View source for Journal:Differentiating cannabis products: Drugs, food, and supplements

{{Infobox journal article
|name         = 
|image        = 
|alt          = <!-- Alternative text for images -->
|caption      = 
|title_full   = Differentiating cannabis products: Drugs, food, and supplements
|journal      = ''Frontiers in Pharmacology''
|authors      = Salehi, Arash; Puchalski, Keely; Shokoohinia, Yalda; Zolfaghari, Behzad; Asgary, Sedigheh
|affiliations = Isfahan University of Medical Sciences, Southwest College of Naturopathic Medicine
|contact      = Email: sedighehasgary at gmail dot com
|editors      = Lupica, Carl R.
|pub_year     = 2022
|vol_iss      = '''13'''
|at           = 906038
|doi          = [https://doi.org/10.3389/fphar.2022.906038 10.3389/fphar.2022.906038]
|issn         = 1663-9812
|license      = [http://creativecommons.org/licenses/by/4.0/ Creative Commons Attribution 4.0 International]
|website      = [https://www.frontiersin.org/articles/10.3389/fphar.2022.906038/full https://www.frontiersin.org/articles/10.3389/fphar.2022.906038/full]
|download     = [https://www.frontiersin.org/articles/10.3389/fphar.2022.906038/pdf https://www.frontiersin.org/articles/10.3389/fphar.2022.906038/pdf] (PDF)
}}
==Abstract==
"[[Hemp]]" refers to non-intoxicating, low [[Tetrahydrocannabinol|delta-9 tetrahydrocannabinol]] (Δ<sup>9</sup>-THC) [[cultivar]]s of [[Cannabis sativa|''Cannabis sativa'' L.]] "[[Cannabis (drug)|Marijuana]]" refers to cultivars with high levels of Δ<sup>9</sup>-THC, the primary [[Psychoactive drug|psychoactive]] [[cannabinoid]] found in the plant and a federally controlled substance used for both recreational and therapeutic purposes. Although marijuana and hemp belong to the same genus and species, they differ in terms of chemical and genetic composition, production practices, product uses, and [[Regulatory compliance|regulatory status]]. [[Hemp#Food|Hemp seed]] and hemp seed oil have been shown to have valuable nutritional capacity. [[Cannabidiol]] (CBD), a non-intoxicating phytocannabinoid with a wide therapeutic index and acceptable side effect profile, has demonstrated high medicinal potential in some conditions. Several countries and states have facilitated the use of THC-dominant medical cannabis for certain conditions, while other countries continue to ban all forms of cannabis regardless of cannabinoid profile or low psychoactive potential. 

Today, differentiating between hemp and marijuana in the [[laboratory]] is no longer a difficult process. Certain [[thin-layer chromatography]] (TLC) methods can rapidly screen for cannabinoids, and several [[Gas chromatography|gas]] and [[Chromatography#Liquid chromatography|liquid chromatography]] techniques have been developed for precise quantification of phytocannabinoids in plant extracts and biological [[Sample (material)|samples]]. Geographic regulations and testing guidelines for cannabis continue to evolve. As they are improved and clarified, we can better employ the appropriate applications of this uniquely versatile plant from an informed scientific perspective.

'''Keywords''': cannabis, cannabidiol, CBD, hemp, marijuana, tetrahydrocannabinol, THC

==Introduction==
[[Cannabis sativa|''Cannabis sativa'' L.]] is a member of the [[Cannabaceae]] family, a small family of annual herbaceous plants that includes the widely cultivated genus, ''Humulus'' (hops), and eight other genera.<ref>{{Cite journal |last=Jin |first=Jian‐Jun |last2=Yang |first2=Mei‐Qing |last3=Fritsch |first3=Peter W. |last4=Velzen |first4=Robin |last5=Li |first5=De‐Zhu |last6=Yi |first6=Ting‐Shuang |date=2020-07 |title=Born migrators: Historical biogeography of the cosmopolitan family Cannabaceae |url=https://onlinelibrary.wiley.com/doi/10.1111/jse.12552 |journal=Journal of Systematics and Evolution |language=en |volume=58 |issue=4 |pages=461–473 |doi=10.1111/jse.12552 |issn=1674-4918}}</ref> The terms "[[hemp]]" and "[[Cannabis (drug)|marijuana]]" both refer to plants derived from the ''Cannabis sativa'' L. species, but from different [[cultivar]]s or [[chemotype]]s having either low or high [[Tetrahydrocannabinol|delta-9 tetrahydrocannabinol]] (Δ<sup>9</sup>-THC) content, respectively. The general term "[[cannabis]]" includes both hemp and marijuana types of plants.<ref name=":0">{{Cite web |last=Johnson, R. |date=22 March 2019 |title=Defining Hemp: A Fact Sheet |url=https://www.everycrsreport.com/files/20190322_R44742_1b0195c6aa7e2cad29256c85a8574347c1ee833d.pdf |format=PDF |publisher=Congressional Research Service}}</ref> Cannabis has been utilized by several populations for millennia. Central and southeast Asia are considered plausible origins.<ref>{{Cite journal |last=Stevens |first=Chris J |last2=Murphy |first2=Charlene |last3=Roberts |first3=Rebecca |last4=Lucas |first4=Leilani |last5=Silva |first5=Fabio |last6=Fuller |first6=Dorian Q |date=2016-10 |title=Between China and South Asia: A Middle Asian corridor of crop dispersal and agricultural innovation in the Bronze Age |url=http://journals.sagepub.com/doi/10.1177/0959683616650268 |journal=The Holocene |language=en |volume=26 |issue=10 |pages=1541–1555 |doi=10.1177/0959683616650268 |issn=0959-6836 |pmc=PMC5125436 |pmid=27942165}}</ref> It has been claimed that the application of the herb for various purposes dates to 12,000 years ago based on Neolithic evidence found in Taiwan.<ref>{{Cite journal |last=Li |first=Hui-Lin |date=1974-07 |title=The origin and use of cannabis in eastern asia linguistic-cultural implications |url=http://link.springer.com/10.1007/BF02861426 |journal=Economic Botany |language=en |volume=28 |issue=3 |pages=293–301 |doi=10.1007/BF02861426 |issn=0013-0001}}</ref> Hemp is reputed to be the oldest cultivated fiber plant<ref>{{Cite journal |last=Cherney |first=Jerome |last2=Small |first2=Ernest |date=2016-11-12 |title=Industrial Hemp in North America: Production, Politics and Potential |url=http://www.mdpi.com/2073-4395/6/4/58 |journal=Agronomy |language=en |volume=6 |issue=4 |pages=58 |doi=10.3390/agronomy6040058 |issn=2073-4395}}</ref>, and [[Hemp#Food|hemp seed]] and seed oil have historically been used as food.<ref name=":1">{{Cite journal |last=Farinon |first=Barbara |last2=Molinari |first2=Romina |last3=Costantini |first3=Lara |last4=Merendino |first4=Nicolò |date=2020-06-29 |title=The Seed of Industrial Hemp (Cannabis sativa L.): Nutritional Quality and Potential Functionality for Human Health and Nutrition |url=https://www.mdpi.com/2072-6643/12/7/1935 |journal=Nutrients |language=en |volume=12 |issue=7 |pages=1935 |doi=10.3390/nu12071935 |issn=2072-6643 |pmc=PMC7400098 |pmid=32610691}}</ref> Marijuana has long been utilized for recreational as well as medical purposes.<ref>{{Cite journal |last=Piluzza |first=G. |last2=Delogu |first2=G. |last3=Cabras |first3=A. |last4=Marceddu |first4=S. |last5=Bullitta |first5=S. |date=2013-12 |title=Differentiation between fiber and drug types of hemp (Cannabis sativa L.) from a collection of wild and domesticated accessions |url=http://link.springer.com/10.1007/s10722-013-0001-5 |journal=Genetic Resources and Crop Evolution |language=en |volume=60 |issue=8 |pages=2331–2342 |doi=10.1007/s10722-013-0001-5 |issn=0925-9864}}</ref> The oldest report of the medical use of cannabis dates to 5,000 years ago when it was used for the treatment of fatigue, rheumatism, and malaria.<ref>{{Cite book |last=Abel |first=Ernest L. |date= |year=2013 |title=Marihuana: The First Twelve Thousand Years |url=http://link.springer.com/10.1007/978-1-4899-2189-5 |language=en |publisher=Springer New York |place=Boston, MA |pages=289 |doi=10.1007/978-1-4899-2189-5 |isbn=978-1-4899-2191-8}}</ref> The Assyrians, Egyptians, Indians, Persians, Greeks, and Romans are all reported to have used cannabis for medical purposes.<ref name=":35">{{Cite journal |last=Leghissa |first=Allegra |last2=Hildenbrand |first2=Zacariah L. |last3=Schug |first3=Kevin A. |date=2018-01 |title=A review of methods for the chemical characterization of cannabis natural products |url=https://onlinelibrary.wiley.com/doi/10.1002/jssc.201701003 |journal=Journal of Separation Science |language=en |volume=41 |issue=1 |pages=398–415 |doi=10.1002/jssc.201701003}}</ref>

Classifications for different cannabis species continues to be a highly debated topic amongst taxonomists and [[Botany|botanists]].<ref name=":2">{{Cite journal |last=Sawler |first=Jason |last2=Stout |first2=Jake M. |last3=Gardner |first3=Kyle M. |last4=Hudson |first4=Darryl |last5=Vidmar |first5=John |last6=Butler |first6=Laura |last7=Page |first7=Jonathan E. |last8=Myles |first8=Sean |date=2015-08-26 |editor-last=Tinker |editor-first=Nicholas A. |title=The Genetic Structure of Marijuana and Hemp |url=https://dx.plos.org/10.1371/journal.pone.0133292 |journal=PLOS ONE |language=en |volume=10 |issue=8 |pages=e0133292 |doi=10.1371/journal.pone.0133292 |issn=1932-6203 |pmc=PMC4550350 |pmid=26308334}}</ref> Although some experts recognize three different species of ''Cannabis''—''C. sativa'', [[Cannabis indica|''C. indica'']], and [[Cannabis ruderalis|''C. ruderalis'']]<ref>{{Cite journal |last=Pollio |first=Antonino |date=2016-12 |title=The Name of Cannabis : A Short Guide for Nonbotanists |url=http://www.liebertpub.com/doi/10.1089/can.2016.0027 |journal=Cannabis and Cannabinoid Research |language=en |volume=1 |issue=1 |pages=234–238 |doi=10.1089/can.2016.0027 |issn=2378-8763 |pmc=PMC5531363 |pmid=28861494}}</ref>—and other experts only one monospecific species (''C. sativa'' L.) with two subspecies (subsp. ''sativa'' and subsp. ''indica'' [Lam.])<ref name=":36">{{Cite journal |last=Small |first=Ernest |last2=Cronquist |first2=Arthur |date=1976-08 |title=A Practical and Natural Taxonomy for Cannabis |url=https://onlinelibrary.wiley.com/doi/abs/10.2307/1220524 |journal=TAXON |language=en |volume=25 |issue=4 |pages=405–435 |doi=10.2307/1220524 |issn=0040-0262}}</ref><ref name=":37">{{Cite web |last=United Nations Office on Drugs and Crime |date=November 2013 |title=The International Drug Control Conventions |url=https://www.unodc.org/documents/commissions/CND/Int_Drug_Control_Conventions/Ebook/The_International_Drug_Control_Conventions_E.pdf |format=PDF |publisher=United Nations}}</ref>, neither of these nomenclature systems accurately reflects the diversity and complexity of modern cannabis plants. Because cannabis species have been [[Cannabis cultivation|cultivated]] globally over many years to exhibit nearly indistinguishable [[phenotype]]s with overlapping genotypes, ''Cannabis sativa'' L. varieties are now most accurately identified by cultivar or chemotype, including specific cannabinoid profiling, and even subtyping.<ref name=":3">{{Cite journal |last=Sarma |first=Nandakumara D. |last2=Waye |first2=Andrew |last3=ElSohly |first3=Mahmoud A. |last4=Brown |first4=Paula N. |last5=Elzinga |first5=Sytze |last6=Johnson |first6=Holly E. |last7=Marles |first7=Robin J. |last8=Melanson |first8=Jeremy E. |last9=Russo |first9=Ethan |last10=Deyton |first10=Lawrence |last11=Hudalla |first11=Christopher |date=2020-04-24 |title=Cannabis Inflorescence for Medical Purposes: USP Considerations for Quality Attributes |url=https://pubs.acs.org/doi/10.1021/acs.jnatprod.9b01200 |journal=Journal of Natural Products |language=en |volume=83 |issue=4 |pages=1334–1351 |doi=10.1021/acs.jnatprod.9b01200 |issn=0163-3864}}</ref> (Recently proposed suggestions for chemotyping will be discussed later in this article.)

Although it has valuable nutritional capacity, hemp material was initially cultivated mainly to produce textiles and ropes. Due to expanded applications of synthetic fibers over the past two centuries, its cultivation decreased precipitously. In recent years, hemp regained popularity due to the rediscovery of its nutritional benefits, economic value, and variety of medicinal uses.<ref name=":1" /> Despite the resurgence of hemp, ongoing efforts to curtail recreational drug use have prompted several countries and states to restrict the cultivation of cannabis varieties with high concentrations of Δ<sup>9</sup>-THC, the primary psychoactive metabolite of the plant.<ref name=":38">{{Cite web |last=Aguilar, S.; Gutiérrez, V.; Sánchez, L. et al. |date=April 2018 |title=Medicinal cannabis policies and practices around the world |url=http://fileserver.idpc.net/library/Medicinal%20cannabis%20briefing_ENG_FINAL.PDF |format=PDF |publisher=International Drug Policy Consortium}}</ref>

For the past several decades, a lack of understanding and proper differentiation between hemp- and marijuana-type plants has slowed the development of cannabis research on the potential health benefits of the plant.<ref name=":1" /> And despite having clearer definitions, improper use of these terms is still regularly seen in the literature. It is pertinent to clarify terminology and provide useful tools and legal definitions to differentiate between food, drug, and supplement derivatives of cannabis.

In this review we focus mainly on the question, “What is essential for defining ''Cannabis'' as a food, supplement, or drug?” We also investigate the nutritional potential of hempseed and seed oil, the medicinal benefits of certain phytocannabinoids (one of the predominant [[phytochemical]] groups in ''Cannabis'') as drugs and supplements, and the regulatory status of cannabis and cannabis products across the globe. Finally, we review several [[:Category:CannaQAwiki journal articles on cannabis testing|analytical techniques]] for the detection and quantification of cannabinoids in [[Cannabis concentrate|cannabis extracts]], samples, and other products.

==Definitions, production practices, and uses==
Cannabis terminology has been a significant source of confusion for many. In public opinion at large, marijuana is often viewed as a plant purposed solely for recreational use, which has overshadowed the high value of medical cannabis, hemp-type plants, and hemp products in nutrition, the health and wellness industry, scientific and medical communities, and the global economy.<ref>{{Cite web |last=Cadena, A. |date=10 September 2018 |title=Hemp vs Marijuana: The Difference Explained |work=CBDOrigin |url=https://cbdorigin.com/hemp-vs-marijuana/}}</ref> Because of this, it is increasingly important to implement clear literature-based nomenclature, legal definitions, and recommendations of agencies specializing in this controversial plant. Here we explore some of the current definitions and nomenclature.

Fundamentally, "marijuana" refers to cultivars of cannabis with [[Psychoactive drug|psychoactive]] potential used for both recreational and therapeutic purposes, and "hemp" refers to non-intoxicating cultivars of cannabis with various end uses, including in fabrics and textiles, nutraceuticals, pharmaceuticals, food products, beverages, oral and topical self-care products, veterinary products, and other manufactured and industrial goods. The term "industrial hemp," in some cases, may be used interchangeably with "hemp."<ref name=":0" /><ref name=":4">{{Cite journal |last=Crini |first=Grégorio |last2=Lichtfouse |first2=Eric |last3=Chanet |first3=Gilles |last4=Morin-Crini |first4=Nadia |date=2020-09 |title=Applications of hemp in textiles, paper industry, insulation and building materials, horticulture, animal nutrition, food and beverages, nutraceuticals, cosmetics and hygiene, medicine, agrochemistry, energy production and environment: a review |url=https://link.springer.com/10.1007/s10311-020-01029-2 |journal=Environmental Chemistry Letters |language=en |volume=18 |issue=5 |pages=1451–1476 |doi=10.1007/s10311-020-01029-2 |issn=1610-3653}}</ref>

With the passage of the [[Agriculture Improvement Act of 2018]] (i.e., the 2018 Farm Bill), hemp is now legally defined as "the plant species ''Cannabis sativa'' L. and any part of that plant, including the seeds thereof and all derivatives, extracts, cannabinoids, isomers, acids, salts, and salts of isomers, whether growing or not, with a total delta-9 tetrahydrocannabinol concentration of not more than 0.3 percent on a dry weight basis."<ref>{{Cite web |last=Drug Enforcement Administration, Department of Justice |date=21 August 2020 |title=Implementation of the Agriculture Improvement Act of 2018 |work=Federal Register |url=https://www.federalregister.gov/documents/2020/08/21/2020-17356/implementation-of-the-agriculture-improvement-act-of-2018 |publisher=National Archives |archiveurl=}}</ref>  Meanwhile, the [[Controlled Substances Act|Controlled Substances Act of 1970]] (CSA) still broadly describes marijuana without using any limits on Δ<sup>9</sup>-THC or any other cannabinoid, defined as "all parts of the plant ''Cannabis sativa'' L., whether growing or not; the seeds thereof; the resin extracted from any part of such plant; and every compound, manufacture, salt, derivative, mixture, or preparation of such plant, its seeds, or resin."<ref>{{Cite web |last=Legal Information Institute |title=21 U.S. Code § 802 - Definitions |url=https://www.law.cornell.edu/uscode/text/21/802#16 |publisher=Cornell Law School}}</ref>  Noticeably, this definition of marijuana excludes the mature stalks of ''Cannabis sativa'' L. and products derived from the stalks (e.g., fiber), as well as sterilized seeds incapable of germination, and any certain preparations of viable seeds, such as oil or cake, provided those preparations do not contain resin.

The enactment of the 2018 Farm Bill effectively removed hemp from the legal definition of marijuana originally set forth in the CSA in 1970. The CSA had classified cannabis, including hemp, marijuana, and all associated cannabinoids, as a [[Controlled Substances Act#Schedules of controlled substances|Schedule I]] controlled substance. The removal of hemp from controlled substance status allowed for agricultural cultivation of hemp plants on U.S. soil as well as greater federal oversight of hemp in commerce, including commodities like food and supplements. Although the separation of hemp from marijuana allowed significantly more freedom for hemp growers and product manufacturers—as well as researchers, clinicians, and consumers—the change also led to some new aspects of confusion, specifically surrounding use of the isolated compound [[cannabidiol]] (CBD). (We will later explore the nuances of CBD applications in food, pharmaceuticals, and supplements.)

