{"id":13718,"date":"2019-09-16T15:28:49","date_gmt":"2019-09-16T19:28:49","guid":{"rendered":"https:\/\/staging.observatoireprevention.org\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/"},"modified":"2024-02-21T13:48:25","modified_gmt":"2024-02-21T18:48:25","slug":"edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation","status":"publish","type":"post","link":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/","title":{"rendered":"Edible cannabis: An effect of longer duration and less predictable than with inhalation"},"content":{"rendered":"\n<p>On October 17, 2019, one year after the legalization of cannabis as a smoking substance, the Government of Canada legalized he sale of edible cannabis products, in the form of extracts, for inhalation (vaping) and topical use. In Qu\u00e9bec, the new products will be offered for sale exclusively at the <em>Soci\u00e9t\u00e9 Qu\u00e9b\u00e9coise du&nbsp;Cannabis<\/em> (SQDC). Two new types of products could be offered: edible bakery and pastry products and cannabis extracts (hashish, skuff, vaping liquids). The Qu\u00e9bec government <a href=\"http:\/\/www2.publicationsduquebec.gouv.qc.ca\/dynamicSearch\/telecharge.php?type=13&amp;file=1930-F.PDF\" target=\"_blank\" rel=\"noopener noreferrer\">has announced its intention<\/a> to restrict the supply of certain cannabis products (sweets, confectionery, desserts, chocolates and topical products).<\/p>\n\n\n\n<p>The legalization of edible cannabis products is of concern to some public health experts, mainly because of the potential risks of overdose by users and involuntary intoxication by children or pets. These products will be strictly regulated by the federal government\u2019s \u201c<a href=\"https:\/\/laws-lois.justice.gc.ca\/eng\/Regulations\/SOR-2018-144\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Cannabis Regulations<\/a>.\u201d The maximum THC content will be 10&nbsp;mg of THC per package; it will be forbidden to add alcohol, nicotine, vitamins or minerals and there will be a limit for the amount of caffeine; the packaging must be childproof; packaging should not be attractive to young people; and no claim of health benefits will be allowed. Labelling will also be regulated and must contain THC and CBD content, a list of ingredients, a Nutrition Facts table and a warning.<\/p>\n\n\n\n<p>In a <a href=\"https:\/\/www.inspq.qc.ca\/sites\/default\/files\/publications\/2582_memoire_reglement_cannabis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">brief<\/a> (in French only) presented to the Qu\u00e9bec Ministry of Health and Social Services, the National Institute of Public Health of Qu\u00e9bec (INSPQ) believes that \u201c<b>t<\/b>he federal government\u2019s approval of a wide range of new cannabis products(edible, extracted and topical) seems to be a hasty initiative.\u201d The INSPQ believes that the marketing of these products poses several health risks: the number of users could increase and the consumption of current users could increase; there is a risk related to delayed effects that are difficult to anticipate; risk of involuntary consumption; risks associated with the consumption of cannabis extracts with a high THC content. The INSPQ supports the Qu\u00e9bec government\u2019s initiative to impose new regulatory restrictions on the products to be offered by the SQDC and suggests improvements to the proposed regulation:<\/p>\n\n\n<section class=\"wp-block-borealisaurora-aurora-custom-block-posts-highlight wp-block-borealisaurora-aurora-custom-block-posts-highlight\">\n    <div class=\"aurora-custom-block-posts-highlight\">\n            <div class=\"content\" >\n            \n\n<ul class=\"wp-block-list\">\n<li>Allow only the sale of edible products, including beverages, that are recognizable by the characteristic taste of cannabis. This should help to avoid unduly broadening their appeal beyond existing users and to prevent unintended consumption by distinguishing cannabis products from common food products;<\/li>\n\n\n\n<li>Prohibit the sale of any cannabis drink that is sweet or has the appearance of popular beverages (for example, soft drinks or fruit juices);<\/li>\n\n\n\n<li>Entrust the Vigilance Committee, an independent organization, with the mandate to ratify the assessment made by the SQDC of the conformity of the products and extracts it will offer to the definition of \u201cattractive for minors.