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Comparison of tetrahydrocannabinol and synhexyl in man

Leo E. Hollister, R. K. Richards, H. K. Gillespie

Clinical Pharmacology & Therapeutics November 1, 1968 DOI: 10.1002/cpt196896783 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 16
Population Volunteer subjects
Interventions THC synhexyl
Dose THC: 341 to 946 µg/kg (median 581); synhexyl: 633 to 2,666 µg/kg (median 1,370)
Topics Cannabis
Keywords Euphoriant Volunteer Sedation Dronabinol Pharmacology Toxicology
Citations 195
Key findings Synhexyl produced clinical effects similar to THC but was slower in onset and about one third as potent, with effects at higher doses resembling LSD but with more sedation, longer euphoria, and no sympathomimetic effects.

Abstract

A synthetic isomer of tetrahydrocannabinol (1‐Δ'‐3,4‐transtetrahydrocannabinol), believed to be identical to the most active naturally occurring THC, was compared with a semisynthetic THC‐like compound, synhexyl. Sixteen volunteer subiects received THC in doses ranging from 341 to 946 p.g per kilo gram (median 581). Thirteen subjects received synhexyl in doses ranging from 633 to 2,666 µg per kilogram (median 1,370). Clinical syndromes tram the 2 drugs were similar, although synhexyl was slower in onset and only about one third as potent. The clinical effects resembled those of psychotomimetics such as LSD, at least at the higher doses. These drugs differed from LSD in the following respects: sedation was prominent; euphoria was langer lasting; dreamlike sequences more pronounced; and physiological and biochemical effects were somewhat different, especially in the absence of sympathomimetic effects.

Comparable studies

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Study Year Design Participants
High-potency cannabis and the risk of psychosis People with first episode of psychosis and healthy controls from the local population 2009 Case-control study n = 454
Ayahuasca-Assisted Therapy for Addiction: Results from a Preliminary Observational Study in Canada Rural aboriginal population 2013 Observational study
Impaired cognitive performance in drug free users of recreational ecstasy (MDMA) Otherwise healthy young people 2000 Observational
Continued cannabis use and risk of incidence and persistence of psychotic symptoms: 10 year follow-up cohort study Individuals from the general population in Germany aged 14-24 at baseline 2011 Observational cohort n = 1,923
Cannabis-induced psychosis and subsequent schizophrenia-spectrum disorders: follow-up study of 535 incident cases Patients treated for cannabis-induced psychotic symptoms in Denmark between 1994 and... 2005 Observational cohort n = 535

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