The terms "hemp" and "marijuana" are both affiliated with lengthy cultural and political histories, and in the case of marijuana, polarizing ones. Today, these terms are no longer fully adequate to describe the numerous varieties and phytochemical complexities found in modern day cannabis, nor accurately describe their potential applications. In attempts to improve existing cannabis nomenclature, the ''United States Pharmacopeia'' (''USP'') Cannabis Expert Panel (CEP) suggested in 2020 that due to cannabis’s complex secondary [[Metabolomics|metabolome]] and highly variable distribution of chemical constituents, three broad categories should be adopted for classifying cannabis based on phytocannabinoid chemotype: 1) THC-dominant chemotype; 2) intermediate chemotype with both THC and CBD; and 3) CBD-dominant chemotype.<ref name=":3" /> They also proposed that these categories could be further subcategorized by other cannabinoids and/or mono- and sesquiterpene profiles as we continue to learn more about the therapeutic potential of these other compounds in humans.<ref name=":3" />

Hemp and marijuana plants generally share a common [[Genetics|genetic]] trait pool with some predictable functional genetic variations; however, distinct genetic variations have also been observed amongst cannabis cultivars (particularly hemp cultivars) spanning the entire genome, not just genes related to THC or cannabinoid synthesis.<ref name=":2" /> Single nucleotide variant analysis demonstrates separation between THC and CBD.<ref>{{Cite journal |last=van Bakel |first=Harm |last2=Stout |first2=Jake M |last3=Cote |first3=Atina G |last4=Tallon |first4=Carling M |last5=Sharpe |first5=Andrew G |last6=Hughes |first6=Timothy R |last7=Page |first7=Jonathan E |date=2011 |title=The draft genome and transcriptome of Cannabis sativa |url=http://genomebiology.biomedcentral.com/articles/10.1186/gb-2011-12-10-r102 |journal=Genome Biology |language=en |volume=12 |issue=10 |pages=R102 |doi=10.1186/gb-2011-12-10-r102 |issn=1465-6906 |pmc=PMC3359589 |pmid=22014239}}</ref> In most cases, the quantitative ratio of the phytochemicals [[tetrahydrocannabinolic acid]] (THCA) and [[cannabidiolic acid]] (CBDA) (THCA:CBDA) may effectively be used for differentiating cannabis cultivars as either THC- or CBD-dominant (or intermediate), as THCA:CBDA ratios strongly reflect underlying genetic nuances in cannabinoid synthase enzymes (THCA and CBDA synthases) and their sequencing, loci distribution, patterns of expression (functional vs. non-functional), and affinities for [[cannabigerolic acid]] (CBGA), their shared substrate.<ref name=":5">{{Cite journal |last=Weiblen |first=George D. |last2=Wenger |first2=Jonathan P. |last3=Craft |first3=Kathleen J. |last4=ElSohly |first4=Mahmoud A. |last5=Mehmedic |first5=Zlatko |last6=Treiber |first6=Erin L. |last7=Marks |first7=M. David |date=2015-12 |title=Gene duplication and divergence affecting drug content in Cannabis sativa |url=https://onlinelibrary.wiley.com/doi/10.1111/nph.13562 |journal=New Phytologist |language=en |volume=208 |issue=4 |pages=1241–1250 |doi=10.1111/nph.13562 |issn=0028-646X}}</ref> Weiblen ''et al.''<ref name=":5" /> also proposed that all three types of cannabis chemotypes (THC-dominant, CBD-dominant, or intermediate) likely contain multiple linked loci with both THCA and CBDA synthase enzymes; however, identifying the presence of a non-functional CBDA synthase may directly indicate THC-dominance in a plant, as this non-functional enzyme has been selected for over many years where marijuana cultivation has thrived. This novel finding, if proven reliable as an identification method, would allow for rapid screening of THC- vs. CBD-dominant plant material at the genetic level prior to any plant cultivation.

Based on the genetic biosynthetic pathways of THC and CBD, Fernandez ''et al.''<ref name=":6">{{Cite journal |last=Borroto Fernandez |first=Eduviges |last2=Peterseil |first2=Verena |last3=Hackl |first3=Gerald |last4=Menges |first4=Sonja |last5=Meijer |first5=Etienne |last6=Staginnus |first6=Christina |date=2020-05 |title=Distribution of Chemical Phenotypes (Chemotypes) in European Agricultural Hemp ( Cannabis sativa L.) Cultivars |url=https://onlinelibrary.wiley.com/doi/10.1111/1556-4029.14242 |journal=Journal of Forensic Sciences |language=en |volume=65 |issue=3 |pages=715–721 |doi=10.1111/1556-4029.14242 |issn=0022-1198}}</ref> were able to report a systematic genetic prediction of ''Cannabis'' chemotypes of 62 European agricultural hemp cultivars. They suggested three main chemotype groupings for ''Cannabis sativa'' L., similar to the chemotypes proposed by the ''USP'' CEP<ref name=":6" />: 

*Chemotype I, or THC-dominant varieties, in which the ratio of CBD/THC is low (0.00–0.05) and characterized by a THC level >0.3% (in the U.S.; dry weight of reproductive parts in the female plant at flowering time)
*Chemotype II, or THC-intermediate types, which have both THC and CBD in a content ratio (CBD/THC) of about 0.5–3.0
*Chemotype III, or CBD-predominant varieties, in which the ratio of CBD/THC is 15–25 and, in the U.S., contains <0.3% THC concentration (dry weight of reproductive part in female plants at flowering time)

These novel nomenclature systems eliminate much of the confusion surrounding hemp and marijuana, and they provide a destigmatized, more objective way of discussing ''Cannabis'' for certain applications. These classifications are particularly helpful when discussing the female [[inflorescence]] material of ''Cannabis'' plants, which is cultivated for many different chemotypes and cannabinoid concentrations (both THC- and CBD-dominant plants) for therapeutic use. For clarity, we will continue to use the three ''USP'' categories suggested above (THC-dominant, THC-intermediate, and CBD-dominant), where applicable, for the rest of this article.

In addition to the many chemotypes of plant material, there are also differences in production practices applied to cannabis. Based on different applications, hemp is generally cultivated for three different crops: fiber, seed, and CBD-dominant inflorescence. In contrast, THC-dominant plants are grown solely for their inflorescence for both medicinal and recreational use, as the inflorescence contains the most phytocannabinoids (i.e., Δ<sup>9</sup>-THC).<ref name=":0" /> Generally, all phytocannabinoids in cannabis exist in resin from the secretory glandular [[trichome]]s on the flowering tops of female plants. The numbers of these trichomes are fewer in male plants.<ref>{{Cite journal |last=Hill |first=Andrew J. |last2=Williams |first2=Claire M. |last3=Whalley |first3=Benjamin J. |last4=Stephens |first4=Gary J. |date=2012-01 |title=Phytocannabinoids as novel therapeutic agents in CNS disorders |url=https://linkinghub.elsevier.com/retrieve/pii/S016372581100180X |journal=Pharmacology & Therapeutics |language=en |volume=133 |issue=1 |pages=79–97 |doi=10.1016/j.pharmthera.2011.09.002}}</ref> For this reason, female flowers are more valuable for phytocannabinoid production, while male plants are more appropriate for fiber production. Cannabis growers cultivating female plants for their phytocannabinoid production (generally CBD-, THC-, or CBD/THC co-dominant chemotypes) usually remove all male plants to prevent pollinating and seed yielding. Conversely, only male plants are grown to produce hemp fiber and seeds. Some hemp farmers producing fiber and seeds try to prevent flowering to encourage taller stalk growth and less branching<ref name=":0" />, whereas those cultivating hemp for CBD will promote growth of the plant’s phytocannabinoid-rich flowering tops.

Historically, there were significant visual differences between hemp and marijuana plants. Modern cultivated plants appear more phenotypically similar when grown for cannabinoid production, but some distinctions can still be made. Cultivated hemp for fiber and seed is usually characterized by a single tall stalk with few leaves and branches due to high-density cultivation in order to prevent branching, measuring up to 4.5 meters tall. In contrast, the flowering, phytocannabinoid-rich ''Cannabis'' plants (i.e., THC-dominant, THC-intermediate, or CBD-dominant chemotypes) are usually characterized by short, tightly clustered, bushy, low-density cultivation with many leaves and branches (in order to develop buds and flowers), and are only 1.2 meters tall.<ref name=":0" />

==Chemical and genetic composition==
To date, more than 500 compounds have been identified from ''Cannabis sativa'' L., out of which 125 compounds are phytocannabinoids. Structurally these compounds have a C-21 terpenophenolic backbone consisting of an alkyl resorcinol with a monoterpene moiety. Eleven types are described for these cannabinoids based on their structure: Δ<sup>9</sup>-THC, CBD, (−)-Δ<sup>8</sup>-trans-tetrahydrocannabinol (Δ<sup>8</sup>-THC), [[cannabigerol]] (CBG), [[cannabinol]] (CBN), [[cannabichromene]] (CBC), [[cannabielsoin]] (CBE), [[cannabicyclol]] (CBL), [[cannabinodiol]] (CBND), [[cannabitriol]] (CBT), and miscellaneous-type cannabinoids (Figure 1). Among the phytocannabinoids, 25 of them are reported to be classified as Δ<sup>9</sup>-THC types and 10 have been elucidated as CBD types.<ref>{{Cite journal |last=Hanuš |first=Lumír Ondřej |last2=Meyer |first2=Stefan Martin |last3=Muñoz |first3=Eduardo |last4=Taglialatela-Scafati |first4=Orazio |last5=Appendino |first5=Giovanni |date=2016 |title=Phytocannabinoids: a unified critical inventory |url=http://xlink.rsc.org/?DOI=C6NP00074F |journal=Natural Product Reports |language=en |volume=33 |issue=12 |pages=1357–1392 |doi=10.1039/C6NP00074F |issn=0265-0568}}</ref><ref name=":7">{{Cite journal |last=Radwan |first=Mohamed M. |last2=Chandra |first2=Suman |last3=Gul |first3=Shahbaz |last4=ElSohly |first4=Mahmoud A. |date=2021-05-08 |title=Cannabinoids, Phenolics, Terpenes and Alkaloids of Cannabis |url=https://www.mdpi.com/1420-3049/26/9/2774 |journal=Molecules |language=en |volume=26 |issue=9 |pages=2774 |doi=10.3390/molecules26092774 |issn=1420-3049 |pmc=PMC8125862 |pmid=34066753}}</ref> Apart from the cannabinoids, four major categories of non-cannabinoid-type compounds are present, including alkaloids, [[flavonoid]]s, non-cannabinoid [[phenols]], and [[terpene]]s.<ref name=":7" />


[[File:Fig1 Salehi FrontPharm2022 13.jpg|600px]]
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Although marijuana is technically defined as having greater than just 0.3% Δ<sup>9</sup>-THC concentration by dry weight in the U.S., today these plants are often bred to have Δ<sup>9</sup>-THC levels averaging as high as 10–30%.<ref name=":4" /> Modern hemp plants cultivated for CBD production range anywhere from 5–15% total CBD.<ref name=":8">{{Cite journal |last=Stack |first=George M. |last2=Toth |first2=Jacob A. |last3=Carlson |first3=Craig H. |last4=Cala |first4=Ali R. |last5=Marrero‐González |first5=Mariana I. |last6=Wilk |first6=Rebecca L. |last7=Gentner |first7=Deanna R. |last8=Crawford |first8=Jamie L. |last9=Philippe |first9=Glenn |last10=Rose |first10=Jocelyn K. C. |last11=Viands |first11=Donald R. |date=2021-04 |title=Season‐long characterization of high‐cannabinoid hemp ( Cannabis sativa L.) reveals variation in cannabinoid accumulation, flowering time, and disease resistance |url=https://onlinelibrary.wiley.com/doi/10.1111/gcbb.12793 |journal=GCB Bioenergy |language=en |volume=13 |issue=4 |pages=546–561 |doi=10.1111/gcbb.12793 |issn=1757-1693}}</ref> The number of cannabis plants cultivated for high CBD:THC ratios has grown exponentially in the past decade. Some researchers are finding that specific CBD-dominant chemovars have a CBDA synthase (CBDAS) gene that synthesizes not only CBDA, the precursor of CBD, but also synthesizes some THCA as a side product.<ref name=":8" /> With accumulation of CBD, where CBDAS is present, there may be concomitant accumulation of THC that exceeds most legal thresholds prior to the time that the plant accumulates the desired 10% or more total CBD.<ref name=":8" /> This illustrates the importance of chemovar selection and genetic testing prior to large scale cultivation.

Phytocannabinoids are the most abundant constituents in cannabis. Isoprenoids, also called terpenoids, are the second most abundant constituents, numbering over 200 total terpenes.<ref name=":7" /><ref>{{Cite journal |last=Russo |first=Ethan B |date=2011-08 |title=Taming THC: potential cannabis synergy and phytocannabinoid-terpenoid entourage effects: Phytocannabinoid-terpenoid entourage effects |url=https://onlinelibrary.wiley.com/doi/10.1111/j.1476-5381.2011.01238.x |journal=British Journal of Pharmacology |language=en |volume=163 |issue=7 |pages=1344–1364 |doi=10.1111/j.1476-5381.2011.01238.x |pmc=PMC3165946 |pmid=21749363}}</ref> Typically found in cannabis trichomes at about 10%, and in flowers at about 1%, some chemotypes have been bred to contain as much as 3.5% terpene content or higher in the flowers.<ref>{{Cite web |last=Potter, D. |date=March 2009 |title=The Propagation, Charactersation and Optimisation of Cannabis sativa L as a Phytopharmaceutical |url=https://extractionmagazine.com/wp-content/uploads/2018/06/THE-PROPAGATION-CHARACTERISATION-AND-OPTIMISATION-OF-CANNABIS-SATIVA-L-AS-A-PHYTOPHARMACEUTICAL.pdf |format=PDF |publisher=King's College London}}</ref><ref>{{Cite journal |last=Fischedick |first=Justin Thomas |last2=Hazekamp |first2=Arno |last3=Erkelens |first3=Tjalling |last4=Choi |first4=Young Hae |last5=Verpoorte |first5=Rob |date=2010-12 |title=Metabolic fingerprinting of Cannabis sativa L., cannabinoids and terpenoids for chemotaxonomic and drug standardization purposes |url=https://linkinghub.elsevier.com/retrieve/pii/S003194221000381X |journal=Phytochemistry |language=en |volume=71 |issue=17-18 |pages=2058–2073 |doi=10.1016/j.phytochem.2010.10.001}}</ref> Although relatively modest in concentration to the cannabinoids, terpenes (mainly mono- and sesquiterpenes) are another important class of compounds. Terpenes are of increasing interest to researchers, healthcare practitioners, and the natural products industry as both isolated therapeutic agents and as enhancing compounds in holistic cannabis formulas, designed to engage what has recently been referred to as the [[entourage effect]].<ref>{{Cite journal |last=Sommano |first=Sarana Rose |last2=Chittasupho |first2=Chuda |last3=Ruksiriwanich |first3=Warintorn |last4=Jantrawut |first4=Pensak |date=2020-12-08 |title=The Cannabis Terpenes |url=https://www.mdpi.com/1420-3049/25/24/5792 |journal=Molecules |language=en |volume=25 |issue=24 |pages=5792 |doi=10.3390/molecules25245792 |issn=1420-3049 |pmc=PMC7763918 |pmid=33302574}}</ref> Variation in terpene content is likely responsible for the more sedative vs. stimulating effects of different cannabis cultivars, a notion that had historically been attributed to ''indica'' vs. ''sativa'' varieties. 

Terpenes are a family of organic compounds which are biosynthetically produced by isoprene units found mainly in plants. Certain cannabis terpenes have been identified and studied in plants such as tea tree, lavender, thyme, basil, ''Pinus'' sp., frankincense, and citrus fruits like lemon and mandarin.<ref name=":9">{{Citation |last=Russo |first=Ethan B. |last2=Marcu |first2=Jahan |date=2017 |title=Cannabis Pharmacology: The Usual Suspects and a Few Promising Leads |url=https://linkinghub.elsevier.com/retrieve/pii/S1054358917300273 |work=Advances in Pharmacology |language=en |publisher=Elsevier |volume=80 |pages=67–134 |doi=10.1016/bs.apha.2017.03.004 |isbn=978-0-12-811232-8 |access-date=2023-01-07}}</ref><ref>{{Cite journal |last=Del Prado-Audelo |first=María Luisa |last2=Cortés |first2=Hernán |last3=Caballero-Florán |first3=Isaac H. |last4=González-Torres |first4=Maykel |last5=Escutia-Guadarrama |first5=Lidia |last6=Bernal-Chávez |first6=Sergio A. |last7=Giraldo-Gomez |first7=David M. |last8=Magaña |first8=Jonathan J. |last9=Leyva-Gómez |first9=Gerardo |date=2021-08-13 |title=Therapeutic Applications of Terpenes on Inflammatory Diseases |url=https://www.frontiersin.org/articles/10.3389/fphar.2021.704197/full |journal=Frontiers in Pharmacology |volume=12 |pages=704197 |doi=10.3389/fphar.2021.704197 |issn=1663-9812 |pmc=PMC8414653 |pmid=34483907}}</ref> Monoterpenes and sesquiterpenes of cannabis (the volatile compounds) mainly exist in the essential oil, which is isolated by hydrodistillation.<ref name=":7" /> Among terpenes, the monoterpene [[Myrcene|β-myrcene]] is believed to have the highest prevalence in modern cannabis chemovars in the U.S.<ref name=":9" /> The 16 commonly encountered monoterpenes from three classes (acyclic, monocyclic, and bicyclic monoterpenes) are shown in Figure 2. The most common terpene that exists in cannabis extracts is the sesquiterpene [[Caryophyllene|β-caryophyllene]]. Sesquiterpenes have a 15-carbon skeleton. The most abundant sesquiterpenes of cannabis are shown in Figure 3.<ref name=":9" /> However, other sources cite additional terpenes as most predominant based on samples from more specific geographic locations.<ref name=":7" /><ref>{{Cite journal |last=Fischedick |first=Justin T. |date=2017-01 |title=Identification of Terpenoid Chemotypes Among High (−)- trans -Δ 9 - Tetrahydrocannabinol-Producing Cannabis sativa L. Cultivars |url=http://www.liebertpub.com/doi/10.1089/can.2016.0040 |journal=Cannabis and Cannabinoid Research |language=en |volume=2 |issue=1 |pages=34–47 |doi=10.1089/can.2016.0040 |issn=2378-8763 |pmc=PMC5436332 |pmid=28861503}}</ref>


[[File:Fig2 Salehi FrontPharm2022 13.jpg|600px]]
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[[File:Fig3 Salehi FrontPharm2022 13.jpg|600px]]
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==Pharmacological effects==
Cannabis is known to affect nearly every system in the human body, including but not limited to the central and peripheral nervous systems, as well as the endocrine, immune, gastrointestinal, and musculoskeletal systems. Thousands of articles and over 100 clinical studies have been published on the pharmacodynamics and bioactive effects of cannabis on human psychology, appetite, cognition, sleep, and pain.<ref name=":9" /> Only in this century are we are beginning to understand the complexities of these pharmacological actions and interactions, which are largely due to the actions of cannabis on the human endocannabinoid system (ECS) and the “entourage effect” or bioactive synergisms between phytocannabinoids and other compounds within the plant.