\u201d<\/li>\n<\/ul>\n\n\n\n<p>(From <a rel=\"noreferrer noopener\" href=\"https:\/\/www.inspq.qc.ca\/sites\/default\/files\/publications\/2582_memoire_reglement_cannabis.pdf\" target=\"_blank\">the INSPQ\u2019s brief<\/a>, pages 1 and 13, August 2019.)<\/p>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n\n<p><strong>Differences between inhaling and ingesting cannabis<br><\/strong>Inhalation and ingestion are two very different modes of cannabis use from a pharmacological point of view. When cannabis is smoked or vaped, the high temperature generated by combustion or vaping releases volatile compounds as smoke or vapour, including the main psychoactive compound of cannabis, \u0394<sup>9<\/sup>-tetrahydrocannabinol (THC), and cannabidiol (CBD), which has no psychoactive effect. Inhaling smoke or cannabis vapour puts cannabinoids in contact with the lung cells that absorb them and pass them quickly into the bloodstream. THC is partially delivered to the brain where it binds to cannabinoid receptors and will cause a euphoric effect. THC will also pass through the liver where it will first be metabolized to 11-OH-THC (or hydroxy-THC, psychoactive) and then inactivated to 11-nor-9-COOH-THC (or carboxy-THC, non-psychoactive). The bioavailability of cannabis by inhalation ranges from 10% to 35% and varies with the duration and depth of inhalation and the duration of puff retention.<\/p>\n\n\n\n<p><strong>Ingestion of cannabis products<br><\/strong>When cannabis is ingested, 90% to 95% of the THC it contains is absorbed in the gastrointestinal tract and then delivered to the liver via the portal vein. A large proportion of THC is inactivated in the liver (carboxy-THC) before it can reach the site of action in the brain. After this \u201cfirst pass\u201d in the liver, THC and hydroxy-THC (both psychoactive) that have not been inactivated in carboxy-THC (non-psychoactive) are pumped through the heart and then routed to the brain and the periphery. The bioavailability of THC by ingestion is approximately 4%\u201312% and varies greatly from one individual to another.<\/p>\n\n\n\n<p>Another major difference in the two patterns of cannabis use is the rate at which THC reaches the brain and produces its psychoactive effects. THC is detectable in the blood just seconds after taking a first puff of a cannabis cigarette, with a peak concentration&nbsp;6 to 10 minutes after starting to smoke (Figure&nbsp;1, red line). THC is rapidly converted to hydroxy-THC, with a peak concentration at 15 minutes (Figure&nbsp;1, blue line), then carboxy-THC (green line). The two main psychoactive substances, THC and hydroxy-THC, are almost completely metabolized 2\u20133 hours after inhaling cannabis smoke. Traces of THC can still be detected in the blood after 7 to 27 hours depending on the dose of inhaled cannabis, while the carboxy-THC metabolite can be detected in the blood for up to 7 days after inhaling cannabis. The main cause of this slow removal of THC from the blood is the slow re-diffusion of THC from adipose tissue and other tissues into the bloodstream.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"858\" src=\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_1_english-1-1024x858.jpg\" alt=\"\" class=\"wp-image-15946\" style=\"width:638px;height:534px\" srcset=\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_1_english-1-1024x858.jpg 1024w, https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_1_english-1-300x251.jpg 300w, https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_1_english-1-768x644.jpg 768w, https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_1_english-1-1536x1287.jpg 1536w, https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_1_english-1.jpg 2008w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p>Figure&nbsp;1. <strong>Mean plasma concentrations of \u0394<sup>9<\/sup>-tetrahydrocannabinol (THC), 11-hydroxy-THC (11-OH-THC) and 11-nor-9-carboxy-THC (11-COOH-THC) of six individuals during and after smoking a cannabis cigarette containing approximately 15.8&nbsp;mg of THC.<\/strong> Volunteers were instructed to inhale for 2 seconds, hold the smoke for 10 seconds, and exhale and pause for 72 seconds. In total, the volunteers inhaled 8 puffs in 11.2 minutes. According to <a href=\"https:\/\/academic.oup.com\/jat\/article-abstract\/16\/5\/276\/797725?redirectedFrom=fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">Huestis et al., 1992<\/a>.