Cannabidiol-drug interaction in cancer patients: A retrospective study in a real-life setting.


Journal

British journal of clinical pharmacology
ISSN: 1365-2125
Titre abrégé: Br J Clin Pharmacol
Pays: England
ID NLM: 7503323

Informations de publication

Date de publication:
07 2023
Historique:
revised: 06 02 2023
received: 24 11 2022
accepted: 16 02 2023
medline: 19 6 2023
pubmed: 28 2 2023
entrez: 27 2 2023
Statut: ppublish

Résumé

Cannabidiol (CBD) consumption in cancer patients is growing and there is a need to investigate how to detect cannabidiol-drug interactions (CDIs). However, CDIs and the clinical relevance between CBD, anticancer treatment, supportive care and conventional drugs is poorly studied especially in real-life settings. In 1 oncology day-hospital, a cross-sectional study in 363 cancer patients treated with chemotherapy revealed 20 patients (5.5%) who consumed CBD. In this study we aimed to explore the prevalence and clinical relevance of CDIs among these 20 patients. CDI detection used the Food and Drug Administration Drugs.com database and clinical relevance was assessed accordingly. Ninety CDIs with 34 medicines were detected (4.6 CDI/patient). The main clinical risks were central nervous system depression and hepatoxicity. The main CDIs were assessed as moderate and anticancer treatment do not seem to add to the risk. CBD discontinuation appears to be the most consistent management. Future studies should explore the clinical relevance of drug interactions with CBD in cancer patients.

Identifiants

pubmed: 36849134
doi: 10.1111/bcp.15701
doi:

Substances chimiques

Cannabidiol 19GBJ60SN5

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2322-2328

Informations de copyright

© 2023 British Pharmacological Society.

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Auteurs

Marie Guedon (M)

Department of Pharmacy, CHU Reims, F-51100, Reims, France.

Antoine Le Bozec (A)

Oncology Day-Hospital, CHU Reims, F-51100, Reims, France.

Mathias Brugel (M)

Department of Gastroenterology and Digestive Oncology, CHU Reims, F-51100, Reims, France.

Justine Clarenne (J)

Department of Pharmacy, CHU de Reims, BIOs, Université de Reims Champagne-Ardenne, F-51100, Reims, France.

Claire Carlier (C)

Oncology Day-Hospital, CHU Reims, F-51100, Reims, France.

Marine Perrier (M)

Department of Gastroenterology and Digestive Oncology, CHU Reims, F-51100, Reims, France.

Maëliss Laurent (M)

Department of Pharmacy, CHU Reims, F-51100, Reims, France.

Dominique Hettler (D)

Department of Pharmacy, CHU Reims, F-51100, Reims, France.

Céline Mongaret (C)

Department of Pharmacy, CHU de Reims, BIOs, Université de Reims Champagne-Ardenne, F-51100, Reims, France.

Olivier Bouché (O)

Oncology Day-Hospital, CHU de Reims, BioSpecT, Université de Reims Champagne-Ardenne, F-51100, Reims, France.

Florian Slimano (F)

Department of Pharmacy, CHU de Reims, BioSpecT, Université de Reims Champagne-Ardenne, F-51100, Reims, France.

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