Stability Study of Cannabidiol in the Form of Solid Powder and Sunflower Oil Solution

Total Page:16

File Type:pdf, Size:1020Kb

Stability Study of Cannabidiol in the Form of Solid Powder and Sunflower Oil Solution pharmaceutics Article Stability Study of Cannabidiol in the Form of Solid Powder and Sunflower Oil Solution Ema Kosovi´c 1,2 , David Sýkora 2 and Martin Kuchaˇr 3,* 1 Institute of Chemical Process Fundamentals of CAS v.v.i., Rozvojová 135, 16502 Prague, Czech Republic; [email protected] 2 Department of Analytical Chemistry, University of Chemistry and Technology Prague, Technická 5, 16628 Prague, Czech Republic; [email protected] 3 Forensic Laboratory of Biologically Active Substances, Department of Chemistry of Natural Compounds, University of Chemistry and Technology Prague, Technická 5, 16628 Prague, Czech Republic * Correspondence: [email protected] Abstract: Stability studies represent an essential component of pharmaceutical development, en- abling critical evaluation of the therapeutic potential of an active pharmaceutical ingredient (API) or a final pharmaceutical product under the influence of various environmental factors. The aim of the present study was to investigate the chemical stability of cannabidiol (CBD) in the form of a solid powder (hereinafter referred to as CBD powder) and also dissolved in sunflower oil. We performed stress studies in accordance with the International Conference on Harmonization (ICH) guidelines, where 5 mg of marketed CBD in the form of a solid powder and in form of oil solution were exposed for 7 and 14, 30, 60, 90, 180, 270, and 365 days to precisely defined temperature and humidity conditions, 25 ◦C ± 2 ◦C/60% RH ± 5% and 40 ◦C ± 2 ◦C/75% RH ± 5% in both open and closed vials in the dark. CBD powder was significantly more stable than CBD in oil solution. Such finding is important because CBD is often administered dissolved in oil matrix in practice due to Citation: Kosovi´c,E.; Sýkora, D.; very good bioavailability. Thus, the knowledge on admissible shelf time is of paramount importance. Kuchaˇr,M. Stability Study of Cannabidiol in the Form of Solid Keywords: cannabidiol; degradation; oil matrix; stability study; tetrahydrocannabinol; cannabinol Powder and Sunflower Oil Solution. Pharmaceutics 2021, 13, 412. https:// doi.org/10.3390/pharmaceutics 13030412 1. Introduction Academic Editor: Anne Marie Healy It has been known for thousands years that the cannabis plant interacts with the human body on many levels: to relieve neuropathic pain [1], to lower intraocular pres- Received: 2 February 2021 sure [2], to increase appetite [3], and to decrease nausea and vomiting [4]. The substances Accepted: 16 March 2021 responsible for these effects are collectively known as cannabinoids, among which the most Published: 19 March 2021 prominent are D9-tetrahydrocannabinol (THC), cannabidiol (CBD), and cannabinol (CBN) (Figure1). Due to the fact that a combination of psychoactive THC with non-psychoactive Publisher’s Note: MDPI stays neutral cannabinoids shows a higher activity than THC alone, a lot of effort and resources have with regard to jurisdictional claims in been invested in studying and isolating non-psychoactive alkaloids and their application published maps and institutional affil- in medicine [5]. iations. CBD is the second most prevalent active ingredient of cannabis, which does not possess any psychoactive effects. According to the report from World Health Organiza- tion, to-date, there is no evidence of public health related problems associated with the use of pure CBD [6]. Only a few publications can be found in the literature concerning Copyright: © 2021 by the authors. storage conditions and degradation of cannabinoids in general, where authors clearly Licensee MDPI, Basel, Switzerland. specify the storage conditions and individual forms of cannabis (oil, resin, etc.) [7,8]. The This article is an open access article mentioned papers emphasized a promising medical potential of CBD. Many clinical trials distributed under the terms and and government approvals have been completed or are currently underway. One of these conditions of the Creative Commons trials provided lung cancer treatment to patients with adenocarcinoma [9]. Earlier works Attribution (CC BY) license (https:// have shown that CBD has probably anti-neoplastic properties, but more recent data have creativecommons.org/licenses/by/ indicated that CBD may also provide a significant