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Tetrahydro­cannabinol

(in CANNABIS)

What it isDelta-9-tetrahydrocannabinol, the principal psychoactive constituent of cannabis and a partial agonist at CB1 and CB2 receptors.

Why this oneIt is the molecule behind cannabis's intoxicating, appetite-stimulating and antiemetic effects, and the reference point against which every cannabinoid — including the non-intoxicating cannabidiol — is described.

What limits itCB1 agonism in the CNS brings tachycardia, anxiety and psychosis risk, impaired driving, and cannabinoid hyperemesis with heavy chronic use; it is a CYP3A4 and CYP2C9 substrate, so interactions track those enzymes.

NO BOXED WARNINGS

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Tetrahydro­cannabinol ballicule

Tetrahydrocannabinol ballicule: receptor binding, kinetics and half-life diagram

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Memory aids: mascots and interaction avatars

Tetrahydrocannabinol mascot mnemonic cartoon
“The High Causer”
Tetrahydrocannabinol CYP3A4 substrate avatar
CYP3A4 substrate

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