Lecture 5

1.
What is the active ingredient in cannabis?
d9-tetrahydrocannabinol
2.
How many phytocannabinoids are in cannabis?
110
3.
How many compounds in cannabis in total?
>400
4.
What are the effects of cannabis?
Euphoria, appetite, perceived increase in creativity, perceived increase in perception, drowsiness, short term memory loss, paranoia, rebound anxiety 
5.
Which GPCR do cannabinoids work on?
CB1, CB2
6.
What are the endogenous cannabinoids called?= =Endocannabinoids
7.
What are the functions of endocannabinoids?
Regulate other transmitters involved in memory, movement, pain
8.
What are the concerns of cannabis use?
Intoxication, phsychotic disorders, health, cognition, memory, immune suppression
9.
What relation is THC to CB1?
Partial agonist 
10.
What does partial agonism to CB1 do?
Anti pain, anti vomiting, stimulates appetite
11.
What does CBD do?
Antagonise THC/endocannabinoids
12.
What effects does CBD have?
Anti pain, anti anxiety, anti seizure
13.
What are the medicinal advantages of CBD?
Pallative care, MS spasms, cancer, glaucoma, epilepsy, anxiety, auto immune diseases
14.
What are the issues with legalisation?
Efficacy and safety not supported with RCTs, difficult regulation, contamination, inaccurate labelling, access for children, microbial toxins
15.
What are the medicinal issues with cannabis?
Concentrations, efficacy, detrimental effects, dosage, toxicity, drug interaction
16.
What are the standards for medicinal cannabis?
Max limit on contaminants, pesticides etc. Active ingredients, stability, labelling, acceptable dosage form (ie. vaping)
17.
What is Sativex?
1:1 purified THC:CBD for multiple sclerosis
18.
What is Marinol?
Synthetic THC for pain
19.
What is Epidiolex?
Purified CBD for epilepsy
20.
21.
What problems are associated with synthetic cannabis?
Cheap production, difficulty in legislating, full agonist, black market
22.
What are the negative effects of synthetic cannabinoids?
Psychosis, cardiovascular arrest, death
23.
How does affinity of synthetic cannabis compare to THC?
Similar
24.
How does response of synthetic cannabis compare with THC?
More potent