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psx:substance/thc/proposal/duration/b3309bc2-3c07-42f4-bcdf-24a919a0ad1b

proposal2026-05-07recordapproved

derived from · upstream

none recorded

feeds · downstream

Closure of psx:substance/thc/proposal/duration/b3309bc2-3c07-42f4-bcdf-24a919a0ad1b: 0 upstream, 1 downstream.

psx:substance/thc/proposal/duration/b3309bc2-3c07-42f4-bcdf-24a919a0ad1b
└─ derived_from  value/duration/smoked/aftereffects@1

indented by distance from this node, not by parentage

1Provenance card

the boundary, as counts

Sources

4941 with DOI

17 strong · 27 moderate · 5 weak

Compilations

12026-05-07T00:50:50.086Z

pipeline-v5 · prompt hash not recorded — run predates 2026-09

Decisions

53last ruled 2026-06-04

0 awaiting a ruling

Issued documents

52026-10-19T20:34:11.237Z

notice · info card · emergency

Searches

240 with no results

queries and counts on the build

Claims checked

11766 supported

66 supported · 51 not

Correspondence

0received

consent field ships in Phase 4

Edges

375

derivations recorded for this entity

Complete over 49 sources, 1 compilation, and 53 decisions.Not here: the private journal (never).Working material — drafts, discards, unsupported claims — is listed below and readable on the working page.Cite: psychedex.org/substances/thc/archive

2Build

one panel per compilation run

generation run 2026-05-07

80 min completedmodel pipeline-v5plan not recordedrun/01f3db1b…

Selection

results seen163
selected by the model53
consumed as sources49

Verification

claims checked117
supported57
partially supported9
not supported0
inconclusive51
  • record
  • seen / partial
  • working

The model's own caveats

  • taper_not_assessed

Reproduce

inputs
49 source keys (listed under Sources)
plan
not recorded — template version, prompt hash and git SHA are written from 2026-09 onward
model
pipeline-v5
streams
none — agent transcripts are persisted from 2026-09 onward
24 searches — query, source, results, what was kept and why
24 searches for this run
#sourcequeryseenkeptrationale
1PubMedTHC tetrahydrocannabinol pharmacokinetics bioavailability metabolism CYP11—
2PubMedTHC tetrahydrocannabinol psychosis cannabis schizophrenia risk103—
3PubMedMechoulam tetrahydrocannabinol isolation structure 1964 cannabis1——
4ClinicalTrials.govtetrahydrocannabinol THC cannabis treatment155—
5PubMeddronabinol marinol nabilone clinical therapeutic approval FDA antiemetic73—
6OpenAlextetrahydrocannabinol pharmacokinetics bioavailability half-life human105—
7PubMedcannabis THC dependence withdrawal cannabis use disorder prevalence103—
8OpenAlexdelta-9-tetrahydrocannabinol cannabinoid receptor pharmacology159—
9PubChemdelta-9-tetrahydrocannabinol11—
10PubMedTHC tetrahydrocannabinol tolerance dependence cannabinoid receptor downregulation101—
11PubMedtetrahydrocannabinol THC cannabinoid receptor binding affinity pharmacology152—
12WebSearchTHC DEA Schedule I classification date 1970 Controlled Substances Act101—
13PubMedD'Souza 2008 blunted effects frequent cannabis users11—
14PubMedDevane Hanus anandamide isolation brain endogenous ligand cannabinoid 199211—
15PubMedcannabinoid hyperemesis syndrome CHS22—
16PubMedTHC pain analgesic neuropathic chronic controlled trial83—
17Crossref API via verify_doiDOI 10.1021/ja01062a04611—
18PubMedTHC cannabis cardiovascular effects tachycardia heart rate blood pressure31—
19PubMedcannabis marijuana THC adolescent brain neurodevelopment72—
20PubMedD'Souza 2004 IV THC psychotomimetic effects11—
21OpenAlexcannabis THC legalization scheduling history US82—
22PubMedtetrahydrocannabinol PTSD post-traumatic stress disorder fear extinction treatment62—
23WebSearchTHC legal status UK Canada Australia New Zealand scheduling 2024 2025101—
24WebSearchDEA 2024 rescheduling cannabis Schedule III proposal FDA102—
117 claims by section — every cited sentence, checked against its source
safety49 · 26 ok
  • The neuroanatomical basis for this exceptional safety margin is the sparse expression of cannabinoid receptors in brainstem cardiorespiratory centres, demonstrated by Herkenham and colleagues in their 1990 receptor mapping studysupported

    Sparse densities in lower brainstem explaining why high doses of THC are not lethal. pnas.87.5.1932

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Tachycardia — the most consistent cardiovascular effect; dose-dependent increase in heart rate documented across multiple controlled studiessupported

    Single doses cause tachycardia and unchanged/increased blood pressure. pmid:1164818

  • Claim in safety — inconclusiveinconclusiveworking →

  • Orthostatic hypotension — seen acutely; tolerance develops with prolonged usepartially supported

    Single doses cause tachycardia and unchanged/increased blood pressure; prolonged THC ingestion produced heart rate slowing and blood pressure lowering. Tolerance developed to tachycardia and psychological effects. pmid:1164818

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Nausea — 3.8% incidence in UK Medical Cannabis Registry datasupported

    Most common adverse events: nausea (3.8%), dry mouth (3.2%), dizziness (2.2%), somnolence (2.2%). can.2021.0145

