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Endogenous cannabinoids assist in regulation of hunger, pain perception, inflammation, and stress responses. Tetrahydrocannabinol (THC), a component of cannabis, activates cannabinoid receptors, producing effects that are often emotionally pleasing and cognitively interesting. THC effects impair complex tasks, such as driving. Addiction develops in 8--10 percent of all cannabis users, and in about 25 percent of daily users. Regular adolescent users are especially vulnerable. Adverse outcomes of cannabis addiction include too much time spent intoxicated, important activities given up, worsening of psychological problems, and failed attempts to stop use. The withdrawal syndrome includes irritability, anxiety, depression, and sleep difficulties. Long-term heavy use of cannabis is associated with academic failure and subtle cognitive impairment. Medical uses of cannabis include relief of nausea, appetite improvement, and lessened neuropathic pain. Medical use may increase cannabis addiction, a risk somewhat similar to that of other, more traditional medications for pain, anxiety, and attention disorders. Because cannabis is now a commercial product, its potency has increased in recent years.
The psychoactive ingredients of cannabis are the terpenophenolic cannabinoids. The main psychoactive cannabinoid is tetrahydrocannabinol (THC). In Canada, seized cannabis products are submitted for THC analysis for court purposes. Data on cannabis potency is generally obtained from the analysis of law enforcement seizures. In the Netherlands, data have been derived from cannabis products purchased in coffee shops since 1999. A study on the THC content of fresh illicit cannabis products seized on entry into the United Kingdom was conducted by the Laboratory of the Government Chemist (LGC). Cannabidiol, the main non-psychotropic constituent of cannabis, does not bind to the cannabinoid receptors, probably exerting its effects through novel cannabinoid receptors mediating non-CB1/CB2 receptor effects. In conclusion, it is clear that high-potency cannabis products are freely available on the international drug markets, and that cannabis products have at least a two-fold increased THC content compared with pre-2000 products.
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