Moving Sustainable Medicines Forward™ Product Diversity in the Medical Cannabis Arena Jeffrey C. Raber, Ph.D. © 2017 The Werc Shop, LLC www.TheWercShop.com Chemicals of Medical Cannabis • 1269 known chemical compounds in/on Cannabis • Cannabinoids (144 known in Cannabis) – THC, CBD, CBN, CBG, CBC, THCV, etc. – THCA, CBDA, CBGA, CBCA, etc. – Diverse array of therapeutic effects • Terpenes & Terpenoids (150 known in Cannabis) – Limonene, Linolool, Pinene, Myrcene, b-Carophyllene – Smell attributes and diverse therapeutic effects • Flavonoids (50 known in Cannabis) – Apigenin, Cannflavin-A, Kaempferol, Vitexin, Orientin – Very strong anti-oxidants – diverse therapeutic effects Most Common in Compositions • Cannabinoids – THCA, THC, CBDA, CBD, CBGA, CBG, CBN – Some on plant ratios of 2:1, >20:1, 3:2 – Edibles = array of ratios, common 1:1 THC:CBD • Terpenes & Terpenoids – Limonene, Linalool, Pinenes, b-Myrcene, b-Caryophyllene – Diverse effects – modulates cannabinoids – Ensemble Effect – they are all important Broad Based Medical Utility • Numerous potential ailments can be alleviated Izzo, et. al., Trends in Pharmacological Sciences 10, 515-27 (Oct 2009) Whole Plant is Superior Medicine • Single chemical entity not very effective – Marinol® (Dronabinol) – only THC • Two chemicals have better effect than just 1 – Sativex® - approximately 1:1 THC:CBD • Cannabis Plant has many compositions! – MORE THAN JUST THC and CBD!! – Ensemble Effect hugely important • What is the Cannabis Composition – More than 1+1 = 2 – Synergy Factor – Wildly different from product to product Marinol® is a trademark of Solvay Pharmaceuticals, Inc. Sativex® is a trademark of GW Pharmaceuticals, Inc. Cannabinoids – A Broad Term • Phytocannabinoids – Cannabis sativa L. Produced • THCA, CBDA, CBGA, CBCA, etc. Cannabinoids – A Broad Term • Processed Cannabinoids – Decarboxylation has occurred • Processing, Storage, Vaporization Plant Production of Cannabinoids Plant Production of Cannabinoids THESE ARE WHAT THE PLANTS PRODUCE! Decarboxylation With Heat Product Type Diversity • Plant Material –Flower, Trim, Kief • Concentrates –Shatter, Distillate, Rosin • Sublinguals –Tinctures, Tablets/Mints • Oral Products –Drinks, Chocolate, Brownies, Cookies How Is The Product Made • Plant Material –Cultivation Conditions –Drying, Curing, Trimming, Packaging • Infused Products –Direct plant material infusion –From concentrate form –Does the product get heated • Impact of terpenes on these methods Different Consumption Methods • Inhalation – Combustion or Vaporization • Sublingual – No first pass metabolism • Topical – What else is present • Oral Products – Matrix effects, absorption rates Concentrate Process is Key • How is the concentrate created –Plant material quality –How many process steps are used • Primary Methods –Water, Hydrocarbon, Alcohol, CO2 • Which components remain in final form? • Secondary refinements –Winterization, Distillation Diverse From Plant