<\/p>\n\n\n\n<p>The absorption of THC after cannabis ingestion is much slower and erratic, with maximum THC concentrations observed after 60\u2013120 minutes (Figure&nbsp;2, red line). Almost equal amounts of THC and hydroxy-THC (Fig.&nbsp;2, blue line) were found in the blood after ingesting THC at all times. Maximum levels of these two psychoactive substances were measured 2 to 3 hours after ingestion, and remained elevated up to 6 hours. The major metabolite was carboxy-THC (non-psychoactive) and is still found in large amounts 6 hours after ingesting THC-containing capsules (Fig.&nbsp;2, green line).<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"856\" src=\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_2_english-1-1024x856.jpg\" alt=\"\" class=\"wp-image-15948\" style=\"width:674px;height:563px\" srcset=\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_2_english-1-1024x856.jpg 1024w, https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_2_english-1-300x251.jpg 300w, https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_2_english-1-768x642.jpg 768w, https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_2_english-1-1536x1284.jpg 1536w, https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/06\/Figure_2_english-1.jpg 2008w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p>Figure&nbsp;2. <strong>Mean plasma concentrations of \u0394<sup>9<\/sup>-tetrahydrocannabinol (THC), 11-hydroxy-THC (11-OH-THC) and 11-nor-9-carboxy-THC (11-COOH-THC) from six individuals after ingesting gelatine capsules containing a total of 20&nbsp;mg of THC. <\/strong>According to <a href=\"https:\/\/accp1.onlinelibrary.wiley.com\/doi\/abs\/10.1002\/j.1552-4604.1981.tb02594.x?sid=nlm%3Apubmed\" target=\"_blank\" rel=\"noopener noreferrer\">Wall and Perez-Reyes, 1981<\/a>.<\/p>\n\n\n\n<p>More hydroxy-THC is produced after ingestion of cannabis compared to inhalation (see Figures&nbsp;1 and 2, blue line), but according to <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC302499\/\" target=\"_blank\" rel=\"noopener noreferrer\">one study<\/a> this metabolite would have a higher psychoactive potential than THC. In addition, hydroxy-THC would <a href=\"https:\/\/link.springer.com\/chapter\/10.1007\/978-3-642-51624-5_15\" target=\"_blank\" rel=\"noopener noreferrer\">enter the brain faster and in greater amounts<\/a> than THC. Combined with the fact that THC and hydroxy-THC are present in the bloodstream for a longer period, there is a greater risk of overdose when cannabis is ingested than when it is inhaled.<\/p>\n\n\n\n<p>Cannabis users who are accustomed to the effect obtained by inhalation should be careful when using an edible product for the first time and use a reliable and controlled product such as those that will be available at the SQDC. New users should not take more than 5\u201310 mg of THC and be patient as it may take one to two hours to experience the euphoric effect. The INSPQ and other public health organizations have also suggested that the unit sizes of edible cannabis should not contain more than 5&nbsp;mg of THC, which is half the limit imposed by federal law (10&nbsp;mg). Since the effect will be longer lasting with an edible product, the consumer will have to plan a sufficient amount of time in their schedule and anticipate that the effects of cannabis may take more than six hours to fade. Overdose, which can cause a very unpleasant \u201cbad trip\u201d, should be avoided. Fortunately, it is almost impossible to die of an overdose of cannabis because it would require consuming huge amounts (kilograms). On the other hand, overdose can, in very rare cases, cause acute suicidal psychosis or exacerbate underlying cardiac problems and indirectly cause death.<\/p>\n\n\n\n<p><strong>Cannabidiol (CBD)<br><\/strong>Products containing CBD (non-psychoactive) are very popular in North America, and up to 14% of Americans consume it according to <a href=\"https:\/\/news.gallup.com\/poll\/263147\/americans-say-cbd-products.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">a recent survey<\/a>. U.S. users say they consume these products to reduce pain (40%), anxiety (20%), to improve sleep (11%), to treat arthritis (8%), migraines and headaches (5%), and reduce stress (5%). According to a <a href=\"https:\/\/www.forbes.com\/sites\/irisdorbian\/2019\/05\/20\/cbd-market-could-reach-20-billion-by-2024-says-new-study\/#7537f69049d0\" target=\"_blank\" rel=\"noopener noreferrer\">U.S. study<\/a>, the CBD market could reach 20&nbsp;billion dollars in 2024.