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Effect of low doses of delta9-tetrahydrocannabinol and cannabidiol on the extinction of cocaine-induced and amphetamine-induced conditioned place preference learning in rats.低剂量的Δ9-四氢大麻酚和大麻二酚对大鼠可卡因诱导和苯丙胺诱导的条件性位置偏爱学习消退的影响。
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Will tetrahydrocannabinol be formed from cannabidiol in gastric fluid? An in vivo experiment.大麻二酚在胃液中会转化为四氢大麻酚吗?一项体内实验。
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本文引用的文献

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An Update on Safety and Side Effects of Cannabidiol: A Review of Clinical Data and Relevant Animal Studies.大麻二酚的安全性和副作用最新进展:临床数据及相关动物研究综述
Cannabis Cannabinoid Res. 2017 Jun 1;2(1):139-154. doi: 10.1089/can.2016.0034. eCollection 2017.
2
Conversion of Cannabidiol Following Oral Administration: Authors' Response to Grotenhermen et al. DOI: 10.1089/can.2016.0036.口服后大麻二酚的转化:作者对格罗滕赫尔门等人的回应。DOI: 10.1089/can.2016.0036。
Cannabis Cannabinoid Res. 2017 Jan 1;2(1):5-7. doi: 10.1089/can.2016.0038. eCollection 2017.
3
Even High Doses of Oral Cannabidol Do Not Cause THC-Like Effects in Humans: Comment on Merrick et al. 2016;1(1):102-112; DOI: 10.1089/can.2015.0004.即使高剂量口服大麻二酚也不会在人体产生类似四氢大麻酚的效果:对梅里克等人的评论。2016年;1(1):102 - 112;DOI: 10.1089/can.2015.0004
Cannabis Cannabinoid Res. 2017 Jan 1;2(1):1-4. doi: 10.1089/can.2016.0036. eCollection 2017.
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Identification of Psychoactive Degradants of Cannabidiol in Simulated Gastric and Physiological Fluid.在模拟胃液和生理液中鉴定大麻二酚的精神活性降解产物。
Cannabis Cannabinoid Res. 2016 Apr 1;1(1):102-112. doi: 10.1089/can.2015.0004. eCollection 2016.
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Human Metabolites of Cannabidiol: A Review on Their Formation, Biological Activity, and Relevance in Therapy.大麻二酚的人体代谢产物:关于其形成、生物活性及治疗相关性的综述
Cannabis Cannabinoid Res. 2016 Mar 1;1(1):90-101. doi: 10.1089/can.2015.0012. eCollection 2016.
6
Δ9-THC Intoxication by Cannabidiol-Enriched Cannabis Extract in Two Children with Refractory Epilepsy: Full Remission after Switching to Purified Cannabidiol.富含大麻二酚的大麻提取物致两名难治性癫痫儿童Δ9-四氢大麻酚中毒:改用纯化大麻二酚后完全缓解
Front Pharmacol. 2016 Sep 30;7:359. doi: 10.3389/fphar.2016.00359. eCollection 2016.
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Efficacy and Safety of Cannabidiol and Tetrahydrocannabivarin on Glycemic and Lipid Parameters in Patients With Type 2 Diabetes: A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Pilot Study.二型糖尿病患者使用大麻二酚和四氢大麻酚素对血糖和血脂参数的疗效和安全性:一项随机、双盲、安慰剂对照、平行分组的初步研究。
Diabetes Care. 2016 Oct;39(10):1777-86. doi: 10.2337/dc16-0650. Epub 2016 Aug 29.
8
Current Status and Prospects for Cannabidiol Preparations as New Therapeutic Agents.大麻二酚制剂作为新型治疗药物的现状与前景
Pharmacotherapy. 2016 Jul;36(7):781-96. doi: 10.1002/phar.1780.
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Cannabidiol in patients with treatment-resistant epilepsy: an open-label interventional trial.大麻二酚治疗耐药性癫痫患者:一项开放标签的干预性试验。
Lancet Neurol. 2016 Mar;15(3):270-8. doi: 10.1016/S1474-4422(15)00379-8. Epub 2015 Dec 24.
10
Cannabinoids in the Treatment of Epilepsy.大麻素在癫痫治疗中的应用
N Engl J Med. 2015 Sep 10;373(11):1048-58. doi: 10.1056/NEJMra1407304.

口服大麻二酚向Δ9-四氢大麻酚的转化似乎在人体内不会发生。

A Conversion of Oral Cannabidiol to Delta9-Tetrahydrocannabinol Seems Not to Occur in Humans.

作者信息

Nahler Gerhard, Grotenhermen Franjo, Zuardi Antonio Waldo, Crippa José A S

机构信息

CIS Clinical Investigation Support GmbH, Wien, Austria.

Nova-Institut GmbH, Chemiepark Knapsack, Hürth, Germany.

出版信息

Cannabis Cannabinoid Res. 2017 May 1;2(1):81-86. doi: 10.1089/can.2017.0009. eCollection 2017.

DOI:10.1089/can.2017.0009
PMID:28861507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5510776/
Abstract

Cannabidiol (CBD), a major cannabinoid of hemp, does not bind to CB1 receptors and is therefore devoid of psychotomimetic properties. Under acidic conditions, CBD can be transformed to delta9-tetrahydrocannabinol (THC) and other cannabinoids. It has been argued that this may occur also after oral administration in humans. However, the experimental conversion of CBD to THC and delta8-THC in simulated gastric fluid (SGF) is a highly artificial approach that deviates significantly from physiological conditions in the stomach; therefore, SGF does not allow an extrapolation to conditions. Unsurprisingly, the conversion of oral CBD to THC and its metabolites has not been observed to occur , even after high doses of oral CBD. In addition, the typical spectrum of side effects of THC, or of the very similar synthetic cannabinoid nabilone, as listed in the official Summary of Product Characteristics (e.g., dizziness, euphoria/high, thinking abnormal/concentration difficulties, nausea, tachycardia) has not been observed after treatment with CBD in double-blind, randomized, controlled clinical trials. In conclusion, the conversion of CBD to THC in SGF seems to be an artifact.

摘要

大麻二酚(CBD)是大麻的一种主要大麻素,不与CB1受体结合,因此没有拟精神病特性。在酸性条件下,CBD可转化为Δ9-四氢大麻酚(THC)和其他大麻素。有人认为,在人类口服后也可能发生这种情况。然而,在模拟胃液(SGF)中将CBD实验性转化为THC和Δ8-THC是一种高度人为的方法,与胃中的生理状况有很大偏差;因此,SGF不能外推至实际情况。不出所料,即使在高剂量口服CBD后,也未观察到口服CBD转化为THC及其代谢物的情况。此外,在双盲、随机、对照临床试验中,用CBD治疗后,未观察到THC或非常相似的合成大麻素纳布隆的典型副作用谱(如头晕、欣快感/兴奋、思维异常/注意力不集中、恶心、心动过速)。总之,在SGF中CBD向THC的转化似乎是一种假象。