The largest body of cannabis research prior to the past two or three decades focused primarily on the Δ<sup>9</sup>-THC as a medicinal and recreational drug and emphasized its psychoactive attributes and safety profile. In recent years, CBD has garnered more substantial research interest as a non-intoxicating but equally potent therapeutic compound. Structurally, Δ<sup>9</sup>-THC was elucidated in 1964 as the main psychoactive compound in cannabis. In 1988, Huestis ''et al.'' discovered that THC exerted its psychoactive effects through agonizing cannabinoid receptor 1 (CBR1).<ref name=":10">{{Cite journal |last=Lader |first=Malcolm |date=2009-01 |title=Addiction and the pharmacology of cannabis: implications for medicine and the law |url=https://doi.org/10.1258/rsmmsl.49.1.1 |journal=Medicine, Science and the Law |volume=49 |issue=1 |pages=1–17 |doi=10.1258/rsmmsl.49.1.1 |issn=0025-8024}}</ref> CBR1 is a G protein coupled receptor (GPCR) distributed widely throughout the central nervous system (CNS). A few years later, Munro ''et al.'' identified a second cannabinoid receptor, CBR2, that also exists in the CNS (in lower concentrations than CB1R), but in greater concentrations in the peripheral nervous system (PNS) and immune system.<ref name=":10" /> Two endogenous ligands (endocannabinoids) were later discovered to bind to these cannabinoid receptors: N-arachidonoyl ethanolamide (AEA) and 2-arachidonoyl glycerol (2-AG).<ref name=":10" /> AEA and 2-AG are physiologic lipid-based retrograde neurotransmitters that interact with the ECS receptors and proteins in a similar manner to exogenous phytocannabinoids THC and CBD.

The pathways by which exogenous cannabinoids such as Δ<sup>9</sup>-THC and CBD interact with the ECS are complex and only partially understood. Definitively, THC has been shown to directly bind CB1 and CB2 receptors, exerting psychoactive and other neurologically-mediated effects. CBD does not directly bind CB1 or CB2 receptors, exhibiting a low affinity for both, but can antagonize synthetic agonists of cannabinoid receptors, suggesting a negative allosteric modulatory effect.<ref>{{Cite journal |last=Freeman |first=Abigail M. |last2=Petrilli |first2=Katherine |last3=Lees |first3=Rachel |last4=Hindocha |first4=Chandni |last5=Mokrysz |first5=Claire |last6=Curran |first6=H. Valerie |last7=Saunders |first7=Rob |last8=Freeman |first8=Tom P. |date=2019-12 |title=How does cannabidiol (CBD) influence the acute effects of delta-9-tetrahydrocannabinol (THC) in humans? A systematic review |url=https://linkinghub.elsevier.com/retrieve/pii/S0149763419305615 |journal=Neuroscience & Biobehavioral Reviews |language=en |volume=107 |pages=696–712 |doi=10.1016/j.neubiorev.2019.09.036}}</ref><ref>{{Cite journal |last=Premoli |first=Marika |last2=Aria |first2=Francesca |last3=Bonini |first3=Sara Anna |last4=Maccarinelli |first4=Giuseppina |last5=Gianoncelli |first5=Alessandra |last6=Pina |first6=Silvia Della |last7=Tambaro |first7=Simone |last8=Memo |first8=Maurizio |last9=Mastinu |first9=Andrea |date=2019-05 |title=Cannabidiol: Recent advances and new insights for neuropsychiatric disorders treatment |url=https://linkinghub.elsevier.com/retrieve/pii/S0024320519302176 |journal=Life Sciences |language=en |volume=224 |pages=120–127 |doi=10.1016/j.lfs.2019.03.053}}</ref> Although CBD does not agonize CBR1 or CBR2, it exhibits several cannabinoid receptor-independent activities, including direct agonism of TRPV1 and 5-HT1A receptors, enhancement of adenosine receptor signaling, upregulation of peroxisome proliferator activated receptor gamma (PPARγ) protein expression, and suppression of GPR55 receptor activity.<ref name=":9" /> CBD is non-intoxicating with a wide therapeutic index and acceptable side effect profile, and has pre-clinically exerted antipsychotic, intestinal anti-prokinetic, neuroprotective, anti-proliferative, anti-ischemic, vasorelaxant, analgesic, anxiolytic, anti-inflammatory, and antiepileptic effects.<ref>{{Cite journal |last=Noreen |first=Nida |last2=Muhammad |first2=Faqir |last3=Akhtar |first3=Bushra |last4=Azam |first4=Farooq |last5=Anwar |first5=Muhammad Irfan |date=2018 |title=Is Cannabidiol a Promising Substance for New Drug Development? A Review of its Potential Therapeutic Applications |url=http://www.dl.begellhouse.com/journals/6dbf508d3b17c437,642ad759707fc517,35856ff546e47ff9.html |journal=Critical Reviews in Eukaryotic Gene Expression |language=en |volume=28 |issue=1 |pages=73–86 |doi=10.1615/CritRevEukaryotGeneExpr.2018021528 |issn=1045-4403}}</ref><ref name=":11">{{Cite journal |last=Cerino |first=Pellegrino |last2=Buonerba |first2=Carlo |last3=Cannazza |first3=Giuseppe |last4=D'Auria |first4=Jacopo |last5=Ottoni |first5=Ermete |last6=Fulgione |first6=Andrea |last7=Di Stasio |first7=Antonio |last8=Pierri |first8=Biancamaria |last9=Gallo |first9=Alfonso |date=2021-02-01 |title=A Review of Hemp as Food and Nutritional Supplement |url=https://www.liebertpub.com/doi/10.1089/can.2020.0001 |journal=Cannabis and Cannabinoid Research |language=en |volume=6 |issue=1 |pages=19–27 |doi=10.1089/can.2020.0001 |issn=2578-5125 |pmc=PMC7891210 |pmid=33614949}}</ref> CBD also has been shown to negate the unpleasant side effects of THC—including anxiety, psychosis, tachycardia, and drowsiness—through negative allosteric modulation of CB1 receptors.<ref>{{Cite journal |last=Laprairie |first=R B |last2=Bagher |first2=A M |last3=Kelly |first3=M E M |last4=Denovan-Wright |first4=E M |date=2015-10 |title=Cannabidiol is a negative allosteric modulator of the cannabinoid CB 1 receptor: Negative allosteric modulation of CB 1 by cannabidiol |url=https://onlinelibrary.wiley.com/doi/10.1111/bph.13250 |journal=British Journal of Pharmacology |language=en |volume=172 |issue=20 |pages=4790–4805 |doi=10.1111/bph.13250 |pmc=PMC4621983 |pmid=26218440}}</ref>

Other prominent cannabinoids of pharmaceutical interest include CBG, CBC, CBN, [[tetrahydrocannabivarin]] (THCV), [[cannabidivarin]] (CBDV), and the acidic cannabinoid precursors THCA and CBDA. Most of these cannabinoids are still being investigated in preliminary ''in vitro'' and animal model research studies; however, some mechanisms of action have been elucidated and reported in the literature. CBG, for example, has weak affinity for CB1 and CB2 receptors, but is a potent α2-adrenoreceptor agonist, an efficient serotonin 5-HT1A receptor antagonist, and might activate a number of other dominant receptors involved in heat/cold sensitization, pain, and inflammation via antagonism of TRPV8 receptors and stimulation of TRPV1, TRPV2, TRPA1, TRPV3, and TRPV4.<ref>{{Cite journal |last=Cascio |first=Mg |last2=Gauson |first2=La |last3=Stevenson |first3=La |last4=Ross |first4=Ra |last5=Pertwee |first5=Rg |date=2010-01 |title=Evidence that the plant cannabinoid cannabigerol is a highly potent α2-adrenoceptor agonist and moderately potent 5HT1A receptor antagonist: Novel pharmacological actions of cannabigerol |url=https://onlinelibrary.wiley.com/doi/10.1111/j.1476-5381.2009.00515.x |journal=British Journal of Pharmacology |language=en |volume=159 |issue=1 |pages=129–141 |doi=10.1111/j.1476-5381.2009.00515.x |pmc=PMC2823359 |pmid=20002104}}</ref><ref>{{Cite journal |last=De Petrocellis |first=Luciano |last2=Di Marzo |first2=Vincenzo |date=2010-03 |title=Non-CB1, Non-CB2 Receptors for Endocannabinoids, Plant Cannabinoids, and Synthetic Cannabimimetics: Focus on G-protein-coupled Receptors and Transient Receptor Potential Channels |url=http://link.springer.com/10.1007/s11481-009-9177-z |journal=Journal of Neuroimmune Pharmacology |language=en |volume=5 |issue=1 |pages=103–121 |doi=10.1007/s11481-009-9177-z |issn=1557-1890}}</ref><ref name=":12">{{Cite journal |last=De Petrocellis |first=Luciano |last2=Ligresti |first2=Alessia |last3=Moriello |first3=Aniello Schiano |last4=Allarà |first4=Marco |last5=Bisogno |first5=Tiziana |last6=Petrosino |first6=Stefania |last7=Stott |first7=Colin G |last8=Di Marzo |first8=Vincenzo |date=2011-08 |title=Effects of cannabinoids and cannabinoid-enriched Cannabis extracts on TRP channels and endocannabinoid metabolic enzymes: Novel pharmacology of minor plant cannabinoids |url=https://onlinelibrary.wiley.com/doi/10.1111/j.1476-5381.2010.01166.x |journal=British Journal of Pharmacology |language=en |volume=163 |issue=7 |pages=1479–1494 |doi=10.1111/j.1476-5381.2010.01166.x |pmc=PMC3165957 |pmid=21175579}}</ref><ref>{{Citation |last=Morales |first=Paula |last2=Hurst |first2=Dow P. |last3=Reggio |first3=Patricia H. |date=2017 |editor-last=Kinghorn |editor-first=A. Douglas |editor2-last=Falk |editor2-first=Heinz |editor3-last=Gibbons |editor3-first=Simon |editor4-last=Kobayashi |editor4-first=Jun'ichi |title=Molecular Targets of the Phytocannabinoids: A Complex Picture |url=http://link.springer.com/10.1007/978-3-319-45541-9_4 |work=Phytocannabinoids |publisher=Springer International Publishing |place=Cham |volume=103 |pages=103–131 |doi=10.1007/978-3-319-45541-9_4 |isbn=978-3-319-45539-6 |pmc=PMC5345356 |pmid=28120232 |access-date=2023-01-07}}</ref> CBC can have profound therapeutic effects on inflammation and pain through CB2 receptor activity and stimulation and desensitization of TRP ankyrin-type 1 (TRPA1) cation channels, interactions with TRPV3 and TRPV4 cation channels, and desensitization of TRPV2 and TRPV4 channels.<ref name=":13">{{Cite journal |last=De Petrocellis |first=L. |last2=Orlando |first2=P. |last3=Moriello |first3=A. Schiano |last4=Aviello |first4=G. |last5=Stott |first5=C. |last6=Izzo |first6=A. A. |last7=Di Marzo |first7=V. |date=2012-02 |title=Cannabinoid actions at TRPV channels: effects on TRPV3 and TRPV4 and their potential relevance to gastrointestinal inflammation: Plant cannabinoids and TRPV channels |url=https://onlinelibrary.wiley.com/doi/10.1111/j.1748-1716.2011.02338.x |journal=Acta Physiologica |language=en |volume=204 |issue=2 |pages=255–266 |doi=10.1111/j.1748-1716.2011.02338.x}}</ref><ref name=":14">{{Citation |last=Cascio |first=Maria Grazia |last2=Pertwee |first2=Roger G. |date=2014-08-21 |editor-last=Pertwee |editor-first=Roger |title=Known Pharmacological Actions of Nine Nonpsychotropic Phytocannabinoids |url=https://academic.oup.com/book/27329/chapter/197029644 |work=Handbook of Cannabis |publisher=Oxford University Press |pages=137–156 |doi=10.1093/acprof:oso/9780199662685.003.0007 |isbn=978-0-19-966268-5 |access-date=2023-01-07}}</ref> CBC has also been shown to relieve pain in mice by augmenting the analgesic effects of THC when the two are co-administered<ref name=":14" /><ref>{{Cite journal |last=Davis |first=W.Marvin |last2=Hatoum |first2=Nabil S. |date=1983-01 |title=Neurobehavioral actions of cannabichromene and interactions with Δ9-tetrahydrocannabinol |url=https://linkinghub.elsevier.com/retrieve/pii/0306362383900046 |journal=General Pharmacology: The Vascular System |language=en |volume=14 |issue=2 |pages=247–252 |doi=10.1016/0306-3623(83)90004-6}}</ref><ref>{{Cite journal |last=Maione |first=Sabatino |last2=Piscitelli |first2=Fabiana |last3=Gatta |first3=Luisa |last4=Vita |first4=Daniela |last5=De Petrocellis |first5=Luciano |last6=Palazzo |first6=Enza |last7=de Novellis |first7=Vito |last8=Di Marzo |first8=Vincenzo |date=2011-02 |title=Non-psychoactive cannabinoids modulate the descending pathway of antinociception in anaesthetized rats through several mechanisms of action: Phytocannabinoids in supraspinal pain control |url=https://onlinelibrary.wiley.com/doi/10.1111/j.1476-5381.2010.01063.x |journal=British Journal of Pharmacology |language=en |volume=162 |issue=3 |pages=584–596 |doi=10.1111/j.1476-5381.2010.01063.x |pmc=PMC3041249 |pmid=20942863}}</ref>, and it can increase concentrations and prolong the duration of endocannabinoids like anandamide through its interactions with TRP channels.<ref name=":12" /><ref name=":13" /><ref>{{Cite journal |last=Shinjyo |first=Noriko |last2=Di Marzo |first2=Vincenzo |date=2013-11 |title=The effect of cannabichromene on adult neural stem/progenitor cells |url=https://linkinghub.elsevier.com/retrieve/pii/S0197018613002106 |journal=Neurochemistry International |language=en |volume=63 |issue=5 |pages=432–437 |doi=10.1016/j.neuint.2013.08.002}}</ref> CBN is being investigated for several topical therapeutic targets for skin conditions like psoriasis, burns, and MRSA infections, via inhibition of keratinocyte proliferation, TRPV2 agonism, and direct antimicrobial activity, respectively.<ref>{{Cite journal |last=Wilkinson |first=Jonathan D. |last2=Williamson |first2=Elizabeth M. |date=2007-02 |title=Cannabinoids inhibit human keratinocyte proliferation through a non-CB1/CB2 mechanism and have a potential therapeutic value in the treatment of psoriasis |url=https://linkinghub.elsevier.com/retrieve/pii/S092318110600315X |journal=Journal of Dermatological Science |language=en |volume=45 |issue=2 |pages=87–92 |doi=10.1016/j.jdermsci.2006.10.009}}</ref><ref>{{Cite journal |last=Appendino |first=Giovanni |last2=Gibbons |first2=Simon |last3=Giana |first3=Anna |last4=Pagani |first4=Alberto |last5=Grassi |first5=Gianpaolo |last6=Stavri |first6=Michael |last7=Smith |first7=Eileen |last8=Rahman |first8=M. Mukhlesur |date=2008-08-01 |title=Antibacterial Cannabinoids from Cannabis sativa : A Structure−Activity Study |url=https://pubs.acs.org/doi/10.1021/np8002673 |journal=Journal of Natural Products |language=en |volume=71 |issue=8 |pages=1427–1430 |doi=10.1021/np8002673 |issn=0163-3864}}</ref><ref>{{Cite journal |last=Qin |first=Ning |last2=Neeper |first2=Michael P. |last3=Liu |first3=Yi |last4=Hutchinson |first4=Tasha L. |last5=Lubin |first5=Mary Lou |last6=Flores |first6=Christopher M. |date=2008-06-11 |title=TRPV2 Is Activated by Cannabidiol and Mediates CGRP Release in Cultured Rat Dorsal Root Ganglion Neurons |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6670541/ |journal=The Journal of Neuroscience |volume=28 |issue=24 |pages=6231–6238 |doi=10.1523/JNEUROSCI.0504-08.2008 |issn=0270-6474 |pmc=6670541 |pmid=18550765}}</ref><ref>{{Citation |last=Russo |first=Ethan B. |date=2014-08-21 |editor-last=Pertwee |editor-first=Roger |title=The Pharmacological History of Cannabis |url=https://academic.oup.com/book/27329/chapter/197025364 |work=Handbook of Cannabis |publisher=Oxford University Press |pages=23–43 |doi=10.1093/acprof:oso/9780199662685.003.0002 |isbn=978-0-19-966268-5 |access-date=2023-01-07}}</ref> Additionally, CBN is an important marker compound of THC degradation in plant material, an artifact that occurs naturally with storage and may be expedited by high heat exposure as the oxidation byproduct of THC.<ref>{{Cite book |last=Upton, R.; Craker, L.; ElSohly, M. et al. |year=2014 |title=American Herbal Pharmacopoeia and Therapeutic Compendium |chapter=Cannabis inflorescence : cannabis spp. ; standards of identity, analysis, and quality control |publisher=American Herbal Pharmacopoeia |pages=65 |isbn=9781929425372}}</ref> 

