Cannabis MOC
Hub
Mechanisms
- CB1 receptor — primary THC target; downregulation drives tolerance and withdrawal
- 11-OH-THC — active metabolite; explains edible potency and duration
Biometrics
Risks
- Psychosis risk — dose/potency-dependent; OR 1.4–5.7
- Cardiovascular risk — RR 1.2–2.1 for ACS/stroke/CV death; smoked strongest
- CHS — paradoxical vomiting from TRPV1 desensitization
Recovery
- Cannabis withdrawal — onset 1–2 days; peak day 3; full resolution ~30 days; CB1 recovery lag + endocannabinoid tone collapse
Detection
Interactions