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Cannabis drug interactions, with Dr. Roni Sharon The Cannabis Enigma

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When you go to the pharmacy to fill a prescription, the pharmacist checks to see if there could be any adverse drug interactions. Your doctor usually does the same. Do we need to be treating medical marijuana similarly? And who should be responsible? Dr. Roni Sharon speaks about how cannabis interacts with other medications, how … Read more

Exogenous cannabinoids as substrates, inhibitors, and inducers of human drug metabolizing enzymes: a systematic review

Exogenous cannabinoids are structurally and pharmacologically diverse compounds that are widely used. The purpose of this systematic review is to summarize the data characterizing the potential for these compounds to act as substrates, inhibitors, or inducers of human drug metabolizing enzymes, with the aim of clarifying the significance of these properties in clinical care and drug interactions. In vitro data were identified that characterize cytochrome P-450 (CYP-450) enzymes as potential significant contributors to the primary metabolism of several exogenous cannabinoids: tetrahydrocannabinol (THC; CYPs 2C9, 3A4); cannabidiol (CBD; CYPs 2C19, 3A4); cannabinol (CBN; CYPs 2C9, 3A4); JWH-018 (CYPs 1A2, 2C9); and AM2201 (CYPs 1A2, 2C9).