Cannabidiol and pharmacokinetics drug-drug interactions: Pharmacological toolbox.

Therapie

Aix Marseille Univ, APHM, INSERM, Inst Neurosci Syst, UMR 1106, University Hospital Federation DHUNE, Service de Pharmacologie Clinique et Pharmacovigilance, 13005 Marseille, France; CEIP-Addictovigilance PACA-Corse, Centre régional de pharmacovigilance Marseille Provence Corse, Laboratoire de Pharmacologie Biologique, 13005 Marseille, France.

Published: June 2024

Cannabidiol (CBD) is one of the most important components of the Cannabis sativa plant with delta9-tetrahydrocannabinol (THC). CBD is used both for medical and recreational purposes. It can be of pharmaceutical grade (Epidyolex®), and also self-service purchased in pharmacy, CBD shops and on the internet (non-pharmaceutical). CBD is almost as widespread as it is poorly understood from a pharmacological point of view and particularly in terms of drug interactions. Drug-drug interactions could lead to clinical complications, and we here gather data currently available on pharmacokinetics (PK) drug-drug interactions with CBD through a narrative review. This review shows that several PK drug-drug interactions exist with different class of medications and aims to help clinicians to better know about CBD for their practice as this product is increasingly used.

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http://dx.doi.org/10.1016/j.therap.2023.05.003DOI Listing

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