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Tolerability profile of topical cannabidiol and palmitoylethanolamide: a compilation of single-centre randomized evaluator-blinded clinical and in vitro studies in normal skin

Maghfour J, Rietcheck H, Szeto MD, Rundle CW, Sivesind TE, Dellavalle RP, Lio P, Dunnick CA, Fernandez J, Yardley H. Clin Exp Dermatol. 2021;46(8):1518-1529.

Controlled trialHumansTopicalWith cannabidiol

This study tested palmitoylethanolamide together with cannabidiol. Its results cannot be assigned to palmitoylethanolamide alone. More combination studies.

Design
Controlled trial
Subjects
Healthy adult volunteers in three patch-test studies; numbers not given in the abstract. Plus a hen's egg chorioallantoic membrane test for eye irritation
Dose used in the study
Commercial topical products: two containing cannabidiol plus PEA, one hemp seed oil product, and four concentrations of cannabidiol alone
Duration
Standard patch-test schedules for irritation, sensitisation and phototoxicity
What was measured
Skin irritation, sensitisation and phototoxicity by evaluator-blinded patch testing; ocular irritation in vitro

What the authors reported

No irritation or sensitisation from any product. Mild phototoxicity from the hemp seed oil product at 48 hours. The in vitro eye test placed the products with historically non-irritating products.

Limits of this study

Safety study only; no efficacy outcomes. All products from one manufacturer. Tested on normal skin, not diseased skin. Number of participants and PEA concentration not in the abstract.

Source

PubMed 33987872 · doi:10.1111/ced.14749

Entry checked against the abstract, supplied by Devlin. Sample size and PEA concentration not in the abstract on 2026-09-21. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.