to Product • How is the final product created –Often relies heavily on concentrate • Formulation Uniformity –Homogeneity of product formation • Different processes yield different chemicals present in the products –Not only consumption routes, but what molecules are being consumed Plant Types are Diverse Too • • • • Consumption Method Diversity Processing Diversity Product Type Diversity All Products Start from Plant Material –What defines a strain –Production process handling –Packaging and Storage conditions Understanding Cannabis Complexity • Analyzing terpenes with GC-FID • Unique method of fingerprinting each varietal • Not all strains are the same or offer same effects Terpenes – Complex and Unknown Linalool: Floral smelling, is believed to provide some anti-cancer effects and is known to cause severe sedation. Limonene: Has a citrus scent and may possess anti-cancer, anti-bacterial, anti-fungal and anti-depression abilities. Pinenes: Pine odor, bronchodilator that opens the lungs to more THC absorption. It also increases focus, self-satisfaction, and energy. b-Caryophyllene: Sweet, woody, clove taste responsible for anti-inflammatory and neuroprotective effects through CB2 receptor activation. What are the Ensemble Effects?? Overview of Data & Analysis • Over 2200 flowers & 300 concentrates • Subsets used to simplify analysis • Average flower THC = 16% • Average flower CBD = 0.7% • Terpenes are the major differentiator • THC is NOT the major determinant • Product forms can be very different Scatter Plot Many Strains According to Morphological Distinction Lots of overlap – no distinction Hybrid Hybrid Sativa Sativa Sativa Sativa Sativa Sativa Sativa Sativa Sativa Hybrid Hybrid Sativa Sativa Sativa Hybrid Hybrid Sativa Hybrid Sativa Sativa Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid Sativa 10 8 6 4 t[2] Hybrid Indica Sativa Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid Indica Hybrid Indica Indica Indica Hybrid Hybrid Hybrid Hybrid Indica Hybrid Indica Hybrid Indica Indica Indica Indica Indica Hybrid Indica Indica Hybrid Indica Hybrid Indica Hybrid Indica Indica Hybrid Hybrid Hybrid Indica Indica Hybrid Hybrid Hybrid Hybrid Hybrid Indica Indica Hybrid Indica Indica Indica Hybrid Indica Hybrid Indica Indica Hybrid Hybrid Hybrid HybridHybrid Indica Indica Hybrid Indica Indica Indica Hybrid Indica Indica Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid Indica Hybrid Hybrid Hybrid Indica Indica Hybrid Hybrid Hybrid Hybrid Indica Indica Hybrid Hybrid Hybrid Indica Indica Hybrid Hybrid Hybrid Hybrid Hybrid Indica Indica Hybrid Indica Hybrid Indica Hybrid Hybrid Indica Indica Indica Hybrid Hybrid Hybrid Hybrid Indica Indica Hybrid Hybrid Hybrid Indica Hybrid Indica Hybrid Indica Hybrid Sativa Hybrid Hybrid Indica Sativa Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid Sativa Hybrid Sativa Sativa Hybrid Sativa Sativa Indica Hybrid Indica Hybrid Hybrid Hybrid Sativa Sativa Hybrid Sativa