THCV, a propyl analogue of THC, exhibits concentration-dependent activity at CB1 receptors and may perform as an agonist or act as an antagonist, accordingly.<ref>{{Cite journal |last=Pertwee |first=R G |date=2008-01 |title=The diverse CB 1 and CB 2 receptor pharmacology of three plant cannabinoids: Δ 9 -tetrahydrocannabinol, cannabidiol and Δ 9 -tetrahydrocannabivarin: Δ 9 -THC, CBD and Δ 9 -THCV |url=http://doi.wiley.com/10.1038/sj.bjp.0707442 |journal=British Journal of Pharmacology |language=en |volume=153 |issue=2 |pages=199–215 |doi=10.1038/sj.bjp.0707442 |pmc=PMC2219532 |pmid=17828291}}</ref> THCV demonstrates anticonvulsant attributes in mouse pyriform cortex and cerebellum<ref>{{Cite journal |last=Hill |first=Andrew J. |last2=Weston |first2=Samantha E. |last3=Jones |first3=Nicholas A. |last4=Smith |first4=Imogen |last5=Bevan |first5=Sarah A. |last6=Williamson |first6=Elizabeth M. |last7=Stephens |first7=Gary J. |last8=Williams |first8=Claire M. |last9=Whalley |first9=Benjamin J. |date=2010-08 |title=Δ⁹-Tetrahydrocannabivarin suppresses in vitro epileptiform and in vivo seizure activity in adult rats |url=https://pubmed.ncbi.nlm.nih.gov/20196794 |journal=Epilepsia |volume=51 |issue=8 |pages=1522–1532 |doi=10.1111/j.1528-1167.2010.02523.x |issn=1528-1167 |pmid=20196794}}</ref>, and it may promote weight loss and other cardiometabolic benefits.<ref>{{Cite journal |last=Riedel |first=Gernot |last2=Fadda |first2=Paola |last3=McKillop-Smith |first3=Susan |last4=Pertwee |first4=Roger G |last5=Platt |first5=Bettina |last6=Robinson |first6=Lianne |date=2009-03-31 |title=Synthetic and plant-derived cannabinoid receptor antagonists show hypophagic properties in fasted and non-fasted mice: Cannabinoid antagonists as anorectic agents |url=https://onlinelibrary.wiley.com/doi/10.1111/j.1476-5381.2008.00107.x |journal=British Journal of Pharmacology |language=en |volume=156 |issue=7 |pages=1154–1166 |doi=10.1111/j.1476-5381.2008.00107.x |pmc=PMC2697695 |pmid=19378378}}</ref> CBDV has been reported to have significant anticonvulsant activity and is potentially of equal therapeutic value to CBD in treating epilepsy, especially focal/partial onset seizures.<ref>{{Citation |last=Williams |first=Claire M. |last2=Jones |first2=Nicholas A. |last3=Whalley |first3=Benjamin J. |date=2014-08-21 |editor-last=Pertwee |editor-first=Roger |title=Cannabis and Epilepsy |url=https://academic.oup.com/book/27329/chapter/197043073 |work=Handbook of Cannabis |publisher=Oxford University Press |pages=547–563 |doi=10.1093/acprof:oso/9780199662685.003.0030 |isbn=978-0-19-966268-5 |access-date=2023-01-07}}</ref> CBDV also activates or blocks a wide range of cation channels, depending on the concentration and experimental conditions, including TRPA1, TRPM8, and TRPV channels 1–4. Of additional importance, CBDV inhibits the cellular uptake of anandamide and inhibits endocannabinoid degradation through modulating enzymes diacylglycerol lipase and N-acylethanolamine-hydrolyzing acid amidase (NAAA).<ref>{{Citation |last=Pertwee |first=Roger G. |last2=Cascio |first2=Maria Grazia |date=2014-08-21 |editor-last=Pertwee |editor-first=Roger |title=Known Pharmacological Actions of Delta-9-Tetrahydrocannabinol and of Four Other Chemical Constituents of Cannabis that Activate Cannabinoid Receptors |url=https://academic.oup.com/book/27329/chapter/197029115 |work=Handbook of Cannabis |publisher=Oxford University Press |pages=115–136 |doi=10.1093/acprof:oso/9780199662685.003.0006 |isbn=978-0-19-966268-5 |access-date=2023-01-07}}</ref> 

THCA is the acidic precursor of THC, representing up to 90% of total THC in the plant prior to prolonged storage, UV exposure, or heat.<ref name=":15">{{Cite journal |last=Moreno-Sanz |first=Guillermo |date=2016-12 |title=Can You Pass the Acid Test? Critical Review and Novel Therapeutic Perspectives of Δ 9 -Tetrahydrocannabinolic Acid A |url=http://www.liebertpub.com/doi/10.1089/can.2016.0008 |journal=Cannabis and Cannabinoid Research |language=en |volume=1 |issue=1 |pages=124–130 |doi=10.1089/can.2016.0008 |issn=2378-8763 |pmc=PMC5549534 |pmid=28861488}}</ref> Like THC, THCA is an agonist of CB1 and CB2 receptors, but there is discrepancy as to which (THC or THCA) has greater affinity.<ref>{{Cite journal |last=Verhoeckx |first=Kitty C. M. |last2=Korthout |first2=Henrie A. A. J. |last3=van Meeteren-Kreikamp |first3=A. P. |last4=Ehlert |first4=Karl A. |last5=Wang |first5=Mei |last6=van der Greef |first6=Jan |last7=Rodenburg |first7=Richard J. T. |last8=Witkamp |first8=Renger F. |date=2006-04 |title=Unheated Cannabis sativa extracts and its major compound THC-acid have potential immuno-modulating properties not mediated by CB1 and CB2 receptor coupled pathways |url=https://pubmed.ncbi.nlm.nih.gov/16504929 |journal=International Immunopharmacology |volume=6 |issue=4 |pages=656–665 |doi=10.1016/j.intimp.2005.10.002 |issn=1567-5769 |pmid=16504929}}</ref><ref>{{Cite journal |last=Rock |first=E M |last2=Kopstick |first2=R L |last3=Limebeer |first3=C L |last4=Parker |first4=L A |date=2013-10 |title=Tetrahydrocannabinolic acid reduces nausea-induced conditioned gaping in rats and vomiting in Suncus murinus: THCA, emesis and nausea |url=https://onlinelibrary.wiley.com/doi/10.1111/bph.12316 |journal=British Journal of Pharmacology |language=en |volume=170 |issue=3 |pages=641–648 |doi=10.1111/bph.12316 |pmc=PMC3792001 |pmid=23889598}}</ref><ref>{{Cite journal |last=Rosenthaler |first=Sarah |last2=Pöhn |first2=Birgit |last3=Kolmanz |first3=Caroline |last4=Nguyen Huu |first4=Chi |last5=Krewenka |first5=Christopher |last6=Huber |first6=Alexandra |last7=Kranner |first7=Barbara |last8=Rausch |first8=Wolf-Dieter |last9=Moldzio |first9=Rudolf |date=2014-11 |title=Differences in receptor binding affinity of several phytocannabinoids do not explain their effects on neural cell cultures |url=https://linkinghub.elsevier.com/retrieve/pii/S089203621400172X |journal=Neurotoxicology and Teratology |language=en |volume=46 |pages=49–56 |doi=10.1016/j.ntt.2014.09.003}}</ref> Although several cannabinoids have been shown to deposit in brain tissue<ref>{{Cite journal |last=Alozie |first=Sydney O. |last2=Martin |first2=Billy R. |last3=Harris |first3=Louis S. |last4=Dewey |first4=William L. |date=1980-02 |title=3H-Δ9-tetrahydrocannabinol, 3H-cannabinol and 3H-cannabidiol: Penetration and regional distribution in rat brain |url=https://linkinghub.elsevier.com/retrieve/pii/0091305780903597 |journal=Pharmacology Biochemistry and Behavior |language=en |volume=12 |issue=2 |pages=217–221 |doi=10.1016/0091-3057(80)90359-7}}</ref><ref>{{Cite journal |last=Deiana |first=Serena |last2=Watanabe |first2=Akihito |last3=Yamasaki |first3=Yuki |last4=Amada |first4=Naoki |last5=Arthur |first5=Marlene |last6=Fleming |first6=Shona |last7=Woodcock |first7=Hilary |last8=Dorward |first8=Patricia |last9=Pigliacampo |first9=Barbara |last10=Close |first10=Steve |last11=Platt |first11=Bettina |date=2012-02 |title=Plasma and brain pharmacokinetic profile of cannabidiol (CBD), cannabidivarine (CBDV), Δ9-tetrahydrocannabivarin (THCV) and cannabigerol (CBG) in rats and mice following oral and intraperitoneal administration and CBD action on obsessive–compulsive behaviour |url=http://link.springer.com/10.1007/s00213-011-2415-0 |journal=Psychopharmacology |language=en |volume=219 |issue=3 |pages=859–873 |doi=10.1007/s00213-011-2415-0 |issn=0033-3158}}</ref>, THCA seems to have limited access to the CNS or ability to cross the blood brain barrier (BBB), likely due to its carboxylic acid group.<ref name=":15" /> This means it also does not elicit any psychoactivity. Preliminary research suggests THCA exhibits antineoplastic, neuroprotective, and anti-inflammatory activities via modulation of COX pathways, TRP cation channels, and other immunomodulatory and cell signaling pathways. CBDA, the acidic precursor to CBD, shares the same enhancing activity of CBD at 5-HT1A receptors, even up to 10 times higher than the activity of CBD, but does not show agonism or antagonism at CB1 receptors.<ref>{{Cite journal |last=Bolognini |first=D |last2=Rock |first2=Em |last3=Cluny |first3=Nl |last4=Cascio |first4=Mg |last5=Limebeer |first5=Cl |last6=Duncan |first6=M |last7=Stott |first7=Cg |last8=Javid |first8=Fa |last9=Parker |first9=La |last10=Pertwee |first10=Rg |date=2013-03 |title=Cannabidiolic acid prevents vomiting in Suncus murinus and nausea-induced behaviour in rats by enhancing 5-HT 1A receptor activation: CBDA, 5-HT 1A receptor, emesis and nausea |url=https://onlinelibrary.wiley.com/doi/10.1111/bph.12043 |journal=British Journal of Pharmacology |language=en |volume=168 |issue=6 |pages=1456–1470 |doi=10.1111/bph.12043 |pmc=PMC3596650 |pmid=23121618}}</ref><ref>{{Cite journal |last=McPartland |first=John M |last2=Duncan |first2=Marnie |last3=Di Marzo |first3=Vincenzo |last4=Pertwee |first4=Roger G |date=2015-02 |title=Are cannabidiol and Δ 9 -tetrahydrocannabivarin negative modulators of the endocannabinoid system? A systematic review: Mechanistic studies ( in vivo and ex vivo ) of CBD and THCV |url=https://onlinelibrary.wiley.com/doi/10.1111/bph.12944 |journal=British Journal of Pharmacology |language=en |volume=172 |issue=3 |pages=737–753 |doi=10.1111/bph.12944 |pmc=PMC4301686 |pmid=25257544}}</ref> CBDA can also inhibit COX1 and COX2, and, at low concentrations (between 1 and 10 μM), targets GPR55, TRPA1, TRPV1, and TRPM8.<ref>{{Cite journal |last=Takeda |first=Shuso |last2=Misawa |first2=Koichiro |last3=Yamamoto |first3=Ikuo |last4=Watanabe |first4=Kazuhito |date=2008-09 |title=Cannabidiolic Acid as a Selective Cyclooxygenase-2 Inhibitory Component in Cannabis |url=http://dmd.aspetjournals.org/lookup/doi/10.1124/dmd.108.020909 |journal=Drug Metabolism and Disposition |language=en |volume=36 |issue=9 |pages=1917–1921 |doi=10.1124/dmd.108.020909 |issn=0090-9556}}</ref>

In terms of pharmacological effects of cannabis, where there is strong support for cannabinoids, there is an equal amount of hesitancy in embracing the therapeutic effects of terpenoids. Although low in concentration in plant material and final cannabis preparations, several aromatic terpenes, especially the monoterpenoids, have been shown to have remarkably potent physiologic effects when administered in humans and animals via inhalation in small amounts.<ref>{{Cite journal |last=Falk |first=A A |last2=Hagberg |first2=M T |last3=Lof |first3=A E |last4=Wigaeus-Hjelm |first4=E M |last5=Wang |first5=Z P |date=1990-10 |title=Uptake, distribution and elimination of alpha-pinene in man after exposure by inhalation. |url=http://www.sjweh.fi/show_abstract.php?abstract_id=1771 |journal=Scandinavian Journal of Work, Environment & Health |language=en |volume=16 |issue=5 |pages=372–378 |doi=10.5271/sjweh.1771 |issn=0355-3140}}</ref><ref>{{Cite journal |last=Falk |first=Agneta |last2=Löf |first2=Agneta |last3=Hagberg |first3=Mats |last4=Wigaeus Hjelm |first4=Ewa |last5=Wang |first5=Zhiping |date=1991-09 |title=Human exposure to 3-carene by inhalation: Toxicokinetics, effects on pulmonary function and occurrence of irritative and CNS symptoms |url=https://linkinghub.elsevier.com/retrieve/pii/S0041008X0580002X |journal=Toxicology and Applied Pharmacology |language=en |volume=110 |issue=2 |pages=198–205 |doi=10.1016/S0041-008X(05)80002-X}}</ref><ref>{{Cite journal |last=Falk‐Filipsson |first=Agneta |last2=Löf |first2=Agneta |last3=Hagberg |first3=Mats |last4=Hjelm |first4=Ewa Wigaeus |last5=Wang |first5=Zhiping |date=1993-01 |title=d‐Limonene exposure to humans by inhalation: Uptake, distribution, elimination, and effects on the pulmonary function |url=http://www.tandfonline.com/doi/abs/10.1080/15287399309531702 |journal=Journal of Toxicology and Environmental Health |language=en |volume=38 |issue=1 |pages=77–88 |doi=10.1080/15287399309531702 |issn=0098-4108}}</ref> Terpenes are lipophilic, allowing them to penetrate the skin and the blood brain barrier.<ref>{{Cite journal |last=Buchbauer |first=Gerhard |last2=Jirovetz |first2=Leopold |last3=Jäger |first3=Walter |last4=Plank |first4=Christine |last5=Dietrich |first5=Hermann |date=1993-06 |title=Fragrance Compounds and Essential Oils with Sedative Effects upon Inhalation |url=https://linkinghub.elsevier.com/retrieve/pii/S0022354915491518 |journal=Journal of Pharmaceutical Sciences |language=en |volume=82 |issue=6 |pages=660–664 |doi=10.1002/jps.2600820623}}</ref> The subsequent activity of terpenes in the CNS seems to be part pharmacological and part psychological, where the psychological effects actually predominate when fragrances are inhaled and the sense of smell is stimulated via G-protein coupled (odorant) receptors.<ref name=":16">{{Citation |last=Buchbauer |first=Gerhard |date=2009-12-28 |editor-last=Can Baser |editor-first=K |editor2-last=Buchbauer |editor2-first=Gerhard |title=Biological Activities of Essential Oils |url=http://www.crcnetbase.com/doi/10.1201/9781420063165-c9 |work=Handbook of Essential Oils |language=en |publisher=CRC Press |pages=235–280 |doi=10.1201/9781420063165-c9 |isbn=978-1-4200-6315-8 |access-date=2023-01-07}}</ref> In addition, when scent processing of odor information is prevented, pharmacological effects that might be overridden when fragrances are inhaled become more evident.<ref name=":16" /> Though most often studied for inducing stimulant or sedative psychoactive effects on the nervous system, terpenes also exhibit marked pharmacological versatility outside of the nervous system. Some additional biological effects are related to their antioxidant, antiviral, antinociceptive, antiphlogistic (anti-inflammatory), and drug penetration enhancing effects.<ref name=":16" /> These effects are mediated by neuronal and muscle cell ion channels, interactions with cell membranes, second messenger systems, and enzymes.<ref name=":16" /><ref>{{Cite book |last=Bowles |first=E. Joy |date=2003 |title=The chemistry of aromatherapeutic oils |url=https://www.worldcat.org/title/mediawiki/oclc/249327567 |edition=3rd ed |publisher=Allen & Unwin |place=Crows Nest, N.S.W |isbn=978-1-74114-051-4 |oclc=249327567}}</ref> B-myrcene, one of the most prevalent terpenes found in all nearly all cannabis plants, increases CB1 receptor saturation, thereby enhancing the psychoactive effects of THC.<ref name=":17">{{Cite book |last=Wedman-St. Louis |first=Betty |date=2019 |title=Cannabis as medicine |publisher=Taylor & Francis |place=Boca Raton |isbn=978-0-367-15054-9}}</ref> [[Linalool]]—a terpene also found in mint, lavender, and cinnamon—may increase serotonin and dopamine levels in the brain.<ref name=":17" /> [[Pinene|a-Pinene]] binds GABAA-Benzodiazepine receptors (GABAA-BZD) in the brains of rat models, acting as a partial modulator, and it may also display acetylcholinesterase inhibitor activity, either alone or in combination with other terpenes commonly found in the same plants.<ref>{{Cite journal |last=Salehi |first=Bahare |last2=Upadhyay |first2=Shashi |last3=Erdogan Orhan |first3=Ilkay |last4=Kumar Jugran |first4=Arun |last5=L.D. Jayaweera |first5=Sumali |last6=A. Dias |first6=Daniel |last7=Sharopov |first7=Farukh |last8=Taheri |first8=Yasaman |last9=Martins |first9=Natália |last10=Baghalpour |first10=Navid |last11=C. Cho |first11=William |date=2019-11-14 |title=Therapeutic Potential of α- and β-Pinene: A Miracle Gift of Nature |url=https://www.mdpi.com/2218-273X/9/11/738 |journal=Biomolecules |language=en |volume=9 |issue=11 |pages=738 |doi=10.3390/biom9110738 |issn=2218-273X |pmc=PMC6920849 |pmid=31739596}}</ref> [[Caryophyllene|β-Caryophyllene]] is a potent selective agonist for CB1 receptors which, synergistically, could potentiate the antipruritic and gastro-protective activities of THC and the anti-inflammatory effects of CBD.<ref name=":9" /><ref>{{Cite journal |last=Gertsch |first=Jürg |date=2008-07 |title=Antiinflammatory cannabinoids in diet – towards a better understanding of CB2 receptor action?: Towards a better understanding of CB 2 receptor action? |url=http://www.tandfonline.com/doi/abs/10.4161/cib.1.1.6568 |journal=Communicative & Integrative Biology |language=en |volume=1 |issue=1 |pages=26–28 |doi=10.4161/cib.1.1.6568 |issn=1942-0889 |pmc=PMC2633791 |pmid=19704783}}</ref>

Finally, hemp food products can also induce some important pharmacological effects. [[Phytol]], a major diterpene from hemp seed oil, has been shown to have anticancer and antioxidant activities.<ref>{{Cite journal |last=Vetter |first=Walter |last2=Schröder |first2=Markus |last3=Lehnert |first3=Katja |date=2012-06-20 |title=Differentiation of Refined and Virgin Edible Oils by Means of the trans - and cis -Phytol Isomer Distribution |url=https://pubs.acs.org/doi/10.1021/jf301373k |journal=Journal of Agricultural and Food Chemistry |language=en |volume=60 |issue=24 |pages=6103–6107 |doi=10.1021/jf301373k |issn=0021-8561}}</ref> Several studies suggest antihypertensive effects of hydrolyzed hemp seed proteins due to their inhibitory effects on angiotensin-converting enzyme and renin.<ref>{{Citation |last=Aluko |first=R.E. |date=2017 |title=Hemp Seed (Cannabis sativa L.) Proteins |url=https://linkinghub.elsevier.com/retrieve/pii/B978012802778300007X |work=Sustainable Protein Sources |language=en |publisher=Elsevier |pages=121–132 |doi=10.1016/b978-0-12-802778-3.00007-x |isbn=978-0-12-802778-3 |access-date=2023-01-07}}</ref> There is also a patented hemp seed flour which was claimed to have an HDL boosting effect and may be beneficial in preventing cardiovascular disease.<ref>{{Cite web |last=Guang, H.; Wenwei, C. |date=19 May 2010 |title=Application of powder of whole cannabis sativa seeds for preparing functional food with adjuvant therapy of lowering blood fat |work=Google Patents |url=https://patents.google.com/patent/CN100998414B/en |publisher=Yunnan Industrial Hemp Co. Ltd.}}</ref>

==Food derivatives==
Many food products can be derived from hemp, most of which are made from hemp seed. Common hemp seed food products include bulk or packaged raw hulled hemp seeds, hemp seed oil, hemp protein concentrates or powders, and hemp milk, among others. The use of hemp in food products has continued to increase in popularity since the 2018 Farm Bill removed hemp from the CSA. The bill also separated hemp from marijuana and allowed for the interstate transportation of seeds, plants, and processed hemp products. 

