1
|
Behzad D, Patel S, Besa R, Chan AWH, Chen S, Rueda S, Ruocco AC, Di Ciano P. Effects of different methods of cannabis use on cognition and blood THC: A systematic review. Prog Neuropsychopharmacol Biol Psychiatry 2025; 139:111399. [PMID: 40368229 DOI: 10.1016/j.pnpbp.2025.111399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2024] [Revised: 05/09/2025] [Accepted: 05/10/2025] [Indexed: 05/16/2025]
Abstract
Novel methods of cannabis use are becoming popular, but the differential impact of these new methods on cognition have not been widely studied. Further, the impact of cannabis on cognition is mediated by delta-9-tetrahydrocannabinol (THC), but few studies have directly compared the pharmacokinetics of different methods. This systematic review (PROSPERO, CRD42023442731) was conducted to determine whether the different forms of cannabis and routes of administration have differential acute effects on cognition or blood THC. In total, six studies were found that directly compared the effects of at least two different methods of cannabis administration on cognition and eight studies compared the impact of different methods on blood THC. In general, few differences between methods were found on cognitive performance but two studies found some evidence for worse performance on attention tasks after vaping cannabis versus edibles or smoked cannabis. One study found worse performance on a memory task in participants who smoked high potency flower with cannabidiol compared to a group of concentrates users. Despite this, the clear consensus is that inhaled routes of administration result in higher peak levels of THC, while edible cannabis has a longer duration of action. Additionally, one study found an inverse correlation between blood THC and cognition. Given that THC levels are used to detect impairment, this suggests that the ability to detect impairment may vary by method, with edibles presenting more of a challenge. More studies are needed to understand the effects of these newer methods of cannabis administration on performance and blood THC.
Collapse
Affiliation(s)
- Danial Behzad
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Canada
| | - Siddhi Patel
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Canada; Department of Pharmacology and Toxicology, University of Toronto, Canada
| | - Reena Besa
- Department of Education, CAMH Mental Health Sciences Library, Centre for Addiction and Mental Health, Canada
| | - Arthur W H Chan
- Department of Chemical Engineering and Applied Chemistry, University of Toronto, Canada
| | - Sheng Chen
- Biostatistics Core, Centre for Addiction and Mental Health, Canada
| | - Sergio Rueda
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Canada; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Canada; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Canada
| | - Anthony C Ruocco
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Canada; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Canada; Department of Psychological Clinical Science, University of Toronto, Canada; Department of Psychology, University of Toronto Scarborough, Canada
| | - Patricia Di Ciano
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Canada; Department of Pharmacology and Toxicology, University of Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Canada; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Canada.
| |
Collapse
|
2
|
Niloy N, Hediyal TA, Vichitra C, Sonali S, Chidambaram SB, Gorantla VR, Mahalakshmi AM. Effect of Cannabis on Memory Consolidation, Learning and Retrieval and Its Current Legal Status in India: A Review. Biomolecules 2023; 13:biom13010162. [PMID: 36671547 PMCID: PMC9855787 DOI: 10.3390/biom13010162] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 12/31/2022] [Accepted: 01/02/2023] [Indexed: 01/15/2023] Open
Abstract
Cannabis is one of the oldest crops grown, traditionally held religious attachments in various cultures for its medicinal use much before its introduction to Western medicine. Multiple preclinical and clinical investigations have explored the beneficial effects of cannabis in various neurocognitive and neurodegenerative diseases affecting the cognitive domains. Tetrahydrocannabinol (THC), the major psychoactive component, is responsible for cognition-related deficits, while cannabidiol (CBD), a non-psychoactive phytocannabinoid, has been shown to elicit neuroprotective activity. In the present integrative review, the authors focus on the effects of cannabis on the different cognitive domains, including learning, consolidation, and retrieval. The present study is the first attempt in which significant focus has been imparted on all three aspects of cognition, thus linking to its usage. Furthermore, the investigators have also depicted the current legal position of cannabis in India and the requirement for reforms.
