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Marilyn A. Huestis

30 papers in the library · 466 citations · publishing 1992-2026

Papers

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PET imaging of FAAH in chronic Cannabis users: longitudinal assessment during short-term abstinence.

Neuropsychopharmacology May 9, 2026 Claudia Poluga, S. S. Dheda, Nadia Boachie et al.

Cannabis withdrawal in cannabis use disorder (CUD) increase the risk of relapse and lacks effective treatments. The endocannabinoid enzyme fatty acid amide hydrolase (FAAH) may influence cannabis use and withdrawal, but the relationship between FAAH levels and withdrawal symptoms remains unclear. This study aims to investigate changes in FAAH levels during short-term abstinence from cannabis...

Potency-related effects of smoked cannabis on simulated driving performance: a randomized, controlled crossover trial.

Scientific Reports March 10, 2026 Bruna Brands, Adam Zaweel, Madison Wright et al.

Given the increasing availability of high-potency Δ9-tetrahydrocannabinol (Δ9-THC) products, understanding potency-related effects of Δ9-THC on driving performance is an important public safety issue. This randomized, double-blind, placebo-controlled, within-subjects trial examined the effects of smoked cannabis with varying Δ9-THC concentrations on simulated driving. Adults aged 19–45 who...

Longitudinal Neurocognitive Trajectories in a Large Cohort of Youth Who Use Cannabis: Combining Self-Report and Toxicology.

bioRxiv : the preprint server for biology March 6, 2026 Natasha E Wade, Ryan M Sullivan, Alexander L. Wallace et al. preprint

Adolescents experience extensive neurocognitive development, with cannabis use potentially impacting developmental trajectories. Here, we comprehensively assess the influence of adolescent cannabis use onset on neurocognitive trajectories and consider how recent delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD) may influence neurocognition. We use the large, diverse longitudinal...

MDMA pharmacokinetics: A population and physiologically based pharmacokinetics model-informed analysis.

CPT: Pharmacometrics & Systems Pharmacology February 1, 2025 Marilyn A. Huestis, William B Smith, Cathrine Leonowens et al. 3 citations

Midomafetamine (3,4-methylenedioxymethamphetamine [MDMA]) is under the U.S. Food and Drug Administration review for treatment of post-traumatic stress disorder in adults. MDMA is metabolized by CYP2D6 and is a strong inhibitor of CYP2D6, as well as a weak inhibitor of renal transporters MATE1, OCT1, and OCT2. A pharmacokinetic phase I study was conducted to evaluate the effects of food on MDMA...

DOI: 10.1002/psp4.13282 (opens in new tab) Full text (opens in new tab) MDMA Therapy Psychedelic medicine PTSD Treatment Drug metabolism +1

Comparative Pharmacokinetics of Δ9-Tetrahydrocannabinol in Adolescent and Adult Female Mice.

Cannabis and Cannabinoid Research December 1, 2024 Alexa Torrens, Alex Mabou Tagne, Adren Tran et al.

Introduction: Animal studies suggest that adolescent exposure to Δ9-tetrahydrocannabinol (Δ9-THC), the intoxicating constituent of cannabis, causes lasting functional alterations in brain and other organs. Those studies often neglect the impact that age- and sex-dependent differences in the distribution and metabolism of the drug might exert on its pharmacological effects. Here, we provide a...

Biomarkers of 4-hydroxy-N,N-methylpropyltryptamine (4-OH-MPT) intake identified from human hepatocyte incubations

Expert Opinion on Drug Metabolism & Toxicology December 2, 2022 Jérémy Carlier, Sara Malaca, Marilyn A. Huestis et al.

ABSTRACT Background 4-Hydroxy-N,N-methylpropyltryptamine (4-OH-MPT) is a psychedelic tryptamine whose use is regulated in several countries. Due to unspecific effects, consumption can be ascertained only through toxicological analyses. However, the trace amounts of tryptamines are usually challenging to detect in biological samples. 4-OH-MPT metabolism was characterized to identify optimal...