Hybrid Indica Sativa Indica Indica Indica Indica Sativa Hybrid Indica Sativa Hybrid Indica Hybrid Indica Sativa Indica Sativa Hybrid Hybrid Sativa Sativa Hybrid Indica Sativa Hybrid Hybrid Hybrid Sativa Hybrid Hybrid Hybrid Sativa Sativa Hybrid Hybrid Hybrid Sativa Sativa Hybrid Sativa Indica Sativa Hybrid Sativa Indica Indica Hybrid Hybrid Hybrid Sativa Indica Hybrid Sativa Sativa Hybrid Indica Sativa Indica Hybrid Hybrid Hybrid Hybrid Indica Sativa Sativa Hybrid Indica Indica Hybrid Indica Sativa Sativa Indica Indica Sativa Indica Indica Sativa Hybrid Sativa Hybrid Indica Hybrid Sativa Indica Hybrid Indica Hybrid Sativa Hybrid Sativa Hybrid Hybrid Indica Indica Indica Hybrid Hybrid Indica Indica Indica Hybrid Hybrid Sativa Indica Hybrid Indica Indica Indica Sativa Sativa Hybrid Hybrid Hybrid Sativa Indica Hybrid Hybrid Indica Indica Hybrid Sativa Indica Indica Indica Hybrid Indica Indica Hybrid Hybrid Indica Indica Sativa Indica Hybrid Indica Indica Hybrid Hybrid Hybrid Hybrid Indica Indica Indica Sativa Indica Indica Hybrid Indica Hybrid Hybrid Indica Indica Indica Indica Indica Hybrid Hybrid Hybrid Indica Indica Hybrid Hybrid Indica Indica Hybrid Hybrid Hybrid Sativa Indica Indica Hybrid Hybrid Hybrid Hybrid 2 0 -2 -4 -6 -8 -7 -6 -5 -4 -3 -2 -1 0 1 2 3 4 5 6 7 8 t[1] SIMCA-P+ 12 - 2013-09-21 13:38:20 (UTC-8) 9 10 Names Present >5 Times Jack Herer Jack Herer Jack Trainwreck Herer Jack Herer Jack Herer Jack Herer Jack Herer Jack Herer Jack Herer Jack Herer Skywalker Trainwreck Trainwreck Trainwreck Jack Herer JackJack Herer Jack Herer Jack Herer Trainwreck Jack Herer Herer Jack Herer Trainwreck Jack Herer Trainwreck JackJack Herer Herer Jack Herer Pineapple Kush Trainwreck Trainwreck Trainwreck Trainwreck Larry OG Trainwreck NY Sour Diesel Fire OG Blue Dream Haze Jack Herer WA Black Mamba OG Kush OG Kush Skywalker OG Black OG SFV Kush Mamba 1st OG Generation Diablo Skywalker Green Crack Mack-10 Kush Blue Cheese SourOG Diesel OG Kush AK-47 True OG True OG SFV Neptune OG OG TrueOG OG OG Jupiter Fire OG Neptune OG Skywalker Skywalker Tahoe OG Tahoe SFV OG OG ChemDawg Tahoe OG Mack-10 Fire Neptune Charlie Neptune OG OG Kush Sheen Black OG Mamba OG Skywalker NY Sour Diesel Tahoe Skywalker OG Diablo Diablo Kush Kush Alien OG OG Kush Charlie Black Mamba Sheen OG Mack-10 True Skywalker OG OG Herojuana 1st Generation Diablo ChemDawg OG Kush OG True Herojuana OG Skywalker OG Diablo Charlie 1st OG Generation Sheen OG Diablo Afghan Kush True Skywalker OG Green Crack Skywalker Neptune Skywalker OG Skywalker OG 1st 1st Generation OG Generation Skywalker Diablo Diablo OG Herojuana 1st Generation Diablo Diablo Fire OG Skywalker OG Harlequin Skywalker Jupiter OG Black OG Mamba Green Crack Diablo Tahoe Larry 1st OG OG True Generation OG 1st Fire OG Generation OG 1st Diablo Generation Diablo Diablo OG Kush Jupiter OG Kush Blue Dream Alien OG Tahoe Sour Jupiter OG OG OG Skywalker Black Platinum Mamba OG AK-47 Sour Skywalker Neptune OG