response in patients with this kind of 4.0/). Pharmaceutics 2021, 13, 412. https://doi.org/10.3390/pharmaceutics13030412 https://www.mdpi.com/journal/pharmaceutics Pharmaceutics 2021, 13, 412 2 of 10 shown that CBD has probably anti-neoplastic properties, but more recent data have indi- cated that CBD may also provide a significant response in patients with this kind of can- cer. However, on the other hand, there are some indications that CBD oil accelerates cer- Pharmaceuticstain2021 types, 13, 412 of cancers; therefore, cancer should be treated with great care and distinction2 of 10 as to what type of cancer is being treated [10]. Due to its promising results in early trials, there is an increasing interest in research of CBD as a dietary supplement with potential medicinal benefits. cancer. However, on the other hand, there are some indications that CBD oil accelerates To assure an adequatecertain types use of of cancers; CBD therefore, in medicine, cancer it should is necessary be treated to with know great careits physical, and distinction chemical, and biologicalas to what properties, type of cancer and is info beingrmation treated [ 10regarding]. Due to its stability promising and results shelf-life. in early trials, Lindholst [11] describedthere is cannabis an increasing resin interest and in ex researchtract as of CBDvery as susceptible a dietary supplement to degradation with potential medicinal benefits. caused by light, temperature,To assure and an adequateoxygen, use whil ofe CBD Carbone in medicine, et al. it [12] is necessary provided to know an almost its physical, complete review ofchemical, THC degradation and biological prod properties,ucts. and A informationsimilar degradation regarding stability mechanism and shelf-life. was Lind- proposed by Laytonholst et [al.11] [13], described who cannabis focused resin more and extracton the as identification very susceptible of to degradation caused products caused byby the light, above-mentioned temperature, and oxygen,factors, while but the Carbone results et al. are [12 ]not provided fully pharmaceu- an almost complete review of THC degradation products. A similar degradation mechanism was proposed by tically acceptable dueLayton to the et al. used [13], methanolic who focused morematrices on the and identification length of of the degradation study [14]. products caused The aim of ourby work the above-mentioned was to investigate factors, the but chemical the results stability are not fully of pharmaceuticallycommercially mar- acceptable keted formulations dueof CBD to the forms used methanolic under defin matricesed International and length of theConference study [14]. on Harmoniza- tion (ICH) guideline requirements.The aim of our The work stability was to investigate of CBD thewas chemical evaluated stability in ofthe commercially form of a mar- solid powder and anketed oil formulations solution for of CBDa one- formsyear under time defined period, International under ICH Conference stability on condi- Harmoniza- tion (ICH) guideline requirements. The stability of CBD was evaluated in the form of a tions. The study wassolid adapted powder andto the an oilclimate solution conditions for a one-year of time the period,country under where ICH stabilitythe experi- conditions. ment was conducted,The i.e., study the was Czech adapted Repub to thelic. climate High-performance conditions of the country liquidwhere chromatography the experiment was (HPLC) in combinationconducted, with i.e.,ultraviolet-visible the Czech Republic. (UV-Vis) High-performance spectroscopic liquid chromatographyand mass spectro- (HPLC) in metric (MS) detectioncombination was used with as ultraviolet-visible a suitable method (UV-Vis) for spectroscopicthe stability and measurements. mass spectrometric To (MS) detection was used as a suitable method for the stability measurements. To the best of our the best of our knowledge,knowledge, no no other other long-termlong-term stability stability study study of CBD of in CBD both thein both above-mentioned the above- forms mentioned forms hashas been been performed to-date. to-date. Figure 1. Chemical structures of active ingredient cannabidiol (CBD) and its possible degradation products (D9-tetrahydrocannabinol (D9-THC) and cannabinol (CBN)). Figure 1. Chemical structures of active ingredient cannabidiol (CBD) and its possible degradation products (Δ9-tetrahydrocannabinol2. Materials and (Δ Methods9-THC) and cannabinol (CBN)). 