The use of cannabis for medicinal purposes dates back well before the era of modern medicine, but in recent years research into the use of medical cannabis in the medical and pharmaceutical sciences has grown significantly. In European countries, most cannabis plants have been and still are grown for industrial purposes. For this reason, hemp cultivation technology is relatively well researched, while little is known about the key factors affecting cannabis cultivation for medical purposes. The active substances of cannabis plant targeted by this review are called phytocannabinoids. The biosynthesis of phytocannabinoids is relatively well understood, but the specific environmental factors that influence the type and number of phytocannabinoids have been much less studied. Indoor or greenhouse cultivation, which uses automated lighting, ventilation, irrigation systems and complex plant nutrition has become much more sophisticated and appears to be the most effective method for producing medical cannabis. There are many different cultivation systems for cannabis plants, but one of the essential elements of the process is an optimal plant nutrition and selection of fertilisers to achieve it. This review summarises the existing knowledge about phytocannabinoid biosynthesis and the conditions suitable for growing plants as sources of medical cannabis. This review also attempts to delineate how nutrient type and bioavailability influences the synthesis and accumulation of specific phytocannabinoids based on contemporary knowledge of the topic.
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