Skywalker Fire Neptune OG OG Ghost OG OG Kush OG Black OG True Fire Mamba OG OG Green Afghan Crack Kush 1st Larry Andre Generation OG OG OG Herojuana the Larry Herojuana Giant Skywalker Diablo OG OG Strawberry Cough AK-47 SFV OG True OG True Diablo Kush OG OG Kush OG Sour Fire True Neptune Diesel OG OG Fire Tahoe OG OG OG Kush Afghan Green Kush Crack OG Neptune Herojuana Skywalker Andre Platinum OG the OG Giant OG Afghan Sour Diesel Kush OG OG Skywalker Herojuana Kush Mack-10 OG Mack-10 Kush OG Skywalker OG Pineapple Afghan Green Green Crack Kush Blue Crack Cheese Skywalker Fire Jupiter Tahoe Fire Charlie Fire OG OG 1st OG OG OG Skywalker Skywalker Generation Sheen 1st OG Generation 1st Diablo OG Generation Herojuana Diablo Diablo Sour Diesel Fire True OG Charlie Charlie OG OG Kush Sheen Fire Sheen Diablo OG OG Kush Pineapple Blackberry OG Blue Kush Blue Dream Strawberry Kush Dream Cough OG Larry Herojuana Andre Sour Diablo the OG Sour Kush Giant OG Blue Strawberry Blue Dream Dream Fire OG Cough Sour Diesel Platinum Fire Platinum OG OG Charlie Sheen OG Grand Green Daddy Crack Purple Platinum Afghan Grand OG Kush Daddy OG SFV Kush OG Purple SFV OG Sour Diesel Tahoe Andre Blue OG the Dream Giant Ghost OG Ghost Bubba Skywalker OG Kush OG SFV OG Green Blue Green Crack Cheese Crack SFV Neptune OG OG Black Mamba NY Pineapple Sour Ghost Diesel Blue Kush OG Dream Blue Blue Dream Cheese NY OG Haze Sour Kush Trainwreck Girl Haze Fire Diesel Scout OG Skywalker Cookies 1st Generation Diablo Diablo Kush Ghost Green Strawberry Green Blue Pineapple Blue OG LA Crack Dream Crack Cheese Confidential Cough Alien Blue Skywalker Kush Dream OG SFV Sour Platinum OG Sour Diesel Kush Diesel OG OG Skywalker Herojuana Alien OG OG 1st Skywalker Generation OG Diablo Green Bubba Dream Crack Blackberry Kush Berry Kush SFV OG 1st Generation Diablo Harlequin Green Dream Crack Tahoe Berry Platinum Sour Sour OG SFV Fire Diesel OG OG Fire Fire OG OG Black Mamba Strawberry Jack Alien Herer Cough OG Headband Grand Daddy Purple Grand Blackberry Blackberry Sour Blue Sour Bubba Platinum Daddy Diesel Dream Diesel LA Skywalker Kush Kush Kush Purple Confidential Haze Bubba Blue Pre NY Cheese OG '98 Sour Girl Bubba Scout Diesel Diablo OG Cookies Kush OG Girl Scout Blue Cookies Platinum Alien Dream OG Blue Pre Sour OG '98 Dream Diesel Bubba Sour Sour Diesel Diesel Grand Green OG Daddy Crack Green Pineapple Sour Kush Purple Crack Diesel LA Purple Confidential Kush Kush True Andre OG the Giant Headband ChemDawg Sour Diesel Sour NY ChemDawg Diablo Diesel Sour LA Diesel OG Confidential Purple Strawberry Pre Cough '98 ChemDawg Bubba Girl Scout Cookies Blue Grand Pre Dream '98 Sour Daddy Bubba Diesel NY Purple Sour Diesel SFV OG Velvet Girl Blue OG Scout Kush Dream NY Tahoe Cookies Sour Platinum OG LA OG Diesel Confidential Purple Kush ChemDawg Bubba Sour Kush Diesel Harlequin Pineapple Purple Blackberry Alien Kush Kush OG Bubba Kush Girl Scout Cookies Harlequin Blue