Osteoarthritis, also known as Degenerative Joint Disease, (DJD) is a chronic, progressive disease. The disease develops as the cartilage in the joints breaks down from years of activity and wear and tear on the joints. Arthritis is a general term used to describe joint inflammation, while osteoarthritis refers specific It can be so difficult to watch our dogs age and succumb to the aches of elderly life. On top of that, you may not always know when your dog is suffering, because they're so good at keeping the discomfort hidden. Typically, when they do become noticeably uncomfortable, it's often because the pain is quite severe. Becau What Happens When CBD Inhibits The Cytochrome P450 System? Using CBD Safely With Other Medication Side Effects Of CBD What Research Says Frequently Asked Questions Concerning CBD and Drug Interactions Discussing CBD And Drug Interactions With Your Vet List Of Known Drugs CBD Interacts With Next to CBD and the benefits
Can I Give My Dog Galliprant And CBD Oil
Osteoarthritis, also known as Degenerative Joint Disease, (DJD) is a chronic, progressive disease. The disease develops as the cartilage in the joints breaks down from years of activity and wear and tear on the joints. Arthritis is a general term used to describe joint inflammation, while osteoarthritis refers specifically to a chronic and permanent deterioration of the cartilage, which causes bones to rub against each other and produce pain and joint stiffness. There are many different types of arthritis, with osteoarthritis being the most common type in dogs. Osteoarthritis affects approximately 20 to 25% of dogs.
It can be difficult to recognize when your dog is suffering from osteoarthritis as symptoms vary from dog to dog and often accompany older dogs, who are slowing down their activity naturally for other reasons. One of the most easily recognizable signs is a reluctance to do certain activities that were once enjoyable for the dog, although this change can be subtle. Your dog may change its interest in fetch or running and may exhibit a decreased desire to exercise. Stiffness of gait, especially after long periods of inactivity, walking up or downstairs, or in cold weather, can also be a symptom of osteoarthritis. The joint pain associated with the disease can make even the simplest activities painful and challenging for a dog.
Causes of osteoarthritis vary widely, and it occurs naturally in many older dogs without additional pressures. However, problems such as traumatic injury, hip or elbow dysplasia, obesity, or diabetes can contribute to the disease and its progression. Various genetic disorders can also make certain dogs more at risk of developing osteoarthritis and cause the natural cushions between joints to break down faster.
Many signs and causes of osteoarthritis are often associated with other diseases and illnesses common in dogs, which can make it difficult to identify. Your veterinarian should be consulted if you are concerned about your dog’s joint health and suspect an osteoarthritis diagnosis.
Galliprant (grapiprant tablets) has been available on the market since March 2016, when it was approved by the US FDA. It is an oral non-steroidal anti-inflammatory drug (NSAID) that treats pain associated with osteoarthritis in dogs. Like all NSAIDs for dogs, it requires a prescription and should only be administered under veterinary supervision.
Most veterinarians will prescribe a common NSAID for a dog suffering from osteoarthritis. NSAIDs are primarily prescribed to manage pain and inflammation from many ailments, including osteoarthritis. While most NSAIDs work by inhibiting the enzyme that produces inflammation, Galliprant targets the receptor of inflammatory lipids. All NSAIDs come with many potential negative side effects, but Galliprant is much safer than many popular NSAIDs currently on the market. Additionally, studies have found that many dogs who weren’t able to tolerate other conventional NSAIDs could tolerate Galliprant without any issues.
Because all NSAIDs interrupt the natural inflammatory pathway, they can cause serious side effects in dogs. The side effects associated with Galliprant include vomiting, diarrhea, nausea, bloody stool, and even decreased activity levels. These complications worsen if Galliprant is taken in combination with other NSAIDs for dogs. NSAID overdoses are rare but do occur in dogs and can happen more easily than pet owners like to think, especially for those NSAIDs that are sold in the format of flavored treats. For these reasons, pet owners are encouraged to explore alternative pain treatment options for their pets.
Popular supplements for joint health in both humans and dogs start with Glucosamine. The natural compound of sugar (glucose) and glutamine, promotes the growth and repair of cartilage to protect the joints. Glucosamine supplements also serve as a preventive to preserve good joint health. Other key ingredients included in joint supplements are Sodium Chondroitin Sulfate, and Magnesium, and some believe that Methylsulfonylmethane (MSM) can help repair the tissue in joints. Adding a supplement such as omega-3 fatty acids can also significantly reduce osteoarthritis pain.
All veterinarians will encourage dog owners to consider the importance of diet in their dog’s health. Many dogs begin to struggle with weight issues as they grow older and less active, and this problem can compound itself as joints begin to ache under the added weight. If your dog can’t exercise to keep trim, a change in diet makeup or caloric intake might be necessary. Additionally, some believe that a raw food diet may help promote good joint health.