  • Dizziness — 2.2% incidence in UKMCRsupported

    Most common adverse events: nausea (3.8%), dry mouth (3.2%), dizziness (2.2%), somnolence (2.2%). can.2021.0145

  • Somnolence — 2.2% incidence in UKMCRsupported

    Most common adverse events: nausea (3.8%), dry mouth (3.2%), dizziness (2.2%), somnolence (2.2%). can.2021.0145

  • Claim in safety — inconclusiveinconclusiveworking →

  • Benowitz and Jones documented the cardiovascular effects of prolonged THC ingestion (210 mg/day for 18 days in tolerant subjects), demonstrating initial sympathomimetic effects followed by development of tolerance to cardiovascular parameterspartially supported

    Single doses cause tachycardia and unchanged/increased blood pressure; prolonged THC ingestion produced heart rate slowing and blood pressure lowering. Tolerance developed to tachycardia and psychological effects. pmid:1164818

  • Cannabis is contraindicated in individuals with significant cardiovascular disease.supported

    Contraindicated in significant psychiatric, cardiovascular, renal or hepatic illness. bcp.13710

  • Cannabinoid hyperemesis syndrome (CHS) is a paradoxical condition in chronic heavy cannabis users characterized by cyclic severe nausea and vomiting with compulsive hot-water bathing for symptom reliefsupported

    CHS is a rare syndrome in frequent/chronic cannabis users characterized by cyclical vomiting. Hot water bathing relieves symptoms. add.16693

  • Fatal cases of CHS-related complications have been reported.supported

    Three fatal cases of CHS reported. 1556-4029.13819

  • Unlike tobacco smoking, cannabis smoking has not been consistently associated with emphysema or chronic obstructive pulmonary disease in epidemiological studiessupported

    Cannabis smoking does not consistently induce emphysema. br.2025.2058

  • THC crosses the placenta and accumulates in breast milksupported

    THC crosses placenta and accumulates in breast milk. neo.26-4-006

  • The American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) strongly advise against cannabis use during pregnancy and breastfeeding.supported

    ACOG and AAP discourage use during pregnancy/breastfeeding. neo.26-4-006

  • The EU-GEI multicentre case-control study (n=901 first-episode psychosis cases, 1237 controls across 11 European sites) found that daily cannabis use conferred an odds ratio of 3.2 for psychotic disorder, and daily use of high-potency cannabis (THC ≥10%) an odds ratio of 4.8supported

    Daily cannabis use associated with increased odds of psychotic disorder (OR 3.2); daily use of high-potency cannabis (THC ≥10%) associated with nearly 5-fold increased odds (OR 4.8). s2215-0366(19)30048-3

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Cannabis exposure during adolescence confers substantially higher risk than adult-onset usesupported

    Adolescent THC caused immediate and long-term impairments in object recognition/working memory, increased repetitive behaviors, delayed anxiety. Adult THC caused only immediate impairment. can.2017.0034

  • THC is contraindicated in individuals with a personal or family history of psychotic disorders.supported

    Contraindicated in significant psychiatric, cardiovascular, renal or hepatic illness. bcp.13710

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Blood THC concentrations are poorly correlated with the magnitude of impairment, making per se legal limits (analogous to blood alcohol concentration limits) unreliable indicators of fitness to drive.supported

    THC concentrations in biological matrices do not reliably reflect cannabis dose and are poorly correlated with driving impairment. 15389588.2020.1851685

  • Claim in safety — inconclusiveinconclusiveworking →

  • Tolerance is differential across effect domains: frequent cannabis users develop tolerance to the psychotomimetic, perceptual, cognitive, anxiogenic, and cortisol-elevating effects of THC but not to its euphoric effectssupported

    Frequent users showed blunted psychotomimetic, perceptual, cognitive, anxiogenic, and cortisol effects but not euphoric effects. Indicates tolerance to most but not all THC effects. sj.npp.1301643

  • Claim in safety — inconclusiveinconclusiveworking →

  • Approximately 9% of all cannabis users develop cannabis use disorder (CUD), with risk increasing to approximately 17% among those who begin use in adolescence. Cannabis withdrawal syndrome occurs in approximately 50% of regular and dependent users upon cessationpartially supported

    Cannabis withdrawal occurs in approximately half of regular and dependent cannabis users after abrupt cessation or reduction of THC. add.15743

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Active psychotic disorder or personal/family history of psychotic disorder — The dose-dependent psychotomimetic effects of THC and the strong epidemiological association between high-potency cannabis use and psychosis incidence make this the most important contraindication. THC use is strongly contraindicated in this population.supported

    Daily use of high-potency cannabis (THC ≥10%) associated with nearly 5-fold increased odds (OR 4.8). s2215-0366(19)30048-3

  • Active psychotic disorder or personal/family history of psychotic disorder — The dose-dependent psychotomimetic effects of THC and the strong epidemiological association between high-potency cannabis use and psychosis incidence make this the most important contraindication. THC use is strongly contraindicated in this population.supported

    Contraindicated in significant psychiatric, cardiovascular, renal or hepatic illness. bcp.13710

  • Pregnancy and breastfeeding — THC crosses the placenta and accumulates in breast milk, with associated risks of lower birth weight and potential neurodevelopmental harm.supported

    THC crosses placenta and accumulates in breast milk. neo.26-4-006

  • Significant cardiovascular disease — Acute tachycardia and orthostatic hypotension may exacerbate pre-existing cardiac conditions.supported

