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Drug interactions

Chlorpromazine + Marijuana

Severity: Moderate

Chlorpromazine and Marijuana: 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

Cannabis and chlorpromazine both depress the central nervous system, so drowsiness, impaired psychomotor performance and dizziness may be greater than with either alone. Cannabis can also cause tachycardia and orthostatic hypotension, which may add to the hypotensive effect of chlorpromazine.

What this interaction means in plain words

Chlorpromazine and Marijuana 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.

Evidence level: Low

Why it happens

Additive CNS depression and additive cardiovascular effects (orthostatic hypotension, tachycardia).

What to do

Advise patients to avoid cannabis or limit use and to avoid driving or operating machinery. Monitor sedation and orthostatic blood pressure.

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 Chlorpromazine with Marijuana?

MediHelp rates the interaction as moderate. Chlorpromazine and Marijuana 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. Cannabis and chlorpromazine both depress the central nervous system, so drowsiness, impaired psychomotor performance and dizziness may be greater than with either alone. Cannabis can also cause tachycardia and orthostatic hypotension, which may add to the hypotensive effect of chlorpromazine.

How serious is the interaction between Chlorpromazine and Marijuana?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to avoid cannabis or limit use and to avoid driving or operating machinery. Monitor sedation and orthostatic blood pressure.

What other medicines interact with Chlorpromazine?

MediHelp also lists interactions of Chlorpromazine with, for example, Dofetilide, Dronedarone, Droperidol. The full list is on the Chlorpromazine page.

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