Chemical structure of tetrahydrocannabinol
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Dronabinol

Tetrahydrocannabinol, also known as THC, Δ9-THC, Δ9-tetrahydrocannabinol (delta-9-tetrahydrocannabinol), Δ¹-tetrahydrocannabinol (using an older numbering scheme), or dronabinol, is the main psychoactive substance found in the Cannabis plant. It was isolated by Raphael Mechoulam and Yechiel Gaoni from the Weizmann Institute in Rehovot, Israel in 1964. In pure form it is a glassy solid when cold and becomes viscous and sticky if warmed. more...

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THC has a very low solubility in water, but a good solubility in most organic solvents such as pure ethanol or hexane.

Pharmacology

Its pharmacological actions are the result of its binding to the cannabinoid receptor CB1, located in the brain. The presence of these specialized receptors in the brain implied to researchers that endogenous cannabinoids were manufactured by the body, so the search began for a substance normally manufactured in the brain that binds to these receptors, the so-called natural ligand or agonist, leading to the eventual discovery of anandamide and some related compounds. This story resembles the discovery of the endogenous opiates (endorphins, enkephalins, and dynorphin), after the realization that morphine and other opiates bound to specific receptors in the brain.

Effects include: relaxation, euphoria, altered space-time perception, alteration of visual, auditory, and olfactory senses, disorientation, fatigue and appetite stimulation. It also has anti-emetic (anti-nauseant) properties.

Toxicity

THC has a LD50 value of 1270 mg/kg (male rats) and 730 mg/kg (female rats) administered orally dissolved in sesame oil.

If this were scaled up to an adult human, the lethal dose would be between approximately 50 and 86 g for a 68 kg (150 lb) person. This would be equivalent to 1-1.8 kg of marijuana with a 5% THC content (roughly average) taken orally (much more if smoked). It is important to note, however, that toxicity studies in animal models do not necessarily correlate to human toxicity. THC receptor distribution in the rat CNS is different than that of humans, meaning that there is the significant possibility that toxicity in humans varies from the published animal LD50 studies. There has never been a documented fatality from marijuana or THC overdose.

Studies of the distribution of the cannabinoid receptors in the brain explain why THC's toxicity is so low (i.e., the LD50 of the compound is so large): parts of the brain that control vital functions such as respiration do not have many receptors, so they are relatively unaffected even by doses larger than could ever be ingested under any normal conditions.

Research

A number of studies indicate that THC may provide medical benefits for cancer and AIDS patients by increasing appetite and decreasing nausea, and by blocking the spread of some cancer-causing Herpes simplex viruses. It has been shown to assist some glaucoma patients by reducing pressure within the eye, and is used in the form of cannabis by a number of multiple sclerosis patients to relieve the spasms associated with their condition. Government studies indicate a variety of negative effects associated with constant, long-term use, including memory loss, depression and loss of motivation. The long-term effects of THC on humans have been disputed because its status as an illegal drug almost everywhere prevents free research into the subject. The issue has become deeply politicized.

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Science of Marijuana, The
From American Journal of Pharmaceutical Education, 10/1/00 by Ross, Samir Anis

LESLIE L. IVERSEN. The Science of Marijuana. New York NY Oxford University Press, 2000. vii + 283 pp., 25 figs., 7 tbls., $ 29.95 (Cloth).

This book is informative, well written and nicely organized. It provides concise information about the pharmacological and the therapeutic potentials for cannabis. The book contains seven chapters, a preface, references and an index. The contents of this book can be summarized as follows:

In Chapter 1 (Introduction), the author writes of the origins and growing techniques of cannabis, as well as the morphology of male and female plants. The preparation of cannabis oil and an explanation of the different market forms for cannabis (loose material, hash and hash oil) are also included. Modes for the consumption of cannabis preparations in order to experience their psychoactive effects (smoking, eating and drinking) are thoroughly discussed. At the end of Chapter 1, Iversen provides a brief history of the cannabis plant.

Chapter 2 recounts the discovery of D9-tetrahydrocannabinol (THC) and its structure determination. The synthesis of THE and the structure activity relationship for the different cannabinoids are also provided. Iversen discusses the bioavailability of THC through the different routes of administration (eg., smoking, oral) and how THC works in the brain through the cannabinoid receptors. He includes a discussion of the different physiological effects of THE on the heart, blood vessels, immune system, sex hormones, reproduction, pain sensitivity, motility and posture.

Chapter 3 explains in detail the physiological and psychological alterations in brain function as a result of administering marijuana. This section also shows the affected site in the brain upon which marijuana takes action. Finally, the repeated use of marijuana possibly leading to tolerance and dependence is discussed.

Chapter 4 describes the history for the use of marijuana in folk medicine. Two synthetic cannabinoids, dronabinol and Nabilone, are already available by prescription to patients on both sides of the Atlantic. Iversen explains several of the medical targets for cannabis: treatment of nausea and vomiting associated with cancer chemotherapy; counteract the loss of appetite and wasting syndrome in AIDS; and treatment of multiple sclerosis, glaucoma, epilepsy, bronchial asthma, mood disorders and sleeplessness.

Chapter 5 gives a good discussion concerning the safety profile of THC. Iversen explains the effects of long-term exposure to cannabis. Chronic use may affect pregnancy, and in some users, precipitate mental illness. Consequently, patients with cardiovascular diseases are not suitable subjects for cannabis-based medicines. Chapter 6 discusses the recreational use of cannabis in different places of the world. Chapter 7 discusses the future of marijuana in the twenty-first century.

This book is written in a way that invites everyone to read it. It is appropriate reading material for those interested in cannabis, regardless of their background or knowledge of the subject. The price of the book is also very reasonable. I heartily recommend this book to all individuals with an interest in the science of cannabis.

Samir Anis Ross

The University of Mississippi

Copyright American Association of Colleges of Pharmacy Fall 2000
Provided by ProQuest Information and Learning Company. All rights Reserved

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