Methylone and MDMA Pharmacokinetics Following Controlled Administration in Humans

International Journal of Molecular Sciences November 23, 2022 Lourdes Poyatos, Alfredo Fabrizio Lo Faro, Diletta Berardinelli et al. 22 citations

The aim of this study is to define, for the first time, human methylone and HMMC plasma pharmacokinetics following controlled administration of 50–200 mg methylone to 12 male volunteers. A new LC-MS/MS method was validated to quantify methylone, MDMA, and their metabolites in plasma. The study was a randomized, cross-over, double-blinded and placebo-controlled study, with a total of 468 plasma...

Combined effect of alcohol and cannabis on simulated driving.

Psychopharmacology May 2022 Andrew Fares, Christine M Wickens, Robert E Mann et al.

With alcohol and cannabis remaining the most commonly detected drugs in seriously and fatally injured drivers, there is a need to understand their combined effects on driving. The present study examined the effects of combinations of smoked cannabis (12.5% THC) and alcohol (target BrAC 0.08%) on simulated driving performance, subjective drug effects, cardiovascular measures, and self-reported...

Separate and combined effects of alcohol and cannabis on mood, subjective experience, cognition and psychomotor performance: A randomized trial.

Progress in Neuro-Psychopharmacology and Biological Psychiatry May 1, 2022 Christine M Wickens, Madison Wright, Robert E Mann et al.

Co-use of alcohol and cannabis is associated with increased frequency and intensity of use and related problems. This study examined acute effects of alcohol and cannabis on mood, subjective experience, cognition, and psychomotor performance. Twenty-eight healthy cannabis users aged 19-29 years with recent history of binge drinking completed this within-subjects, double-blind, double-dummy,...

Reports of Adverse Events Associated with Use of Novel Psychoactive Substances, 2017–2020: A Review

Journal of Analytical Toxicology April 20, 2022 Amanda L A Mohr, Barry K. Logan, Melissa F. Fogarty et al. 66 citations

An important role of modern forensic and clinical toxicologists is to monitor the adverse events of novel psychoactive substances (NPS). Following a prior review from 2013 to 2016, this critical literature review analyzes and evaluates published case reports for NPS from January 2017 through December 2020. The primary objective of this study is to assist in the assessment and interpretation of...

DOI: 10.1093/jat/bkac023 (opens in new tab) Full text (opens in new tab) Synthetic cannabinoids Adverse effect Polypharmacy Hallucinogen +4

Driving Performance and Cannabis Users' Perception of Safety: A Randomized Clinical Trial.

JAMA Psychiatry March 1, 2022 Thomas D Marcotte, Anya Umlauf, David J Grelotti et al.

Expanding cannabis medicalization and legalization increases the urgency to understand the factors associated with acute driving impairment. To determine, in a large sample of regular cannabis users, the magnitude and time course of driving impairment produced by smoked cannabis of different Δ9-tetrahydrocannabinol (THC) content, the effects of use history, and concordance between perceived...

Sex differences in the acute pharmacological and subjective effects of smoked cannabis combined with alcohol in young adults.

Psychology of Addictive Behaviors June 3, 2021 Madison Wright, Christine M Wickens, Patricia Di Ciano et al.

Objective: The prevalence of co-use of alcohol and cannabis is increasing, particularly among young adults. Sex differences in the effects of alcohol alone and cannabis alone have been observed in animals and humans. However, sex differences in the acute pharmacological effects of cannabis combined with alcohol have not yet been studied. In young adults, aged 19-29 years, we aimed to examine...

Toxicology and Analysis of Psychoactive Tryptamines

International Journal of Molecular Sciences December 4, 2020 Sara Malaca, Alfredo Fabrizio Lo Faro, Alice Tamborra et al. 48 citations

Our understanding of tryptamines is poor due to the lack of data globally. Tryptamines currently are not part of typical toxicology testing regimens and their contribution to drug overdoses may be underestimated. Although their prevalence was low, it is increasing. There are few published data on the many new compounds, their mechanisms of action, onset and duration of action, toxicity, signs...

