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大麻二酚的安全性考量:确定膳食补充剂使用的潜在每日可接受摄入量值及建议的摄入上限。

Cannabidiol safety considerations: Development of a potential acceptable daily intake value and recommended upper intake limits for dietary supplement use.

作者信息

Henderson Rayetta G, Vincent Melissa, Rivera Brianna N, Bonn-Miller Marcel O, Doepker Candace

机构信息

ToxStrategies LLC, Wilmington, NC, USA.

ToxStrategies LLC, Cincinnati, OH, USA.

出版信息

Regul Toxicol Pharmacol. 2023 Oct;144:105482. doi: 10.1016/j.yrtph.2023.105482. Epub 2023 Aug 25.

Abstract

Consumer use of hemp-derived products continues to rise, underscoring the need to establish evidence-based safety guidance. The present study sought to develop recommendations for oral upper intake limits of cannabidiol (CBD) isolate. Sufficiently robust and reliable data for this purpose were identified from published human clinical trials and guideline-compliant toxicity studies in animal models. Based on the metrics used in this assessment, a potential Acceptable Daily Intake (ADI) value of 0.43 mg/kg-bw/d (e.g., 30 mg/d for 70-kg adult) was determined for the general population based on liver effects in human studies. This value applies to the most sensitive subpopulations, including children, over a lifetime of exposure and from all sources, including food. For dietary supplements with adequate product labeling intended for use by healthy adults only, a potential Upper Intake Limit (UL) of 70 mg/d was determined based on reproductive effects in animals. For healthy adults, except those trying to conceive, or currently pregnant or lactating, a conservative dietary supplement UL of 100 mg/d was identified based on liver effects; however, as the target population excludes individuals at risk for liver injury, an alternative dietary supplement UL of 160 mg/d for this population can also be considered.

摘要

消费者对大麻衍生产品的使用持续增加,这凸显了制定基于证据的安全指南的必要性。本研究旨在制定大麻二酚(CBD)分离物口服摄入量上限的建议。为此,从已发表的人体临床试验和符合指南的动物模型毒性研究中确定了足够有力和可靠的数据。基于本评估中使用的指标,根据人体研究中的肝脏效应,确定一般人群的潜在每日可接受摄入量(ADI)值为0.43毫克/千克体重/天(例如,70千克成年人每天30毫克)。该值适用于最敏感的亚人群,包括儿童,在其一生的暴露期间以及来自所有来源(包括食物)的情况下。对于仅供健康成年人使用且产品标签适当的膳食补充剂,根据动物的生殖效应确定潜在摄入量上限(UL)为每天70毫克。对于健康成年人,除试图受孕者、当前孕妇或哺乳期妇女外,根据肝脏效应确定保守的膳食补充剂UL为每天100毫克;然而,由于目标人群排除了有肝损伤风险的个体,也可考虑该人群的另一种膳食补充剂UL为每天160毫克。

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