Blue Blue Blue Dream Dream Dream Dream LA OG Confidential Haze Kush Sour Girl Haze LA Diesel LA Scout Confidential OG Confidential Cookies Trainwreck Blackberry Velvet Girl Platinum Blackberry Tahoe Kush Blue Scout Dream Dream OG Sour Bubba Cookies Berry Kush Larry Sour OG Haze Tahoe OG OG OG Grand Blackberry Daddy Velvet Harlequin Pre Purple '98 Kush Pre Bubba LA ChemDawg Confidential '98 Bubba Sour Diesel Blue Velvet Cheese Blackberry Kush Sour Bubba Diesel Platinum Kush LA NY Sour Confidential Bubba Sour Diesel Diesel Harlequin Pineapple Velvet Grand LA Kush Daddy Confidential Bubba LA Fire Confidential Purple Kush OG Sour Diesel Diesel Andre the Velvet Blue Grand Blue Blackberry Dream Blue Kush Dream Pineapple Daddy Sour Dream Diesel Kush Purple ChemDawg Sour Diesel Velvet Kush Blue Dream Afghan ChemDawg Haze Sour Kush OG Strawberry AK-47 Purple Kush Pre Dream Cough Blue '98 Bubba LA Berry Bubba Dream Headband Confidential Kush Platinum Headband Sour Bubba Diesel WA Harlequin Velvet Purple Dream Kush Kush Berry ChemDawg Harlequin Harlequin OG Headband Kush Grand Pre Purple AK-47 Daddy '98 ChemDawg Kush Bubba Blue Purple Blue Girl Dream Dream Scout Cookies Girl Blue Scout Blue Dream Purple Grand Cookies Dream Girl Kush Daddy Scout Purple Cookies Girl Scout Cookies Grand Alien OG Daddy Headband Afghan Tahoe Purple OG Kush Sour Diesel WAGiant Larry LA OG Dream Pineapple Confidential Blue Berry Dream Kush Platinum Pre '98 Bubba Bubba Jack Velvet Herer Strawberry Kush Platinum Bubba Cough ChemDawg Girl Scout Headband LA Cookies Confidential ChemDawg Harlequin Blue LA Confidential Dream Sour Sour Diesel Girl Diesel NY Scout Sour Cookies Diesel Harlequin Girl Scout AK-47 Cookies Blue Dream Girl Scout Sour Diesel Cookies ChemDawg LA Sour Confidential Diesel WA Blue Dream Girl Scout Cookies Harlequin Sour Diesel WA Larry Bubba OG Kush Sour Skywalker OGAfghan Headband Harlqeuin Afghan GirlKush Scout Cookies Dream Blue Blue Dream Sour Diesel BlueKush Dream Haze Girl Scout Cookies 5 4 3 2 t[2] 1 0 -1 -2 -3 -4 • Linalool and Limonene • Terpinolene and Nerol -5 -6 -5 -4 -3 -2 -1 0 1 2 3 4 5 t[1] SIMCA-P+ 12 - 2014-06-23 14:07:19 (UTC-8) 6 7 Loading Plot for All Strains 0.40 Terpinolene ±-Phella0erene ±-Terpinene Menthol 0.35 0.30 Sabinene Hydrate ±-Guaiene (t) 0.25 p[2] 0.20 ”3-Carene 0.15 0.10 ±-Cedrene trans-Ocimene (t) ²-Pinene CBG cis-OcimeneFarnesene Caryophyllene oxide Isoborneol CBN THC 0.05 -0.00 -0.05 -0.10 ±-terpineol Camphor CBD ±-Pinene ²-Eudesmol Guaiol Geraniol Limonene t-2-Pinanol (t) Nerol (+) Fenchol Borneol Camphene ²-Caryophyllene ±-Humulene Linalool Elemene (t) Germacrene B (t) Valencene (t) (t) Selina-3,7(11)-diene Myrcene ±-Bisabolol -0.15 -0.10 -0.05 -0.00 0.05 0.10 0.15 0.20 0.25 p[1] SIMCA-P+ 12 - 2013-09-15 12:35:07 (UTC-8) 0.30 Scatter Plot of 4 Popular Strains 6 Some clustering, some variation OG Kush Trainwreck OG Kush Jack Herer Jack Herer WA OG Kush OG Kush Jack Herer Jack Herer OG Kush OG Kush