Incorporating plant medicine into an existing treatment regime
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Key Subjects with Timestamps:
1. Checking for Drug-Drug Interactions with Cannabis (32:26.998 - 34:56.588)
- Considerations before shifting a patient from mainstream medications (SSRIs or opioids) to plant-based therapy.
- Checking for drug interactions using online drug interaction checkers like Medscape.
- THC and CBD are metabolized by cytochrome P450 enzymes, leading to potential interactions with certain medications.
- High-risk medications like tacrolimus and clopidogrel may have significant interactions with CBD.
- Considerations for using cannabis in combination with other medications and assessing potential catastrophic consequences.
2. Drug-Drug Interaction Check for Cannabis (37:45.132 - 38:50.432)
- Drug interaction checkers are useful and effective for cannabis as well, especially with the data from Epidiolex and Sativex trials.
- Clinical relevance of interactions with cannabis is generally low, except at very high doses, particularly in the case of CBD.
3. Identifying Patients Who May Benefit from Cannabis (39:11.294)
- For patients not responding well to their current medication paradigm, there might be an indication that cannabis could be a potential treatment option.
Please note that the timestamps are approximate and may vary slightly depending on the audio recording.