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Drug interactions

Marijuana + Methamphetamine

Severity: Moderate

Marijuana and Methamphetamine: 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 combined with methamphetamine increases heart rate and may add to cardiovascular strain. Cannabis can also add to anxiety, impaired cognition or psychosis risk when used with a stimulant.

What this interaction means in plain words

Marijuana and Methamphetamine 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 cardiovascular and psychoactive effects; any CYP2D6 effect is minor and not well established.

What to do

Counsel patients about additive tachycardia and psychiatric effects, and monitor heart rate, blood pressure and mental state, particularly in those with heart disease or psychosis.

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 Marijuana with Methamphetamine?

MediHelp rates the interaction as moderate. Marijuana and Methamphetamine 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 combined with methamphetamine increases heart rate and may add to cardiovascular strain. Cannabis can also add to anxiety, impaired cognition or psychosis risk when used with a stimulant.

How serious is the interaction between Marijuana and Methamphetamine?

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 about additive tachycardia and psychiatric effects, and monitor heart rate, blood pressure and mental state, particularly in those with heart disease or psychosis.

What other medicines interact with Methamphetamine?

MediHelp also lists interactions of Methamphetamine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Methamphetamine page.

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