You are on page 1of 8

Indian J Med Res 132, August 2010, pp 201-208

Qualitative high performance thin layer chromatography (HPTLC)


analysis of cannabinoids in urine samples of Cannabis abusers

Priyamvada Sharma*, M.M. Srinivas Bharath** & Pratima Murthy*,+

Deaddiction Unit & Departments of **Neurochemistry & +Psychiatry, National Institute of Mental Health &
*

Neurosciences, Bangalore, India

Received May 12, 2009

Background & objectives: Cannabis is one of the most commonly abused drugs worldwide. There is a
distinct clinical correlation between cannabis abuse and mental disorders. However, it is essential to
establish cannabis intake in the abusers in order to establish causality between cannabis and psychiatric
illness. The limitations of current detection methods using commercial cassettes prompted us to
standardize the method of extraction and detection of cannabinoids in the urine samples of cannabis
abusers attending a de-addiction centre in south India.
Methods: In this study, diagnostic tests on 102 male patients suspected with cannabis abuse were done.
Liquid-liquid extraction of cannabinoids from urine was done and screened by Duquenois-Levine, fast
blue B salt and p-dimethylaminobenzaldehyde (p-DMAB) tests. All the results were confirmed by high
performance thin layer chromatography (HPTLC). Samples were considered positive for cannabis based
on the positive indication in colour test and by detection of 11-nor-Δ9 tetrahydrocannabinol-9-carboxylic
acid (THC-COOH) on HPTLC.
Results: Based on the colour tests and HPTLC, cannabis abuse was detected in 64 of 102 patients tested.
HPTLC method was found to be sensitive for detection and possible quantitation of THC-COOH.
Interpretation & conclusion: We report the standardization and utility of cannabinoid extraction,
screening and detection by HPTLC in the urine samples of cannabis abusers. The HPTLC method was
found to be high throughput, sensitive, reproducible and cost-effective compared to commercial kits.

Key words Cannabinoids - cannabis - deaddiction - drug abuse - thin layer chromatography

Many studies have demonstrated that psychosis, demonstrate the presence of the implicated substance
violence, aggression and crime are closely associated in order to make a more definitive diagnosis for a
with drug abuse thereby making substance abuse substance induced disorder. To establish such a positive
a complicated psychosocial condition1-4. Analysis correlation, it is necessary to develop and improve
of psychotic behaviour among substance abusers methods of drug detection in patient samples.
provides valuable clinical and biochemical information The abuse of cannabis, one of the most common
regarding the mechanism of action of the compounds illicit drugs and its association with psychosis has been
and their role in psychosis5. However, it is necessary to observed in India5-8. Cannabis (Marijuana or charas/