CBD has a multitude of benefits for dogs, but its anti-inflammatory properties can assist dogs who are struggling with pain in their joints due to osteoarthritis. While it is not a cure for joint damage and cartilage loss, it can alleviate some of the symptoms of osteoarthritis pain and anxiety, which keeps dogs up and playing. Talking to a veterinarian about the benefits associated with giving your dog daily doses of CBD is important, and should be a pet owner’s first step in trying CBD for dogs.
Much like Galliprant and other NSAIDs for dogs currently on the market, CBD supplements are great for managing pain and limiting its development. Unlike those prescription NSAIDs, though, CBD overdoses are practically unheard of, and side effects of CBD dosing do not include bloody diarrhea or vomiting. CBD can also be used in combination with other pain management methods, including common NSAIDs, like Galliprant. Consult a veterinarian about the right dose for your dog’s size, medical history, and dietary habits before giving your dog any medicine, including CBD, and be sure to monitor your dog’s reaction to the change in treatment.
Galliprant For Dogs
It can be so difficult to watch our dogs age and succumb to the aches of elderly life. On top of that, you may not always know when your dog is suffering, because they’re so good at keeping the discomfort hidden.
Typically, when they do become noticeably uncomfortable, it’s often because the pain is quite severe. Because of that, it’s so important to keep a close eye on your dog and try to notice discomfort before it becomes too serious of a problem.
When you notice changes in your dog, it’s wise to get them to a vet. However, keep in mind that the medicines your doctor may prescribe aren’t always going to be the miracles they may seem to be.
Consequently, it’s important that you have plenty of knowledge about the medications your vet might recommend. To arm you with all the information you’ll need, we’re taking a look at the uses, benefits, side effects and dosages for Galliprant, as well as some alternatives you can consider.
What Is Galliprant For Dogs?
If you’re familiar with ibuprofen and aspririn, then you’ll know essentially what an NSAID is. Galliprant is an NSAID designed for animal use, which can help with inflammation as well as the pain that can result from it. While it is similar to medications that humans can get over the counter, it’s important that Galliprant only be used under the orders of a vet. Otherwise, things can get pretty dicey for your pet.
How Galliprant Works
Many NSAIDs interfere with the COX enzyme in order to help with relieving pain from a variety of different kinds of inflammation. That said, some NSAIDs can be specifically designed to work for specific kinds of inflammation, mainly acute and chronic inflammation, which can reduce the negative effects that can occur when compared to those that target any inflammation.
Galliprant is a non-COX drug and works differently than NSAIDs. Galliprant is one of the options that targets more specific kinds of pain. Specifically, it’s a great options for osteoarthritis in canines because it keeps a handle on the EP4 receptor. As a result, if this specificity, it’s one of the few options that can be easier on dogs who have a hard time with NSAIDs.
On top of that, other options can require keeping an eye on vital organs, which can get invasive as well as costly. However, Galliprant typically doesn’t have this requirement, making it a little safer than others.
Unlike other NSAID medications, which can be used for a variety of pain types, Galliprant is typically used for osteoarthritis. This is an issue that can cause problems for one out of every five dogs as they get older. Furthermore, it’s one of the common types of arthritis out there.
Galliprant For Canine Osteoarthritis
As your dog ages, osteoarthritis gains traction as years of movement result in cartilage in your dog’s joints breaking down. As that cartilage degenerates, it can result in more pain for your dog because their bones begin to grind together rather than being cushioned during movement.
Depending on the specific dog, osteoarthritis may not show up until the dog is older. However, in some cases it can begin to show up before the dog has even reached one year of age. It’s these cases in which Galliprant can be a useful tool. It’s worth knowing that dogs as young as nine months can use the medication safely.
This is important to note because many other options out there can be unhealthy for dogs with immune systems that are still in development. Do keep in mind that if Galliprant for dogs is being used for a longer period of time, it will be necessary to keep an eye on how it’s working in the body.
For the most part, you’ll be able to tell that your dog is having problems with arthritis because they’ll be less willing to get up, go for walks, or engage in other activities that they enjoyed in the past.
Though many think otherwise, arthritis can show up at any time, so it’s going to be important to watch out for the symptoms. The earlier you can catch them, the better off your dog will be.