    Contraindicated in significant psychiatric, cardiovascular, renal or hepatic illness. Cardiac toxicity via additive hypertension and tachycardia with sympathomimetics. bcp.13710

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Adolescence — Elevated risk of long-term cognitive impairment and psychiatric vulnerability.supported

    Adolescent THC caused immediate and long-term impairments in object recognition/working memory, increased repetitive behaviors, delayed anxiety. Adult THC caused only immediate impairment. can.2017.0034

  • Claim in safety — inconclusiveinconclusiveworking →

  • Concurrent use with other intoxicants in safety-critical contexts (driving, operating machinery) — THC impairs psychomotor performance; impairment cannot be reliably predicted from blood THC concentrations.supported

    THC concentrations in biological matrices do not reliably reflect cannabis dose and are poorly correlated with driving impairment. 15389588.2020.1851685

  • Hepatic impairment — THC is extensively hepatically metabolized; reduced clearance may increase exposure.supported

    THC and CBD are hepatically metabolized with potential for CYP drug interactions. Contraindicated in significant psychiatric, cardiovascular, renal or hepatic illness. bcp.13710

pharmacology21 · 13 ok
  • THC is a partial agonist at both CB1 (CNR1) and CB2 (CNR2) cannabinoid receptorssupported

    Delta9-THC is a CB1 and CB2 receptor partial agonist. sj.bjp.0707442

  • This partial agonism is pharmacologically significant: unlike synthetic full agonists (CP-55,940, HU-210, WIN 55,212-2), THC's maximal efficacy is constrained by receptor reserve and coupling efficiency, producing responses that are strongly modulated by receptor expression levels and ongoing endocannabinoid tonesupported

    Delta9-THC is a CB1 and CB2 receptor partial agonist. Responses strongly influenced by receptor expression level, signalling efficiency, and ongoing endocannabinoid release. sj.bjp.0707442

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • THC binding inhibits adenylate cyclase, reduces intracellular cAMP, modulates voltage-gated ion channels (inhibiting N-type and P/Q-type calcium channels, activating inwardly-rectifying potassium channels), and activates mitogen-activated protein kinase (MAPK) signalling cascadessupported

    Cannabinoids modulate signal transduction pathways. ijms19030833

  • At the synaptic level, THC functions as a presynaptic modulator of neurotransmitter release, suppressing both GABA and glutamate release at CB1 receptors located on axon terminals via the retrograde endocannabinoid signalling mechanism.supported

    The major physiological effect of cannabinoids is regulation of neurotransmitter release via activation of presynaptic CB1 receptors on distinct axon terminals throughout the brain. physrev.00004.2003

  • In competition binding assays using [³H]CP-55,940, Δ9-THC displaced the radioligand with potency lower than the synthetic cannabinoid CP-55,940 but equivalent to its active metabolite 11-OH-THC, yielding the rank order: CP-55,940 ≥ desacetyllevonantradol > 11-OH-Δ9-THC = Δ9-THC > cannabinolsupported

    Binding of ligand displaced by cannabinoids in order: CP-55,940 > desacetyllevonantradol > 11-OH-delta9-THC = delta9-THC > cannabinol. pmid:2848184

  • A 2025 meta-analysis of phytocannabinoid binding affinities confirmed that Δ9-THC exhibits significantly higher affinity for both CB1 and CB2 than cannabidiolsupported

    Statistical analysis confirmed significantly stronger CB1 and CB2 binding for THC compared to CBD. bs.pbr.2025.07.006

  • CB2 receptors are expressed 10–100-fold more highly in human immune tissues than CB1 in the central nervous systemsupported

    CB2 not expressed in brain, abundant in immune tissues with expression 10-100 fold higher than CB1. j.1432-1033.1995.tb20780.x

  • THC acts as a partial agonist at CB2, which is presumed to underlie its immunomodulatory effects, including modulation of cytokine release and immune cell migration.supported

    Delta9-THC is a CB1 and CB2 receptor partial agonist. sj.bjp.0707442

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • THC pharmacokinetics are dominated by extreme lipophilicity and extensive hepatic metabolism.supported

    Inhaled THC causes maximum plasma concentration within minutes; effects start seconds to minutes, peak 15-30 minutes, taper off 2-3 hours. 00003088-200342040-00003

  • THC pharmacokinetics are dominated by extreme lipophilicity and extensive hepatic metabolism.supported

    THC and CBD are hepatically metabolized with potential for CYP drug interactions. bcp.13710

  • Inhalation (smoking) delivers 10–35% of the THC dose to systemic circulation, with peak plasma concentrations reached within 3–10 minutes and psychotropic effects within seconds to minutespartially supported

    Inhaled THC causes maximum plasma concentration within minutes; effects start seconds to minutes, peak 15-30 minutes, taper off 2-3 hours. 00003088-200342040-00003

  • Vaporization achieves higher bioavailability than smoking for equivalent doses: in a controlled crossover study, vaporized 25 mg THC produced mean peak blood concentrations of 14.4 ng/mL versus 10.2 ng/mL for smoked, with qualitatively stronger subjective effects.partially supported

    25mg produced significant effects and pronounced impairment. Blood THC and heart rate peaked within 30 min. jamanetworkopen.2018.4841

  • Onset is delayed 30–90 minutes, with peak effects at 2–3 hours and total duration of 4–12 hourssupported

    Oral THC: onset 30-90 min, peak 2-3 hours, duration 4-12 hours. 00003088-200342040-00003