201
202 INDIAN J MED RES, AUGUST 2010

ganja/bhang as it is known commonly in India) is which approval has been obtained from the institutional
predominantly obtained from Cannabis sativa L. It ethics committee.
includes all parts of the plant except the seeds and
Urine samples from 102 male patients (n=102;
woody material. Cannabis and cannabis resins (Hashish)
age 28.6 + 8.3 yr) exhibiting psychotic behaviour
are smoked with tobacco or ingested9,10. Once ingested,
with suspected cannabis abuse admitted to outpatient
cannabis is metabolized to generate several metabolites
department/ de-addiction centre or psychiatric wards
in the human body. ∆9-tetrahydrocannabinol (THC) is
of NIMHANS, Bangalore between September 2008
considered as the primary psychoactive compound
and March 2009 were collected for detection of
in cannabis. Once ingested, THC is metabolized to
cannabinoids. Each sample was accompanied with a
generate its hydroxylated and carboxylated metabolites
requisition form containing the details of the patient
of which, 11-nor- ∆9tetrahydrocannabinol-9-carboxylic
including name, ward number, clinical profile,
acid (THC-COOH) is the major metabolite excreted in
suspected drug used and last date of abuse. A detailed
urine11. Although only a few cannabinoids are detectable
case history of individual patients was recorded during
in the urine, detection of THC-COOH is considered as
the OPD sessions. For 40 randomly selected patients,
a confirmatory test for cannabis9.
urine samples were analyzed by commercial test kits
The presence of cannabinoids is usually detected according to the specifications of the manufacturer.
using colour tests12, high performance liquid Approximately 200 µl of the urine sample was placed
chromatography (HPLC)9,13-15, gas chromatography16 on the test window of the cannabis cassette through a
and commercially available immunoassay based dropper and was allowed to move along the cassette
cassettes17-20. Following screening tests for cannabinoid by capillary action. Cannabis positive sample were
detection, it is necessary to perform confirmatory identified by the absence of a band against appearance
tests using advanced techniques such as fluorescence of a distinct band in the positive control. The samples
polarization immunoassy21, enzyme immunoassay22 (10-20 ml per patient per evaluation) were collected
high performance thin layer chromatography in 20 ml labelled leak-proof sterile plastic containers.
(HPTLC)23 and HPLC, which provide additional scope Temperature and pH of the sample was checked to
for quantitative monitoring of drugs during follow up monitor any adulteration. In most cases, the samples
of patients24. However, utilization of such confirmatory obtained were processed for drug test on the same day.
tests in the de-addiction centers of India is limited. If not, the samples were stored at 0-4oC until extraction
and analysis.
The de-addiction centre housed in the National
Institute of Mental Health and Neurosciences Preparation of cannabis standard solution: Cannabis
(NIMHANS), Bangalore (www.nimhans.kar.nic.in / resins were extracted from the dried parts of Cannabis
deaddiction), India, was started in 1994 as a nodal sativa plants based on the method described earlier24,26.
centre for south India. The current study describes a Briefly, the dried leaves and the flowering tops of
standardized method of extraction and detection of cannabis plant were soaked in chloroform or petroleum
cannabinoids in the urine of 102 suspected cannabis ether (1 mg/ml w/v). The solvent enriched in cannabis
abusers attending NIMHANS de-addiction centre of resins was separated, evaporated to dryness and the
which, 40 samples were also tested for cannabis in residue was reconstituted in one ml methanol and used
parallel by commercial cassettes. as a positive control (cannabis standard) throughout
the study.
Material & Methods
Extraction of cannabinoids from urine samples:
All chemicals used were of analytical grade. Bulk
Cannabinoids were extracted from urine by specific
solvents and routine chemicals were obtained from
liquid-liquid extraction method that was slightly
Sisco research laboratories (Mumbai, India) and Merck
modified from the protocol described previously24,27,28.
& Co. Inc (Whitehouse Station, NJ, USA). Ready-to-
To 10 ml of urine, 1 ml of 6M NAOH was added, for
use silica gel coated plates were obtained from Merck.
alkaline hydrolysis, vortexed and heated at 60oC for
Commercial test kits for cannabis were obtained from
30 min. The sample was cooled and pH adjusted to
Nano-Ditech corp. NJ, USA.
4.0 with acetic acid to enrich for THC-COOH. For
Receipt of urine samples: This investigation is enrichment of cannabidiol (CBD) and cannabinol
preliminary to a large study that involves analysis of (CBN), pH was maintained in alkaline condition. In
substance abuse in first episode psychosis patients for both cases, the cannabinoids were extracted with ethyl
SHARMA et al: DETECTION OF CANNABINOIDS IN URINE 203

