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Cannabis Sativa


Definition


  • An aromatic annual plant with origins in central Asia. The plant is known to contain 61 cannabinoids, including delta-9-tetrahydrocannabinol (delta-9-THC) and cannabidiol.
  • Other names: marijuana, hashish, hash, sinsemilla, pot, grass.

Use


  • No federally recognized medical use (schedule I, Controlled Substances Act)
  • Self-administered for its mood-altering properties " ”stimulant/depressant at low doses; CNS depressant at high doses

Limitations


  • Screening assays are commonly immunoassay based.
    • ELISA for blood, serum, plasma
      • Target analyte: delta-9-THC
      • Cutoff concentration " “variable 2 " “5 ng/mL
      • May exhibit significant cross-reactivity with 11-hydroxy-THC, carboxy-THC [THC-COOH]
      • Low cross-reactivity with cannabidiol, cannabinol, delta-8-THC
    • EIA for urine
      • Target analyte: THC-COOH (metabolite)
      • Cutoff concentration: 20 ng/mL, 50 ng/mL
      • Approximately 50% cross-reactivity with cannabinol, 11-OH-THC
  • Confirmation assays are commonly chromatography based regardless of specimen
    • Highly glucuronidated " “hydrolysis recommended for analysis of urine
    • Urine confirmation assays typically target only THC-COOH; limit of detection/quantitation is 5 " “15 ng/mL
    • GC/MS: selected ion -monitoring mode for quantitative analysis of serum, plasma for THC, 11-OH-THC, THC-COOH; limits of quantitation: 1 " “5 ng/mL.
    • LC/MSn (multiple MS).
      • Multiple reaction " “monitoring mode for qualitative or quantitative analysis of THC, 11-OH-THC, THC-COOH
      • Limits of detection/quantitation: 0.5 " “5 ng/mL
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