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

summary14 · 10 ok
  • A partial agonist at CB1 and CB2 cannabinoid receptors, THC is distinguished by extreme lipophilicity (logP ≈ 7), producing effects lasting 2–3 hours when inhaled and 4–12 hours orally — the prolonged oral duration driven by extensive tissue distribution and slow redistribution from adipose stores.partially supported

    Delta9-THC is a CB1 and CB2 receptor partial agonist. Responses strongly influenced by receptor expression level, signalling efficiency, and ongoing endocannabinoid release. sj.bjp.0707442

  • A partial agonist at CB1 and CB2 cannabinoid receptors, THC is distinguished by extreme lipophilicity (logP ≈ 7), producing effects lasting 2–3 hours when inhaled and 4–12 hours orally — the prolonged oral duration driven by extensive tissue distribution and slow redistribution from adipose stores.supported

    Oral THC: onset 30-90 min, peak 2-3 hours, duration 4-12 hours. 00003088-200342040-00003

  • Claim in summary — inconclusiveinconclusiveworking →

  • Its discovery catalyzed identification of the endocannabinoid system: the CB1 receptor in 1988, the endogenous ligand anandamide in 1992, and the CB2 receptor in 1993supported

    Characterization of cannabinoid receptor in rat brain using [3H]CP-55,940. pmid:2848184

  • Its discovery catalyzed identification of the endocannabinoid system: the CB1 receptor in 1988, the endogenous ligand anandamide in 1992, and the CB2 receptor in 1993supported

    Arachidonylethanolamide (anandamide), an arachidonic acid derivative in porcine brain, was identified as an endogenous ligand for the cannabinoid receptor. pmid:1470919

  • Claim in summary — inconclusiveinconclusiveworking →

  • THC acts at the Gi/o-coupled CB1 receptor, inhibiting adenylate cyclase, modulating N-type and P/Q-type calcium channels, and suppressing presynaptic neurotransmitter release — both GABAergic and glutamatergic — via retrograde endocannabinoid signallingsupported

    The major physiological effect of cannabinoids is regulation of neurotransmitter release via activation of presynaptic CB1 receptors on distinct axon terminals throughout the brain. physrev.00004.2003

  • THC acts at the Gi/o-coupled CB1 receptor, inhibiting adenylate cyclase, modulating N-type and P/Q-type calcium channels, and suppressing presynaptic neurotransmitter release — both GABAergic and glutamatergic — via retrograde endocannabinoid signallingsupported

    CB1R is prominent in CNS and potential therapeutic avenue in neuropsychological disorders and neurodegenerative diseases. Cannabinoids modulate signal transduction pathways. ijms19030833

  • Its partial agonism produces responses strongly modulated by receptor expression density and ongoing endocannabinoid tone, distinguishing it pharmacologically from synthetic full agonists such as CP-55,940 and HU-210.supported

    Delta9-THC is a CB1 and CB2 receptor partial agonist. Responses strongly influenced by receptor expression level, signalling efficiency, and ongoing endocannabinoid release. sj.bjp.0707442

  • Claim in summary — inconclusiveinconclusiveworking →

  • THC possesses an exceptionally high therapeutic index (estimated >1000:1); no confirmed human fatality from THC overdose alone has been recorded, reflecting sparse cannabinoid receptor expression in brainstem cardiorespiratory centressupported

    Sparse densities in lower brainstem explaining why high doses of THC are not lethal. pnas.87.5.1932

  • Claim in summary — inconclusiveinconclusiveworking →

  • Tolerance develops via CB1 receptor desensitization and downregulation, reversing over 2–4 weeks of abstinencesupported

    CB1 receptors desensitize and downregulate; starts to reverse within 2 days of abstinence; return to normal within 4 weeks. sar.s109576

  • The principal safety concern is the dose-dependent association between daily high-potency cannabis use (THC ≥10%) and psychotic disorder (OR 4.8)supported

    Daily use of high-potency cannabis (THC ≥10%) associated with nearly 5-fold increased odds (OR 4.8). s2215-0366(19)30048-3

pharmacokinetic-detail7 · 3 ok
  • In a controlled within-participant crossover study comparing smoked and vaporized 25 mg THC in 17 infrequent cannabis users, vaporization produced significantly higher peak blood THC concentrations (14.4 vs 10.2 ng/mL), higher subjective drug effect ratings (78/100 vs 66/100 at 25 mg), and more pronounced cognitive and psychomotor impairmentpartially supported

    25mg produced significant effects and pronounced impairment. Blood THC and heart rate peaked within 30 min. jamanetworkopen.2018.4841

  • Claim in pharmacokinetic-detail — inconclusiveinconclusiveworking →

  • Data sourced from Grotenhermen 2003, Spindle et al. 2018, and Lucas et al. 2018.supported

    Inhaled THC causes maximum plasma concentration within minutes; effects start seconds to minutes, peak 15-30 minutes, taper off 2-3 hours. Oral THC: onset 30-90 min, peak 2-3 hours, duration 4-12 hours. 00003088-200342040-00003

  • Data sourced from Grotenhermen 2003, Spindle et al. 2018, and Lucas et al. 2018.supported

    THC and CBD are hepatically metabolized with potential for CYP drug interactions. bcp.13710

