Interaction of cannabidiol with other antiseizure medications: A narrative review.

Author: DowdZoya, GilmartinChristopher G S, HarijanPooja, ParkerAlasdair P J

Paper Details 
Original Abstract of the Article :
OBJECTIVE: Cannabidiol is efficacious as an adjunctive treatment in children with epilepsy associated with Dravet and Lennox-Gastaut syndromes. As its role is currently adjunctive, we reviewed the interactions of cannabidiol with other antiseizure medications (ASMs). METHODS: A search of Cochrane, ...See full text at original site
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引用元:
https://doi.org/10.1016/j.seizure.2020.09.010

データ提供:米国国立医学図書館(NLM)

Cannabidiol and Antiseizure Medications: A Complex Interplay

Cannabidiol (CBD) has emerged as a promising adjunctive treatment for children with epilepsy. This research investigates the potential interactions between CBD and other antiseizure medications (ASMs), examining both pharmacokinetic and pharmacodynamic mechanisms. The authors conduct a narrative review to synthesize the available evidence on these interactions.

A Complex Dance: CBD's Interactions with ASMs

The review identifies potential for both pharmacokinetic and pharmacodynamic interactions between CBD and various ASMs, including brivaracetam, clobazam, eslicarbazepine, lacosamide, gabapentin, oxcarbazepine, phenobarbital, potassium bromide, pregabalin, rufinamide, sirolimus/everolimus, stiripentol, tiagabine, topiramate, and zonisamide. The cytochrome p450 system plays a significant role in these interactions, but other mechanisms may also be involved.

Navigating the Interactions: Ensuring Safe and Effective Treatment

This review underscores the importance of careful monitoring for interactions between CBD and ASMs. Clinicians should be aware of the potential for these interactions and adjust treatment accordingly. Monitoring blood levels may be necessary to ensure safe and effective treatment for patients using both CBD and ASMs.

Dr. Camel's Conclusion

Just as a camel navigates a maze of shifting sand dunes, we must carefully consider the complex interactions between CBD and ASMs. This review provides valuable insights into these interactions, highlighting the importance of vigilance and collaboration between clinicians and patients to ensure safe and effective treatment for individuals with epilepsy.

Date :
  1. Date Completed 2021-07-12
  2. Date Revised 2021-07-12
Further Info :

Pubmed ID

33541771

DOI: Digital Object Identifier

10.1016/j.seizure.2020.09.010

SNS
PICO Info
in preparation
Languages

English

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