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藥物交互作用

Cannabidiol + Sodium valproate

嚴重程度: 嚴重

Cannabidiol and Sodium valproate: major interaction.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Concurrent use increases the incidence of raised liver transaminases compared with either drug alone. Cases of significant hepatotoxicity may occur.

用白話說明這項交互作用的意義

Cannabidiol and Sodium valproate 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.

Cannabidiol belongs to Central Nervous System; Sodium valproate belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

Probably additive hepatotoxicity; the exact mechanism is not established.

處置方式

Check liver enzymes and bilirubin before treatment and periodically thereafter. Reduce or stop one or both drugs if transaminases rise significantly.

可向藥師詢問的問題

  • 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Cannabidiol 與 Sodium valproate 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Cannabidiol with Sodium valproate?

MediHelp rates the interaction as major. Cannabidiol and Sodium valproate 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. Concurrent use increases the incidence of raised liver transaminases compared with either drug alone. Cases of significant hepatotoxicity may occur.

How serious is the interaction between Cannabidiol and Sodium valproate?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check liver enzymes and bilirubin before treatment and periodically thereafter. Reduce or stop one or both drugs if transaminases rise significantly.

What other medicines interact with Cannabidiol?

MediHelp also lists interactions of Cannabidiol with, for example, Phenytoin, Tacrolimus, Abiraterone. The full list is on the Cannabidiol page.

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