  • Claim in pharmacokinetic-detail — inconclusiveinconclusiveworking →

  • Claim in pharmacokinetic-detail — inconclusiveinconclusiveworking →

  • Claim in pharmacokinetic-detail — inconclusiveinconclusiveworking →

receptor-pharmacology6 · 5 ok
  • Brainstem — sparse expression in medullary cardiorespiratory centres; the neuroanatomical basis for why lethal THC overdose via respiratory depression does not occursupported

    Sparse densities in lower brainstem explaining why high doses of THC are not lethal. pnas.87.5.1932

  • The CB1 cannabinoid receptor was first characterized in rat brain by Devane and colleagues in 1988 using displacement of the synthetic radioligand [³H]CP-55,940supported

    Characterization of cannabinoid receptor in rat brain using [3H]CP-55,940. pmid:2848184

  • In the original displacement assay, the rank order of potency was: CP-55,940 ≥ desacetyllevonantradol > 11-OH-Δ9-THC = Δ9-THC > cannabinolsupported

    Binding of ligand displaced by cannabinoids in order: CP-55,940 > desacetyllevonantradol > 11-OH-delta9-THC = delta9-THC > cannabinol. pmid:2848184

  • CB2 is expressed predominantly in immune tissues, with 10–100-fold higher expression levels in human immune cells — particularly B cells, natural killer cells, and monocytes — than CB1 in the CNSsupported

    CB2 not expressed in brain, abundant in immune tissues with expression 10-100 fold higher than CB1. j.1432-1033.1995.tb20780.x

  • The regional distribution of CB1 receptors, mapped by Herkenham and colleagues using quantitative autoradiography, directly predicts the functional effects of THC:supported

    Cannabinoid receptor localization in brain sections using [3H]CP 55,940. Dense binding in basal ganglia, hippocampus, cerebellum. Sparse densities in lower brainstem. pnas.87.5.1932

  • Claim in receptor-pharmacology — inconclusiveinconclusiveworking →

history5 · 3 ok
  • The earliest documented therapeutic applications appear in the Vedic foundational texts of Ayurvedic medicine (~800 BCE), the Chinese pharmacopoeia Shen Nung Pen Ts'ao Ching (1st century BCE), and ancient Egyptian medical papyri describing analgesic, anti-inflammatory, and anticonvulsant applications.partially supported

    History of cannabis going back thousands of years; use in Vedic medicine (~800 BCE) and Chinese pharmacopoeia (Shen Nung Pen Ts'ao Ching, 1st century BCE). Anti-inflammatory, antiseptic, and anticonvulsant historical uses. jcp.27725

  • Claim in history — inconclusiveinconclusiveworking →

  • Herkenham and colleagues mapped cannabinoid receptor distribution across the mammalian brain in 1990, revealing dense expression in the basal ganglia, hippocampus, cerebellum, and cortex, with notably sparse expression in the brainstem — a finding with direct implications for the safety profile of cannabinoidssupported

    Dense binding in basal ganglia, hippocampus, cerebellum. Sparse densities in lower brainstem explaining why high doses of THC are not lethal. pnas.87.5.1932

  • In 1992, Devane, Hanus, Mechoulam, and colleagues isolated anandamide (arachidonylethanolamide) from porcine brain as the first endogenous cannabinoid ligand, demonstrating that the brain produces its own molecules to activate the receptor system through which THC actssupported

    Arachidonylethanolamide (anandamide), an arachidonic acid derivative in porcine brain, was identified as an endogenous ligand for the cannabinoid receptor. pmid:1470919

  • Claim in history — inconclusiveinconclusiveworking →

clinical-evidence4 · 1 ok
  • Claim in clinical-evidence — inconclusiveinconclusiveworking →

  • Claim in clinical-evidence — inconclusiveinconclusiveworking →

  • Claim in clinical-evidence — inconclusiveinconclusiveworking →

  • A randomized, double-blind, placebo-controlled study examined dose-dependent effects of acute THC on extinction memory recall and fear renewal, finding that THC modulates fear extinction processes in a dose-dependent manner.supported

    7.5mg of delta-9-THC decreases fear responding in healthy adults and increases prefrontal cortex activation during extinction learning and fear renewal. s00213-024-06702-w

comparative-pharmacology4 · 2 ok
  • Synthetic compounds such as CP-55,940, HU-210, JWH-018, and AM-2201 activate CB1 with greater efficacy than THC, producing a higher ceiling of effectsupported

    Delta9-THC is a CB1 and CB2 receptor partial agonist. Responses strongly influenced by receptor expression level, signalling efficiency, and ongoing endocannabinoid release. sj.bjp.0707442

  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

  • However, evidence from controlled studies remains mixed: a systematic review found no consistent evidence that CBD mitigates THC-induced anxiety or cognitive impairment in clinical settings, and one neuroimaging study found that CBD sometimes potentiated rather than attenuated THC effects on functional brain connectivity.partially supported

    Most consistently, high doses of CBD were followed by acute relief in anxiety. CBD+THC combinations alleviated withdrawal in CUD and improved sleep. j.cpr.2025.102581

  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

neuroscience4 · 3 ok
  • Under physiological conditions, postsynaptic neurons synthesize endocannabinoids (anandamide and 2-arachidonoylglycerol, 2-AG) on demand, which travel retrogradely across the synaptic cleft to activate presynaptic CB1 receptors, transiently suppressing neurotransmitter releasesupported

    The major physiological effect of cannabinoids is regulation of neurotransmitter release via activation of presynaptic CB1 receptors on distinct axon terminals throughout the brain. physrev.00004.2003