Collapse
Affiliation(s)
- Nandi Niloy
- Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
| | - Tousif Ahmed Hediyal
- Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
- Centre for Experimental Pharmacology and Toxicology, Central Animal Facility, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
| | - Chandrasekaran Vichitra
- Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
- Centre for Experimental Pharmacology and Toxicology, Central Animal Facility, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
| | - Sharma Sonali
- Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
- Centre for Experimental Pharmacology and Toxicology, Central Animal Facility, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
| | - Saravana Babu Chidambaram
- Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
- Centre for Experimental Pharmacology and Toxicology, Central Animal Facility, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
| | - Vasavi Rakesh Gorantla
- Department of Anatomical Science, St. George’s University, University Centre, St. Georges FZ818, Grenada
- Correspondence: (V.R.G.); (A.M.M.)
| | - Arehally M. Mahalakshmi
- Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
- Centre for Experimental Pharmacology and Toxicology, Central Animal Facility, JSS Academy of Higher Education & Research, SS Nagar, Mysore 570015, Karnataka, India
- Correspondence: (V.R.G.); (A.M.M.)
| |
Collapse
|
3
|
LaSpada N, Delker E, East P, Blanco E, Delva J, Burrows R, Lozoff B, Gahagan S. Risk taking, sensation seeking and personality as related to changes in substance use from adolescence to young adulthood. J Adolesc 2020; 82:23-31. [PMID: 32512252 DOI: 10.1016/j.adolescence.2020.04.011] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 04/22/2020] [Accepted: 04/28/2020] [Indexed: 10/24/2022]
Abstract
INTRODUCTION This study examined changes in substance use from adolescence to young adulthood as related to adolescents' risk taking, sensation seeking, antisocial activities, and personality traits. METHODS Chilean youth (N = 890, 52% female) were studied in adolescence (14.5 and 16.2 years) and young adulthood (M age 21.3 years). Risk taking was assessed via a laboratory-based performance task (Balloon Analogue Risk Task), and self-administered questionnaires assessed sensation seeking, antisocial behaviors, personality and substance use. RESULTS Frequent involvement in sensation seeking and antisocial activities were associated with increased odds of continued marijuana use from adolescence to young adulthood and of illicit substance use at young adulthood. High risk taking was associated with a reduced likelihood of discontinuing marijuana use at young adulthood, and high agreeableness and conscientiousness were associated with reduced likelihood of new onset marijuana use and illicit substance use at young adulthood. CONCLUSIONS Results highlight specific risk-taking tendencies and personality characteristics that relate to initiating, continuing, or discontinuing substance use at entry into adulthood. Sensation seeking and involvement in antisocial activities were the two foremost risk factors for continued use, which is a forecaster of drug dependence. Findings suggest potential prevention and intervention targets for abstaining from or discontinuing substance use as youth transition to adulthood.
Collapse
Affiliation(s)
- Natalia LaSpada
- University of California, San Diego, Department of Pediatrics, Center for Child Development and Community Health, La Jolla, CA, USA; Johns Hopkins University, Department of Public Health, Baltimore, MD, USA
| | - Erin Delker
- University of California, San Diego, Department of Pediatrics, Center for Child Development and Community Health, La Jolla, CA, USA
| | - Patricia East
- University of California, San Diego, Department of Pediatrics, Center for Child Development and Community Health, La Jolla, CA, USA.
| | - Estela Blanco
- University of California, San Diego, Department of Pediatrics, Center for Child Development and Community Health, La Jolla, CA, USA; Public Health Doctoral Program, University of Chile, Santiago, Chile
| | - Jorge Delva
- School of Social Work, Boston University, Boston, MA, USA
| | - Raquel Burrows
- Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile
| | - Betsy Lozoff
- Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA
| | - Sheila Gahagan
- University of California, San Diego, Department of Pediatrics, Center for Child Development and Community Health, La Jolla, CA, USA
| |
Collapse
|