In addition to that, you may also notice some of these other signs:
- Trouble standing
- Moving more slowly and carefully
- Sleeping a great deal more
- Lowered mobility
- Swollen joints
- Depression, irritability or other personality changes
- Weight gain
- Trouble laying down
- Odd movements, like limping
- Obvious joint deformities
- Aggression involving sensitive areas
- Lameness that can be intermittent
- Joint pain and inflammation
It’s worth remembering that while these are signs of arthritis, they can also be signs of other issues. Only your vet will be able to diagnose your furry friend and make sure they get the correct treatment. Your vet will evaluate your pet’s clinical signs, take their body weight, and take baseline blood tests to recommend a steroidal anti inflammatory drug, other NSAIDs, and concurrent therapies to help manage how your dog experiences pain.
Understanding Dog NSAIDs
There are a wide variety of NSAIDs on the market, including options like Galliprant, Metacam, Previcox, Rimadyl, and Deramaxx. Some of these options can be safer for your pet than others. For example, choosing to administer Galliprant tablets to manage pain and inflammation is an option that can be used when you want to avoid a lot of side effects, but keep in mind that NSAID effects will still exist.
NSAID side effects can be quite troubling for pet owners, so it’s a good idea to have a full understanding of them before you provide the medication to your pet. Keep in mind that you do have some other options to avoid the most common adverse reactions.
Dosages For Galliprant
Just like with any medication, it’s important that you follow your vet’s instructions when giving your pet Galliprant. This includes not giving anti inflammatory drugs on an empty stomach, even if your pet experienced a decreased appetite and doesn’t want to eat. It makes sense that you want to do everything you can to keep your pet from being in pain, but giving them a higher dose without your vet’s instruction can result in extremely negative effects.
Your vet knows the exact dosage your pet needs for effective results while trying to avoid as many side effects as possible. Causing your dog to overdose on Galliprant can create some terrible, lasting results on your pet.
Overdoses by pets on NSAID medications can be more common than you might expect. Even when their owners are following the correct dosage, pets can end up getting into the medication and consuming too much.
Some of the chewable tablets can be flavored in ways that are delicious to dogs, resulting in them going to town on the entire container. Unfortunately, issues like this can result in extreme amounts of liver damage and even death.
Precautions With Galliprant For Dogs
There are a few things to keep in mind if you think Galliprant might be a good option for your dog. Firstly, your vet needs to know about any conditions or other medications your dog might be on. In addition, any allergies they may have to such medications. That way, you can limit adverse reactions that your pet might have.
It’s not a good idea to administer Galliprant for dogs alongside corticosteroids or other NSAID medications. If your dog tends to have issues with grapiprant, they should not take Galliprant. For those who have small dogs, those that are under 8lbs can have difficulty getting the correct dose.
Keep in mind that taking Galliprant as a medication is rather new, so not all of the potential effects of it are known.
Side Effects Of Galliprant For Dogs
Nonsteroidal anti inflammatory drugs can make a difference for canine osteoarthritis pain. As an effective medication for the inflammatory pathway, a nonsteroidal anti inflammatory drug could be prescribed to help your pet. However, just like any medication, and particularly NSAIDs, there are side effects to look out for.
Keep an eye out for the following common adverse reactions of non steroidal anti inflammatory drugs:
- decreased appetite
Issues involving the gastrointestinal system can be very common with these kinds of anti-inflammatory, non-steroid medications.
That said, many find that dogs receiving Galliprant doesn’t seem to have effects that are as intense as other NSAID options for their dog.
Pregnant or lactating dogs, dogs younger than 6 months, dogs older than 7 years old, and overweight dogs have special considerations worth discussing with your vet.
In accordance with veterinary medicine best practices, your vet may prescribe other anti inflammatory drugs for lactating dogs and dogs younger than 6 months old.
Alternative Medications For Dog Pain
Because of adverse reactions as well as unpleasant side effects that can occur, pet owners often prefer to look for alternatives that might be a bit more gentle on their canine companion. This is especially true with medications like Galliprant for dogs, where it’s still just too new to understand every effect it might have on your dog’s body. The good news is, there are some natural alternatives out there!
CBD For Dogs
There isn’t yet a magical medication that keeps your dog young and happy forever, but there are supplements that can help them quite a bit! Among these is CBD, which can provide a lot of benefits for your dog in a very natural way.
There has been a lot of research done on CBD in general over the past 30 years or so. That said, it’s only in more recent times that we’ve started discovering the real help provided by CBD for pets. When it comes to assisting your pets, whether you’re trying to keep them healthy or alleviate arthritis symptoms, it’s absolutely worth trying out.
CBD is being investigated all over the world for many uses. However at this time, as the manufacturer of CBD products, we are not allowed to discuss that subject publicly nor we are not allowed to imply that CBD can be used for any specific treatment.
CBD For Managing Pain
When it comes to dealing with the pain of dog arthritis, CBD can be very useful. In learning how, it can help to know where that pain comes from. Osteoarthritis, like many types of pain, comes from inflammation within the body. While we don’t always see the inflammation, we can feel the effects.
