Evaluation of cannabinoids concentration and stability in standardized preparations of cannabis tea and cannabis oil by ultra-high performance liquid chromatography tandem mass spectrometry
-
Roberta Pacifici
, Emilia Marchei , Francesco Salvatore , Luca Guandalini , Francesco Paolo Busardòund Simona Pichini
Abstract
Background:
Cannabis has been used since ancient times to relieve neuropathic pain, to lower intraocular pressure, to increase appetite and finally to decrease nausea and vomiting. The combination of the psychoactive cannabis alkaloid Δ9-tetrahydrocannabinol (THC) with the non-psychotropic alkaloids cannabidiol (CBD) and cannabinol (CBN) demonstrated a higher activity than THC alone. The Italian National Institute of Health sought to establish conditions and indications on how to correctly use nationally produced cannabis to guarantee therapeutic continuity in individuals treated with medical cannabis.
Methods:
The evaluation of cannabinoids concentration and stability in standardized preparations of cannabis tea and cannabis oil was conducted using an easy and fast ultra-high performance liquid chromatography tandem mass spectrometry (UHPLC-MS/MS) assay.
Results:
Extraction efficiency of oil was significantly higher than that of water with respect to the different cannabinoids. This was especially observed in the case of the pharmacologically active THC, CBD and their acidic precursors. Fifteen minutes boiling was sufficient to achieve the highest concentrations of cannabinoids in the cannabis tea solutions. At ambient temperature, a significant THC and CBD decrease to 50% or less of the initial concentration was observed over 3 and 7 days, respectively. When refrigerated at 4 °C, similar decreasing profiles were observed for the two compounds. The cannabinoids profile in cannabis oil obtained after pre-heating the flowering tops at 145 °C for 30 min in a static oven resulted in a complete decarboxylation of cannabinoid acids CBDA and THCA-A. Nevertheless, it was apparent that heat not only decarboxylated acidic compounds, but also significantly increased the final concentrations of cannabinoids in oil. The stability of cannabinoids in oil samples was higher than that in tea samples since the maximum decrease (72% of initial concentration) was observed in THC coming from unheated flowering tops at ambient temperature. In the case of the other cannabinoids, at ambient and refrigerated temperatures, 80%–85% of the initial concentrations were measured up to 14 days after oil preparation.
Conclusions:
As the first and most important aim of the different cannabis preparations is to guarantee therapeutic continuity in treated individuals, a strictly standardized preparation protocol is necessary to assure the availability of a homogeneous product of defined stability.
Acknowledgments
The authors thank Stefano Gentili, Chrystalla Kyriakou, Manuela Pellegrini, Maria Concetta Rotolo and Michele Sciotti for their technical assistance.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: Funded by the project: “Implementazione dei Sistemi di Sorveglianza sul disturbo da gioco d’azzardo e sull’uso medico della cannabis sul territorio Nazionale” by the Italian Ministry of Health.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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- Frontmatter
- Editorials
- Reporting LDL-cholesterol levels in the era of intensive lipid management: a clarion call
- The challenges of genetic risk scores for the prediction of coronary heart disease
- Reviews
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- Mini Review
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- Opinion Paper
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- Genetics and Molecular Diagnostics
- Assessment of EGFR mutation status using cell-free DNA from bronchoalveolar lavage fluid
- General Clinical Chemistry and Laboratory Medicine
- A survey of patients’ views from eight European countries of interpretive support from Specialists in Laboratory Medicine
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- A candidate reference method for serum potassium measurement by inductively coupled plasma mass spectrometry
- Practical motives are prominent in test-ordering in the Emergency Department
- Technical and clinical validation of the Greiner FC-Mix glycaemia tube
- Comparison of pneumatic tube system with manual transport for routine chemistry, hematology, coagulation and blood gas tests
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- Evaluation of cannabinoids concentration and stability in standardized preparations of cannabis tea and cannabis oil by ultra-high performance liquid chromatography tandem mass spectrometry
- Analytical performance and diagnostic accuracy of six different faecal calprotectin assays in inflammatory bowel disease
- Novel immunoassays for detection of CUZD1 autoantibodies in serum of patients with inflammatory bowel diseases
- Hematology and Coagulation
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