2.1. Chemicals and Reagents 2. Materials and MethodsCBD with a purity of 99.9% was purchased from Lipomed AG (Arlesheim, Switzer- land), CBN (>95%) from CBDepot s.r.o. (Teplice, Czech Republic), and D9-THC (>95%) 2.1. Chemicals and Reagentsfrom PharmaCan s.r.o. (Prague, Czech Republic). Methanol, acetonitrile, and formic acid CBD with a puritywere allof LC-MS99.9% gradewas andpurchased purchased from from Lipomed Merck (Prague, AG Czech(Arlesheim, Republic). Switzer- Flower Gold land), CBN (>95%) sunflowerfrom CBDepot oil, with s.r.o. saponification (Teplice, value Czech of 189–195 Republic), mg KOH/g and Δ and9-THC ratio (>95%) of 12:88 sat- urated:unsaturated fatty acids, was procured from Eseltix (Bratislava, Slovakia). Ultra- from PharmaCan s.r.o.pure (Prague, water used Czech for the Republic). LC-MS analyses Methanol, was obtained acetonitrile,
Recommended publications
  • Development and Validation of an Ultra-Fast and Sensitive Microflow
    Drug Testing Research article and Analysis Received: 6 June 2016 Revised: 9 July 2016 Accepted: 10 July 2016 Published online in Wiley Online Library: 10 August 2016 (www.drugtestinganalysis.com) DOI 10.1002/dta.2042 Development and validation of an ultra-fast and sensitive microflow liquid chromatography- tandem mass spectrometry (MFLC-MS/MS) method for quantification of LSD and its metabolites in plasma and application to a controlled LSD administration study in humans Andrea E. Steuer,a* Michael Poetzsch,a Lorena Stock,a Lisa Eisenbeiss,a Yasmin Schmid,b Matthias E. Liechtib and Thomas Kraemera Lysergic acid diethylamide (LSD) is a semi-synthetic hallucinogen that has gained popularity as a recreational drug and has been investigated as an adjunct to psychotherapy. Analysis of LSD represents a major challenge in forensic toxicology due to its insta- bility, low drug concentrations, and short detection windows in biological samples. A new, fast, and sensitive microflow liquid chromatography (MFLC) tandem mass spectrometry method for the validated quantification of LSD, iso-LSD, 2-oxo 3-hydroxy- LSD (oxo-HO-LSD), and N-desmethyl-LSD (nor-LSD) was developed in plasma and applied to a controlled pharmacokinetic (PK) study in humans to test whether LSD metabolites would offer for longer detection windows. Five hundred microlitres of plasma were extracted by solid phase extraction. Analysis was performed on a Sciex Eksigent MFLC system coupled to a Sciex 5500 QTrap. The method was validated according to (inter)-national guidelines. MFLC allowed for separation of the mentioned analytes within 3 minutes and limits of quantification of 0.01 ng/mL.
    [Show full text]
  • Endocannabinoid Stimulated Release of Nitric Oxide and Its Mitochondrial
    A tica nal eu yt c ic a a m A r a c t Stefano et al., Pharm Anal Acta 2015, 6:6 h a P Pharmaceutica Analytica Acta DOI: 10.4172/2153-2435.1000378 ISSN: 2153-2435 Review Article Open Access Endocannabinoid Stimulated Release of Nitric Oxide and its Mitochondrial Influence Triggering Vascular Pathology George B Stefano*, Erin Quinn and Richard M Kream MitoGenetics LLC, 3 Bioscience Park Drive, Suite 307, Farmingdale, NY 11735, USA Abstract Endocannabinoids, and their respective receptors, are involved in a host of cellular regulatory activities. In part, some of these mediated effects occur by way of stimulating constitutive nitric oxide release. This occurs in endothelia, certain white blood cells, microglia, and in similar invertebrate tissues, demonstrating that this is a conserved chemical messenger system. This endocannabinoid chemical messenger system, coupled to constitutive nitric oxide release, also appears to exert regulatory effects on mitochondrial energy associated processes, further substantiating its primordial history. In this regard, it appears to offer some beneficial actions in the occurrence of reperfusion injury and stroke. The mechanism envisioned is one initiated via a hypoxic event, which does not restore normalcy, then progresses to a pro-inflammatory state, and the resultant chronic condition manifests itself in a specific disorder. This fits nicely into a vascular-associated origin for Alzheimer’s Disease, whereby the pro- inflammatory state encompasses vessels that have endothelial gaps, providing for a compromised blood brain barrier, beta amyloid deposition, and enhanced white blood cell trafficking. In time, due to the physical progression of the events, Alzheimer’s Disease occurs.