As previously stated, hemp refers to ''Cannabis sativa'' with less than 0.3% THC by dry weight. For legal and safety reasons, the level of THC must also be determined in final hemp products and included in the label.<ref name=":18">{{Cite journal |last=Rupasinghe |first=H. P. Vasantha |last2=Davis |first2=Amy |last3=Kumar |first3=Shanthanu K. |last4=Murray |first4=Beth |last5=Zheljazkov |first5=Valtcho D. |date=2020-09-07 |title=Industrial Hemp (Cannabis sativa subsp. sativa) as an Emerging Source for Value-Added Functional Food Ingredients and Nutraceuticals |url=https://www.mdpi.com/1420-3049/25/18/4078 |journal=Molecules |language=en |volume=25 |issue=18 |pages=4078 |doi=10.3390/molecules25184078 |issn=1420-3049 |pmc=PMC7571072 |pmid=32906622}}</ref> Oral intake of as low as 2.5 mg THC per day can cause intoxicating effects in adults.<ref name=":19">{{Cite journal |last=Ross |first=Samir A. |last2=Mehmedic |first2=Zlatko |last3=Murphy |first3=Timothy P. |last4=ElSohly |first4=Mahmoud A. |date=2000-11-01 |title=GC-MS Analysis of the Total Δ9-THC Content of Both Drug- and Fiber-Type Cannabis Seeds |url=http://academic.oup.com/jat/article/24/8/715/817709/GCMS-Analysis-of-the-Total-Δ9THC-Content-of-Both |journal=Journal of Analytical Toxicology |language=en |volume=24 |issue=8 |pages=715–717 |doi=10.1093/jat/24.8.715 |issn=1945-2403}}</ref> Germany's Federal Institute for Consumer Health Protection and Veterinary Medicine (BgVV) recommended a maximum limit of 1–2 μg/kg THC per day.<ref>{{Cite web |last=Federal Institute for Consumer Health Protection and Veterinary Medicine (BgVV) |date=22 October 1997 |title=Einsatz von Hanf in Lebensmitteln kann gesundheitlich problematisch sein |url=https://www.bfr.bund.de/de/presseinformation/1997/26/einsatz_von_hanf_in_lebensmitteln_kann_gesundheitlich_problematisch_sein-829.html |publisher=Bundesinstitut für Risikobewertung}}</ref> Consumption of higher doses in food products should be avoided due to health threatening consequences. To be precautionary, it is important to consider variations in an individual’s sensitivity, drug metabolism, and food-drug interactions. It should also be noted that hemp ingredients from plant parts other than the seeds (including the flower) are not allowed as food ingredients. Non-seed ingredients are prohibited regardless of whether they are added to the food item by the grower/producer, manufacturer, retailer, or by the consumer.

Hemp seeds are a highly nutritious food. Due to the high nutritional value of hemp seed, it could be a complete food source for mankind. Each 100 grams of hemp seed provides 500–600 Kcal energy.<ref>{{Cite journal |last=Rodriguez-Leyva |first=Delfin |last2=Pierce |first2=Grant N |date=2010 |title=The cardiac and haemostatic effects of dietary hempseed |url=http://nutritionandmetabolism.biomedcentral.com/articles/10.1186/1743-7075-7-32 |journal=Nutrition & Metabolism |language=en |volume=7 |issue=1 |pages=32 |doi=10.1186/1743-7075-7-32 |issn=1743-7075 |pmc=PMC2868018 |pmid=20409317}}</ref> Hemp seed usually contains 25–35% lipids, 20–25% proteins, and 20–30% carbohydrates, as well as vitamins (thiamine, riboflavin, pyridoxine, vitamin E and C), minerals (mainly magnesium and iron), flavonoids, tocopherols (alpha, beta, gamma, and delta tocopherols), terpenes, phytosterols, and bioactive peptides.<ref>{{Cite journal |last=Irakli |first=Maria |last2=Tsaliki |first2=Eleni |last3=Kalivas |first3=Apostolos |last4=Kleisiaris |first4=Fotios |last5=Sarrou |first5=Eirini |last6=Cook |first6=Catherine M |date=2019-10-17 |title=Effect οf Genotype and Growing Year on the Nutritional, Phytochemical, and Antioxidant Properties of Industrial Hemp (Cannabis sativa L.) Seeds |url=https://www.mdpi.com/2076-3921/8/10/491 |journal=Antioxidants |language=en |volume=8 |issue=10 |pages=491 |doi=10.3390/antiox8100491 |issn=2076-3921 |pmc=PMC6826498 |pmid=31627349}}</ref>

A very low but detectable amount of THC is present in hemp seeds, which mainly exists on the seed surface and seems to be a contaminant from glandular trichomes at harvest time. Cultivating and handling processes should be done in such a way that prevents contamination with high levels of THC.<ref name=":19" /> Like THC, CBD is also found in relatively low amounts in the seed oil.<ref name=":20">{{Cite journal |last=Leizer |first=Cary |last2=Ribnicky |first2=David |last3=Poulev |first3=Alexander |last4=Dushenkov |first4=Slavik |last5=Raskin |first5=Ilya |date=2000-12 |title=The Composition of Hemp Seed Oil and Its Potential as an Important Source of Nutrition |url=http://www.tandfonline.com/doi/full/10.1300/J133v02n04_04 |journal=Journal of Nutraceuticals, Functional & Medical Foods |language=en |volume=2 |issue=4 |pages=35–53 |doi=10.1300/J133v02n04_04 |issn=1089-4179}}</ref>

Hemp seed oil includes a large percentage of polyunsaturated fatty acids (PUFA) (72–83%) primarily consisting of linoleic (omega-6) and linolenic (omega-3) acids. The ratio of omega-6:omega-3 in the oil is 3:1, which explains its protective potential against cardiovascular disease, osteoporosis, and eczema.<ref name=":18" /><ref name=":21">{{Citation |last=Dunford |first=N.T. |date=2015 |title=Hemp and flaxseed oil |url=https://linkinghub.elsevier.com/retrieve/pii/B9781782423768000028 |work=Specialty Oils and Fats in Food and Nutrition |language=en |publisher=Elsevier |pages=39–63 |doi=10.1016/b978-1-78242-376-8.00002-8 |isbn=978-1-78242-376-8 |access-date=2023-01-07}}</ref> From a nutritive point of view, hemp seed oil is much richer than soybean oil.<ref name=":4" /> Human daily nutritional needs of fats can be provided by only three tablespoons of oil.<ref name=":20" /> Furthermore, hemp seed oil shows a great antioxidant potential. Tocopherol isomers which exist to a large extent in the oil, as well as terpenes and polyphenols (mainly flavonoids), are responsible for this activity.<ref name=":18" /><ref>{{Cite journal |last=Kriese |first=U. |last2=Schumann |first2=E. |last3=Weber |first3=W.E. |last4=Beyer |first4=M. |last5=Brühl |first5=L. |last6=Matthäus |first6=B. |date=2004-06 |title=Oil content, tocopherol composition and fatty acid patterns of the seeds of 51 Cannabis sativa L. genotypes |url=http://link.springer.com/10.1023/B:EUPH.0000040473.23941.76 |journal=Euphytica |language=en |volume=137 |issue=3 |pages=339–351 |doi=10.1023/B:EUPH.0000040473.23941.76 |issn=0014-2336}}</ref><ref>{{Cite journal |last=Andre |first=Christelle M. |last2=Hausman |first2=Jean-Francois |last3=Guerriero |first3=Gea |date=2016-02-04 |title=Cannabis sativa: The Plant of the Thousand and One Molecules |url=http://journal.frontiersin.org/Article/10.3389/fpls.2016.00019/abstract |journal=Frontiers in Plant Science |volume=7 |doi=10.3389/fpls.2016.00019 |issn=1664-462X |pmc=PMC4740396 |pmid=26870049}}</ref> Hemp seed oil also contains a noteworthy amount of phytosterols. It has been noted that plant sterols and stanols exert low-density lipoprotein (LDL) lowering effects in humans.<ref>{{Cite journal |last=Klingberg |first=Sofia |last2=Ellegård |first2=Lars |last3=Johansson |first3=Ingegerd |last4=Jansson |first4=Jan-Håkan |last5=Hallmans |first5=Göran |last6=Winkvist |first6=Anna |date=2013-10-01 |title=Dietary Intake of Naturally Occurring Plant Sterols Is Related to a Lower Risk of a First Myocardial Infarction in Men but Not in Women in Northern Sweden |url=https://academic.oup.com/jn/article/143/10/1630/4571618 |journal=The Journal of Nutrition |language=en |volume=143 |issue=10 |pages=1630–1635 |doi=10.3945/jn.113.178707 |issn=0022-3166}}</ref>

It is important not to heat the seeds during oil extraction. Unrefined and cold pressed oil is preferred. Cooking the oil produces toxic trans-fatty acids and should be avoided. In addition, unsaturated oil is vulnerable to oxidation, therefore the oil has a very short shelf life and must be protected from air, heat, and light.<ref name=":4" />

Hemp seed protein is abundant in edestin and albumin, which makes it easily digestible, and provides a beneficial supply of essential amino acids, particularly arginine and glutamic acid.<ref>{{Cite journal |last=Odani |first=Sumiko |last2=Odani |first2=Shoji |date=1998-01 |title=Isolation and Primary Structure of a Methionine- and Cystine-rich Seed Protein of Cannabis sativa |url=https://academic.oup.com/bbb/article/62/4/650-654/5947038 |journal=Bioscience, Biotechnology, and Biochemistry |language=en |volume=62 |issue=4 |pages=650–654 |doi=10.1271/bbb.62.650 |issn=0916-8451}}</ref><ref>{{Cite journal |last=Callaway |first=J. C. |date=2004-01 |title=Hempseed as a nutritional resource: An overview |url=https://link.springer.com/10.1007/s10681-004-4811-6 |journal=Euphytica |language=en |volume=140 |issue=1-2 |pages=65–72 |doi=10.1007/s10681-004-4811-6 |issn=0014-2336}}</ref> Hemp seed flour is free from gluten and is not known to have any known allergens, hence it does not cause any problem in individuals with celiac disease.<ref name=":21" />

Of the many nutritious hemp-derived food products, consumption of hemp seed oil is the most popular. In addition to the more common hemp seed oil, flour, and protein powder, the market of hemp food products continues to expand and now includes a range of novel products from sauces, butter, pasta, and cheese, to energy bars, chocolate, ice cream, and sweets.<ref name=":4" /><ref>{{Cite journal |last=Klein, R.F.X. |year=2017 |title=Analysis of “Marijuana Edibles” – Food Products Containing Marijuana or Marijuana Extracts – An Overview, Review, and Literature Survey |url=https://www.dea.gov/documents/2017/2017-01/2017-01-01/analysis-marijuana-edibles-food-products-containing-marijuana-or |journal=Microgram Journal |volume=14 |issue=1–4 |pages=9–32}}</ref>

It should be noted that CBD, the cannabinoid typically found in highest concentration in the inflorescence of hemp plants cultivated for medicinal use, is naturally present, along with other cannabinoids and phytochemicals, in hemp products made from ''Cannabis'' inflorescence. There is, however, little to no CBD naturally found in hemp food products like seeds or seed oil, flour, or protein. With rising interest in the beneficial therapeutic effects of CBD and the passage of the 2018 Farm Bill, many retailers began selling CBD-infused foods, beverages, and personal care items, presuming CBD also fell under hemp-based food and supplement regulations. However, CBD was approved as the active ingredient in a seizure medication called Epidiolex in June of 2018. As the active ingredient in a pharmaceutical drug, CBD cannot legally be used as an additive in food or supplements in the U.S. The European Commission, however, has put CBD-containing supplements in the novel foods category.<ref>{{Cite web |last=European Commission |title=Novel Food Catalogue |url=https://food.ec.europa.eu/safety/novel-food/novel-food-catalogue_en |publisher=European Commission}}</ref> CBD-dominant full-spectrum or broad-spectrum hemp products (<0.3% THC) with naturally occurring cannabinoids, including CBD, are still able to be consumed as food or supplements, but using CBD in any other context is not allowed. CBD and CBD-infused products have remained in the market despite FDA claims of the illegality of CBD supplements, and consumers should be aware of these distinctions. Daily intake of 1–2 mg/kg CBD is implausible to be unsafe<ref name=":11" />; however, after identifying concerns of hepatotoxicity, this limitation was done to reduce potential life-threatening adverse effects and prevent serious drug or supplement interactions.<ref>{{Cite journal |last=Cohen |first=Pieter A. |last2=Sharfstein |first2=Joshua |date=2019-07-25 |title=The Opportunity of CBD — Reforming the Law |url=http://www.nejm.org/doi/10.1056/NEJMp1906409 |journal=New England Journal of Medicine |language=en |volume=381 |issue=4 |pages=297–299 |doi=10.1056/NEJMp1906409 |issn=0028-4793}}</ref>

==Pharmaceutical drug derivatives==
The U.S. [[Food and Drug Administration]] (FDA) has approved four cannabis-related pharmaceutical products to date: one natural, Cannabis-derived drug product—Epidiolex—which contains highly purified CBD, and three synthetic THC-related products—Marinol (dronabinol), Syndros (dronabinol), and Cesamet (nabilone) (Figure 4). Although both drugs containing dronabinol (Marinol and Syndros) are synthetic, dronabinol is also a naturally occurring compound found in ''Cannabis''. In contrast, nabilone is not naturally occurring; it is a man-made drug with structural similarities to THC. In addition to the four cannabis-related products available in the U.S., a product called nabiximols (Sativex), a naturally sourced full-spectrum botanical extract with ∼1:1 mixture of THC:CBD in an oromucosal spray, is currently marketed legally in over 25 countries, including Mexico, Canada, Australia, the United Kingdom, and parts of Europe.<ref name=":22">{{Cite journal |last=Namdar |first=Dvora |last2=Anis |first2=Omer |last3=Poulin |first3=Patrick |last4=Koltai |first4=Hinanit |date=2020-10-20 |title=Chronological Review and Rational and Future Prospects of Cannabis-Based Drug Development |url=https://www.mdpi.com/1420-3049/25/20/4821 |journal=Molecules |language=en |volume=25 |issue=20 |pages=4821 |doi=10.3390/molecules25204821 |issn=1420-3049 |pmc=PMC7587964 |pmid=33092255}}</ref><ref name=":23">{{Citation |last=Pearlson |first=Godfrey |date=2020 |title=Medical marijuana and clinical trials |url=https://linkinghub.elsevier.com/retrieve/pii/B9780128181744000100 |work=Weed Science |language=en |publisher=Elsevier |pages=243–260 |doi=10.1016/b978-0-12-818174-4.00010-0 |isbn=978-0-12-818174-4 |access-date=2023-01-07}}</ref> A Dutch-based company, Bedrocan, also offers five different [[Good manufacturing practice|GMP-certified]], pharmaceutical-grade cannabis products with varying THC:CBD ratios (i.e., THC-dominant, THC-intermediate, and CBD-dominant) with complete terpene profiles. Bedrocan’s products are available in Australia, South Africa, most of Europe, parts of the United Kingdom, and Sweden.<ref name=":23" /> Finally, a CBD-based transdermal gel called Zygel (Zynerba) is being tested in various stages of clinical trials for the treatment of Fragile X syndrome and other neuropsychiatric conditions, including autism spectrum disorder (ASD) and 22q.<ref>{{Cite journal |last=Urits |first=Ivan |last2=Borchart |first2=Matthew |last3=Hasegawa |first3=Morgan |last4=Kochanski |first4=Justin |last5=Orhurhu |first5=Vwaire |last6=Viswanath |first6=Omar |date=2019-06 |title=An Update of Current Cannabis-Based Pharmaceuticals in Pain Medicine |url=http://link.springer.com/10.1007/s40122-019-0114-4 |journal=Pain and Therapy |language=en |volume=8 |issue=1 |pages=41–51 |doi=10.1007/s40122-019-0114-4 |issn=2193-8237 |pmc=PMC6514017 |pmid=30721403}}</ref>


[[File:Fig4 Salehi FrontPharm2022 13.jpg|600px]]
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  | style="background-color:white; padding-left:10px; padding-right:10px;" |<blockquote>'''Fig. 4''' Structures of the active ingredients of FDA-approved cannabinoid drugs.</blockquote>
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Cannabinoid drugs each fall under a different level of controlled substance regulation (regulations initiated by the CSA and enforced by the DEA), based on each drug’s risk for abuse and physical and/or psychological dependence.<ref name=":24">{{Cite book |last=Institute of Medicine (US) |date=1999 |editor-last=Joy |editor-first=Janet E. |editor2-last=Watson |editor2-first=Stanley J. |editor3-last=Benson |editor3-first=John A. |title=Marijuana and Medicine: Assessing the Science Base |url=http://www.ncbi.nlm.nih.gov/books/NBK230716/ |publisher=National Academies Press (US) |place=Washington (DC) |isbn=978-0-309-07155-0 |pmid=25101425}}</ref> A drug will occasionally change in status with new legislation. Marinol (dronabinol) was originally a Schedule II controlled substance, and is now listed under Schedule III, indicating it has lower risk for abuse than Schedule I or II substances, and has risk of low-to-moderate physical dependency or high psychological dependency if abused.<ref name=":24" />  As controlled substances, Syndros (dronabinol) and Cesamet (nabilone) are both under Schedule II. Epidiolex, a drug containing <0.1% THC, was originally classified in Schedule I, but after the 2018 Farm Bill was enacted, it was reduced to Schedule V, the least restrictive class of controlled substances.<ref name=":25">{{Cite journal |last=Verma |first=Rishabh |last2=Hoda |first2=Farazul |last3=Arshad |first3=Mawrah |last4=Iqubal |first4=Asif |last5=Siddiqui |first5=Ali Nasir |last6=Khan |first6=Mohammad Ahmed |last7=Haque |first7=Syed Ehtaishamul |last8=Akhtar |first8=Mohd |last9=Najmi |first9=Abul Kalam |date=2021-05-21 |title=Cannabis, a Miracle Drug with Polyvalent Therapeutic Utility: Preclinical and Clinical-Based Evidence |url=https://www.karger.com/Article/FullText/515042 |journal=Medical Cannabis and Cannabinoids |language=en |volume=4 |issue=1 |pages=43–60 |doi=10.1159/000515042 |issn=2504-3889 |pmc=PMC8525216 |pmid=34676349}}</ref> In April of 2020, Epidiolex was entirely descheduled and is no longer subject to the tracking and monitoring requirements of the CSA. The term "medical marijuana" does not refer to any pharmaceutical drug, but rather use of the whole cannabis plant (with >0.3% THC) as medicine in any product (dried flower, resin, tincture, capsule, etc.) or delivery system (inhalation, oral, sublingual, topical, etc.).<ref name=":26">{{Cite journal |last=Ebbert |first=Jon O. |last2=Scharf |first2=Eugene L. |last3=Hurt |first3=Ryan T. |date=2018-12 |title=Medical Cannabis |url=https://linkinghub.elsevier.com/retrieve/pii/S0025619618307092 |journal=Mayo Clinic Proceedings |language=en |volume=93 |issue=12 |pages=1842–1847 |doi=10.1016/j.mayocp.2018.09.005}}</ref> Despite medical and recreational marijuana becoming increasingly legal in several states, medical marijuana is still federally illegal and is classified as a Schedule I controlled substance. Physicians may write prescriptions for medical marijuana for patients with certain state-approved medical conditions, which vary widely by state.<ref name=":26" /> Hemp, referring to whole plant cannabis with <0.3% THC, was officially removed from the CSA in 2018, so it is no longer a controlled substance and is now regulated under the category of products "generally regarded as safe" (GRAS).