<\/p>\n\n\n\n<p>Paradoxically, relatively little is known about the metabolism of this cannabinoid and its therapeutic efficacy. The only two CBD-based medications that have been licensed are Sativex for the treatment of symptoms of multiple sclerosis and Epidiolex for certain types of epilepsy in children. A dozen clinical trials are underway to treat schizophrenia, Crohn\u2019s disease and graft-versus-host disease.<\/p>\n\n\n\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007%2Fs40263-018-0578-5\" target=\"_blank\" rel=\"noopener noreferrer\">A randomized controlled trial<\/a> was recently conducted to establish the safety, tolerability and pharmacokinetics of CBD. CBD was generally well tolerated (single oral doses of 1500, 3000, 4500, 6000&nbsp;mg CBD) and side effects were mild. After a single oral dose, CBD is detected rapidly in the blood and reaches a maximum concentration after 4\u20135 hours. The major circulating metabolite was 7-carboxy-CBD (95%, inactive), followed by CBD (2%, active) and 7-hydroxy-CBD (2.3%, active), and 6-hydroxy-CBD (0.2%). The low absolute bioavailability of CBD caused by metabolism in the liver to 7-carboxy-CBD (inactive) explains why relatively high doses of CBD are required to achieve a therapeutic effect. The study found that taking CBD twice a day would maintain an effective plasma concentration for treating epilepsy.<\/p>\n\n\n\n<p>Canadians will soon have access to edible cannabis products that will be controlled by federal and provincial laws and regulations. New users should be careful not to consume these products in excessive quantities, knowing that this mode of consumption does not produce exactly the same effects as a cannabis cigarette, particularly with regard to the much slower absorption time and prolonged duration of euphoric effects.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Edible cannabis does not produce exactly the same effects as a cannabis cigarette, especially with regard to the much slower absorption time and the prolonged duration of euphoric effects.<\/p>\n","protected":false},"author":3,"featured_media":15852,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1478],"tags":[],"coauthors":[],"class_list":["post-13718","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cannabis"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Edible cannabis: An effect of longer duration and less predictable than with inhalation | Observatoire de la pr\u00e9vention de l&#039;Institut de Cardiologie de Montr\u00e9al<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Edible cannabis: An effect of longer duration and less predictable than with inhalation | Observatoire de la pr\u00e9vention de l&#039;Institut de Cardiologie de Montr\u00e9al\" \/>\n<meta property=\"og:description\" content=\"Edible cannabis does not produce exactly the same effects as a cannabis cigarette, especially with regard to the much slower absorption time and the prolonged duration of euphoric effects.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/\" \/>\n<meta property=\"og:site_name\" content=\"Observatoire de la pr\u00e9vention de l&#039;Institut de Cardiologie de Montr\u00e9al\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/drjuneau\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-09-16T19:28:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-21T18:48:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"768\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Dr Martin Juneau, M.D., FRCP\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@PreventionICM\" \/>\n<meta name=\"twitter:site\" content=\"@PreventionICM\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr Martin Juneau, M.D., FRCP\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/\"},\"author\":{\"name\":\"Dr Martin Juneau, M.D., FRCP\",\"@id\":\"https:\/\/observatoireprevention.org\/en\/#\/schema\/person\/d871e7a3ab4f9b62be6220830f6ac12e\"},\"headline\":\"Edible cannabis: An effect of longer duration and less predictable than with inhalation\",\"datePublished\":\"2019-09-16T19:28:49+00:00\",\"dateModified\":\"2024-02-21T18:48:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/\"},\"wordCount\":1659,\"image\":{\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg\",\"articleSection\":[\"Cannabis\"],\"inLanguage\":\"en-CA\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/\",\"url\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/\",\"name\":\"Edible