    [Show full text]
  • FDA Regulation of Cannabidiol (CBD) Products
    June 12, 2019 FDA Regulation of Cannabidiol (CBD) Products Cannabidiol (CBD) is promoted as treatment for a range of and hemp-derived compounds, including CBD. However, conditions, including epileptic seizures, post-traumatic the farm bill explicitly preserved FDA’s authority under the stress disorder, anxiety, and inflammation—despite limited Federal Food, Drug and Cosmetic Act (FFDCA, 21 U.S.C. scientific evidence to substantiate many of these claims. In §§301 et seq.) and Section 351 of the Public Health Service the United States, CBD is marketed in food and beverages, Act (PHSA, 42 U.S.C. §262), including for hemp-derived dietary supplements, and cosmetics—products that are products. According to FDA, “because the 2018 Farm Bill regulated by the Food and Drug Administration (FDA). did not change FDA’s authorities, cannabis and cannabis- CBD is also the active ingredient in an FDA-approved pharmaceutical drug, Epidiolex®. CBD is a plant-derived derived products are subject to the same authorities and substance from Cannabis sativa, the species of plant that requirements as FDA-regulated products containing any includes both hemp and marijuana, but from different plant other substance, regardless of whether the products fall varieties or cultivars. CBD is the primary nonpsychoactive within the definition of ‘hemp’ under the 2018 Farm Bill.” compound in cannabis, whereas tetrahydrocannabinol (THC) is cannabis’s primary psychoactive compound. FDA Regulation of CBD Products FDA, under the FFDCA, regulates many of the products Regulation of CBD Products marketed as containing cannabis and cannabis-derived Hemp and marijuana have separate definitions in U.S. law compounds, including CBD.
    [Show full text]
  • NIDA Drug Supply Program Catalog, 25Th Edition
    RESEARCH RESOURCES DRUG SUPPLY PROGRAM CATALOG 25TH EDITION MAY 2016 CHEMISTRY AND PHARMACEUTICS BRANCH DIVISION OF THERAPEUTICS AND MEDICAL CONSEQUENCES NATIONAL INSTITUTE ON DRUG ABUSE NATIONAL INSTITUTES OF HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES 6001 EXECUTIVE BOULEVARD ROCKVILLE, MARYLAND 20852 160524 On the cover: CPK rendering of nalfurafine. TABLE OF CONTENTS A. Introduction ................................................................................................1 B. NIDA Drug Supply Program (DSP) Ordering Guidelines ..........................3 C. Drug Request Checklist .............................................................................8 D. Sample DEA Order Form 222 ....................................................................9 E. Supply & Analysis of Standard Solutions of Δ9-THC ..............................10 F. Alternate Sources for Peptides ...............................................................11 G. Instructions for Analytical Services .........................................................12 H. X-Ray Diffraction Analysis of Compounds .............................................13 I. Nicotine Research Cigarettes Drug Supply Program .............................16 J. Ordering Guidelines for Nicotine Research Cigarettes (NRCs)..............18 K. Ordering Guidelines for Marijuana and Marijuana Cigarettes ................21 L. Important Addresses, Telephone & Fax Numbers ..................................24 M. Available Drugs, Compounds, and Dosage Forms ..............................25
    [Show full text]
  • CBD) Information About CBD in Cannabis and Hemp Products Under the New Cannabis Act
    ALL ABOUT CANNABIDIOL (CBD) Information about CBD in cannabis and hemp products under the new Cannabis Act WHAT IS CBD? The cannabis plant contains hundreds of different chemical constituents, such as cannabinoids, terpenes and flavonoids. Currently, over 100 chemical substances collectively known as cannabinoids have been identified. Cannabinoids that are derived from cannabis plants are sometimes referred to as phytocannabinoids. Cannabidiol (CBD) is one of these cannabinoids. Unlike tetrahydrocannabinol (THC) - the most well-known cannabinoid in cannabis, responsible for the high or intoxication of consuming cannabis - CBD does not produce a high or intoxicating effect. However, there is some evidence that CBD may influence some of the effects that THC has on the brain. CBD is also being studied for its possible therapeutic uses; it has received market approval in the United States for two severe forms of epilepsy. CBD can be found in varieties of the cannabis plant, including hemp plants. All phytocannabinoids, whether derived from a cannabis plant or produced by synthesis, including both THC and CBD, are regulated under the new Cannabis Act and its regulations, which came into force on October 17, 2018. HOW IS CBD REGULATED IN CANADA? Under the Cannabis Act, many activities with phytocannabinoids, CBD included, remain prohibited, except for the specific cases authorized by the Act and its regulations, which include strict controls on possession, production, sale, and distribution. While Health Canada oversees the production of cannabis products, the provinces and territories oversee the distribution and retail aspects of the cannabis supply chain. Health Canada remains responsible for overseeing the distribution and sale of cannabis and any CBD-containing cannabis products for medical purposes.