acetate: iso-propanol (8.5:1.5 v/v). Total volume was of the TLC plate in individual tracks. The TLC plate
about 22-24 ml per extraction. The aqueous phase was was developed in ethyl acetate: methanol: ammonia
again extracted twice with ethyl acetate: isopropanol (8.5:1:0.5) or petroleum ether: diethyl ether (ratio 9:1
(8.5:1.5v/v).The aqueous phase was discarded and the v/v) solvent system as described earlier16,17. The plate
organic phase of all the three extractions was mixed was developed in the automated developing chamber
and evaporated to dryness at 70-80oC in a water bath. (CAMAG) until the solvent front reached the maximum
The residue was reconstituted in 500 µl methanol and distance (80 mm distance in a typical 20 x 10 cm plate).
subjected to colour test and HPTLC analysis. The developed plate was dried with a plate drier and
subjected to UV analysis (wavelength: 200-600 nm) in
Colour tests for cannabis: The extracted samples were
the dedicated UV detector. All tracks in the plate were
first screened by the following standard colour indicator
scanned at user-defined wavelength (278 and 350 nm
based methods for the presence of cannbinoids and
for cannabis) and individual Rf values of peaks were
were confirmed by HPTLC followed by spray test.
obtained. These data were matched with the cannabis
(i) Duquenois-Levine test - This test was carried out standard and compared against the in-built CAMAG
based on the method previously published12. Briefly, to drug/chemical library to identify the cannabinoids in
100 µl extract, 200 µl of Duquenois reagent (2.5% v/v the urine sample.
of acetaldehyde and 2% vanillin w/v in 95% ethanol)
Spray test for cannabnoids: Following HPTLC,
was added and mixed thoroughly for 1 min. To this
visualization of cannabinoids was also carried out
mixture, 200 µl concentrated hydrochloric acid (HCl)
by spraying fast blue B solution onto the developed
was added and mixed gently followed by addition of
plate. Appearance of red, orange and purple spots was
500 µl chloroform. Appearance of purple colour after a
considered as positive evidence for the presence of
few minutes that moved into the chloroform layer was
THC-COOH, CBD and CBN respectively29.
considered as a positive indicator of cannabinoids.
Results
(ii) Fast blue B salt test - This was carried out based on
the method described previously29. Briefly, to 10-20 µl of This study was done to generate a standardized
the extract, a pinch of fast blue B salt (fast blue B mixed protocol for detection of cannabinoids in the urine
with anhydrous sodium sulphate in the ratio 2.5 : 100) samples of patients with cannabis abuse and associated
was added. To this mixture, 500 µl of chloroform was psychosis. A standard cannabinoid mixture (positive
added and mixed thoroughly for 1 min. Later, 20 µl of control) utilizing the street sample of cannabis plant
0.1 N aqueous NaOH was added and vortexed for 2 min. was prepared and the presence of cannabinoids in
The presence of wine red colour in the chloroform layer this mixture was confirmed by all the color indicator
was considered as a positive indicator of cannabis. based tests. The presence of cannabinoids only in
organic phase and not in aqueous fraction confirmed
(iii) p-dimethylaminobenzaldehyde (p-DMAB) test -
the enrichment of cannabinoids by the extraction
This test was carried out based on the method previously
procedure (data not shown). It was observed that the
published12. Briefly, 100 µl fresh p-DMAB reagent (4%
colour tests were specific only to cannabis patients and
w/v of p-DMAB in 1:1 mixture of 95% ethanol and
were not reliable in multiple drug-abusers.
concentrated HCl) was added to 100 µl of the extracted
sample and presence of red colour changing to violet To further characterize the components of cannabis,
on dilution was considered positive for cannabis. the cannabis standard was subjected to HPTLC analysis
in different solvent systems. Based on preliminary
HPTLC based detection of cannabinoids: Following
experiments, it was found that the cannabinoids
extraction and colour tests, cannabis standard and
exhibited different Rf values in different solvent
extracted samples (up to 20 samples/batch) were
systems (Table I). We selected THC-COOH, CBN and
processed on the automated HPTLC system (CAMAG,
CBD as major cannabis metabolites for detection in the
Muttenz, Switzerland) according to the instructions of
standard and urine samples24,30.
the manufacturer. Ready-to-use silica coated plates
(Cat. No. 1.05547.0001 by Merck) were activated by HPTLC based separation of cannabinoids was
blowing hot air for 5-10 min and placed in the automatic done using ethylacetate: methanol: ammonia (8.5:
sample applicator. The HPTLC was programmed to 1 : 0.5) solvent system. Fig. 1A and 1B show the
automatically spray 5-10 µl of each sample in band chromatogram and spectral scanning curve (200-700
form using specialized Hamilton syringe on one-side nm) for THC-COOH.
204 INDIAN J MED RES, AUGUST 2010

Table I. Rf values of cannabinoids in solvent systems: (a) ethyl acetate: methanol: ammonia (8.5:1:0.5) (b) petroleum ether: diethyl ether
(4:1) (c) cyclohexane: di-isopropyl ether: diethylamine (5.2:4:0.8) (d) heptane: diethyl ether: glacial acetic acid (80:10:4) (e) plate sprayed
with di-ethylamine; solvent system: xylene: hexane: diethylamine (2.5:1:0.1)
No. Metabolite Rf in (a) Rf in (b) Rf in (c) Rf in (d) Rf in (e)
1. THC-COOH 0.32+0.06 (n=57) 0.32 0.39 0.32 0.29
2. CBN 0.95 0.27 0.28 - 0.20
3. CBD 0.95 0.36 0.44 - 0.36
In all the solvent systems, the Rf values are subject to minor variation depending on the laboratory conditions such as temperature, humidity
and other parameters (e.g., age and quality of the patient material)
CBD, cannabidiol; CBN, cannabinol; THC-COOH, 11-nor-Δ9 tetrahydrocannabinol-9-carboxylic acid