DOI: 10.3390/ijms21239279 (opens in new tab) Tryptamines Pharmacology Toxicology

Effects of the Psychedelic Amphetamine MDA (3,4-Methylenedioxyamphetamine) in Healthy Volunteers

Journal of Psychoactive Drugs March 15, 2019 Matthew J. Baggott, Kathleen J. Garrison, Jeremy Coyle et al. 20 citations

Entactogens such as 3,4-Methylenedioxymethamphetamine (MDMA, "molly", "ecstasy") appear to have unusual, potentially therapeutic, emotional effects. Understanding their mechanisms can benefit from clinical experiments with related drugs. Yet the first known drug with such properties, 3,4-Methylenedioxyamphetamine (MDA), remains poorly studied and its pharmacokinetics in humans are unknown. We...

Designer Drugs 2.0

Clinical Pharmacology & Therapeutics January 13, 2017 Marilyn A. Huestis, Rachel F. Tyndale 12 citations

This “Designer Drugs 2.0” issue of Clinical Pharmacology & Therapeutics focuses on novel psychoactive substances, primarily cannabinoids and cathinones, and the repurposing of established psychoactive compounds (e.g., modafinil, psilocybin, lysergic acid diethylamide, and 3,4‐methylenedioxymethamphetamine) that simultaneously offer new pharmacotherapies and pose serious health problems. Novel...

Cannabis effects on driving longitudinal control with and without alcohol.

Journal of Applied Toxicology November 2016 Rebecca L Hartman, Timothy L Brown, Gary Milavetz et al.

Although evidence suggests cannabis impairs driving, its driving-performance effects are not fully characterized. We aimed to establish cannabis' effects on driving longitudinal control (with and without alcohol, drivers' most common drug combination) relative to psychoactive ∆(9) -tetrahydrocannabinol (THC) blood concentrations. Current occasional (≥1×/last 3 months, ≤3 days per week) cannabis...

Smoked Cannabis' Psychomotor and Neurocognitive Effects in Occasional and Frequent Smokers

Journal of Analytical Toxicology March 4, 2015 Nathalie A. Desrosiers, Johannes G. Ramaekers, Émeline Chauchard et al. 136 citations

Δ9-Tetrahydrocannabinol (THC), the primary psychoactive constituent in cannabis, impairs psychomotor performance, cognition and driving ability; thus, driving under the influence of cannabis is a public safety concern. We documented cannabis' psychomotor, neurocognitive, subjective and physiological effects in occasional and frequent smokers to investigate potential differences between these...

DOI: 10.1093/jat/bkv012 (opens in new tab) Full text (opens in new tab) Cannabis Psychomotor learning Neurocognitive Cognition +4

Synthetic cannabinoids: epidemiology, pharmacodynamics, and clinical implications.

Drug and Alcohol Dependence November 1, 2014 Marisol S. Castaneto, David A. Gorelick, Nathalie A. Desrosiers et al.

Synthetic cannabinoids (SC) are a heterogeneous group of compounds developed to probe the endogenous cannabinoid system or as potential therapeutics. Clandestine laboratories subsequently utilized published data to develop SC variations marketed as abusable designer drugs. In the early 2000s, SC became popular as "legal highs" under brand names such as Spice and K2, in part due to their ability...

DOI: 10.1016/j.drugalcdep.2014.08.005 (opens in new tab) Full text (opens in new tab) Cb1/cb2 agonists Designer drug Epidemiology Pharmacodynamics +2

Nonlinear Pharmacokinetics of (±)3,4-Methylenedioxymethamphetamine (MDMA) and Its Pharmacodynamic Consequences in the Rat

Drug Metabolism and Disposition October 19, 2013 Marta Concheiro, Michael H. Baumann, Karl B. Scheidweiler et al. 32 citations

3,4-Methylenedioxymethamphetamine (MDMA) is a widely abused illicit drug that can cause severe and even fatal adverse effects. However, interest remains for its possible clinical applications in posttraumatic stress disorder and anxiety treatment. Preclinical studies to determine MDMA's safety are needed. We evaluated MDMA's pharmacokinetics and metabolism in male rats receiving 2.5, 5, and 10...