    [Show full text]
  • Cannabidiol and ( ) 9-Tetrahydrocannabinol Are Neuroprotective Antioxidants
    Proc. Natl. Acad. Sci. USA Vol. 95, pp. 8268–8273, July 1998 Medical Sciences Cannabidiol and (2)D9-tetrahydrocannabinol are neuroprotective antioxidants A. J. HAMPSON*†,M.GRIMALDI‡,J.AXELROD*, AND D. WINK§ *Laboratory of Cellular and Molecular Regulation, National Institutes of Mental Health, Bethesda, MD 20892; ‡Laboratory of Adaptive Systems, National Institute of Neurological Disorders and Stroke, Bethesda, MD 20892; and §Radiology and Biology Branch, National Cancer Institute, Bethesda, MD 20892 Contributed by Julius Axelrod, April 27, 1998 ABSTRACT The neuroprotective actions of cannabidiol reduce the toxic reactive oxygen species (ROS) formed during and other cannabinoids were examined in rat cortical neuron ischemic metabolism. Cannabinoids like (2)D9-tetrahydrocan- cultures exposed to toxic levels of the excitatory neurotrans- nabinol (THC) and its psychoactive analogues also have been mitter glutamate. Glutamate toxicity was reduced by both reported to be neuroprotective against glutamate toxicity in cannabidiol, a nonpsychoactive constituent of marijuana, and vitro (7). Cannabinoids have been suggested to prevent gluta- the psychotropic cannabinoid (2)D9-tetrahydrocannabinol mate neurotoxicity by activating cannabinoid receptors (7, 8), (THC). Cannabinoids protected equally well against neuro- which can reduce calcium influx through voltage sensitive toxicity mediated by N-methyl-D-aspartate receptors, 2-ami- calcium channels (8, 9). A synthetic cannabinoid (HU-211) no-3-(4-butyl-3-hydroxyisoxazol-5-yl)propionic acid recep- also has been demonstrated to be neuroprotective even though tors, or kainate receptors. N-methyl-D-aspartate receptor- it does not activate cannabinoid receptors. This compound is induced toxicity has been shown to be calcium dependent; this an atypical cannabinoid, however, in that it, unlike other study demonstrates that 2-amino-3-(4-butyl-3-hydroxyisox- cannabinoids, directly antagonizes NMDAr (10) and possesses azol-5-yl)propionic acidykainate receptor-type neurotoxicity some antioxidant properties (11).
