“While patients may be wary of stigma surrounding CBD products, I believe most health care providers understand this is a growing area and one strategy patients are trying in hopes of getting relief,” she says. I would advise caution on one NSAID, diclofenac, because there isn’t information on how CBD affects — if at all — the enzyme that metabolizes it,” says Dr. Bemben. “The manufacturer of Epidiolex was asked by the FDA to conduct more drug-drug interaction studies, so we will learn more about CBD’s interactions with other drugs in the future,” says Dr. Bemben. This makes them break down certain drugs more slowly, which could potentially increase side effects unless your doctor adjusts the dose.
Cannabis should not only take its place as an F.D.A.-approved drug, they contend. THC may also have therapeutic uses, particularly in treating the pain that often puts people on a path leading toward opioid addiction. Several studies have found that cancer patients need fewer opioid painkillers if they’re also using cannabis.
Brightfield Group, a marijuana marketing research firm,predictsthe fast-growing industry will be worth $22 billion by 2022. There are a lot of reasons to take CBD and still need to take your prescriptions, even though half of the people who try CBDdrop their prescriptions altogether. Explain to your doctor why you think you need to take CBD and the concerns you have with how it may affect your medication. Second, your doctor can adjust your medication to work with CBD, or they can work with you to figure out a good regimen for getting you happy and healthy. When a doctor prescribes you a particular drug, they take into account how fast your body will process the medicine to determine the right dose for you.
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Still, the more CBD you have, the more likely it is to interfere with other drugs metabolized by these liver enzymes. “With people taking highly concentrated tinctures and oils containing CBD, I am concerned that there may be some potential interactions with pharmaceuticals,” Abrams says. While there is no specific definition of “highly concentrated,” the doses on the market now are higher than they’ve ever been before. The fact that these concentrates are growing more common, and that some contain higher doses than they advertise, increases the risk.