The enlargement of medical and leisure marijuana legalization facilitates affected person entry to cannabis, and plenty of sufferers with epilepsy pursue marijuana as a therapy for seizures. We administered a nine-item survey on marijuana use to sufferers seen in an epilepsy clinic over a 9 month interval at a tertiary care middle in Oregon the place leisure use was legalized in 2015. The vast majority of respondents (n = 39) reported cannabis use for the aim of treating epilepsy (87.2%, n = 34), and strongly agreed (53.8%, n = 21) or agreed (28.2%, n = 11) that cannabis use improved seizure management. Probably the most generally chosen cannabis strains have been excessive cannabidiol ( CBD) (30.8%, n = 12) or a number of varieties (30.8%, n = 12), with administration strategies of smoking (66.7%, n = 26), edibles (48.7%, n = 19), and concentrates (43.6%, n = 17). Extra contributors reported utilizing marijuana with primarily CBD than primarily tetrahydrocannabinol (THC) or equal CBD:THC content material, and only a few girls reported utilizing marijuana with primarily THC in contrast with males (10% of feminine versus 47% of male respondents). Solely 2 of 39 contributors have been in a position to give an actual dosage utilized in milligrams. Medical and leisure dispensaries have been the commonest cannabis sources, adopted by homegrown and pals/relations. Though pharmaceutical CBD extract is now Meals and Drug Administration (FDA)-approved for sure epilepsy varieties, entry stays restricted. Additional analysis is required to grasp leisure cannabis use amongst sufferers with epilepsy whereas scientific analysis for pharmaceutical cannabis merchandise continues.