In the U.S., dronabinol (Marinol) was the first FDA approved cannabinoid drug in 1985. By 1999, annual sales of Marinol had reached over $20 billion, and it was primarily being used (>80% of patients) in the treatment of HIV and AIDS as an appetite stimulant.<ref name=":24" /> Marinol is an oil-based capsule taken orally and, since 1992, has been approved to treat two different conditions: chemotherapy-induced nausea and vomiting (CINV) in cancer patients unresponsive to traditional antiemetics and cachexia in AIDS wasting syndrome.<ref name=":24" /> Preliminary clinical trials suggest dronabinol may also be beneficial for patients with obstructive sleep apnea (OSA) and chronic pain, but further evidence is needed.<ref name=":27">{{Cite journal |last=Fisher |first=Emma |last2=Eccleston |first2=Christopher |last3=Degenhardt |first3=Louisa |last4=Finn |first4=David P. |last5=Finnerup |first5=Nanna B. |last6=Gilron |first6=Ian |last7=Haroutounian |first7=Simon |last8=Krane |first8=Elliot |last9=Rice |first9=Andrew S.C. |last10=Rowbotham |first10=Michael |last11=Wallace |first11=Mark |date=2019-05 |title=Cannabinoids, cannabis, and cannabis-based medicine for pain management: a protocol for an overview of systematic reviews and a systematic review of randomised controlled trials |url=https://journals.lww.com/01938936-201906000-00001 |journal=PAIN Reports |language=en |volume=4 |issue=3 |pages=e741 |doi=10.1097/PR9.0000000000000741 |issn=2471-2531 |pmc=PMC6749927 |pmid=31583356}}</ref> For some patients suffering with chemo-induced nausea and vomiting, oral capsules are an impractical delivery system due to swallowing difficulties, long absorption times (approximately two hours), and high variability in intraindividual absorption and bioavailability.<ref name=":28">{{Cite journal |last=Badowski |first=Melissa E. |date=2017-09 |title=A review of oral cannabinoids and medical marijuana for the treatment of chemotherapy-induced nausea and vomiting: a focus on pharmacokinetic variability and pharmacodynamics |url=http://link.springer.com/10.1007/s00280-017-3387-5 |journal=Cancer Chemotherapy and Pharmacology |language=en |volume=80 |issue=3 |pages=441–449 |doi=10.1007/s00280-017-3387-5 |issn=0344-5704 |pmc=PMC5573753 |pmid=28780725}}</ref><ref name=":29">{{Cite journal |last=Musty |first=Richard E. |last2=Rossi |first2=Rita |date=2001-01 |title=Effects of Smoked Cannabis and Oral δ 9 -Tetrahydrocannabinol on Nausea and Emesis After Cancer Chemotherapy: A Review of State Clinical Trials |url=http://www.tandfonline.com/doi/abs/10.1300/J175v01n01_03 |journal=Journal of Cannabis Therapeutics |language=en |volume=1 |issue=1 |pages=29–56 |doi=10.1300/J175v01n01_03 |issn=1529-9775}}</ref> Syndros, a liquid delivery form of dronabinol, was approved in July 2016 as an easier-to-swallow administration option with lower intraindividual variability, faster absorption time (nine minutes vs. two hours), and the option to titrate the dosage to clinical effect.<ref name=":28" /> Albeit more consistent and tolerable than capsules, because of its liquid delivery system, Syndros may be more easily abused as a drug than Marinol, as it can be converted for inhalation (thus, the Schedule II status).

Although many systematic reviews and meta analyses have verified dronabinol’s appetite stimulatory and potent antiemetic effects, both alone and in combination with traditional antiemetics like Odensatron<ref name=":22" /><ref name=":27" /><ref>{{Cite journal |last=Ben Amar |first=Mohamed |date=2006-04 |title=Cannabinoids in medicine: A review of their therapeutic potential |url=https://linkinghub.elsevier.com/retrieve/pii/S0378874106000821 |journal=Journal of Ethnopharmacology |language=en |volume=105 |issue=1-2 |pages=1–25 |doi=10.1016/j.jep.2006.02.001}}</ref><ref>{{Cite journal |last=Mücke |first=Martin |last2=Weier |first2=Megan |last3=Carter |first3=Christopher |last4=Copeland |first4=Jan |last5=Degenhardt |first5=Louisa |last6=Cuhls |first6=Henning |last7=Radbruch |first7=Lukas |last8=Häuser |first8=Winfried |last9=Conrad |first9=Rupert |date=2018-04 |title=Systematic review and meta-analysis of cannabinoids in palliative medicine: Cannabinoids in palliative medicine |url=https://onlinelibrary.wiley.com/doi/10.1002/jcsm.12273 |journal=Journal of Cachexia, Sarcopenia and Muscle |language=en |volume=9 |issue=2 |pages=220–234 |doi=10.1002/jcsm.12273 |pmc=PMC5879974 |pmid=29400010}}</ref>, others suggest dronabinol may be no more effective in treating CINV than modern conventional antiemetics and may also have more side effects.<ref>{{Cite journal |last=Whiting |first=Penny F. |last2=Wolff |first2=Robert F. |last3=Deshpande |first3=Sohan |last4=Di Nisio |first4=Marcello |last5=Duffy |first5=Steven |last6=Hernandez |first6=Adrian V. |last7=Keurentjes |first7=J. Christiaan |last8=Lang |first8=Shona |last9=Misso |first9=Kate |last10=Ryder |first10=Steve |last11=Schmidlkofer |first11=Simone |date=2015-06-23 |title=Cannabinoids for Medical Use: A Systematic Review and Meta-analysis |url=http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2015.6358 |journal=JAMA |language=en |volume=313 |issue=24 |pages=2456 |doi=10.1001/jama.2015.6358 |issn=0098-7484}}</ref> In addition, many patients reportedly prefer smoking or vaping naturally derived THC-containing products to using synthetic THC medications.<ref name=":25" /><ref name=":29" /><ref>{{Cite journal |last=Gieringer |first=Dale |last2=St. Laurent |first2=Joseph |last3=Goodrich |first3=Scott |date=2004-02-26 |title=Cannabis Vaporizer Combines Efficient Delivery of THC with Effective Suppression of Pyrolytic Compounds |url=http://www.tandfonline.com/doi/abs/10.1300/J175v04n01_02 |journal=Journal of Cannabis Therapeutics |language=en |volume=4 |issue=1 |pages=7–27 |doi=10.1300/J175v04n01_02 |issn=1529-9775}}</ref><ref name=":30">{{Cite journal |last=Turgeman |first=Ilit |last2=Bar-Sela |first2=Gil |date=2019-03-04 |title=Cannabis for cancer – illusion or the tip of an iceberg: a review of the evidence for the use of Cannabis and synthetic cannabinoids in oncology |url=https://www.tandfonline.com/doi/full/10.1080/13543784.2019.1561859 |journal=Expert Opinion on Investigational Drugs |language=en |volume=28 |issue=3 |pages=285–296 |doi=10.1080/13543784.2019.1561859 |issn=1354-3784}}</ref> Some patients also seem to benefit more from combination THC-CBD products<ref name=":25" /><ref>{{Cite journal |last=Corroon |first=Jamie |last2=Kight |first2=Rod |date=2018-09 |title=Regulatory Status of Cannabidiol in the United States: A Perspective |url=https://www.liebertpub.com/doi/10.1089/can.2018.0030 |journal=Cannabis and Cannabinoid Research |language=en |volume=3 |issue=1 |pages=190–194 |doi=10.1089/can.2018.0030 |issn=2378-8763 |pmc=PMC6154432 |pmid=30283822}}</ref> and/or whole plant medical marijuana with its synergistic cannabinoids, terpenes, and flavonoids than using THC alone. It is important to note that FDA-approved cannabinoid medications have better dosage regulation and quality control than most natural cannabis products that are state-regulated. These approved medications are backed by in-depth multi-stage clinical trials evaluating their safety and efficacy, which is not true for most medical marijuana products. Due to historical difficulties in studying cannabis as a Schedule I controlled substance, a lot more research is needed in this area.<ref name=":25" /><ref name=":30" />

The same year that dronabinol was approved (1985), a second oral THC-related drug, nabilone (Cesamet) (Figure 4) was also approved for the treatment of CINV unresponsive to conventional antiemetics and anorexia in AIDS patients.<ref name=":31">{{Citation |last=Balter |first=R.E |last2=Haney |first2=M. |date=2017 |title=The Synthetic Analog of Δ 9 -Tetrahydrocannabinol (THC): Nabilone. Pharmacology and Clinical Application |url=https://linkinghub.elsevier.com/retrieve/pii/B9780128007563000995 |work=Handbook of Cannabis and Related Pathologies |language=en |publisher=Elsevier |pages=821–827 |doi=10.1016/b978-0-12-800756-3.00099-5 |isbn=978-0-12-800756-3 |access-date=2023-01-07}}</ref><ref>{{Citation |last=Taylor |first=Bryce N. |last2=Mueller |first2=Matthew |last3=Sauls |first3=Ryan S. |date=2022 |title=Cannaboinoid Antiemetic Therapy |url=http://www.ncbi.nlm.nih.gov/books/NBK535430/ |work=StatPearls |publisher=StatPearls Publishing |place=Treasure Island (FL) |pmid=30571051 |access-date=2023-01-07}}</ref> As a synthetic analog of THC (Figure 4), nabilone has enough chemical structural differences from THC that it cannot be converted to THC after ingestion and is not detected as a positive for THC in urinary toxicology screenings.<ref name=":31" /> As a potent cannabinoid receptor agonist, nabilone is reported to have a faster absorption time, stronger potency, increased bioavailability, and longer duration of action compared to dronabinol, thus requiring lower and less frequent dosing.<ref name=":31" /> In addition to its approved uses, early research suggests nabilone may also be useful in treating chronic and neuropathic pain, insomnia, cannabis withdrawal and relapse, posttraumatic stress disorder (PTSD), chronic anxiety, and any combination of these frequently comorbid conditions.<ref name=":10" /><ref name=":31" /><ref>{{Cite journal |last=Cameron |first=Colin |last2=Watson |first2=Diane |last3=Robinson |first3=Jeffrey |date=2014-10 |title=Use of a Synthetic Cannabinoid in a Correctional Population for Posttraumatic Stress Disorder–Related Insomnia and Nightmares, Chronic Pain, Harm Reduction, and Other Indications: A Retrospective Evaluation |url=https://journals.lww.com/00004714-201410000-00005 |journal=Journal of Clinical Psychopharmacology |language=en |volume=34 |issue=5 |pages=559–564 |doi=10.1097/JCP.0000000000000180 |issn=0271-0749 |pmc=PMC4165471 |pmid=24987795}}</ref>

In June of 2018, Epidiolex (an oral solution containing 100 mg/ml CBD and <0.1% THC) was approved in the U.S., initially for seizures associated with two rare and drug-resistant conditions—Lennox-Gastaut Syndrome and Dravet Syndrome—in patients ≥2 years of age (updated to ≥1 year of age in 2020). In August of 2020, Epidiolex was also approved for use in tuberous sclerosis complex (TSC) seizures in patients ≥1 year of age.<ref name=":22" /><ref>{{Cite journal |last=Sekar |first=Krithiga |last2=Pack |first2=Alison |date=2019-02-28 |title=Epidiolex as adjunct therapy for treatment of refractory epilepsy: a comprehensive review with a focus on adverse effects |url=https://f1000research.com/articles/8-234/v1 |journal=F1000Research |language=en |volume=8 |pages=234 |doi=10.12688/f1000research.16515.1 |issn=2046-1402 |pmc=PMC6396837 |pmid=30854190}}</ref> CBD, the primary active constituent in Epidiolex, is metabolized largely through cytochrome P450 (CYP450) enzymes, is a substrate of CYP3A4 and CYP2C19, and also affects the CYP2C family.<ref name=":32">{{Cite journal |last=Abu-Sawwa |first=Renad |last2=Scutt |first2=Brielle |last3=Park |first3=Yong |date=2020-08-01 |title=Emerging Use of Epidiolex (Cannabidiol) in Epilepsy |url=https://meridian.allenpress.com/jppt/article/25/6/485/443971/Emerging-Use-of-Epidiolex-Cannabidiol-in-Epilepsy |journal=The Journal of Pediatric Pharmacology and Therapeutics |language=en |volume=25 |issue=6 |pages=485–499 |doi=10.5863/1551-6776-25.6.485 |issn=1551-6776 |pmc=PMC7439947 |pmid=32839652}}</ref> Several studies raise concerns regarding drug-drug interactions with CBD and the potential hepatotoxicity of CBD with substantial doses, such as those given with Epidiolex.<ref name=":32" /> Hepatotoxicity has been demonstrated through liver transaminase elevation and increased liver weights of rhesus monkeys, as well as histopathological evidence.<ref name=":32" /><ref>{{Cite journal |last=Rosenkrantz |first=Harris |last2=Fleischman |first2=Robert W. |last3=Grant |first3=R.Jeffrey |date=1981-03 |title=Toxicity of short-term administration of cannabinoids to rhesus monkeys |url=https://linkinghub.elsevier.com/retrieve/pii/0041008X81901228 |journal=Toxicology and Applied Pharmacology |language=en |volume=58 |issue=1 |pages=118–131 |doi=10.1016/0041-008X(81)90122-8}}</ref><ref>{{Cite journal |last=Ewing |first=Laura E. |last2=Skinner |first2=Charles M. |last3=Quick |first3=Charles M. |last4=Kennon-McGill |first4=Stefanie |last5=McGill |first5=Mitchell R. |last6=Walker |first6=Larry A. |last7=ElSohly |first7=Mahmoud A. |last8=Gurley |first8=Bill J. |last9=Koturbash |first9=Igor |date=2019-04-30 |title=Hepatotoxicity of a Cannabidiol-Rich Cannabis Extract in the Mouse Model |url=https://www.mdpi.com/1420-3049/24/9/1694 |journal=Molecules |language=en |volume=24 |issue=9 |pages=1694 |doi=10.3390/molecules24091694 |issn=1420-3049 |pmc=PMC6539990 |pmid=31052254}}</ref><ref>{{Cite journal |last=Huestis |first=Marilyn A. |last2=Solimini |first2=Renata |last3=Pichini |first3=Simona |last4=Pacifici |first4=Roberta |last5=Carlier |first5=Jeremy |last6=Busardò |first6=Francesco Paolo |date=2019-09-13 |title=Cannabidiol Adverse Effects and Toxicity |url=http://www.eurekaselect.com/172430/article |journal=Current Neuropharmacology |language=en |volume=17 |issue=10 |pages=974–989 |doi=10.2174/1570159X17666190603171901 |pmc=PMC7052834 |pmid=31161980}}</ref> The application of therapeutic doses in human trials has suggested that hepatotoxicity doesn’t occur in all cases and heavily relies on setting, dose, and timing.<ref name=":39">{{Cite journal |last=Walker |first=Larry A. |last2=Koturbash |first2=Igor |last3=Kingston |first3=Rick |last4=ElSohly |first4=Mahmoud A. |last5=Yates |first5=Charles Ryan |last6=Gurley |first6=Bill J. |last7=Khan |first7=Ikhlas |date=2020-09-02 |title=Cannabidiol (CBD) in Dietary Supplements: Perspectives on Science, Safety, and Potential Regulatory Approaches |url=https://www.tandfonline.com/doi/full/10.1080/19390211.2020.1777244 |journal=Journal of Dietary Supplements |language=en |volume=17 |issue=5 |pages=493–502 |doi=10.1080/19390211.2020.1777244 |issn=1939-0211}}</ref> The benefits, in nearly all cases, are determined to outweigh the risks.<ref name=":32" />

The same manufacturer of Epidiolex—UK-based GW Pharmaceuticals—also manufactures a medicinal cannabis product called Sativex (nabiximols) for the treatment of moderate to severe spasticity in multiple sclerosis patients who have not responded adequately to other MS medications.<ref name=":33">{{Cite journal |last=Russo |first=Ethan B. |last2=Guy |first2=Geoffrey W. |last3=Robson |first3=Philip J. |date=2007-08 |title=Cannabis, Pain, and Sleep: Lessons from Therapeutic Clinical Trials ofSativex®, a Cannabis-Based Medicine |url=https://onlinelibrary.wiley.com/doi/10.1002/cbdv.200790150 |journal=Chemistry & Biodiversity |language=en |volume=4 |issue=8 |pages=1729–1743 |doi=10.1002/cbdv.200790150}}</ref><ref name=":34">{{Cite journal |last=Keating |first=Gillian M. |date=2017-04 |title=Delta-9-Tetrahydrocannabinol/Cannabidiol Oromucosal Spray (Sativex®): A Review in Multiple Sclerosis-Related Spasticity |url=http://link.springer.com/10.1007/s40265-017-0720-6 |journal=Drugs |language=en |volume=77 |issue=5 |pages=563–574 |doi=10.1007/s40265-017-0720-6 |issn=0012-6667}}</ref> Unlike any of the above cannabinoid drugs with a single purified or synthesized cannabinoid, Sativex comprises a standardized whole plant ''Cannabis'' extract with controlled amounts of not just Δ<sup>9</sup>-THC and CBD (2.7 and 2.5 mg per 100 uL single spray, respectively), but also minor cannabinoids, terpenoids, flavonoids, fatty acids, and sterols.<ref name=":33" /> Patients generally self-titrate the medication, starting with a single spray and increasing up to 12 sprays daily over the course of two weeks. Several systematic reviews of Sativex in uncontrolled MS-related spasticity suggest it has long term benefit in reducing spasticity, especially as adjunctive treatment, and is also generally well tolerated and safe, does not typically result in dependency or abuse, and has low risk for negative psychoactive effects.<ref name=":33" /><ref name=":34" /><ref>{{Cite journal |last=Rice |first=Jessica |last2=Cameron |first2=Michelle |date=2018-08 |title=Cannabinoids for Treatment of MS Symptoms: State of the Evidence |url=http://link.springer.com/10.1007/s11910-018-0859-x |journal=Current Neurology and Neuroscience Reports |language=en |volume=18 |issue=8 |pages=50 |doi=10.1007/s11910-018-0859-x |issn=1528-4042}}</ref><ref>{{Cite journal |last=Fragoso |first=Yara Dadalti |last2=Carra |first2=Adriana |last3=Macias |first3=Miguel Angel |date=2020-08-02 |title=Cannabis and multiple sclerosis |url=https://www.tandfonline.com/doi/full/10.1080/14737175.2020.1776610 |journal=Expert Review of Neurotherapeutics |language=en |volume=20 |issue=8 |pages=849–854 |doi=10.1080/14737175.2020.1776610 |issn=1473-7175}}</ref>

