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Drug interactions

Cannabidiol + Gliclazide

Severity: Moderate

Cannabidiol and Gliclazide: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Cannabidiol may inhibit CYP2C9, which contributes to gliclazide metabolism. Higher gliclazide levels could increase the risk of hypoglycemia.

What this interaction means in plain words

Cannabidiol and Gliclazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Cannabidiol belongs to Central Nervous System; Gliclazide belongs to Endocrine.

Evidence level: Low

Why it happens

Inhibition of CYP2C9-mediated metabolism of gliclazide.

What to do

Monitor blood glucose when cannabidiol is started or the dose changed, and reduce the gliclazide dose if hypoglycemia occurs.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Cannabidiol with Gliclazide?

MediHelp rates the interaction as moderate. Cannabidiol and Gliclazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Cannabidiol may inhibit CYP2C9, which contributes to gliclazide metabolism. Higher gliclazide levels could increase the risk of hypoglycemia.

How serious is the interaction between Cannabidiol and Gliclazide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose when cannabidiol is started or the dose changed, and reduce the gliclazide dose if hypoglycemia occurs.

What other medicines interact with Gliclazide?

MediHelp also lists interactions of Gliclazide with, for example, Ciprofloxacin, Clarithromycin, Disopyramide. The full list is on the Gliclazide page.

Full monographs, dosing and an interaction checker in the MediHelp app

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