    [Show full text]
  • Selected Articles on the Analysis of Drugs of Abuse in Seized Materials (January-June 2017) Differentiation of Ring-Substituted
    Selected Articles on the Analysis of Drugs of Abuse in Seized Materials (January-June 2017) Differentiation of ring-substituted regioisomers of amphetamine and methamphetamine by supercritical fluid chromatography, H. Segawa, Y. T. Iwata, T. Yamamuro, K. Kuwayama, K. Tsujikawa, T. Kanamori and H. Inoue, Drug Testing and Analysis, 2017, 9, 389-398. http://dx.doi.org/10.1002/dta.2040 Rapid detection of fentanyl, fentanyl analogues, and opioids for on-site or laboratory based drug seizure screening using thermal desorption DART-MS and ion mobility spectrometry, E. Sisco, J. Verkouteren, J. Staymates and J. Lawrence, Forensic Chemistry, 2017, 4, 108-115. http://www.sciencedirect.com/science/article/pii/S2468170917300152 Detection of phenazepam in illicitly manufactured Erimin 5 tablets, W. J. L. Lim, A. T. W. Yap, M. Mangudi, H. B. Koh, A. S. Y. Tang and K. B. Chan, Drug Testing and Analysis, 2017, 9, 293-305. http://dx.doi.org/10.1002/dta.1981 Development of a new field-test procedure for cocaine, K. Tsujikawa, Y. T. Iwata, H. Segawa, T. Yamamuro, K. Kuwayama, T. Kanamori and H. Inoue, Forensic Science International, 2017, 270, 267-274. https://www.sciencedirect.com/science/article/pii/S0379073816304662 Quantitative Determination of Cannabinoids in Cannabis and Cannabis Products Using Ultra-High- Performance Supercritical Fluid Chromatography and Diode Array/Mass Spectrometric Detection, M. Wang, Y.-H. Wang, B. Avula, M. M. Radwan, A. S. Wanas, Z. Mehmedic, J. van Antwerp, M. A. ElSohly and I. A. Khan, J Forensic Sci, 2017, 62, 602-611. http://onlinelibrary.wiley.com.ezproxyhost.library.tmc.edu/doi/10.1111/1556-4029.13341/abstract Selected Articles on the Analysis of Drugs of Abuse in Biological Specimens (January-June 2017) Simultaneous quantification of major cannabinoids and metabolites in human urine and plasma by HPLC-MS/MS and enzyme-alkaline hydrolysis, O.
    [Show full text]
  • Table of Natural Cannabinoids
    Table of Natural Cannabinoids Scientific research continues to develop and further identify individual cannabinoids in cannabis strains and how they affect symptoms of illnesses suffered by patients. The table below identifies the chemical properties of the natural cannabinoids found in the average strains of cannabis. Levels of each of these chemicals will vary with varietal strain, growing method, and plant age. Individual cannabinoids can be enhanced or eliminated depending on need. Cannabigerol- type (CBG) Cannabigerol Cannabigerol Cannabigerovarin (E)-CBG-C monomethyl (E)-CBGV-C 5 Cannabinerolic 3 ether acid A (E)-CBGM-C 5 (Z)-CBGA-C A A 5 Cannabigerolic Cannabigerolic Cannabigerovarinic acid acid A acid A A (E)-CBGA-C5 A monomethyl (E)-CBGVA-C3 A ether (E)-CBGAM- C5 A Cannabichrom ene-type (CBC) (±)- (±)- Cannabichromen (±)- Cannabivarichromene, (±)- e Cannabichrome (±)- Cannabichrome CBC-C5 nic acid A Cannabichromevarin varinic CBCA-C5 A CBCV-C3 acid A CBCVA-C3 A Cannabidiol- type (CBD) 1 | Page (−)-Cannabidiol Cannabidiol Cannabidiol-C4 (−)- Cannabidiorc CBD-C5 momomethyl CBD-C4 Cannabidivarin ol ether CBDV-C3 CBD-C1 CBDM-C5 Cannabidiolic Cannabidivarini acid c acid CBDA-C5 CBDVA-C3 Cannabinodiol- type (CBND) Cannabinodiol Cannabinodivar CBND-C5 in CBND-C3 Tetrahydrocan nabinol-type (THC) 9 9 9 Δ - Δ - Δ - Δ9- Tetrahydrocanna Tetrahydrocan Tetrahydrocannabivarin 9 Tetrahydrocan binol nabinol-C4 Δ -THCV-C3 9 9 nabiorcol Δ -THC-C5 Δ -THC-C4 9 Δ -THCO-C1 9 9 Δ -Tetrahydro- Δ9-Tetrahydro- Δ -Tetrahydro- Δ9-Tetrahydro- cannabinolic
    [Show full text]
  • Read the Latest Analysis of the Bill Here