JackHerer Herer Jack Jack Herer OG Trainwreck OG OGKush Kush OGKush Kush Jack Jack Herer Herer Jack Herer Trainwreck Jack Herer Herer WA OG Kush Jack OG Kush OG Kush OG Kush JackTrainwreck Herer OG Kush Jack Herer Jack Herer Jack Trainwreck Herer Jack Herer OG Kush Jack Herer Trainwreck OG Trainwreck OGKush Kush Trainwreck OG Kush Sour Jack Herer JackTrainwreck Herer Sour Diesel Sour Diesel Trainwreck Sour Diesel Diesel WA Jack Herer Trainwreck Sour Diesel Trainwreck Jack Herer Sour Diesel Jack Herer Trainwreck Sour SourDiesel Diesel Sour Diesel Trainwreck Trainwreck Sour Sour Diesel Diesel Sour Diesel WA OG Sour Kush Diesel Sour Diesel OG Sour Kush Sour Diesel Diesel OG Kush Diesel OGSour Kush Sour Diesel Sour Diesel Sour Diesel Sour Diesel Sour Diesel Jack HererSour WA Sour OG Kush Diesel Diesel Jack Herer Sour Sour Diesel Diesel Sour Sour Diesel Diesel WAWA OG Kush Sour Diesel OG Kush Sour Diesel OG Kush Sour Diesel Sour Diesel OG Kush Sour Diesel SourDiesel Diesel Sour OG Kush Jack Herer 4 t[2] 2 0 -2 -4 Trainwreck -6 -8 -7 -6 -5 -4 -3 -2 -1 0 1 2 3 4 5 6 7 t[1] SIMCA-P+ 12 - 2014-06-22 19:25:42 (UTC-8) 8 9 Concentrates 5 TWS-C-034 t[2] 0 TWS-C-035 TWS-C-170 -5 -10 TWS-C-071 TWS-C-085 TWS-C-079 TWS-C-081 TWS-C-268 TWS-C-061 TWS-C-060 TWS-C-227 TWS-C-307 TWS-C-036 TWS-C-276 TWS-C-064 TWS-C-052 TWS-C-306 TWS-C-269 TWS-C-077 TWS-C-053 TWS-C-270 TWS-C-326 TWS-C-083 TWS-C-087 TWS-C-067 TWS-C-272 TWS-C-037 TWS-C-073 TWS-C-084 TWS-C-080 TWS-C-065 TWS-C-327 TWS-C-328 TWS-C-271 TWS-C-086 TWS-C-273 TWS-C-263 TWS-C-017 TWS-C-277 TWS-C-050 TWS-C-088 TWS-C-224 TWS-C-078 TWS-C-100 TWS-C-099 TWS-C-091 TWS-C-260 TWS-C-275 TWS-C-038 TWS-C-068 TWS-C-066 TWS-C-063 TWS-C-076 TWS-C-092 TWS-C-044 TWS-C-062 TWS-C-043 TWS-C-009 TWS-C-012 TWS-C-004 TWS-C-082 TWS-C-232 TWS-C-001 TWS-C-089 TWS-C-093 TWS-C-262 TWS-C-055 TWS-C-265 TWS-C-070 TWS-C-302 TWS-C-330 TWS-C-264 TWS-C-090 TWS-C-323 TWS-C-314 TWS-C-013 TWS-C-072 TWS-C-005 TWS-C-244 TWS-C-002 TWS-C-331 TWS-C-278 TWS-C-074 TWS-C-166 TWS-C-006 TWS-C-008 TWS-C-054 TWS-C-010 TWS-C-011 TWS-C-309 TWS-C-246 TWS-C-167 TWS-C-225 TWS-C-057 TWS-C-094 TWS-C-332 TWS-C-300 TWS-C-310 TWS-C-075 TWS-C-014 TWS-C-226 TWS-C-315 TWS-C-322 TWS-C-261 TWS-C-333 TWS-C-007 TWS-C-279 TWS-C-325 TWS-C-003 TWS-C-318 TWS-C-311 TWS-C-134 TWS-C-132 TWS-C-229 TWS-C-231 TWS-C-289 TWS-C-288 TWS-C-163 TWS-C-301 TWS-C-243 TWS-C-259 TWS-C-329 TWS-C-290 TWS-C-045 TWS-C-266 TWS-C-058 TWS-C-049 TWS-C-069 TWS-C-169 TWS-C-168 TWS-C-305 TWS-C-242 TWS-C-303 TWS-C-312 TWS-C-048 TWS-C-032 TWS-C-304 TWS-C-234 TWS-C-101 TWS-C-321 TWS-C-317 TWS-C-337 TWS-C-228 TWS-C-319 TWS-C-015 TWS-C-051 TWS-C-040 TWS-C-046 TWS-C-033 TWS-C-316 TWS-C-324 TWS-C-308 TWS-C-233 TWS-C-334 TWS-C-320 TWS-C-335 TWS-C-241 TWS-C-056 TWS-C-158 TWS-C-018 TWS-C-336 TWS-C-291 TWS-C-313 TWS-C-258 TWS-C-041 TWS-C-042 TWS-C-016TWS-C-230 TWS-C-274 TWS-C-039 -15 TWS-C-059 -14 -12 -10 -8 -6 -4 -2 0 2 4 t[1] SIMCA-P+ 12 - 2014-06-23 14:12:58 (UTC-8) 6 Concentrates Are Different 