  • Claim in neuroscience — inconclusiveinconclusiveworking →

  • Dense CB1 expression in the cerebellum and basal ganglia mediates THC's effects on motor coordination and psychomotor performancesupported

    Dense binding in basal ganglia, hippocampus, cerebellum. pnas.87.5.1932

  • THC disrupts this homeostasis by providing non-contingent, sustained CB1 activation that overrides the activity-dependent nature of endocannabinoid signallingsupported

    The major physiological effect of cannabinoids is regulation of neurotransmitter release via activation of presynaptic CB1 receptors on distinct axon terminals throughout the brain. physrev.00004.2003

chemistry3 · 0 ok
  • Claim in chemistry — inconclusiveinconclusiveworking →

  • Claim in chemistry — inconclusiveinconclusiveworking →

  • Claim in chemistry — inconclusiveinconclusiveworking →

3Sources

49 consumed · sorted by year · feeds = sections resting on it

Sources 1 to 30
yearsourcetierstatusfeeds
2026Cannabis-based medicines for chronic neuropathic pain in adultsAtes G, Welsch P, Klose P, et al. · Cochrane Database of Systematic Reviewsdoi:10.1002/14651858.cd012182.pub3strongconsumedcited only
2026Dose-dependent effect of acute THC on extinction memory recall and fear renewal: a randomized, double-blind, placebo-controlled study.Zabik NL, Iadipaolo A, Peters CA, Baglot SL, Hill MN, Rabinak CA · Psychopharmacologydoi:10.1007/s00213-024-06702-wstrongconsumed1 section
2026Justice Department Places FDA-Approved Marijuana Products in Schedule III (2026)url:5576e655a43b20adweakconsumedcited only
2026Marijuana Use and Its Impact on Outpatient Anesthesia.Mann DK, Portnof J, Adlesic E · Anesthesia Progressdoi:10.2344/25-0009moderateconsumed2 sections
2026Therapeutic Use of Cannabis and Cannabinoids: A Review.Hsu M, Shah A, Jordan A, Gold MS, Hill KP · JAMAdoi:10.1001/jama.2025.19433moderateconsumedcited only
2025Cannabis use and its impact on respiratory physiology and lung cancer risk: Mechanistic and epidemiological insights.Georgakopoulou VE, Andreikos DA, Zhu W, Spandidos DA · Biomedical Reportsdoi:10.3892/br.2025.2058moderateconsumed1 section
2025Cannabis, cannabinoids and health: a review of evidence on risks and medical benefits.Hoch E, Volkow ND, Friemel CM, Lorenzetti V, Freeman TP, Hall W · European Archives of Psychiatry and Clinical Neurosciencedoi:10.1007/s00406-024-01880-2moderateconsumed1 section
2025Chemical diversity, receptor binding affinity, and pharmacology of phytocannabinoids: Insights into neuronal mechanisms.Queiroz CM, de Oliveira Koren L, da Silva CRP, Ribeiro S, Silva SRB · Progress in Brain Researchdoi:10.1016/bs.pbr.2025.07.006strongconsumed1 section
2025High Stakes: Exploring the Impact of Cannabis Use in Pregnancy and Lactation.Wymore EM, Wagner K, Gold C, Halmo LS · NeoReviewsdoi:10.1542/neo.26-4-006moderateconsumed1 section
2025Pharmacotherapies for cannabis use disorder.Spiga F, Parkhouse T, Tang VM, Savovic J, Le Foll B, Nielsen S · Cochrane Database of Systematic Reviewsdoi:10.1002/14651858.cd008940.pub4strongconsumedcited only
2025Rare but relevant: Cannabinoid hyperemesis syndrome.Stjepanovic D, Kirkman J, Hall W · Addictiondoi:10.1111/add.16693moderateconsumed1 section
2025The differential effects of medicinal cannabis on mental health: A systematic review.de Bode N, Kroon E, Sznitman SR, Cousijn J · Clinical Psychology Reviewdoi:10.1016/j.cpr.2025.102581strongconsumed1 section
2024DEA Proposed Rule: Rescheduling Marijuana from Schedule I to Schedule IIIurl:6cbf652ede2f9a22weakconsumedcited only
2023An Updated Analysis of Clinical Outcome Measures Across Patients From the UK Medical Cannabis Registry.Ergisi M, Erridge S, Harris M, et al. · Cannabis and Cannabinoid Researchdoi:10.1089/can.2021.0145moderateconsumed1 section
2023Drug Interactions of Tetrahydrocannabinol and Cannabidiol in Cannabinoid Drugs.Herdegen T, Cascorbi I · Deutsches Arzteblatt Internationaldoi:10.3238/arztebl.m2023.0223moderateconsumed3 sections
2022Cannabinoids: Therapeutic Use in Clinical Practice.Pagano C, Navarra G, Coppola L, Avilia G, Bifulco M, Laezza C · International Journal of Molecular Sciencesdoi:10.3390/ijms23063344moderateconsumedcited only
2022Cannabis and cannabinoids for symptomatic treatment for people with multiple sclerosis.Filippini G, Minozzi S, Borrelli F, Cinquini M, Dwan K · Cochrane Database of Systematic Reviewsdoi:10.1002/14651858.cd013444.pub2strongconsumedcited only
2022Cannabis-Based Products for Chronic Pain: A Systematic Review.McDonagh MS, Morasco BJ, Wagner J, Ahmed AY, Fu R, Kansagara D, Chou R · Annals of Internal Medicinedoi:10.7326/m21-4520strongconsumedcited only
2022Clinical management of cannabis withdrawal.Connor JP, Stjepanovic D, Budney AJ, Le Foll B, Hall WD · Addictiondoi:10.1111/add.15743moderateconsumed1 section
2022Targeting the Endocannabinoid System in the Treatment of Posttraumatic Stress Disorder: A Promising Case of Preclinical-Clinical Translation?Mayo LM, Rabinak CA, Hill MN, Heilig M · Biological Psychiatrydoi:10.1016/j.biopsych.2021.07.019moderateconsumedcited only
2021The failings of per se limits to detect cannabis-induced driving impairment: Results from a simulated driving study.Arkell TR, Spindle TR, Kevin RC, Vandrey R, McGregor IS · Traffic Injury Preventiondoi:10.1080/15389588.2020.1851685strongconsumed1 section
2019Cannabinoid Hyperemesis Syndrome: Reports of Fatal Cases.Nourbakhsh M, Miller A, Gofton J, Jones G, Adeagbo B · Journal of Forensic Sciencesdoi:10.1111/1556-4029.13819weakconsumed1 section
2019Medical Cannabis: A plurimillennial history of an evergreen.Pisanti S, Bifulco M · Journal of Cellular Physiologydoi:10.1002/jcp.27725moderateconsumed1 section