    SB 519 Page 1 Date of Hearing: July 13, 2021 ASSEMBLY COMMITTEE ON HEALTH Jim Wood, Chair SB 519 (Wiener) – As Amended July 1, 2021 AS PROPOSED TO BE AMENDED SENATE VOTE: 21-16 SUBJECT: Controlled substances: decriminalization of certain hallucinogenic substances. SUMMARY: Makes it lawful for a person 21 years of age or older to possess, obtain, and ingest specified controlled substances classified as hallucinogens. Makes it lawful for the facilitated or supportive use of specified controlled substances classified as hallucinogens. Makes it unlawful for persons under the age of 21 to do such acts related to those hallucinogens, as specified. Requires the California Department of Public Health (DPH) to convene a working group to study specified hallucinogens and make recommendations to the Legislature regarding the statewide regulation of those hallucinogens and other controlled substances. Specifically, this bill: 1) Defines mescaline as derived from plants presently classified botanically in the Echinopsis or Trichocereus genus of cacti, including, without limitation, the Bolivian Torch Cactus, San Pedro Cactus, or Peruvian Torch Cactus, but not including mescaline derived from any plant defined as peyote. 2) Provides that, if there is a change in federal law permitting the prescription, furnishing, or dispensing of psilocybin, psilocyn, dimethyltryptamine (DMT), Ibogaine, mescaline, lysergic acid diethylamide (LSD), or 3,4-methylenedioxymethamphetamine (MDMA) products, a physician, pharmacist, or other authorized healing arts licensee acting within their scope of practice who prescribes, furnishes, or dispenses that product in accordance with federal law, shall be deemed to be in compliance with state law. 3) Removes mescaline from existing law that prohibits the possession of specified controlled substances.
    [Show full text]
  • Minireview the Pharmacological Case for Cannabigerol
    1521-0103/376/2/204–212$35.00 https://doi.org/10.1124/jpet.120.000340 THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS J Pharmacol Exp Ther 376:204–212, February 2021 Copyright ª 2021 by The Author(s) This is an open access article distributed under the CC BY-NC Attribution 4.0 International license. Minireview The Pharmacological Case for Cannabigerol Rahul Nachnani, Wesley M. Raup-Konsavage, and Kent E. Vrana Department of Pharmacology, Penn State College of Medicine, Hershey, Pennsylvania Received September 15, 2020; accepted November 4, 2020 ABSTRACT Downloaded from Medical cannabis and individual cannabinoids, such as D9- antibacterial activity. There is growing interest in the commercial tetrahydrocannabinol (D9-THC) and cannabidiol (CBD), are re- use of this unregulated phytocannabinoid. This review focuses ceiving growing attention in both the media and the scientific on the unique pharmacology of CBG, our current knowledge literature. The Cannabis plant, however, produces over 100 of its possible therapeutic utility, and its potential toxicolog- different cannabinoids, and cannabigerol (CBG) serves as the ical hazards. precursor molecule for the most abundant phytocannabinoids. jpet.aspetjournals.org CBG exhibits affinity and activity characteristics between SIGNIFICANCE STATEMENT D9-THC and CBD at the cannabinoid receptors but appears Cannabigerol is currently being marketed as a dietary supple- to be unique in its interactions with a-2 adrenoceptors and ment and, as with cannabidiol (CBD) before, many claims are 5-hydroxytryptamine (5-HT1A). Studies indicate that CBG may being made about its benefits. Unlike CBD, however, little have therapeutic potential in treating neurologic disorders research has been performed on this unregulated molecule, (e.g., Huntington disease, Parkinson disease, and multiple and much of what is known warrants further investigation to sclerosis) and inflammatory bowel disease, as well as having identify potential areas of therapeutic uses and hazards.
