THC Metabolism
The amount of time required to metabolize THC has shown considerable variation from person to person and study to study. The period required to eliminate THC from the body should not be confused with the duration of the drug's psychoactive effects. People stop feeling high long before THC has left their bodies. Intoxication rarely last more than a few hours, with orally administered doses lasting longer than smoked cannabis. After an intravenous injection of THC, blood levels peak almost immediately and then decrease by 90% in the first hour. This rapid drop does not mean that the drug has exited the body; it simply leaves the blood to dissolve into fat tissue. THC in the blood partitions into fat tissue, then leaks slowly from fat to be degraded and excreted. Although media accounts of marijuana's effects often treat THC's fat solubility as a novelty, sedatives like the barbiturates and benzodiazapines are stored in fat, too. After the first hour, blood levels of THC do not drop as rapidly. As THC from the blood is eventually excreted in urine and feces, THC stored in fat returns to circulation, but in doses too small to create psychoactive effects.
Researchers express the time required to metabolize a drug as its half-lifea€"the period required to break the dose down to 50% of its original amount. Suppose the half-life of a hypothetical drug was one day. People who absorbed 100 mg of this drug would reduce it to 50 mg in one day. The next day they would again cut the available dose in half, to 25 mg. The next day would decrease the amount to 12.5 mg, and so on. Zeno's paradox would suggest that this consistent splitting in two would actually never lead to a blood level of zero. The amount would decrease by 50% repeatedly, growing smaller and smaller, but it would never disappear. Practically, drugs reach an undetectable concentration after 4.5 or 5 half-lives (Diaz, 1997).
Estimates of the half-life of THC based on urinary excretion show incredible variation. Research estimates of THC's half-life range from as little as 19 hours (Hunt & Jones, 1980) to as much as 4 days (Johansson, Arguell, Hollister, & Halldin, 1988). Early work suggested that users might grow more efficient at metabolizing THC as they gain experience with the drug (Lemberger, Axelrod, & Kopin, 1971). This study found a half-life of 28 hours for chronic smokers, but naive users took 57 hours to metabolize half of the dose. These results had considerable intuitive
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appeal because they helped explain marijuana tolerance. The authors of this research implied that people grew tolerant to the drug because they essentially eliminated it more readily.
In contrast to evidence of increased rates of metabolism in experienced users, a later study found that people who had received THC each day for two weeks did not metabolize faster than moderate users who had not ingested daily doses (Hunt & Jones, 1980). In addition, the study with the longest estimated half-life used chronic, regular smokers (Johansson et al., 1988). These results seem confusing in light of the previously reported shorter half-life for heavier users. Thus, THC's rate of metabolism may not increase with repeated use. Most studies show a half-life between 1 and 1.5 days (Ohlsson et al., 1982; Ohlsson et al., 1985; Wall et al., 1983). A recent study using an extremely sensitive measuring technique and a two-week follow-up period found THC half-life ranges up to 2.5 days (Huestis & Cone, 1998). This study used the best methods available and suggests that a dose of THC leaves the body completely after 12 or 13 days.
The extreme variation in the estimates for the half-life of THC may stem from studying small samples of people over relatively short durations, using measurement techniques that vary in sensitivity. This large range of estimates likely reflects individual differences among people. Some simply metabolize more quickly than others. Techniques that do not rely on urine samples suggest THC stays in the body even longer. Analysis of fat cells rather than urine samples has revealed that the drug can remain in the body up to a month in some people (Johansson, Noren, Sjovall, & Halldin, 1989). Popular authors imply that this long elimination period is the norm (DuPont, 1984), but many people metabolize THC faster. Despite all the variability in elimination periods, marijuana does appear to have a longer half-life than some other drugs. For example, nicotine's half-life is about 2 hours; caffeine's is 3 to 6 hours (Henningfield, Cohen, & Pickworth, 1993). However, some sedatives that are more fat soluble show half-lives around 2 days or more (Diaz, 1997). Thus, marijuana takes more time to metabolize than some drugs, but less than others.
Popular authors often misinterpret THC's long half-life by frequently implying that intoxication or some sort of residual effect of the drug remains for weeks at a time. Yet intoxication dissipates in a couple of hours. The amount of THC released gradually from fat cells does not create any subjective, cognitive, or emotional effects but may register on
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drug tests. Thus, a person may test positive for cannabis even a week or two after smoking, when all signs of intoxication have clearly terminated (Zimmer & Morgan, 1997). A number of underground legends suggest that goldenseal, cranberry juice, or various other concoctions might shorten this period of testing positive; no systematic research addresses this question. Drinking enormous quantities of fluids may dilute THC metabolites in the urine and alter the outcome of a test, but these fluids do not actually alter metabolic rate (Coombs & West, 1991).
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