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Pharmacokinetics of Cannabinoids: A Reference Guide


Pharmacokinetics is defined as the process by which a drug is absorbed, distributed, metabolized, and eliminated by the body. For purposes of DUID, it is most important to understand how THC (and in some cases, 11-OH-THC) is absorbed and metabolized in the bloodstream, although references to the detection of THC and its inactive metabolite THC-COOH in other matrices (hair, saliva, urine) are also occasionally referenced below. In my work, I've found several of these references to be invaluable.

Notes

THC = delta-9-tetrahydrocannabinol (parent drug)

11-0H-THC = 11-hydroxy-delta-9-tetrahydrocannabinol (active metabolite, some people believe this to be more psychoactive than THC)

THC-CCOH = 11-nor-9-carboxy-delta-9-tetrahydrocannabinol (inactive metabolite, most notable for its lingering presence in urine)

Whole blood 3plasma2 versus blood 3serum2 --Most investigators look at THC/blood levels, though a handful (often in Europe) separately look at THC/blood 3serum2 levels. Blood and serum are not identical. See: http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijgp/vol1n2/plasma.xml).As a rule of thumb, 1 ng/ml THC in whole blood 3plasma2 generally equates to
2 ng/ml in blood 3serum2

Paul Armentano
Senior Policy Analyst
NORML | NORML Foundation

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