This is a randomized, crossover study enrolling experienced dual cannabis-tobacco smokers (N=18) to describe the differences in THC and toxicant exposure, examining pharmacokinetic, subjective, and cardiovascular effects from smoking and vaping dry herb cannabis. This study will also examine the differences in toxicant exposure and cardiovascular disease risk between smoking cannabis and smoking tobacco cigarettes.
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Peak plasma concentration
Timeframe: Day 1 of each arm
Time to peak plasma concentration
Timeframe: Day 1 of each arm
Area under the plasma concentration versus time curve (AUC)
Timeframe: Day 1 of each arm
Subjective effects between cannabis products using the Marijuana Cravings Questionnaire
Timeframe: Days 1-2 of each arm
Subjective effects between cannabis products using the Visual Analog Scale
Timeframe: Days 1-2 of each arm
Subjective effects between cannabis products using the Drug Effects Questionnaire
Timeframe: Days 1-2 of each arm
Max change of expired carbon monoxide
Timeframe: Days 1-2 of the cannabis arms
Area under the expired carbon monoxide (CO) curve (AUC)
Timeframe: Days 1-2 of the cannabis arms
Differences in metabolites of volatile organic compounds (VOCs)
Timeframe: Days 1-2 of the cannabis arms
Exposure to toxicants between cannabis products
Timeframe: Days 1-2 of the cannabis arms
Cardiovascular effects between cannabis products using heart rate as a measure
Timeframe: Day 1 of each arm
Cardiovascular effects between cannabis products using epinephrine as a measure
Timeframe: Day 2 of each cannabis arm
Cardiovascular effects between cannabis products using platelet activation as a measure
Timeframe: Day 2 of each cannabis arm
Cardiovascular effects between cannabis products using oxidant stress as a measure
Timeframe: Day 2 of each cannabis arm
Cardiovascular effects between cannabis products using endothelial dysfunction as a measure
Timeframe: Day 2 of each cannabis arm