cannabis: An effect of longer duration and less predictable than with inhalation | Observatoire de la pr\u00e9vention de l&#039;Institut de Cardiologie de Montr\u00e9al\",\"isPartOf\":{\"@id\":\"https:\/\/observatoireprevention.org\/en\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg\",\"datePublished\":\"2019-09-16T19:28:49+00:00\",\"dateModified\":\"2024-02-21T18:48:25+00:00\",\"author\":{\"@id\":\"https:\/\/observatoireprevention.org\/en\/#\/schema\/person\/d871e7a3ab4f9b62be6220830f6ac12e\"},\"breadcrumb\":{\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#breadcrumb\"},\"inLanguage\":\"en-CA\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-CA\",\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#primaryimage\",\"url\":\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg\",\"contentUrl\":\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg\",\"width\":1024,\"height\":768},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/observatoireprevention.org\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Edible cannabis: An effect of longer duration and less predictable than with inhalation\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/observatoireprevention.org\/en\/#website\",\"url\":\"https:\/\/observatoireprevention.org\/en\/\",\"name\":\"Observatoire de la pr\u00e9vention de l'Institut de Cardiologie de Montr\u00e9al\",\"description\":\"Promouvoir la pr\u00e9vention des maladies cardiovasculaires pour allonger l\u2019esp\u00e9rance de vie en sant\u00e9.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/observatoireprevention.org\/en\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-CA\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/observatoireprevention.org\/en\/#\/schema\/person\/d871e7a3ab4f9b62be6220830f6ac12e\",\"name\":\"Dr Martin Juneau, M.D., FRCP\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-CA\",\"@id\":\"https:\/\/observatoireprevention.org\/en\/#\/schema\/person\/image\/1163e1b440a5fe4fc2e23b9e054dedef\",\"url\":\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/05\/dr-martin-juneau-1-96x96.jpg\",\"contentUrl\":\"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/05\/dr-martin-juneau-1-96x96.jpg\",\"caption\":\"Dr Martin Juneau, M.D., FRCP\"},\"description\":\"Cardiologue, directeur de l'Observatoire de la pr\u00e9vention de l'Institut de Cardiologie de Montr\u00e9al.\u00a0Professeur titulaire de clinique, Facult\u00e9 de m\u00e9decine de l'Universit\u00e9 de Montr\u00e9al. \/ Cardiologist and Director of Prevention Watch, Montreal Heart Institute. Clinical Professor, Faculty of Medicine, University of Montreal.\",\"url\":\"https:\/\/observatoireprevention.org\/en\/author\/dr-martin-juneau\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Edible cannabis: An effect of longer duration and less predictable than with inhalation | Observatoire de la pr\u00e9vention de l&#039;Institut de Cardiologie de Montr\u00e9al","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/","og_locale":"en_US","og_type":"article","og_title":"Edible cannabis: An effect of longer duration and less predictable than with inhalation | Observatoire de la pr\u00e9vention de l&#039;Institut de Cardiologie de Montr\u00e9al","og_description":"Edible cannabis does not produce exactly the same effects as a cannabis cigarette, especially with regard to the much slower absorption time and the prolonged duration of euphoric effects.","og_url":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/","og_site_name":"Observatoire de la pr\u00e9vention de l&#039;Institut de Cardiologie de Montr\u00e9al","article_publisher":"https:\/\/www.facebook.com\/drjuneau\/","article_published_time":"2019-09-16T19:28:49+00:00","article_modified_time":"2024-02-21T18:48:25+00:00","og_image":[{"width":1024,"height":768,"url":"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg","type":"image\/jpeg"}],"author":"Dr Martin Juneau, M.D., FRCP","twitter_card":"summary_large_image","twitter_creator":"@PreventionICM","twitter_site":"@PreventionICM","twitter_misc":{"Written by":"Dr Martin Juneau, M.D., FRCP","Est. reading time":"10 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#article","isPartOf":{"@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/"},"author":{"name":"Dr Martin Juneau, M.D., FRCP","@id":"https:\/\/observatoireprevention.org\/en\/#\/schema\/person\/d871e7a3ab4f9b62be6220830f6ac12e"},"headline":"Edible cannabis: An