In 2017, the committee on health effects of marijuana from the National Academies of Sciences, Engineering, and Medicine (U.S.) by investigating more than 10.700 abstracts, published an evidence-based review of the health effects of cannabis and cannabinoids. Regarding the efficacy of cannabis and cannabinoids (either natural or synthetic), the weight of evidence was categorized mainly as "conclusive evidence," "substantial evidence," "moderate evidence," "limited evidence," and “no or insufficient evidence” based on the clinical trials (Table 1).<ref>{{Cite book |last=Committee on the Health Effects of Marijuana: An Evidence Review and Research Agenda |last2=Board on Population Health and Public Health Practice |last3=Health and Medicine Division |last4=National Academies of Sciences, Engineering, and Medicine |date=2017-03-31 |title=The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research |url=https://www.nap.edu/catalog/24625 |publisher=National Academies Press |place=Washington, D.C. |doi=10.17226/24625 |isbn=978-0-309-45304-2}}</ref>


[[File:Tab1 Salehi FrontPharm2022 13.jpg|950px]]
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  | style="background-color:white; padding-left:10px; padding-right:10px;" |<blockquote>'''Table 1.''' Health effects of cannabis and cannabinoids.</blockquote>
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==Regulatory status==
Before the late 1950s, the production of hemp was encouraged by the U.S. Department of Agriculture (USDA).<ref name=":0" /> After introducing THC as the psychotropic constituent of ''Cannabis sativa'' L., authorities started to make policies against the expansion of cultivating all types of the cannabis plant without distinguishing between low- and high-THC varieties.<ref name=":1" /> Cannabis was internationally banned by the [[Single Convention on Narcotic Drugs]] in 1961 and placed in Schedule I, along with substances like heroin. Schedule I controlled substances are concluded to be highly addictive, have great potential for abuse, and/or have capacity for use as precursors for other illegal drugs. In addition, the Convention on Psychotropic Substances in 1971 listed THC in Schedule I due to its potential for abuse, threat to public health, and low therapeutic potential. In 1988, the United Nations Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances prohibited "the production, manufacture, supply, distribution, sale, transportation, import, or export of any narcotic drug or psychotropic substance." It also prohibited possession of these substances and cultivation of plants under the legislation of states parties.<ref name=":37" /> As a result, the importance of scientific and medical research regarding cannabis was marginalized.<ref name=":38" />

Today, the regulatory aspect of cannabis that is of greatest concern in most jurisdictions is the employment of strict THC limits to determine which plants fall under "hemp" status and can be legally cultivated, sold, and marketed as such. A limit of 0.3% THC (dry weight basis) in "young, vigorous leaves of relatively mature plants" was a guideline arbitrarily adopted by Small ''et al.''<ref name=":36" /> for this purpose, and many countries, including the U.S., have established this same criterion of a 0.3% THC limit. The range for THC limits across the globe currently spans between 0.2 and 1.0%, but most countries have chosen 0.2% as the upper limit. Relatively few jurisdictions, including the Swiss government, have increased the legal limit for hemp cultivars to as high as 1.0% THC, a much higher percent than the rest of the European Union (E.U.), which currently limits THC content to just 0.2%. The E.U. legalized the cultivation of ''Cannabis sativa'' L. plants for industrial applications in 2013, limiting trade to varieties with less than 0.2% THC dry weight of leaves and flowering parts.<ref>{{Cite book |last=European Monitoring Centre for Drugs and Drug Addiction. |date=2018 |title=Cannabis legislation in Europe: an overview. |url=https://data.europa.eu/doi/10.2810/566650 |publisher=Publications Office |place=LU |doi=10.2810/566650}}</ref> The E.U. had initially set the upper limit for industrial hemp to 0.5% THC in 1984, then reduced it to 0.3% in 1987, and finally to 0.2% in 1999. In Canada, cultivating hemp varieties with THC content below 0.3% dry weight of leaves and flowering parts was allowed in 1998. Today, Canada is the largest producer and exporter of hemp products, in particular, hemp-based food and ingredients, around the world.<ref name=":40">{{Cite web |last=Johnson, R. |date=22 June 2018 |title=Hemp as an Agricultural Commodity |url=https://sgp.fas.org/crs/misc/RL32725.pdf |format=PDF |publisher=Congressional Research Service}}</ref> The hemp-producing market of the E.U. is second only to Canada. Countries including France, Netherlands, Lithuania, and Romania are among the largest producers in the E.U.<ref name=":40" /> The E.U. also certifies specific hemp varieties of seeds in the ''Common Catalogue of Varieties of Agricultural Plant Species'' and grants subsidies to farmers using these catalogued seeds as long as they remain <0.2% THC.<ref name=":41">{{Cite journal |last=Glivar |first=Taja |last2=Eržen |first2=Jan |last3=Kreft |first3=Samo |last4=Zagožen |first4=Marjeta |last5=Čerenak |first5=Andreja |last6=Čeh |first6=Barbara |last7=Tavčar Benković |first7=Eva |date=2020-03 |title=Cannabinoid content in industrial hemp (Cannabis sativa L.) varieties grown in Slovenia |url=https://linkinghub.elsevier.com/retrieve/pii/S0926669019310921 |journal=Industrial Crops and Products |language=en |volume=145 |pages=112082 |doi=10.1016/j.indcrop.2019.112082}}</ref>

In each of the above cases, measurements of THC concentrations are usually required to include not just THC, but also THC's carboxylated precursor THCA and sometimes its non-enzymatic oxidation byproduct CBN.<ref name=":3" /><ref name=":8" /><ref name=":41" /> THCA is more prevalent than THC in fresh cannabis plant material, as well as in samples dried at low temperature that have not been in storage for long.<ref name=":41" /> When THCA is naturally [[Decarboxylation|decarboxylated]] to THC, there is a loss of molecular mass, so calculations for %w/w (%mg of cannabinoid/100 mg herbal drug) for total THC concentration should include the following ratio of 0.877% THCA:

:% of Total Δ<sup>9</sup>-THC = (% Δ<sup>9</sup>-THCA x 0.877) + % Δ<sup>9</sup>-THC + % CBN

Similarly, when calculating total CBD concentration, the following should be performed to account for the decarboxylation reaction of CBDA to CBD:

:% of Total CBD = (% CBDA x 0.877) + % CBD

The preceding paragraphs specifically discuss hemp regulations, which likely define the most important aspect of cannabis governance today; however, this unique plant presents other regulatory challenges, such as the legalization of medical and/or recreational THC-dominant cannabis, determining which conditions are eligible for medical THC use, discrepancies between federal and state cannabis regulations, and confusion around the use of isolated cannabinoids, like CBD, which are present in full- and broad-spectrum hemp extracts.

In terms of recreational cannabis legalization, Latin America has been the world’s pioneer in facilitating regulations for recreational THC-dominant cannabis. Uruguay was the first country in the world which legalized production, distribution, sale, and consumption of high-THC cannabis and its derivatives for purposes other than medical and scientific uses.<ref name=":42">{{Cite web |last=MacKay, R.' Phillips, K. |date=6 September 2016 |title=The Legal Regulation of Marijuana in Canada and Selected Other Countries |url=https://lop.parl.ca/staticfiles/PublicWebsite/Home/ResearchPublications/BackgroundPapers/PDF/2016-94-e.pdf |format=PDF |publisher=Library of Parliament}}</ref> Cannabis markets in Uruguay were allowed to sell their products for medicinal, scientific, industrial, and recreational purposes under several considerations.<ref name=":38" /> After regulatory changes in 2017, Germany was one of the first countries to pronounce that both [[public health]] services and private medical insurances should cover medical cannabis treatments.<ref name=":38" /> Select countries like Portugal have decriminalized ("eliminating criminal penalties for the unauthorized consumption and possession (typically of amounts small enough to be for personal use only) of a controlled substance"<ref name=":42" /> the use of marijuana. In Spain, possession of marijuana was decriminalized too, but not its sale. In the Netherlands, use of marijuana has been de facto decriminalized (“not applying statutes that penalize the production, distribution, or consumption of a substance to the fullest extent”).<ref name=":42" /> Also in the Netherlands, Cannabis manufacturer Bedrocan has expanded to procure vast ownership over medicinal cannabis production in the country and produces, standardizes, and exports large amounts of cannabis products with different THC and CBD concentrations. More strict policies still apply in parts of Asia, as medical cannabis has remained prohibited in Iran, Japan, Vietnam, and Pakistan. However, in India, several legal provisions for use of medical cannabis have been permitted.<ref name=":38" /><ref>{{Cite journal |last=Ghiabi |first=Maziyar |last2=Maarefvand |first2=Masoomeh |last3=Bahari |first3=Hamed |last4=Alavi |first4=Zohreh |date=2018-06 |title=Islam and cannabis: Legalisation and religious debate in Iran |url=https://linkinghub.elsevier.com/retrieve/pii/S0955395918300793 |journal=International Journal of Drug Policy |language=en |volume=56 |pages=121–127 |doi=10.1016/j.drugpo.2018.03.009 |pmc=PMC6153265 |pmid=29635140}}</ref>

In the U.S. although marijuana remains a Schedule I controlled substance under federal law—which bans the manufacture, distribution, dispensation, and possession of marijuana—individual states have elected to legalize marijuana for recreational use apart from federal guidelines.<ref name=":40" /> In the U.S., marketing of all cannabis-derived products and CBD was banned until a few years ago based on their Schedule I status and concerns about their side effects. The 2018 Farm Bill modified the definition of hemp so that hemp was no longer a controlled substance. Hemp cultivation in the U.S. is now under USDA-approved license, while growing marijuana is generally prohibited because it is considered to have drug-abuse potential.<ref name=":0" /> Regardless of federal restrictions, select states allow for the legal cultivation of cannabis plants both for medicinal and recreational purposes. Dietary supplements of CBD remain federally illegal, but the FDA has primarily taken action only against marketers making disease treatment claims. After approving Epidiolex, which contains the active ingredient CBD, for certain epilepsy conditions, CBD was inevitably assigned pharmaceutical drug status and could no longer be treated like a dietary supplement.<ref name=":39" />

==Analytical methods==
Based on International Narcotic Control Board (INCB) reports, total global production of cannabis increased from 1.3 tons in 2000 to 100.2 tons in 2015.<ref>{{Cite book |last=International Narcotics Control Board |year=2017 |title=Narcotic Drugs: Estimated World Requirements for 2017, Statistics for 2015 |url=https://www.incb.org/documents/Narcotic-Drugs/Technical-Publications/2016/Narcotic_Drugs_Publication_2016.pdf |publisher=United Nations |pages=350 |isbn=978-92-1-060062-0}}</ref> Third-party cannabis testing [[Laboratory|laboratories]] are responsible for analysis and [[quality control]] of this massive amount of raw material, as well as any final product containing cannabis, whether THC-dominant, THC-intermediate, or CBD-dominant. In addition to phytocannabinoid potency testing, which is typically done via [[high-performance liquid chromatography]] (HPLC), many cannabis labs also now commonly test for terpene content (typically done via [[gas chromatography–mass spectrometry]] [GC-MS]), as well as contaminants such as [[pesticide]]s, [[heavy metals]] (cannabis is a hyperaccumulator), [[mycotoxin]]s, and residual [[solvent]]s on derivatives and edibles. For any final cannabis products, in addition to the above analyses, many labs also test for [[water activity]], moisture content, and homogeneity to determine potential for microbial growth and an equal distribution of cannabinoids within the product, respectively. Testing requirements are overseen by specific regulating bodies where cannabis is being grown, traded, or consumed. Labs regularly consult with growers, insurers, producers, distributors, and retailers to ensure final products are labeled and marketed accurately and are safe for consumers. In addition to the above tests, some other tests labs occasionally perform include product stability, flavonoid and lipid concentrations, gender testing, nutrient testing, and leachability studies. 

The breadth of all things cannabis lab testing is beyond the scope of this article. Our focus will be on phytocannbinoid profiling to determine CBD- vs. THC-dominant chemovars, as well as the pros and cons of the most common analysis platforms.

Though different analytical methods and guidelines exist, differentiating between CBD- and THC-dominant cannabis chemotypes is no longer a difficult process due to increased knowledge of biochemical and biomolecular characteristics of ''Cannabis sativa'' L. and the development of instruments and analytical methods that facilitate detection and exact quantification of cannabinoid content.<ref name=":1" /><ref name=":43">{{Cite journal |last=Stefkov |first=Gjoshe |last2=Cvetkovikj Karanfilova |first2=Ivana |last3=Stoilkovska Gjorgievska |first3=Veronika |last4=Trajkovska |first4=Ana |last5=Geskovski |first5=Nikola |last6=Karapandzova |first6=Marija |last7=Kulevanova |first7=Svetlana |date=2022-02-01 |title=Analytical Techniques for Phytocannabinoid Profiling of Cannabis and Cannabis-Based Products—A Comprehensive Review |url=https://www.mdpi.com/1420-3049/27/3/975 |journal=Molecules |language=en |volume=27 |issue=3 |pages=975 |doi=10.3390/molecules27030975 |issn=1420-3049 |pmc=PMC8838193 |pmid=35164240}}</ref> The United Nations suggested identifying cannabinoids fast and easily with color tests such as the Fast Corinth V salt test, the Fast Blue B salt test, and the Rapid Duquenois test. [[Thin-layer chromatography]] (TLC) in both normal and reverse phase systems, besides visualizing with Fast Blue B salt as a reagent, may be used to detect cannabinoids generally. TLC is typically used for fast screening of cannabinoids and does not provide further information; in addition, it has low specificity and sensitivity, and false-positive results may be seen.<ref name=":35" /><ref name=":37" /><ref name=":44">{{Cite journal |last=Citti |first=Cinzia |last2=Braghiroli |first2=Daniela |last3=Vandelli |first3=Maria Angela |last4=Cannazza |first4=Giuseppe |date=2018-01 |title=Pharmaceutical and biomedical analysis of cannabinoids: A critical review |url=https://linkinghub.elsevier.com/retrieve/pii/S0731708517311895 |journal=Journal of Pharmaceutical and Biomedical Analysis |language=en |volume=147 |pages=565–579 |doi=10.1016/j.jpba.2017.06.003}}</ref> An accurate, reproducible, and rapid high-performance TLC (HPTLC) method was developed for quantitative analysis of total THC quantification (decarboxylated THCA + THC + CBN) along with a qualitative fingerprint of the other primary neutral cannabinoids (CBD, THCV, CBG, and CBC), with results comparable to that of an HPLC fingerprint.<ref name=":43" /><ref>{{Cite journal |last=Fischedick |first=Justin T. |last2=Glas |first2=Ronald |last3=Hazekamp |first3=Arno |last4=Verpoorte |first4=Rob |date=2009-09 |title=A qualitative and quantitative HPTLC densitometry method for the analysis of cannabinoids in Cannabis sativa L. |url=https://onlinelibrary.wiley.com/doi/10.1002/pca.1143 |journal=Phytochemical Analysis |language=en |volume=20 |issue=5 |pages=421–426 |doi=10.1002/pca.1143}}</ref> HPTLC may be helpful in screening for high levels of THC in hemp and hemp products.