2019The contribution of cannabis use to variation in the incidence of psychotic disorder across Europe (EU-GEI): a multicentre case-control study.Di Forti M, Quattrone D, Freeman TP, Tripoli G, Gayer-Anderson C, et al. · The Lancet Psychiatrydoi:10.1016/s2215-0366(19)30048-3moderateconsumedcited only
2018Acute Effects of Smoked and Vaporized Cannabis in Healthy Adults Who Infrequently Use CannabisSpindle TR, Cone EJ, Schlienz NJ, Mitchell JM, Bigelow GE, et al. · JAMA Network Opendoi:10.1001/jamanetworkopen.2018.4841strongconsumed2 sections
2018Cannabinoid Receptors and the Endocannabinoid System: Signaling and Function in the Central Nervous SystemZou S, Kumar U · International Journal of Molecular Sciencesdoi:10.3390/ijms19030833moderateconsumed2 sections
2018The pharmacokinetics and the pharmacodynamics of cannabinoidsLucas C, Galettis P, Schneider J · British Journal of Clinical Pharmacologydoi:10.1111/bcp.13710strongconsumed3 sections
2017Chronic Adolescent Delta9-Tetrahydrocannabinol Treatment of Male Mice Leads to Long-Term Cognitive and Behavioral Dysfunction, Which Are Prevented by Concurrent Cannabidiol Treatment.Murphy M, Mills S, Winstone J, Leishman E, Wager-Miller J, Bradshaw H, Mackie K · Cannabis and Cannabinoid Researchdoi:10.1089/can.2017.0034moderateconsumed1 section
2017The cannabis withdrawal syndrome: current insightsBonnet U, Preuss UW · Substance Abuse and Rehabilitationdoi:10.2147/sar.s109576moderateconsumed2 sections
2017US Epidemiology of Cannabis Use and Associated ProblemsHasin DS · Neuropsychopharmacologydoi:10.1038/npp.2017.198moderateconsumed2 sections
Show all 49 sources — 19 more
Sources 31 to 49
yearsourcetierstatusfeeds
2016Cannabis sativa: The Plant of the Thousand and One MoleculesAndre CM, Hausman JF, Guerriero G · Frontiers in Plant Sciencedoi:10.3389/fpls.2016.00019moderateconsumed1 section
2012Cannabinoids in the treatment of chemotherapy-induced nausea and vomiting.Todaro B · Journal of the National Comprehensive Cancer Networkpmid:22491047moderateconsumed3 sections
2009Cannabis and anxiety: a critical review of the evidenceCrippa JA, Zuardi AW, Martin-Santos R, Bhattacharyya S, Atakan Z, et al. · Human Psychopharmacology Clinical and Experimentaldoi:10.1002/hup.1048moderateconsumed1 section
2008Blunted psychotomimetic and amnestic effects of delta-9-tetrahydrocannabinol in frequent users of cannabis.D'Souza DC, Ranganathan M, Braley G, Gueorguieva R, Zimolo Z, Cooper T, Perry E, Krystal J · Neuropsychopharmacologydoi:10.1038/sj.npp.1301643strongconsumed1 section
2008Delta9-Tetrahydrocannabinol Induces Dopamine Release in the Human StriatumBossong MG, van Berckel BN, Boellaard R, Zuurman L, Schuit RC, et al. · Neuropsychopharmacologydoi:10.1038/npp.2008.138strongconsumed2 sections
2007History of cannabis and its preparations in saga, science, and sobriquet.Russo EB · Chemistry & Biodiversitypmid:17712811moderateconsumedcited only
2007The diverse CB1 and CB2 receptor pharmacology of three plant cannabinoids: delta9-tetrahydrocannabinol, cannabidiol and delta9-tetrahydrocannabivarinPertwee RG · British Journal of Pharmacologydoi:10.1038/sj.bjp.0707442strongconsumed3 sections
2006High-Potency Marijuana Impairs Executive Function and Inhibitory Motor ControlRamaekers JG, Kauert G, van Ruitenbeek P, Theunissen EL, Schneider E · Neuropsychopharmacologydoi:10.1038/sj.npp.1301068strongconsumed1 section
2004The Psychotomimetic Effects of Intravenous Delta-9-Tetrahydrocannabinol in Healthy Individuals: Implications for PsychosisD'Souza DC, Perry E, MacDougall L, Ammerman Y, Cooper TB, et al. · Neuropsychopharmacologydoi:10.1038/sj.npp.1300496strongconsumed5 sections
2003Pharmacokinetics and Pharmacodynamics of CannabinoidsGrotenhermen F · Clinical Pharmacokineticsdoi:10.2165/00003088-200342040-00003strongconsumed5 sections
2003Role of Endogenous Cannabinoids in Synaptic SignalingFreund TF, Katona I, Piomelli D · Physiological Reviewsdoi:10.1152/physrev.00004.2003moderateconsumed3 sections
1995Expression of Central and Peripheral Cannabinoid Receptors in Human Immune Tissues and Leukocyte SubpopulationsGaliegue S, Mary S, Marchand J, et al. · European Journal of Biochemistrydoi:10.1111/j.1432-1033.1995.tb20780.xmoderateconsumed2 sections
1992Isolation and structure of a brain constituent that binds to the cannabinoid receptor.Devane WA, Hanus L, Breuer A, Pertwee RG, Stevenson LA, Griffin G, Gibson D, Mandelbaum A, Etinger A, Mechoulam R · Sciencepmid:1470919moderateconsumed2 sections
1991Characterization and localization of cannabinoid receptors in rat brain: a quantitative in vitro autoradiographic studyHerkenham M, Lynn AB, Johnson MR, Melvin LS, de Costa BR · Journal of Neurosciencedoi:10.1523/jneurosci.11-02-00563.1991moderateconsumedcited only
1990Cannabinoid receptor localization in brain.Herkenham M, Lynn AB, Little MD, Johnson MR, Melvin LS · Proceedings of the National Academy of Sciencesdoi:10.1073/pnas.87.5.1932moderateconsumed5 sections
1988Determination and characterization of a cannabinoid receptor in rat brain.Devane WA, Dysarz FA, Johnson MR, Melvin LS, Howlett AC · Molecular Pharmacologypmid:2848184moderateconsumed4 sections
1975Cardiovascular effects of prolonged delta-9-tetrahydrocannabinol ingestion.Benowitz NL, Jones RT · Clinical Pharmacology and Therapeuticspmid:1164818strongconsumed1 section
1970Cannabis Controlled Substances Act Schedule I Classificationurl:6ad5e3d618878132weakconsumedcited only
1964Isolation, Structure, and Partial Synthesis of an Active Constituent of HashishGaoni Y, Mechoulam R · Journal of the American Chemical Societydoi:10.1021/ja01062a046weakconsumed2 sections

