Ĭarboxy-THC: 108 ng/mL (detection limit 15 ng/mL) Of note, Rickner and colleagues analyzed the dab sample which the patient was using by mass spectrometry, revealed that the level of THC was 20.5% by weight and without any detectable level of cannabidiol (CBD). Furthermore, the treatment using an antipsychotic occurred in two of the cases. The treatment using a benzodiazepine occurred in two cases. One case noted elevated troponins signifying cardiotoxicity in the form of myocardial injury. Two of the subjects reported marked hypertension along with fever upon presentation. Two of the subjects presented with paranoia-like symptoms and one subject presented with seizure-like activity. None of the cases reported the amount or the dose of the dabs taken leading to toxicity. In these three cases presented, each subject was a male in their teens or twenties and used some form of dab via inhalation (Table (Table1). Recently published case reports have shown significant psychosis, neurotoxicity, and cardiotoxicity associated with dabs. The two main compounds typically found in dabs are cannabidiol (CBD) and tetrahydrocannabinol (THC) (Figure (Figure1). Dabbing is defined as “a new method of consumption of cannabis whereby a cannabis concentrate is volatilized via application to a hot platform and the vapor is subsequently passed through a water pipe device and inhaled by the end user”. A method of consumption that is gaining notoriety is dabbing. Some of the varieties of cannabis concentrates include “oil,” “budder,” "crumble," “wax,” and “dabs” that are typically created by taking Butane solvent and extracting the cannabinoid for a more potent product. Since the number of people using cannabis for recreational purposes is increasing, there are varieties of cannabis preparations that are becoming more available to the public. Currently, 29 states have legalized medical marijuana, eight of these states have recreational marijuana laws and likely, both numbers will continue to rise. Among adults in the United States, this rise in the use of cannabis can be attributed to more states deciding to legalize marijuana. The popularity of cannabis has been growing in recent decades.
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