Table II. Summary of the diagnostic tests on ten samples of cannabis abusers
Patient no. Rf for THC-COOH Duquenois-Levine Fast blue B p-DMAB Final result
+/- (colour) +/- (colour) +/- (colour)
1 0.36 + (purple) + (red) + (red) +
2 0.36 + (purple) + (red) + (red) +
3 0.36 + (purple) + (red) + (red) +
4 - - - - -
5 - - - - -
6 - - - - -
7 - - - - -
8 - - - - -
9 0.35 + (purple) + (red) + (red) +
10 - - - - -
Cannabis standard 0.35 + (purple) + (red) + (red) +

Following extraction of cannabinoids from urine


samples of all 102 patients, all the samples were
screened by Duquenois-Levine, fast blue BB salt
and p-DMAB tests. Table II shows findings of ten
representative samples from among the 102 samples
analyzed by the three screening tests. The samples
were further confirmed by HPTLC analysis. (A)
For HPTLC, 5-10 µl of each sample was spotted
on pre-activated silica gel (11 samples per plate
including one cannabis standard as positive control)
and developed in ethyl acetate-methanol-ammonia
solvent system in the automatic developing chamber
(Fig. 2). The dried plates were scanned in the TLC
scanner at wavelength 278 nm. The peaks obtained
in all the tracks were analyzed and the Rf value was
compared to the standard. The presence of a specific
peak for THC-COOH at Rf around 0.32 + 0.06 was
recorded and considered as a positive result for
cannabinoids (Fig. 3 and Table II). We observed that (B)
Wavelength (nm)
two of the samples not confirmed by the colour tests
were found to contain the THC-COOH peak indicating Fig. 1. HPTLC profile of cannabis standard run on silica plates and
developed in solvent system A (ethyl acetate: ammonia 8.5:1 : 0.5).
the level of sensitivity of the HPTLC and the necessity
(A) shows absorbance at 278 nm (A.U= arbitrary units) of THC-
for confirmation following colour based screening tests. COOH in the cannabis standard plotted against Rf value. (B) shows
Further, the absorbance (OD) value of THC-COOH the spectral scanning of THC-COOH in the cannabis standard with
varied differently in different samples indicating the absorbance (AU) plotted against wavelength.
SHARMA et al: DETECTION OF CANNABINOIDS IN URINE 205

Fig. 2. HPTLC profile of extracted cannabinoids from patient samples developed in solvent system A
(ethyl acetate: ammonia 8.5:1 : 0.5). + corresponds to positive control (Cannabis standard). Rest of the
lanes correspond to the profile of cannabinoids extracted from patient samples (patient nos. 1 to 10 as
shown in Table II). Reference scale for Rf value is also shown.

Fig. 3. 3-dimensional representation of the scanning data of the HPTLC plate shown in Fig. 2. The HPTLC
profile of cannabinoids extracted from urine samples patients and plotted as absorbance (OD) vs. Rf value. “+”
indicates the profile of cannabis standard. The numbers 1 to 10 correspond to the HPTLC profile of samples
1-10 (shown in Table II). Arrows indicate the position of the THC-COOH peak (Rf ~0.32) in cannabis positive
samples.
206 INDIAN J MED RES, AUGUST 2010

