, placed under the tongue, or mixed into food.

Is RSO legal in New Mexico?

Yes. Cannabis is legal in New Mexico for adults 21 and over and for registered medical patients, and RSO is available through licensed channels.

How can I get RSO for free in New Mexico?

2nd Star, a New Mexico organization, provides Medical Grade RSO at no cost to qualifying patients. You can apply through the confidential intake form on this site — it is always free.

You don't have to do this alone

2nd Star provides Medical Grade RSO — free of charge — to New Mexico patients. Your request is private and reviewed by a real person.

Request free RSO

This guide is for education and is not medical advice. RSO is not a proven cure for any disease. Always talk with your doctor or care team before starting cannabis, especially if you are in treatment or take other medications.