The dose effects of short-term dronabinol (oral THC) maintenance in daily cannabis users.

Drug and Alcohol Dependence February 1, 2013 Ryan Vandrey, Maxine L Stitzer, Miriam Z Mintzer et al.

Prior studies have separately examined the effects of dronabinol (oral THC) on cannabis withdrawal, cognitive performance, and the acute effects of smoked cannabis. A single study examining these clinically relevant domains would benefit the continued evaluation of dronabinol as a potential medication for the treatment of cannabis use disorders. Thirteen daily cannabis smokers completed a...

CB1 - cannabinoid receptor antagonist effects on cortisol in cannabis-dependent men.

The American Journal of Drug and Alcohol Abuse January 2012 Robert S. Goodwin, Michael H Baumann, David A. Gorelick et al.

The endocannabinoid system modulates the hypothalamic-pituitary-adrenal (HPA) axis, but the effect of cannabinoid type 1 (CB1) receptor antagonism following chronic CB1 receptor stimulation in humans is unknown. To evaluate effects of the CB1 receptor antagonist rimonabant on the HPA axis in cannabis-dependent individuals. Fourteen daily cannabis smokers received increasingly frequent 20 mg...

Antagonist-elicited cannabis withdrawal in humans.

Journal of Clinical Psychopharmacology October 2011 David A. Gorelick, Robert S. Goodwin, Eugene Schwilke et al.

Cannabinoid CB1 receptor antagonists have potential therapeutic benefits, but antagonist-elicited cannabis withdrawal has not been reported in humans. Ten male daily cannabis smokers received 8 days of increasingly frequent 20-mg oral Δ⁹-tetrahydrocannabinol (THC) dosages (40-120 mg/d) around-the-clock to standardize cannabis dependence while residing on a closed research unit. On the ninth...

Reversible and regionally selective downregulation of brain cannabinoid CB1 receptors in chronic daily cannabis smokers

Molecular Psychiatry July 12, 2011 J. Hirvonen, R. Goodwin, Cheng-Ta Li et al.

Chronic cannabis (marijuana, hashish) smoking can result in dependence. Rodent studies show reversible downregulation of brain cannabinoid CB1 (cannabinoid receptor type 1) receptors after chronic exposure to cannabis. However, whether downregulation occurs in humans who chronically smoke cannabis is unknown. Here we show, using positron emission tomography imaging, reversible and regionally...

Subjective and physiological effects after controlled Sativex and oral THC administration.

Clinical Pharmacology & Therapeutics March 2011 E L Karschner, William D Darwin, Robert P McMahon et al.

Sativex is a cannabis-plant extract delivering nearly 1:1 Δ(9)-tetrahydrocannabinol (THC) and cannabidiol (CBD) by oromucosal spray. It has been suggested that CBD attenuates THC-induced tachycardia, anxiety, and euphoria. In this study, pharmacodynamic effects were compared over 10.5 h in nine cannabis smokers randomly assigned to receive placebo, 5 and 15 mg oral synthetic THC, and low (5.4...

Effects of dose and route of administration on pharmacokinetics of (+ or -)-3,4-methylenedioxymethamphetamine in the rat.

Drug Metabolism and Disposition November 2009 Michael H. Baumann, Dorota Zolkowska, Insook Kim et al.

Based on animal data, there is speculation that (+ or -)-3,4-methylenedioxymethamphetamine (MDMA) is neurotoxic to humans. Extrapolation of MDMA findings from animals to humans requires assessment of pharmacokinetics in various species, and low-dose administration data from rats are lacking. In this study, we examine MDMA pharmacokinetics in rats given low (2 mg/kg) and high (10 mg/kg) doses of...