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. 2020 Oct;48(10):1008–1017. doi: 10.1124/dmd.120.000073

TABLE 1.

Oral and inhalational doses and estimated maximum plasma concentrations of CBD, THC, and THC metabolites used for predicting the magnitude of pharmacokinetic cannabinoid-drug interactions

Cannabinoid CBD or THC Dose (mg) Route of Administration [I]max,u (nM)a [I]inlet,max,u (µM)b
CBD 70 Oral 2.94 0.12
700 Oral 29.4 1.24
2000 Oral 84.0 3.55
THC 20 Oral 0.33 0.01
130 Oral 2.15 0.03
160 Oral 2.64 0.04
25 Inhalation 2.72 NA
70 Inhalation 7.62 NA
100 Inhalation 10.89 NA
11-OH-THC 20 Oral 0.26
130 Oral 1.72
160 Oral 2.11
25 Inhalation 0.20 NA
70 Inhalation 0.55 NA
100 Inhalation 0.78 NA
COOH-THC 20 Oral 3.19
130 Oral 20.75
160 Oral 25.54
25 Inhalation 1.12 NA
70 Inhalation 3.13 NA
100 Inhalation 4.48 NA

NA, not applicable; –, not estimated as data on fraction of dose metabolized to these metabolites by the intestine vs. liver are not available.

a

fu,p (CBD) = 0.07 (Taylor et al., 2019), fu,p (THC) = 0.011 (Patilea-Vrana and Unadkat, 2019), fu,p (11-OH-THC) = 0.012 (Patilea-Vrana and Unadkat, 2019); fu,p (COOH-THC) was not available and assumed to be the same as of 11-OH-THC, and Cmax/dose of CBD and THC after oral administration or inhalation were taken from Cox et al. (2019).

b

Fa (CBD and THC) = 1 (estimated based on FDA guidance), ka (CBD) = 0.0048 min−1 (estimated from Epidiolex (CBD) pharmacokinetic data using Phoenix WinNonlin (Phoenix WinNonlin 8.1; Certara USA, Princeton, NJ), ka (THC) = 0.0045 min−1 (Wolowich et al., 2019), QH (hepatic blood flow) = 1500 ml/min, and RB (THC) (blood to plasma ratio) = 0.4 (Schwilke et al., 2009); RB (CBD) value is not available and was assumed to be same as that for THC.