effect of longer duration and less predictable than with inhalation","datePublished":"2019-09-16T19:28:49+00:00","dateModified":"2024-02-21T18:48:25+00:00","mainEntityOfPage":{"@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/"},"wordCount":1659,"image":{"@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#primaryimage"},"thumbnailUrl":"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg","articleSection":["Cannabis"],"inLanguage":"en-CA"},{"@type":"WebPage","@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/","url":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/","name":"Edible cannabis: An effect of longer duration and less predictable than with inhalation | Observatoire de la pr\u00e9vention de l&#039;Institut de Cardiologie de Montr\u00e9al","isPartOf":{"@id":"https:\/\/observatoireprevention.org\/en\/#website"},"primaryImageOfPage":{"@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#primaryimage"},"image":{"@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#primaryimage"},"thumbnailUrl":"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg","datePublished":"2019-09-16T19:28:49+00:00","dateModified":"2024-02-21T18:48:25+00:00","author":{"@id":"https:\/\/observatoireprevention.org\/en\/#\/schema\/person\/d871e7a3ab4f9b62be6220830f6ac12e"},"breadcrumb":{"@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#breadcrumb"},"inLanguage":"en-CA","potentialAction":[{"@type":"ReadAction","target":["https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/"]}]},{"@type":"ImageObject","inLanguage":"en-CA","@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#primaryimage","url":"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg","contentUrl":"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2019\/09\/rendered.jpg","width":1024,"height":768},{"@type":"BreadcrumbList","@id":"https:\/\/observatoireprevention.org\/en\/2019\/09\/16\/edible-cannabis-an-effect-of-longer-duration-and-less-predictable-than-with-inhalation\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/observatoireprevention.org\/en\/"},{"@type":"ListItem","position":2,"name":"Edible cannabis: An effect of longer duration and less predictable than with inhalation"}]},{"@type":"WebSite","@id":"https:\/\/observatoireprevention.org\/en\/#website","url":"https:\/\/observatoireprevention.org\/en\/","name":"Observatoire de la pr\u00e9vention de l'Institut de Cardiologie de Montr\u00e9al","description":"Promouvoir la pr\u00e9vention des maladies cardiovasculaires pour allonger l\u2019esp\u00e9rance de vie en sant\u00e9.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/observatoireprevention.org\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-CA"},{"@type":"Person","@id":"https:\/\/observatoireprevention.org\/en\/#\/schema\/person\/d871e7a3ab4f9b62be6220830f6ac12e","name":"Dr Martin Juneau, M.D., FRCP","image":{"@type":"ImageObject","inLanguage":"en-CA","@id":"https:\/\/observatoireprevention.org\/en\/#\/schema\/person\/image\/1163e1b440a5fe4fc2e23b9e054dedef","url":"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/05\/dr-martin-juneau-1-96x96.jpg","contentUrl":"https:\/\/observatoireprevention.org\/wp-content\/uploads\/2023\/05\/dr-martin-juneau-1-96x96.jpg","caption":"Dr Martin Juneau, M.D., FRCP"},"description":"Cardiologue, directeur de l'Observatoire de la pr\u00e9vention de l'Institut de Cardiologie de Montr\u00e9al.\u00a0Professeur titulaire de clinique, Facult\u00e9 de m\u00e9decine de l'Universit\u00e9 de Montr\u00e9al. \/ Cardiologist and Director of Prevention Watch, Montreal Heart Institute. Clinical Professor, Faculty of Medicine, University of Montreal.","url":"https:\/\/observatoireprevention.org\/en\/author\/dr-martin-juneau\/"}]}},"_links":{"self":[{"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/posts\/13718","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/comments?post=13718"}],"version-history":[{"count":0,"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/posts\/13718\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/media\/15852"}],"wp:attachment":[{"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/media?parent=13718"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/categories?post=13718"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/tags?post=13718"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/observatoireprevention.org\/en\/wp-json\/wp\/v2\/coauthors?post=13718"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}