Ej. Cone et Ma. Huestis, RELATING BLOOD-CONCENTRATIONS OF TETRAHYDROCANNABINOL AND METABOLITESTO PHARMACOLOGICAL EFFECTS AND TIME OF MARIJUANA USAGE, Therapeutic drug monitoring, 15(6), 1993, pp. 527-532
Pharmacokinetic and pharmacodynamic analyses of marijuana data have pr
ovided new insights into the relationship of blood concentrations of t
etrahydrocannabinol (THC) and metabolites to drug-induced effects. THC
is rapidly absorbed and distributed to tissues; initial changes in bl
ood concentrations are out of phase (hysteresis) with physiological an
d behavioral changes. Once blood/tissue equilibrium is established, a
direct correlation of THC blood concentration and effect is observed.
Various pharmacodynamic models provide concentration estimates in the
range of 7-29 ng/ml for amount of THC in blood necessary for productio
n of 50% of maximal subjective high effect. Also, models have been pro
posed for predicting the time of marijuana exposure from plasma concen
trations of THC and THC-carboxy acid metabolite (THCCOOH). These model
s were based on data from a controlled clinical study of marijuana smo
king. Such models allow prediction of the elapsed time since marijuana
use based on analysis for cannabinoids from a single plasma sample an
d provide accompanying 95% confidence intervals around the prediction.
These models may be beneficial to forensic scientists in their interp
retation of cannabinoid blood data associated with accidents, criminal
investigations, and traffic violations.