Table III. Summary of the drug analysis carried out on urine samples of all cannabis abusers included in this study
Result Colour test Spray test HPTLC Immunoassay*
analysis
Duquenois- Fast blue p-DMAB Fast blue –B
Levine test B Test Spray
Positive 62 62 62 64 64 26
Negative 38 38 38 38 38 14
Not determined 2 2 2 0 0 0
Total 102 102 102 40
*
Immunoassay based commercial cassette screening was initially carried out on 40 randomly selected from among the 102 samples. Further
confirmation by HPTLC showed that the cassette-test results matched with the outcome of the HPTLC analysis (i.e., 26 positive and 14
negative among 40 samples) indicating the consistency of analysis

level of abuse among the patients. Specific quantitation and cannabinoids such as THC-COOH30-32. However,
of THC-COOH levels would be more useful and could utilization of HPTLC based detection is very limited
be correlated with psychiatric symptoms. In this study, in Indian centers. It was observed that the HPTLC
of the 102 suspected cases of cannabis abuse, based on based detection of cannabinoids is ideal for a hospital
positive result in the colour test and HPTLC analysis, setting involving several patients. It is a cost-effective
64 samples were found to be positive (Table III). (operational costs approximately INR 20 per sample),
highly sensitive, accurate and less time consuming
Discussion
(following extraction, for 20 samples, starting from
Toxicology of substance abuse poses a great sample application up to the final data analysis and
challenge to biochemists in terms of chemical analysis reporting only one hour is required) method. Further,
and characterization of the effects of these drugs on with specific standards, quantification is possible which
the human system. There seems to be convincing could help correlate the progress in rehabilitation/
evidence that cannabis abuse is linked with subsequent detoxification with the levels of cannabis in the urine.
occurrence of schizophrenia and psychosis2,5. For Urine analysis for drug testing is advantageous
reliable psychiatric correlation, there needs to be well- because it is non invasive, easy to collect with no
standardized methods for cannabinoids. Although risk to patient. However, urine analysis has its own
cannabis test based on commercially available ready-to- limitations. For most compounds, drug abuse screening
use cassettes is available, it has limited utility. Because yields qualitative data indicating either presence or
it is relatively expensive and has limited sensitivity absence of a drug. Nevertheless, it is difficult to predict
threshold, and gives only qualitative and not absolute the route of administration, quantity, frequency and the
quantification. Most of the commercial kits clearly date of last abuse. In addition, a positive drug test does
state that the test provides only a preliminary result not reflect drug dependence but only indicates recent
and more specific alternative testing method should be consumption. However, if a patient is found repeatedly
used to confirm the immunoassay result19. This could positive for drug abuse and exhibits clinical history of
be by either HPTLC or GC/MS or HPLC11,18. In routine behavioural abnormality, then the tests might imply
TLC testing, the detection is only by spray method and drug dependence. This kind of monitoring during the
the Rf value is not accurately recorded30. However, follow up of such patients could give better qualitative
UV based scanning after developing HPTLC plate correlation. Therefore, based on a single analysis, not
not only provides opportunity for scanning at specific all the information related to drug abuse of a patient
wavelengths but could also be useful for quantitation. can be obtained24,33,34. Therefore, in this study, clinical
As mentioned by Meatherall and Garriott23, the limit of history and last date of abuse were recorded to get
detection for THC-COOH by HPTLC is 5 ng/ml when better association and distinction between acute and
2 ml of urine is used indicating the sensitivity of the chronic users.
technique. The limit of detection of THC-COOH was
in the similar range in the current study. There have It has been established that cannabis metabolites
been some reports on the utilization of TLC based including THC-COOH are lipid soluble and tend
qualitative and semi-quantitative analysis of cannabis to accumulate in the fat tissues of the human body.
SHARMA et al: DETECTION OF CANNABINOIDS IN URINE 207