    [Show full text]
  • Recreational Drugs: Amyl Nitrate, Amphetamines, Cannabis, Cocaine/Crack, Ghb, Hallucinogens, Ketamine, Heroin, Naloxone
    RECREATIONAL DRUGS: AMYL NITRATE, AMPHETAMINES, CANNABIS, COCAINE/CRACK, GHB, HALLUCINOGENS, KETAMINE, HEROIN, NALOXONE INSTIs NNRTIs PIs • BICTEGRAVIR (Biktarvy) • ELVITEGRAVIR/ • DORAVIRINE (Pifeltro, • EFAVIRENZ (Sustiva, Boosted with ritonavir • DOLUTEGRAVIR COBICISTAT (Stribild, Delstrigo) Atripla) (Norvir) or cobicistat (Tivicay, Triumeq, Genvoya) • RILPIVIRINE (Edurant, • ETRAVIRINE (Intelence) • ATAZANAVIR (Reyataz, Juluca) Complera, Odefsey, • NEVIRAPINE Evotaz) • RALTEGRAVIR Juluca) (Viramune) • DARUNAVIR (Prezista, (Isentress) Prezcobix, Symtuza) • LOPINAVIR (Kaletra) AMYL NITRATE • Poppers, ames AMPHETAMINES • MDMA/ecstasy, Potential for ↑ Potential for ↑ recreational crystal, molly recreational drug drug CANNABIS (THC), CANNABIDIOL (CBD) *Note that oral cannabis oils or dried cannabis may include THC/CBD in various ratios • Marijuana, weed Potential for ↑ THC & CBD Potential for ↑ THC and Potential for ↑ THC ↓ CBD Potential for ↑/↓ CBD COCAINE • crack, base Potential for ↑ Potential QT prolongation Potential for ↑ levels of Potential for ↑ recreational recreational drug (rilpivirine) hepatotoxic metabolite drug GAMMA-HYDROXYBUTYRATE • GHB, date rape Potential for ↑ Potential for ↑ recreational drug, Geeb, liquid X recreational drug drug INSTIs NNRTIs PIs • BICTEGRAVIR (Biktarvy) • ELVITEGRAVIR/ • DORAVIRINE (Pifeltro, • EFAVIRENZ (Sustiva, Boosted with ritonavir • DOLUTEGRAVIR COBICISTAT (Stribild, Delstrigo) Atripla) (Norvir) or cobicistat (Tivicay, Triumeq, Genvoya) • RILPIVIRINE (Edurant, • ETRAVIRINE (Intelence) • ATAZANAVIR
    [Show full text]
  • The Effects of Cannabidiol-Based Sublingual Tablets on Diabetic Neuropathic Pain Debra Kimless, M.D., Matthew K
    abetes & OPEN ACCESS Freely available online Di M f e t o a l b a o n l r i s u m o J Journal of Diabetes & Metabolism ISSN: 2155-6156 Research Article The Effects of Cannabidiol-Based Sublingual Tablets on Diabetic Neuropathic Pain Debra Kimless, M.D., Matthew K. Caloura*, Ara Kirakosyan, Ph.D., and Stephen Goldner, Esq Pure Green Pharmaceuticals, West Bloomfield, 48323, USA ABSTRACT Background: This is a prospective, open-label, drug and dose-controlled study. The primary objective of this study is to evaluate the safety and efficacy of cannabidiol (CBD) sublingual tablets for the treatment of patients with chronic diabetic neuropathic pain. The secondary objects are to evaluate the impact of CBD tablets on sleep quality and anxiety. We describe the effectiveness data at the completion of a 21-day study. Methods: Subjects who met all inclusion/exclusion criteria and met the prespecified minimum Numerical Pain Rating Scale (NPRS) score were eligible for participation. Thirty-one subjects with chronic diabetic neuropathic pain were recruited. Patients were instructed to take CBD sublingual tablets three times a day and were taught to use a smart phone data collection application to record daily NPRS scores. Results: At the conclusion of the study, patients reported significant reduction in pain from baseline. The secondary endpoints analysing the effects of the CBD tablets on sleep quality and anxiety score revealed statistically significant improvement in both. No adverse drug reactions were reported. Conclusions: Our findings demonstrate that the sublingual application of CBD tablets can achieve significant reduction in pain, as well as significant improvement in sleep quality and a reduction in anxiety and without any adverse drug reactions in patients with diabetic peripheral neuropathy.
    [Show full text]