Ma. Huestis et Ej. Cone, URINARY-EXCRETION HALF-LIFE OF 11-NOR-9-CARBOXY-DELTA-9-TETRAHYDROCANNABINOL IN HUMANS, Therapeutic drug monitoring, 20(5), 1998, pp. 570-576
The excretion of marijuana metabolites occurs over an extended period
of time. yet few studies have been designed for accurate estimation of
excretion half-lives. The authors monitored excretion of the primary
urinary metabolite of marijuana, 11-nor-9-carboxy-Delta 9-tetrahydroca
nnabinol (THCCOOH), by gas chromatography-mass spectrometry in a contr
olled clinical study of marijuana smoking that included measurement of
the drug in each urine void collected during the 3-week study. Termin
al excretion half-lives of THCCOOH were determined in six healthy male
subjects with histories of marijuana smoking; the study was conducted
on the clinical research unit of a major medical institution. Subject
s smoked a single marijuana cigarette (placebo, 1.75% or 3.55% THC) ea
ch week. Urine specimens (N = 953) were analyzed under blind condition
s for THCCOOH by gas chromatography-mass spectrometry. Mean +/- SEM ha
lf-lives calculated by the amount remaining to be excreted method afte
r the low and high doses were 31.5 +/- 1.0 hours (range, 28.4 to 35.3
hours) and 28.6 +/- 1.5 hours (range, 24.9 to 34.5 hours), respectivel
y, when a 7-day monitoring period was used. The amounts of THCCOOH exc
reted over a 7-day period were 93.9 +/- 24.5 mu g (range, 34.6 to 171.
6 mu g) and 197.4 +/- 33.6 mu g after the low- and high-dose sessions.
Longer half-lives, 44.3 to 59.9 hours, were obtained with a 14-day sa
mple collection. This study documents the prolonged excretion of THCCO
OH in urine and emphasizes the importance of study design in the preci
se estimation of terminal excretion half-lives. A sensitive analytical
method and a prolonged specimen collection period are important study
considerations in the monitoring of marijuana excretion.