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Drug interactions

Cannabidiol + Omeprazole

Severity: Moderate

Cannabidiol and Omeprazole: 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 inhibits CYP2C19 and can raise omeprazole levels, and omeprazole may in turn raise levels of cannabidiol. Effects are usually modest but may increase adverse effects of either drug.

What this interaction means in plain words

Cannabidiol and Omeprazole 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; Omeprazole belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Mutual CYP2C19 inhibition reduces metabolism of both drugs.

What to do

Monitor for cannabidiol adverse effects such as sedation and transaminase elevation. Reduce the dose of either drug if needed.

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 Omeprazole?

MediHelp rates the interaction as moderate. Cannabidiol and Omeprazole 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 inhibits CYP2C19 and can raise omeprazole levels, and omeprazole may in turn raise levels of cannabidiol. Effects are usually modest but may increase adverse effects of either drug.

How serious is the interaction between Cannabidiol and Omeprazole?

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 for cannabidiol adverse effects such as sedation and transaminase elevation. Reduce the dose of either drug if needed.

What other medicines interact with Omeprazole?

MediHelp also lists interactions of Omeprazole with, for example, Mavacamten, Rilpivirine, Acalabrutinib. The full list is on the Omeprazole page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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