[[Gas chromatography]] (GC) is one of the oldest and most common methods used for quantifying cannabinoids. The method is accomplished in a short period (under 20 minutes) at 300°C with low polarity stationary phases (e.g., 5% diphenyl and 95% dimethyl polysiloxan). Cannabinoids are partly present in the plant in their acidic forms. Quantification of acidic cannabinoids with GC is impossible because they undergo decarboxylation during passage through the hot injection port; hence, it is necessary for cannabinoids to be derivatized prior to GC. Derivatizing also results in better peak shape and more volatility.<ref name=":35" /><ref>{{Cite journal |last=Dussy |first=Franz E. |last2=Hamberg |first2=Cornelia |last3=Luginbühl |first3=Marco |last4=Schwerzmann |first4=Thomas |last5=Briellmann |first5=Thomas A. |date=2005-04 |title=Isolation of Δ9-THCA-A from hemp and analytical aspects concerning the determination of Δ9-THC in cannabis products |url=https://linkinghub.elsevier.com/retrieve/pii/S0379073804003408 |journal=Forensic Science International |language=en |volume=149 |issue=1 |pages=3–10 |doi=10.1016/j.forsciint.2004.05.015}}</ref> [[Chromatography detector|Flame ionization detectors]] (FIDs) and [[mass spectrometry]] (MS) are commonly used as detectors for the recognition and quantification of cannabinoids, coupled with GC. GC-MS is the most researched and reviewed platform for analytical cannabinoid profiling to date.<ref name=":44" /><ref>{{Cite book |date=2015-11-18 |editor-last=Kowalska |editor-first=Teresa |editor2-last=Sajewicz |editor2-first=Mieczyslaw |editor3-last=Sherma |editor3-first=Joseph |title=Planar Chromatography - Mass Spectrometry |url=https://www.taylorfrancis.com/books/9781498705899 |language=en |edition=0 |publisher=CRC Press |doi=10.1201/b19090 |isbn=978-0-429-17193-2}}</ref><ref>{{Cite journal |last=Knezevic |first=Filip |last2=Nikolai |first2=Andreas |last3=Marchart |first3=Rudolf |last4=Sosa |first4=Silvio |last5=Tubaro |first5=Aurelia |last6=Novak |first6=Johannes |date=2021-09 |title=Residues of herbal hemp leaf teas – How much of the cannabinoids remain? |url=https://linkinghub.elsevier.com/retrieve/pii/S095671352100284X |journal=Food Control |language=en |volume=127 |pages=108146 |doi=10.1016/j.foodcont.2021.108146}}</ref> GC-FID provides a more accurate and cheaper quantification than GC-MS because GC-MS requires expensive and not always available equivalent deuterated standards.<ref name=":44" /> Due to its higher efficacy, helium gas generally is preferred over nitrogen and hydrogen in studies as a carrier gas in GC-MS.<ref name=":45">{{Cite journal |last=Pourseyed Lazarjani |first=Masoumeh |last2=Torres |first2=Stephanie |last3=Hooker |first3=Thom |last4=Fowlie |first4=Chris |last5=Young |first5=Owen |last6=Seyfoddin |first6=Ali |date=2020-12 |title=Methods for quantification of cannabinoids: a narrative review |url=https://jcannabisresearch.biomedcentral.com/articles/10.1186/s42238-020-00040-2 |journal=Journal of Cannabis Research |language=en |volume=2 |issue=1 |pages=35 |doi=10.1186/s42238-020-00040-2 |issn=2522-5782 |pmc=PMC7819317 |pmid=33526084}}</ref> Several other GC methods have been reported. Some of these include GC technology and starch gel electrophoresis<ref>{{Cite journal |last=Hillig |first=Karl W. |last2=Mahlberg |first2=Paul G. |date=2004-06 |title=A chemotaxonomic analysis of cannabinoid variation in Cannabis (Cannabaceae) |url=http://doi.wiley.com/10.3732/ajb.91.6.966 |journal=American Journal of Botany |language=en |volume=91 |issue=6 |pages=966–975 |doi=10.3732/ajb.91.6.966}}</ref>, multiple reaction monitoring (MRM) GC coupled with triple [[quadrupole]] MS<ref>{{Cite journal |last=Leghissa |first=Allegra |last2=Hildenbrand |first2=Zacariah L. |last3=Foss |first3=Frank W. |last4=Schug |first4=Kevin A. |date=2018-01 |title=Determination of cannabinoids from a surrogate hops matrix using multiple reaction monitoring gas chromatography with triple quadrupole mass spectrometry |url=https://onlinelibrary.wiley.com/doi/10.1002/jssc.201700946 |journal=Journal of Separation Science |language=en |volume=41 |issue=2 |pages=459–468 |doi=10.1002/jssc.201700946}}</ref>, [[gas chromatography–vacuum ultraviolet spectroscopy]] (GC-VUV)<ref>{{Cite journal |last=Leghissa |first=Allegra |last2=Smuts |first2=Jonathan |last3=Qiu |first3=Changling |last4=Hildenbrand |first4=Zacariah L. |last5=Schug |first5=Kevin A. |date=2018-01 |title=Detection of cannabinoids and cannabinoid metabolites using gas chromatography with vacuum ultraviolet spectroscopy |url=https://onlinelibrary.wiley.com/doi/10.1002/sscp.201700005 |journal=Separation Science Plus |language=en |volume=1 |issue=1 |pages=37–42 |doi=10.1002/sscp.201700005}}</ref>, and two-dimensional gas chromatography.<ref>{{Cite journal |last=Omar |first=Jone |last2=Olivares |first2=Maitane |last3=Amigo |first3=José Manuel |last4=Etxebarria |first4=Nestor |date=2014-04 |title=Resolution of co-eluting compounds of Cannabis Sativa in comprehensive two-dimensional gas chromatography/mass spectrometry detection with Multivariate Curve Resolution-Alternating Least Squares |url=https://linkinghub.elsevier.com/retrieve/pii/S0039914013010370 |journal=Talanta |language=en |volume=121 |pages=273–280 |doi=10.1016/j.talanta.2013.12.044}}</ref>

HPLC is gaining popularity as the botanical chemical fingerprint method of choice, including for phytocannabinoid profiling.<ref name=":43" /> The most commonly analyzed cannabinoids include ∆<sup>9</sup>-THC, THCA, CBD, CBDA, CBN, CBG, and CBC. Using C18 columns for the stationary phase allows for high resolution and separation of cannabinoids. The addition of 0.1% formic acid to methanol or water for the mobile phase improves peak shapes and enhances resolution.<ref name=":35" /><ref name=":44" /> It is possible to quantify both neutral and acidic cannabinoids with HPLC (i.e., THC and THCA), due to low-temperature operation. In contrast, HPLC is not appropriate for the analysis of volatile compounds such as terpenes, which are better analyzed via GC-MS.<ref name=":45" /> MS and [[Ultraviolet–visible spectroscopy|ultraviolet]] (UV) are commonly coupled with HPLC as a detector.<ref name=":45" /> UV is cheaper and more straightforward than MS.<ref name=":35" /> Neutral cannabinoids show a UV absorption peak around 220 nm, and acidic cannabinoids peak in the range of 270–310 nm.<ref>{{Cite journal |last=Hazekamp |first=Arno |last2=Peltenburg |first2=Anja |last3=Verpoorte |first3=Rob |last4=Giroud |first4=Christian |date=2005-09 |title=Chromatographic and Spectroscopic Data of Cannabinoids from Cannabis sativa L. |url=https://www.tandfonline.com/doi/full/10.1080/10826070500187558 |journal=Journal of Liquid Chromatography & Related Technologies |language=en |volume=28 |issue=15 |pages=2361–2382 |doi=10.1080/10826070500187558 |issn=1082-6076}}</ref><ref>{{Cite journal |last=Citti |first=Cinzia |last2=Ciccarella |first2=Giuseppe |last3=Braghiroli |first3=Daniela |last4=Parenti |first4=Carlo |last5=Vandelli |first5=Maria Angela |last6=Cannazza |first6=Giuseppe |date=2016-09 |title=Medicinal cannabis: Principal cannabinoids concentration and their stability evaluated by a high performance liquid chromatography coupled to diode array and quadrupole time of flight mass spectrometry method |url=https://linkinghub.elsevier.com/retrieve/pii/S0731708516302722 |journal=Journal of Pharmaceutical and Biomedical Analysis |language=en |volume=128 |pages=201–209 |doi=10.1016/j.jpba.2016.05.033}}</ref> MS may provide higher specificity than UV, which makes it possible to analyze complex matrices of cannabis.<ref name=":44" /> To yield further information and improve specificity, the [[Chromatography detector|diode array detector]] (DAD) has been suggested by some authors.<ref name=":35" /> HPLC-DAD differentiates between ''Cannabis sativa'' L. chemotypes based on different absorption spectra.<ref>{{Cite journal |last=Peschel |first=Wieland |last2=Politi |first2=Matteo |date=2015-08 |title=1 H NMR and HPLC/DAD for Cannabis sativa L. chemotype distinction, extract profiling and specification |url=https://linkinghub.elsevier.com/retrieve/pii/S0039914015001228 |journal=Talanta |language=en |volume=140 |pages=150–165 |doi=10.1016/j.talanta.2015.02.040}}</ref> In order to differentiate between CBD and CBG, using HPLC-MS is preferred over HPLC-UV because UV does not provide enough resolution in this case, with certainty, in above 10% concentration of extract.<ref name=":45" /><ref>{{Cite journal |last=Giese |first=Matthew W |last2=Lewis |first2=Mark A |last3=Giese |first3=Laura |last4=Smith |first4=Kevin M |date=2015-11-01 |title=Method for the Analysis of Cannabinoids and Terpenes in Cannabis |url=https://academic.oup.com/jaoac/article/98/6/1503-1522/5654599 |journal=Journal of AOAC INTERNATIONAL |language=en |volume=98 |issue=6 |pages=1503–1522 |doi=10.5740/jaoacint.15-116 |issn=1060-3271}}</ref> Some other methods have also been shown to have different advantages in the quantification of cannabinoids, including liquid chromatography–[[tandem mass spectrometry]] (LC-MS/MS) combined with [[atmospheric-pressure chemical ionization]] (APCI)<ref>{{Cite journal |last=Grauwiler |first=Sandra B. |last2=Scholer |first2=André |last3=Drewe |first3=Jürgen |date=2007-05 |title=Development of a LC/MS/MS method for the analysis of cannabinoids in human EDTA-plasma and urine after small doses of Cannabis sativa extracts |url=https://linkinghub.elsevier.com/retrieve/pii/S1570023206010506 |journal=Journal of Chromatography B |language=en |volume=850 |issue=1-2 |pages=515–522 |doi=10.1016/j.jchromb.2006.12.045}}</ref>, HPLC-MS/MS<ref>{{Cite journal |last=Aizpurua-Olaizola |first=Oier |last2=Omar |first2=Jone |last3=Navarro |first3=Patricia |last4=Olivares |first4=Maitane |last5=Etxebarria |first5=Nestor |last6=Usobiaga |first6=Aresatz |date=2014-11 |title=Identification and quantification of cannabinoids in Cannabis sativa L. plants by high performance liquid chromatography-mass spectrometry |url=http://link.springer.com/10.1007/s00216-014-8177-x |journal=Analytical and Bioanalytical Chemistry |language=en |volume=406 |issue=29 |pages=7549–7560 |doi=10.1007/s00216-014-8177-x |issn=1618-2642}}</ref>, and [[High-performance liquid chromatography#Pump pressure|ultra-high-performance liquid chromatography]]–[[Hybrid mass spectrometer#Quadrupole time-of-flight|quadrupole time-of-flight]] (UPLC-qTOF).<ref name=":45" />

Many labs prefer either GC- or LC-based methods for cannabinoid testing. According to a recent comprehensive literature review of the past four decades of analytical methods reported for cannabinoid profiling in over 220 scientific papers, Stefkov ''et al.''<ref name=":43" /> states that GC- and LC-based methods, at this point in time, exhibit comparable accuracy, selectivity, linearity, sensitivity, and precision. Both are used routinely and in investigational analysis of cannabis and cannabis products. HPTLC may soon prove to be superior to either one of these (GC techniques or HPLC) due to the possibilities of lower running costs, quicker analysis run time, automation of sample application and spotting, and ability to analyze multiple samples simultaneously.

In addition to developing a highly sensitive, precise, and affordable instrumental analysis, the identification of plant materials, sample selection, and preparation should be taken into account.

Macroscopic and microscopic features are primarily used to identify the plant material. Differential identification is accomplished to figure out the presence of closely related species or other adulterations. HPTLC fingerprint could complete the macroscopic and microscopic techniques, as it provides important data about the major cannabinoids. The ''USP'' general chapters <563>, <203>, and <1064> describe general procedures, which could be useful in the identification of botanicals.<ref name=":3" /> A proper sample of plant material should represent the characteristics of the whole batch to ensure reproducibility in the results of quantification analyses. A non-homogenized or stratified batch may lead to under- or overestimation of cannabinoid content (due to higher levels of cannabinoids in glandular hair trichomes).<ref name=":3" /> The ''USP'' general chapter <561> explains a valid sampling procedure for botanical drugs. The procedure is based on the weight of the holding container. Contents should be mixed for less than 1 kg containers. For 1–5 kg containers, sampling should be performed by withdrawing an equal amount of plant material from the upper, middle, and lower parts of the container. For above 5 kg containers, three samples must be taken from each of the upper, middle and lower parts.<ref>{{Cite web |last=The United States Pharmacopeial Convention |title=<561> Articles of Botanical Origin |work=United States Pharmacopeia–National Formulary |url=https://www.usp.org/sites/default/files/usp/document/our-work/DS/2015-dsc-chapters-561-616-1010-1092.pdf |format=PDF |publisher=The United States Pharmacopeial Convention}}</ref>

Sample preparation varies and depends mainly on the aim of analysis and sample form (solid, liquid, or gas).<ref name=":46">{{Cite journal |last=Chen |first=Xinlv |last2=Wu |first2=Xinyan |last3=Luan |first3=Tiangang |last4=Jiang |first4=Ruifen |last5=Ouyang |first5=Gangfeng |date=2021-03 |title=Sample preparation and instrumental methods for illicit drugs in environmental and biological samples: A review |url=https://linkinghub.elsevier.com/retrieve/pii/S0021967321000856 |journal=Journal of Chromatography A |language=en |volume=1640 |pages=461961 |doi=10.1016/j.chroma.2021.461961}}</ref> For non-biological samples, which range from raw materials and cannabis extracts to semi- (mixture of cannabinoids) or fully-purified (single cannabinoid) materials and formulated cannabis preparations (e.g., edible oil or capsule), analysis of cannabinoids is done to determine the chemical profile of cannabinoids. Cannabis extraction is the process of isolating cannabinoids or terpenes from cannabis trichomes with the purpose of producing medical or recreational supplements and is necessary before any quantification or purification. This process involves several consecutive procedures as follows<ref name=":46" />: 

#Harvesting the plant material
#Trimming the flowers
#Drying the flowers in the absence of sunlight to avoid chemical degradation
#Milling the flowers to decrease particle size
#Immersing the flowers in a solvent (constituents release into the solvent)
#Winterizing the solution (a deep-freezing procedure with the aim of the sedimentation of a viscous black residue called wax)
#Filtrating the solution to remove wax from the extract
#Removing all of the solvent using a rotary evaporator

Further purification methods, might be followed according to the final goal, such as crystallization or chromatography. Polar solvents are routinely used for the solvent extraction of semi-polar cannabinoids or terpenes from the flower trichomes, e.g., using [[ethanol]], [[methanol]], [[isopropanol]], or dimethyl ether.<ref>{{Cite journal |last=Valizadehderakhshan |first=Mehrab |last2=Shahbazi |first2=Abolghasem |last3=Kazem-Rostami |first3=Masoud |last4=Todd |first4=Matthew Scott |last5=Bhowmik |first5=Arnab |last6=Wang |first6=Lijun |date=2021-04-23 |title=Extraction of Cannabinoids from Cannabis sativa L. (Hemp)—Review |url=https://www.mdpi.com/2077-0472/11/5/384 |journal=Agriculture |language=en |volume=11 |issue=5 |pages=384 |doi=10.3390/agriculture11050384 |issn=2077-0472}}</ref>

Biological specimens (blood, plasma, serum, urine, oral fluid, breath, and hair) typically are analyzed for research purposes and forensic toxicological and drug abuse investigations.<ref>{{Cite journal |last=Karschner |first=Erin L |last2=Swortwood-Gates |first2=Madeleine J |last3=Huestis |first3=Marilyn A |date=2020-07-01 |title=Identifying and Quantifying Cannabinoids in Biological Matrices in the Medical and Legal Cannabis Era |url=https://academic.oup.com/clinchem/article/66/7/888/5867829 |journal=Clinical Chemistry |language=en |volume=66 |issue=7 |pages=888–914 |doi=10.1093/clinchem/hvaa113 |issn=0009-9147}}</ref> Several solvent-based extraction approaches are used for solid samples to extract the marker analytes (cannabinoids in this case) and remove any byproducts. Liquid-phase extraction (LPE), [[solid-phase extraction]] (SPE), and solvent extraction assisted with microwave, ultrasonic, or pressure methods have been proposed for solid sample preparation. Solid-phase microextraction (SPME) is widely employed for hair samples due to increased automation and potential for high throughput. Liquid samples are mostly involved in the detection of drug abuse cases. Similar to solid samples, liquid samples must be processed for isolation of cannabinoids and elimination of interferences. SPE and liquid-Liquid extraction (LLE)—in addition to recent microextraction methods, including solid-phase microextraction, packed sorbent microextraction, dispersive solid-phase extraction, dispersive liquid-liquid microextraction, and hollow fiber-based liquid-phase microextraction—are used for this purpose. As for gas samples, a sample of air is typically prepared through capillary microextraction. For aerosols, liquid-phase extraction is utilized after collecting airborne particles.<ref name=":46" />

==Discussion==
Confusion and inappropriate use of the terms "hemp" and "marijuana" is a great limitation in regards to broader acceptance and widespread use of the cannabis plant. Distinctions between hemp and marijuana extend beyond definitions and concentrations of THC, as they differ in chemical and genetic composition, production practices, and especially in their use as medicine, food, and in industrial applications. Hundreds of preclinical and clinical studies have been done to evaluate the efficacy and safety of phytocannabinoids like CBD in different conditions, but the body of evidence from high-quality clinical studies still lacks robust conclusions about CBD’s safety and efficacy in treating diseases other than epilepsy.

Due to the complex nature of the ECS and its role on several physiologic functions in the body such as mood, memory, inflammation, and appetite, there are still many uncertainties about the way exogenous phytocannabinoids interact with the human ECS, and many areas that still need further research.

In addition, there is an ongoing need for legislative and regulatory intervention in some countries in order to provide a platform for developing research about cannabis and related industries. Making policies that promote the advantages of cannabis and prevent its misuse is necessary, and policymakers should attempt to increase public knowledge about cannabis safety based on current research. Most of the primary issues with cannabis could likely be resolved through identifying and quantifying intoxicating compounds in both original plant material and cannabis products, agreement on universal nomenclature, reporting and labeling guidelines, and continued education for all parties involved, including farmers, insurers, policy makers, scientists, physicians, and consumers. Instrumental analytical methods and genetic testing will play a crucial role in achieving this goal.

Despite all of the recent advances, several cannabis topics remain to be addressed. For example, researchers still have room to explore the advantages of natural plant extracts over synthetic drugs, clarify legal use of full spectrum hemp products vs. low- and high-dose CBD-containing products, purify CBD in prescription medication, and explore the many benefits of lesser known terpenes and minor cannabinoids. Nevertheless, due to expanding knowledge about cannabis’s value in medicine and industry, as well as recent changes in legislation allowing for easier access to this plant, novel research findings are continuing to grow and spread around the world.

==Acknowledgements==
The authors thank Roy Upton (the founder, executive director, and editor of the ''American Herbal Pharmacopoeia'' [AHP]) for technical assistance and critical review.

===Author contributions===
SA conceived the presented idea and managed the team. AS and KP wrote the article with Co-operation. YS, SA, and BZ reviewed the article critically and they substantially contribute to the final manuscripts.

===Conflict of interest===
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

==References==
{{Reflist|colwidth=30em}}

==Notes==
This presentation is faithful to the original, with only a few minor changes to presentation. Some grammar and punctuation was cleaned up to improve readability. In some cases important information was missing from the references, and that information was added. The original lists citation alphabetically; this version, by design, lists them in order of appearance. The definition of hemp from the Agriculture Improvement Act of 2018 lacked a proper citation in the original; one was made for this version. The original is missing the citation for Fernandez ''et al.'' 2020; the correct citation was found and used for this version. The original is missing the citation for Stack 2021; the presumably correct citation was found and used for this version. The original is missing the citation for Selehi 2019; the correct citation was found and used for this version. The original is missing the citation for Joy ''et al.'' 2019; the correct citation was found and used for this version. The original is missing the citation for Keating 2017; the correct citation was found and used for this version. The original is missing the citation for ''USP'' <561> 2019; the correct citation was found and used for this version.

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