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Drug interactions

Dextroamphetamine + Marijuana

Severity: Moderate

Dextroamphetamine 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 can cause tachycardia, anxiety and impaired cognition, and dextroamphetamine also increases heart rate and may worsen anxiety or psychosis-like symptoms. Their sedative and stimulant effects may partly mask each other, which can lead to misjudged impairment.

What this interaction means in plain words

Dextroamphetamine 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 sympathomimetic cardiovascular effects and opposing CNS effects; no specific pharmacokinetic mechanism is established.

What to do

Counsel patients to avoid cannabis while on amphetamine therapy. Monitor heart rate, blood pressure and psychiatric symptoms if use continues.

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 Dextroamphetamine with Marijuana?

MediHelp rates the interaction as moderate. Dextroamphetamine 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 can cause tachycardia, anxiety and impaired cognition, and dextroamphetamine also increases heart rate and may worsen anxiety or psychosis-like symptoms. Their sedative and stimulant effects may partly mask each other, which can lead to misjudged impairment.

How serious is the interaction between Dextroamphetamine 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: Counsel patients to avoid cannabis while on amphetamine therapy. Monitor heart rate, blood pressure and psychiatric symptoms if use continues.

What other medicines interact with Dextroamphetamine?

MediHelp also lists interactions of Dextroamphetamine with, for example, Isocarboxazid, Linezolid, Methylene blue. The full list is on the Dextroamphetamine page.

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

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