Residual cannabis levels in blood, urine and oral fluid following heavy cannabis use

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Abstract

An understanding of tetrahydrocannabinol (THC) kinetics and residual levels after cannabis use is essential in interpreting toxicology tests in body fluids from live subjects, particularly when used in forensic settings for drug abuse, traffic and interpersonal violence cases. However the current literature is largely based on laboratory studies using controlled cannabis dosages in experienced users, with limited research investigating the kinetics of residual THC concentrations in regular high dose cannabis users. Twenty-one dependent cannabis users were recruited at admission to two residential detoxification units in Melbourne, Australia. After being provided with information about, and consenting to, the study, subjects volunteered to provide once-daily blood, urine and oral fluid (saliva) samples for seven consecutive days following admission, involving cessation and abstinence from all cannabis use. Blood and oral fluid specimens were analysed for THC and urine specimens for the metabolite THC-COOH. In some subjects THC was detectable in blood for at least 7 days and oral fluid specimens were positive for THC up to 78. h after admission to the unit. Urinary THC-COOH concentrations exceeded 1000. ng/mL for some subjects 129. h after last use. The presented blood THC levels are higher and persist longer in some individuals than previously described, our understanding and interpretation of THC levels in long term heavy cannabis users may need to be reconsidered.
Original languageEnglish
Pages (from-to)173 - 180
Number of pages8
JournalForensic Science International
Volume249
DOIs
Publication statusPublished - 2015

Cite this

@article{380b3bbb1669492cbea35c275e356be5,
title = "Residual cannabis levels in blood, urine and oral fluid following heavy cannabis use",
abstract = "An understanding of tetrahydrocannabinol (THC) kinetics and residual levels after cannabis use is essential in interpreting toxicology tests in body fluids from live subjects, particularly when used in forensic settings for drug abuse, traffic and interpersonal violence cases. However the current literature is largely based on laboratory studies using controlled cannabis dosages in experienced users, with limited research investigating the kinetics of residual THC concentrations in regular high dose cannabis users. Twenty-one dependent cannabis users were recruited at admission to two residential detoxification units in Melbourne, Australia. After being provided with information about, and consenting to, the study, subjects volunteered to provide once-daily blood, urine and oral fluid (saliva) samples for seven consecutive days following admission, involving cessation and abstinence from all cannabis use. Blood and oral fluid specimens were analysed for THC and urine specimens for the metabolite THC-COOH. In some subjects THC was detectable in blood for at least 7 days and oral fluid specimens were positive for THC up to 78. h after admission to the unit. Urinary THC-COOH concentrations exceeded 1000. ng/mL for some subjects 129. h after last use. The presented blood THC levels are higher and persist longer in some individuals than previously described, our understanding and interpretation of THC levels in long term heavy cannabis users may need to be reconsidered.",
author = "Odell, {Morris Solomon} and Frei, {Matthew Yorke} and Dimitri Gerostamoulos and Mark Chu and Dan Lubman",
year = "2015",
doi = "10.1016/j.forsciint.2015.01.026",
language = "English",
volume = "249",
pages = "173 -- 180",
journal = "Forensic Science International",
issn = "0379-0738",
publisher = "Elsevier",

}

TY - JOUR

T1 - Residual cannabis levels in blood, urine and oral fluid following heavy cannabis use

AU - Odell, Morris Solomon

AU - Frei, Matthew Yorke

AU - Gerostamoulos, Dimitri

AU - Chu, Mark

AU - Lubman, Dan

PY - 2015

Y1 - 2015

N2 - An understanding of tetrahydrocannabinol (THC) kinetics and residual levels after cannabis use is essential in interpreting toxicology tests in body fluids from live subjects, particularly when used in forensic settings for drug abuse, traffic and interpersonal violence cases. However the current literature is largely based on laboratory studies using controlled cannabis dosages in experienced users, with limited research investigating the kinetics of residual THC concentrations in regular high dose cannabis users. Twenty-one dependent cannabis users were recruited at admission to two residential detoxification units in Melbourne, Australia. After being provided with information about, and consenting to, the study, subjects volunteered to provide once-daily blood, urine and oral fluid (saliva) samples for seven consecutive days following admission, involving cessation and abstinence from all cannabis use. Blood and oral fluid specimens were analysed for THC and urine specimens for the metabolite THC-COOH. In some subjects THC was detectable in blood for at least 7 days and oral fluid specimens were positive for THC up to 78. h after admission to the unit. Urinary THC-COOH concentrations exceeded 1000. ng/mL for some subjects 129. h after last use. The presented blood THC levels are higher and persist longer in some individuals than previously described, our understanding and interpretation of THC levels in long term heavy cannabis users may need to be reconsidered.

AB - An understanding of tetrahydrocannabinol (THC) kinetics and residual levels after cannabis use is essential in interpreting toxicology tests in body fluids from live subjects, particularly when used in forensic settings for drug abuse, traffic and interpersonal violence cases. However the current literature is largely based on laboratory studies using controlled cannabis dosages in experienced users, with limited research investigating the kinetics of residual THC concentrations in regular high dose cannabis users. Twenty-one dependent cannabis users were recruited at admission to two residential detoxification units in Melbourne, Australia. After being provided with information about, and consenting to, the study, subjects volunteered to provide once-daily blood, urine and oral fluid (saliva) samples for seven consecutive days following admission, involving cessation and abstinence from all cannabis use. Blood and oral fluid specimens were analysed for THC and urine specimens for the metabolite THC-COOH. In some subjects THC was detectable in blood for at least 7 days and oral fluid specimens were positive for THC up to 78. h after admission to the unit. Urinary THC-COOH concentrations exceeded 1000. ng/mL for some subjects 129. h after last use. The presented blood THC levels are higher and persist longer in some individuals than previously described, our understanding and interpretation of THC levels in long term heavy cannabis users may need to be reconsidered.

UR - http://www.sciencedirect.com/science/article/pii/S0379073815000407

U2 - 10.1016/j.forsciint.2015.01.026

DO - 10.1016/j.forsciint.2015.01.026

M3 - Article

VL - 249

SP - 173

EP - 180

JO - Forensic Science International

JF - Forensic Science International

SN - 0379-0738

ER -