Consequently, its availability in the serum and urine 7. Sarkar J, Murthy P, Singh SP. Psychiatric morbidity of
is limited, making its levels decline rapidly in these cannabis abuse. Indian J Psychiatry 2003; 45 : 182-8.
body fluids after consumption. If very high levels of 8. Kulhalli V, Isacc M, Murthy P. Cannabis related psychosis:
Presentation and effect of abstinence. Indian J Psychiatry
cannabis metabolites are detected in the patient urine 2007; 49 : 256-61.
for a long time that indicates chronic cannabis abuse10.
9. King LA, McDermott SD. Drugs of abuse. In: Moffat AC,
However, a quantitative correlation between THC- Osselton MD, Widdop B, editors. Clarke’s analysis of drugs
COOH and severity of psychosis is not clear35. In the and poisons. London: Pharmaceutical Press; 2004. p. 37-53.
future, quantitative comparison with known quantity of 10. Gilman AG, Goodman LS, Gilman A, editors. Goodman and
purified THC-COOH as a standard could give a better Gilman’s- The pharmacological basis of therapeutics. 6th ed.
picture regarding its reliability in clinical correlation New York: Macmillan; 1980. p. 636-8.
with the severity of psychosis. 11. Abraham TT, Lowe RH, Pirnay SO, Darwin WD,
Huestis MA. Simultaneous GC-EI-MS determination of
In the current study, cannabis consumption was ∆9-tetrahydrocannabinol, 11-hydroxy-∆9-tetrahydrocannabinol,
suspected based on colour test and HPTLC data and and 11-nor-9-carboxy-∆9-tetrahydrocannabinol in human urine
following tandem enzyme-alkaline hydrolysis. J Anal Toxicol
visualization by spray test. In the samples studied, Rf 2007; 31 : 477-85.
value of THC-COOH in some of the samples varied 12. Jeffery W. Colour tests. In: Moffat AC, Osselton MD, Widdop
between 0.32 and 0.39. This minor discrepancy might B, editors. Clarke’s analysis of drugs and poisons. London:
be either due to chronic abuse or due to the difference Pharmaceutical Press; 2004. p. 279-300.
in the quality of the abused substance. The change in 13. Baker PB, Fowler R, Bagon KR, Gough TA. Determination of
Rf might also depend on the source and species of the the distribution of cannabinoids in cannabis resin using high
cannabis obtained by the user. performance liquid chromatography. J Anal Toxicol 1980; 4 :
145-52.
In conclusion, colour based tests for cannabinoids 14. Bourquin D, Brenneisen R. Confirmation of cannabis abuse
were standardized and screened for urine samples from by the determination of 11-nor-delta 9-tetrahydrocannabinol-
patients of drug abuse. HPTLC was found to be a powerful 9-carboxylic acid in urine with high-performance liquid
chromatography and electrochemical detection. J Chromatogr
technique for detection and potential quantitation of 1987; 414 : 187-91.
drugs and compounds in clinical samples. 15. Isenschmid DS, Caplan YH. A method for the determination
Acknowledgment of 11-nor-delta-9-tetrahydrocannabinol-9-carboxylic acid in
urine using high performance liquid chromatography with
The authors thank the director and technical staff of forensic electrochemical detection. J Anal Toxicol 1986; 10 : 170-4.
research laboratory, Madiwala, Bangalore, India, for technical help 16. Harvey DJ, Paton WD. Use of trimethylsilyl and other
and standardization of experimental techniques. The technical homologous trialkylsilyl derivatives for the separation and
assistance by Ms. Parul Shivhare and Ms. Veena Nambiar is characterization of mono and di-hydroxy cannabinoids by
gratefully acknowledged. combined gas chromatography and mass spectrometry.
J Chromatogr 1975; 109 : 73-80.
References 17. Frederick DL, Green J, Fowler MW. Comparison of six
1. Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd cannabinoid metabolite assays. J Anal Toxicol 1985; 9 :
LL, et al. Comorbidity of mental disorders with alcohol and 116-20.
other drug abuse. Results from the Epidemiological Catchment 18. Weaver ML, Gan BK, Allen E, Baugh LD, Liao FY, Liu
Area (ECA) Study. JAMA 1990; 264 : 2511-8. RH, et al. Correlations on radioimmunoassay, fluorescence
2. Cantor-Graae E, Nordstrom LG, McNeil TF. Substance abuse polarization immunoassay and enzyme immunoassay
in schizophrenia: a review of the literature and a study of of cannabis metabolites with gas chromatography/mass
correlates in Sweden. Schizophrenia Res 2001; 48 : 69-82. spectrometry analysis of 11-nor-∆9-tetrahydrocannabinol
9-carboxylic acid in urine specimens. Forensic Sci Int 1991;
3. Tiihonen J, Isohanni M, Rasanen P, Koiranen M, Moring J. 49 : 43-56.
Specific major mental disorders and criminality: a 26-year
19. Altunkaya D, Clatworthy AJ, Smith RN, Start IJ. Urinary
prospective study of the 1966 northern Finland birth cohort.
cannbinoid analysis: comparison of four immunoassays with
Am J Psychiatry 1997; 154 : 840-5.
gas chromatography-mass spectrometry. Forensic Sci Int
4. Arseneault L, Moffitt TE, Caspi A, Taylor PJ, Silva PA. Mental 1991; 50 : 15-22.
disorders and violence in a total birth cohort: Results from the
20. Korte T, Pykalainen J, Lillsunde P, Seppala T. Comparison of
Dunedin study. Arch Gen Psychiatry 2000; 57 : 979-86. RapiTest with Emit d.a.u and GC-MS for the analysis of drugs
5. Thirthalli J, Benegal V. Psychosis among substance users. in urine. J Anal Toxicol 1997; 21 : 49-53.
Curr Opin Psychiatry 2006; 19 : 239-45. 21. Fraser AD, Worth D. Monitoring urinary excretion of
6. Chopra GS. Marijuana and adverse psychotic reactions. cannabinoids by fluorescence-polarization immunoassay: a
Evaluation of different factors involved. Bull Narc 1971; 23 : cannabinoid to creatinine ratio study. Ther Drug Monit 2002;
15-22. 24 : 746-50.
208 INDIAN J MED RES, AUGUST 2010

