Evidence map›Paper›PMID 38720531›Full record

SynthesisClinical and translational science2024

Evaluation of potential drug-drug interactions with medical cannabis.

Jessie Jia Yi Ho, Chenyi Goh, Caitlin Shen Ai Leong, Khuen Yen Ng, Athirah Bakhtiar

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical and translational science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jessie Jia Yi HoSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.ORCID 0009-0006-5158-9283
Chenyi GohSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.ORCID 0009-0004-4762-7297
Caitlin Shen Ai LeongSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.ORCID 0009-0007-7887-548X
Khuen Yen NgSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.ORCID 0000-0002-9453-4999
Athirah BakhtiarSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.ORCID 0000-0003-2752-9783

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cannabis-drug interactions have caused significant concerns, mainly due to their role in the cytochrome P450 (CYP) enzyme-mediated metabolic pathway of numerous medications. A systematic review was conducted to gain an overview of the potential interactions of cannabis with different drug classes by extracting pertinent information from published study data. From the inception of the study to October 1, 2023, we performed a systematic search of PubMed, Scopus, clinicaltrials.gov, and Web of Science. We included 54 out of 464 articles, and a total of 20 drug classes were identified to have interactions with medicinal cannabis. The cannabis-drug interactions were assessed and classified according to their probability and severity. The analysis revealed that antiepileptics had the most evidence of interaction with cannabis, followed by clobazam (CLB), warfarin, and tacrolimus. Generally, cannabis-drug interactions result in pharmacokinetic (PK) or pharmacodynamic (PD) changes. Therefore, careful monitoring should be performed to detect any unusual elevations in plasma levels. In addition, dose titrations or treatment withdrawal could help mitigate the adverse effects attributed to cannabis-drug interactions. Nevertheless, novel drugs are constantly emerging, and more research is needed to further identify potential interactions with cannabis.

Indexed as

AnticonvulsantsDrug InteractionsMedical MarijuanaClobazamHumansWarfarinAnticonvulsantsClobazamMedical MarijuanaWarfarin

Identifiers

PMID38720531
PMCPMC11079547

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.