6 TWS-C-274 TWS-C-016 Trainwreck Jack Herer Jack Herer WA TWS-C-230 Jack Herer Trainwreck Jack Herer Jack Herer TWS-C-041 TWS-C-042 Jack Herer Trainwreck Jack Herer TWS-C-335 Jack Herer Jack Herer TWS-C-336 Jack Herer Jack Herer Jack Jack Jack Herer Herer Herer Trainwreck TWS-C-313 TWS-C-045 Jack Herer Trainwreck Trainwreck Jack Herer TWS-C-315 Jack Trainwreck Herer Jack Jack Herer HererHerer TWS-C-258 Jack Jack Herer TWS-C-090 Trainwreck TWS-C-324 TWS-C-018 TWS-C-046 Trainwreck Trainwreck Trainwreck Jack Herer TWS-C-320 TWS-C-322 TWS-C-321 TWS-C-233 TWS-C-054 TWS-C-033 Trainwreck TWS-C-158 TWS-C-032 TWS-C-308 TWS-C-058 TWS-C-319 TWS-C-043 TWS-C-134 TWS-C-044 TWS-C-333 TWS-C-334 Trainwreck TWS-C-317 TWS-C-080 TWS-C-093 TWS-C-037 TWS-C-163 TWS-C-241 TWS-C-051 TWS-C-074 TWS-C-072 TWS-C-014 TWS-C-325 Jack Herer WA TWS-C-069 TWS-C-337 TWS-C-327 TWS-C-266 TWS-C-301 TWS-C-092 TWS-C-316 TWS-C-332 TWS-C-017 TWS-C-291 TWS-C-330 TWS-C-078 OG Kush TWS-C-242 TWS-C-318 TWS-C-246 TWS-C-303 TWS-C-263 TWS-C-304 TWS-C-132 TWS-C-049 TWS-C-328 TWS-C-006 TWS-C-005 TWS-C-003 TWS-C-009 TWS-C-331 TWS-C-007 TWS-C-279 TWS-C-312 TWS-C-010 TWS-C-166 TWS-C-228 TWS-C-300 TWS-C-008 TWS-C-012 TWS-C-038 TWS-C-064 Sour Diesel TWS-C-314 TWS-C-070 Sour TWS-C-229 Diesel TWS-C-076 TWS-C-056 TWS-C-234 TWS-C-226 TWS-C-323 TWS-C-048 TWS-C-011 TWS-C-004 TWS-C-244 TWS-C-062 TWS-C-001 TWS-C-089 TWS-C-068 OG Kush TWS-C-310 Sour OG OG Diesel OG Kush Kush Kush TWS-C-066 TWS-C-243 TWS-C-082 OG Kush TWS-C-277 TWS-C-169 OG Kush TWS-C-167 TWS-C-002 TWS-C-065 TWS-C-326 Sour OG Diesel Kush TWS-C-013 Jack Sour TWS-C-290 TWS-C-231 Herer Diesel Sour Diesel Sour Jack TWS-C-259 Diesel Herer OG Kush TWS-C-273 Sour Diesel OG OG Kush Kush Sour OG Kush Diesel TWS-C-086 TWS-C-040 TWS-C-015 TWS-C-168 Sour Diesel TWS-C-302 TWS-C-077 Sour TWS-C-289 Sour TWS-C-311 Diesel Diesel TWS-C-083 TWS-C-329 Sour OG Sour Kush Diesel OG Diesel Kush OG TWS-C-063 TWS-C-091 Kush TWS-C-073 TWS-C-087 OG Sour Sour Kush Sour TWS-C-075 Diesel Diesel Diesel WA TWS-C-050 TWS-C-084 OG Sour Sour Kush Sour Trainwreck TWS-C-057 TWS-C-261 Sour OG Sour Diesel Diesel OG Diesel Kush Diesel Diesel Kush TWS-C-100 TWS-C-099 TWS-C-305 OG Sour Kush Sour Diesel Diesel OG Kush TWS-C-271 Sour OG Diesel WA Kush TWS-C-260 WA Trainwreck Sour OG Diesel Kush OG Kush TWS-C-224 TWS-C-288 Sour Diesel OG Kush TWS-C-055 TWS-C-101 TWS-C-225 Sour TWS-C-278 Diesel WA TWS-C-309 TWS-C-088 TWS-C-275 TWS-C-272 OG TWS-C-262 Kush TWS-C-307 TWS-C-079 TWS-C-264 TWS-C-067 TWS-C-052 TWS-C-265 TWS-C-060 TWS-C-094 TWS-C-232 TWS-C-276 TWS-C-081 TWS-C-270 TWS-C-227 TWS-C-061 TWS-C-053 TWS-C-036 TWS-C-306 TWS-C-269 TWS-C-071 TWS-C-085 TWS-C-268 4 t[2] 2 0 -2 -4 -7 -6 -5 -4 -3 -2 -1 0 1 2 3 4 5 t[1] SIMCA-P+ 12 - 2014-06-25 12:21:46 (UTC-8) 6 7 What Profiling Tells Us • Indica/Sativa/Hybrid designation is not medically meaningful – may indicate plant’s morphology, but not physiological impacts on the patient • New chemotype classifications needed • Multivariant data analysis useful with cannabis • Misnaming of strains in CA appears rampant • Terpenes are major differentiators in this CA data set – sample set bias is likely (high THC) • Phenotypes and differing cultivation conditions lead to additional complexities Repeatable Consumption • Inhalation Apparatus – Combustion versus Vaporization • Pre-rolled versus hand-rolled • Temperature of heat source • Hand held vaporizer versus table top • Inhalation Operation – Strength of inhale – Inhalation duration • Edible and topical products should be consistent in production, then use THC Oral Metabolism • Swallowed (not felt) • Felt psychoactive • Excreted Non-psychoactive Absorptivity Considerations • Rate of entering the blood stream – Inhalation, sublingual, oral – Each edible product can be very different – What else has been eaten with the medicine? • Oral Metabolites – 11-OH, about 5 times as potent as THC Pharmacokinetics • How chemicals are absorbed and processed through the body over a period of time – how long the drug is effective. Pharmacokinetics Oral vs. Inhaled THC Typical metabolite profile of orally consumed THC 11-Hydroxy-THC 0 100 THC 11-Nor-9-carboxy-THC 200 300 Time in minutes 400 Typical metabolite profile of inhaled THC 11-Hydroxy-THC 500 0 100 THC 11-Nor-9-carboxy-THC 200 300 Time in minutes 400 500 Inhalation Device Considerations • Different chemicals delivered each way – Long Path vs. Short Path – Chilled, Cold Water, Ice Cubes – Heating Source Temperature – Rolled cigarette delivers about 30-40% efficiency • Patient inhalation strength and duration • Patients should standardize their own delivery devices and delivery methods • We must educate patients on their devices What is Available When? • Combustion & Vaporization - HEAT –Neutral cannabinoids form • THC, CBD, CBG, CBC –Trace cannabinoids can be inhaled • THCA, CBDA, CBN, other derivatives –Terpenes • Tinctures, Oral and Topicals –Exactly what is put in the formulations • No changes due to further heating Definition of “Repeatable” • What is a repeatable dose? – Pharmaceutical specification is 3% of label claim – OTC specification is 10% of label claim – Dietary Supplement is 15% of label claim • Tolerance of dose is based on the safety, toxicity and effectiveness – Does a little more or little less matter? • How sensitive is each patient to cannabis? – Toxicity concerns generally low • Goal is Minimum Effective Dose (MED) Repeatable Consumption • Amount of THC/CBD delivered to patient varies for many different reasons!! • Patients First Need to Select a Standardized Delivery Method – May take some trial and experimentation • Delivery method – Oral – Topical – Inhalation Complex Combinations • Finding a Solution is Difficult Cannabis Is Diversity • Ingredients and Production • Patient Needs • Use Patterns • Lack of Standards • Supply Chain Shifts Cannabis Based Medicine Cabinet
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