22. Debruyne D, Albessard F, Bigot MC, Moulin M. Comparison 29. Poole CF. Thin layer chromatography. In: Moffat AC,
of three advanced chromatographic techniques for cannabis Osselton MD, Widdop B, editors. Clarke’s analysis of
identification. Bull Narc 1994; 46 : 109-21. drugs and poisons. London: Pharmaceutical Press; 2004. p.
23. Meatherall RC, Garriott JC. A sensitive thin-layer 392-424.
chromatographic procedure for the detection of urinary 11- 30. Nikonova EV, Karaeva LD. Use of thin-layer chromatography
nor-delta9-tetrahydrocannabinol-9-carboxylic acid. J Anal for detection of 11-nor-9-carboxy-delta 9-tetrahydrocannabinol
Toxicol 1988; 12 : 136-40. in urine. Sud Med Ekspert 2005; 48 : 33-5.
24. Jain R, Ray R. Detection of drugs of abuse and its relevance to 31. Kaistha KK, Tadrus R. Semi-quantitative thin-layer mass-
clinical practice. Indian J Pharmacol 1995; 27 : 1-6. screening detection of 11-nor-delta 9-tetrahydrocannabinol-
9-carboxylic acid in human urine. J Chromatogr 1982; 237 :
25. Jain R. Interference of adulterants in thin layer chromatography
528-33.
method for drugs of abuse. Indian J Pharmacol 1993; 25 :
240-2. 32. Novakova E. Detection of 11-nor-9-tetrahydrocannabinol-
9-carboxylic acid in urine using thin-layer chromatography.
26. Galand N, Ernouf D, Montigny F, Dollet J, Pothier J.
Soud Lek 1997; 42 : 5-8.
Separation and identification of cannabis components by
different planer chromatography techniques (TLC, AMD, 33. Schwartz RH. Urine testing in the detection of drugs of abuse.
OPLC). J Chromatogr Sci 2004; 42 : 130-4. Arch Intern Med 1988; 148 : 2407-12.
27. Uges DRA. Hospital toxicity. In: Moffat AC, Osselton MD, 34. Schwartz RH, Willette RE, Hayden GF, Bogema S, Thorne
Widdop B, editors. Clarke’s analysis of drugs and poisons. MM, Hicks J. Urinary cannabinoids in monitoring abstinence
London: Pharmaceutical Press; 2004. p. 3-36. in a drug abuse treatment program. Arch Pathol Lab Med
1987; 111 : 708-11.
28. Goodwin RS, Darwin WD, Chiang CN, Shih M, Li S-H,
Huestis MA. Urinary elimination of 11-nor-9-Carboxy-∆9- 35. Poortman-van der Meer AJ, Huizer H. A contribution to the
tetrahydrocannabinol in cannabis users during continuously improvement of accuracy in the quantitation of THC. Forensic
monitored abstinence. J Anal Toxicol 2008; 32 : 562-9.  Sci Int 1999; 101 : 1-8.

Reprint requests: Dr M.M. Srinivas Bharath, Department of Neurochemistry, National Institute of Mental Health & Neurosciences
P.B. No. 2900, Hosur Road, Bangalore 560 029, India
e-mail: bharath@nimhans.kar.nic.in; thathachar@rediffmail.com

You might also like