Drug interactions
Dronabinol + Zuranolone
Severity: Major
Dronabinol and Zuranolone: major 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
Both drugs depress the central nervous system, and zuranolone already carries a risk of driving impairment and somnolence. Combination may further worsen sedation, confusion and psychomotor performance.
What this interaction means in plain words
Dronabinol and Zuranolone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Dronabinol belongs to Central Nervous System; Zuranolone belongs to Central Nervous System.
Why it happens
Additive CNS depression through cannabinoid receptor agonism and GABA-A positive allosteric modulation.
What to do
Avoid combination if possible; otherwise consider reducing the dose of one or both drugs and counsel the patient not to drive. Monitor for excessive sedation.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Dronabinol
- Cefotetan + Dronabinol Contraindicated
- Disulfiram + Dronabinol Contraindicated
- Dronabinol + Midazolam intranasal Major
- Amobarbital + Dronabinol Moderate
- Apalutamide + Dronabinol Moderate
- Atazanavir + Dronabinol Moderate
Other interactions of Zuranolone
- Alprazolam + Zuranolone Major
- Amobarbital + Zuranolone Major
- Apalutamide + Zuranolone Major
- Asenapine + Zuranolone Major
- Brexpiprazole + Zuranolone Major
- Butorphanol + Zuranolone Major
Frequently asked questions
Can I take Dronabinol with Zuranolone?
MediHelp rates the interaction as major. Dronabinol and Zuranolone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs depress the central nervous system, and zuranolone already carries a risk of driving impairment and somnolence. Combination may further worsen sedation, confusion and psychomotor performance.
How serious is the interaction between Dronabinol and Zuranolone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combination if possible; otherwise consider reducing the dose of one or both drugs and counsel the patient not to drive. Monitor for excessive sedation.
What other medicines interact with Dronabinol?
MediHelp also lists interactions of Dronabinol with, for example, Cefotetan, Disulfiram, Midazolam intranasal. The full list is on the Dronabinol page.
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