cannabidiol has been researched along with Nephritis--Interstitial* in 1 studies
1 other study(ies) available for cannabidiol and Nephritis--Interstitial
Article | Year |
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Evidence of a clinically significant drug-drug interaction between cannabidiol and tacrolimus.
Cannabidiol (CBD), a major purified nonpsychoactive component of cannabis with anticonvulsant properties, was approved by the U.S. Food and Drug Administration (FDA) in June 2018 as an adjuvant treatment for refractory epilepsy (Epidiolex; GW Pharmaceuticals). CBD is metabolized by cytochrome P450 (CYP)3A4 and CYP2C19 with a growing body of evidence suggesting it is also a potent inhibitor of these pathways. We report for the first time a significant drug-drug interaction between the purified CBD product and tacrolimus. A participant in a CBD clinical trial for epilepsy who was also receiving tacrolimus showed an approximately 3-fold increase in dose-normalized tacrolimus concentrations while receiving 2000-2900 mg/day of CBD. Our report delineates an important concern for the transplant community with the increasing legalization of cannabis and advent of an FDA-approved CBD product. Larger studies are needed to better understand the impact of this drug-drug interaction in solid organ transplant recipients. Topics: Adult; Cannabidiol; Drug Interactions; Epilepsy; Female; Humans; Immunosuppressive Agents; Nephritis, Interstitial; Prognosis; Tacrolimus | 2019 |