4Docket

one filing per activity — decisions, correspondence, reports

  1. 0012026-05-07revisionRevision 1

    Initial LLM generation (v5 pipeline, wiki, prose phase)

    psx:substance/thc/version/1
  2. 0022026-06-04proposal51 value proposals approved together

    one review action inferred from a shared reviewer and instant — the graph records one activity per proposal

    51 items in this filing

    • contraindication · pregnancy_breastfeeding
    • contraindication · pregnancy_breastfeeding
    • contraindication · cardiovascular
    • contraindication · respiratory
    • contraindication · psychiatric
    • contraindication · age
    • contraindication · hepatic
    • contraindication · other
    • dose_tier · threshold
    • dose_tier · light
    • dose_tier · common
    • dose_tier · strong
    • dose_tier · heavy
    • toxicity
    • dependence · full
    • withdrawal
    • tolerance
    • dosage · smoked
    • dosage · vaporized
    • dosage · oral
    • dosage · intravenous
    • duration · smoked · onset
    • duration · smoked · come_up
    • duration · smoked · peak
    • duration · smoked · offset
    • duration · smoked · total
    • duration · smoked · aftereffects
    • duration · vaporized · onset
    • duration · vaporized · come_up
    • duration · vaporized · peak
    • duration · vaporized · offset
    • duration · vaporized · total
    • duration · vaporized · aftereffects
    • duration · oral · onset
    • duration · oral · come_up
    • duration · oral · peak
    • duration · oral · offset
    • duration · oral · total
    • duration · oral · aftereffects
    • timeline · smoked · onset
    • timeline · smoked · come_up
    • timeline · smoked · peak
    • timeline · smoked · resolution
    • timeline · smoked · afterglow
    • timeline · oral · onset
    • timeline · oral · come_up
    • timeline · oral · peak
    • timeline · oral · plateau
    • timeline · oral · resolution
    • timeline · oral · afterglow
    psx:substance/thc/proposal/contraindication/606f53d5-6cf3-4b4b-afd6-58e852bc47d7
  3. 0032026-06-04publicationPublication — backfill

5Issued documents

what the notice, info card and emergency page said, by hash

Issued documents
documentcontent hashissuedfrom versionsuperseded
emergency7386375eac1334714f070b93…2026-10-19 20:34Revision 1current
info_card5a37c09f0445549f4333438d…2026-10-19 20:34Revision 1current
emergency207cf682e28a91d88136b9a2…2026-09-04 04:32Revision 1superseded2026-10-19
info_card4b440bcc532bacea7a75066c…2026-09-04 04:32Revision 1superseded2026-10-19
notice6cc1eca3752c8ad4ae4d5c0c…2026-09-04 04:32Revision 1current