CBD works like a natural substance that is capable of fighting this inflammation. As a result, it’s also able to relieve the pain your dog is feeling. By affecting the inflammation in a natural way, it’s able to protect your dog without all those added side effects.
CBD As A Joint Support Product
CBD can also be a fantastic option for assisting your pets with the health of their joints overall. As a result, they won’t need to worry as much about pain and can maintain their youth for longer. In addition, you also get a lot of options for how to give your pet CBD. Innovet, for example, offers both tasty CBD treats and CBD oils that can assist the overall health of your dog, as well as ensuring their joints are feeling great! Innovet also offers its new product, Advanced Mobility Support for Hip and Joints, specially formulated for arthritic and senior dogs.
Another useful substance you should consider when it comes to the health of your dog’s joints. There are a number of supplements out there for your dog that include this ingredient, which is able to assist in promoting synovial fluid and cartilage that make sure your dog can move around easily.
Overall, glucosamine is something that occurs in the body naturally, but adding more of it can be very useful in encouraging and protecting your dog’s joints. So if you’re concerned about the health of your dog’s joints, adding this as a supplement is a great idea.
Consider Feeding Your Dog Raw Food
Another useful tool that not everyone considers is changing up your dog’s diet. In the wild, dogs and their canine family members would typically eat raw meat from the animals they hunt. Consequently, many believe that a raw meat diet can be the best possible option in keeping your dog healthy.
If you’re interested in a raw food diet for your dog, then it’s a good idea to check in with your vet. They can give you a solid rundown of how, what and when to feed your dog so that they get the best possible results from the diet.
Galliprant For Dogs: The Bottom Line
Keep in mind that while osteoarthritis can be uncomfortable for your dog, it’s absolutely not something that is going to destroy your dog’s life. There are many options out there you can take to help them feel well and be able to get around more easily.
While you’re checking out your options, it can help to get a good feel for all of them. Consider the benefits, side effects and potential adverse reactions. It can also be helpful to visit a holistic vet using CBD to get a complete picture.
The more knowledge you have, the easier it will be to make the best possible choice for the health of your canine buddy.
Dr. Ivana Vukasinovic
Doctor of Veterinary Medicine, University of Belgrade
Ivana Vukasinovic grew up in Serbia and attended the University of Belgrade where she received a degree in Veterinary medicine in 2012 and later completed surgical residency working mostly with livestock. Her first year of practice was split between busy small animal practice and emergency clinic, and after two more years of treating many different species of animals, she opened her own veterinary pharmacy where an interest in canine and feline nutrition emerged with an accent on fighting animal obesity. In her free time, she acts as a foster parent for stray animals before their adoption, likes to read SF books and making salted caramel cookies.
Thanks for stopping by!
P.S. We Love You!
The Innovet Team
Please do not ask for emergency or specific medical questions about your pets in the comments . Innovet Pet Products is unable to provide you with specific medical advice or counseling. A detailed physical exam, patient history, and an established veterinarian are required to provide specific medical advice. If you are worried that your pet requires emergency attention or if you have specific medical questions related to your pet’s current or chronic health conditions, please contact or visit your local/preferred veterinarian, an animal-specific poison control hotline, or your local emergency veterinary care center.
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CBD Drug Interactions: Which Medications Should You Avoid
Next to CBD and the benefits that can help treat a long list of medical disorders, the other thing that has driven its popularity is its low risk for causing side effects. In fact, research shows CBD can be so safely used that it has the potential to replace other drugs typically used to manage pain, inflammation, anxiety, and on. In fact, in the case of certain epilepsy disorders, there are even times when CBD is the only thing that truly helps. None of this isn’t saying that using CBD doesn’t carry along minor side effects, which we will discuss in more detail later on.
While generally noted for its low side-effect profile, research shows CBD does have one significant side effect of note. And that is the potential for it to interact with certain prescription drugs that are metabolized by a family of enzymes. Known as Cytochrome P450, these enzymes, in particular, CYPA4, are responsible for breaking down about 60 percent of clinically prescribed medications.
While this news jumps out to many as incredibly alarming, it’s not uncommon for foods, supplements, and common medications themselves to inhibit CYP enzymes, causing drug interactions. Grapefruit, St. John’s wort, and kale can all cause drug interactions by inhibiting the same enzymes CBD products can. Then foods such as broccoli, spices like cumin, and drinks like coffee can all interact with the medication we take.
Because many of these are common items in a human’s diet, one way to quickly find out if CBD could interact with the medications you’re taking is to look on the drugs’ label for warnings about eating certain foods, in particular, grapefruit. This isn’t so easy with medications for our pets, however that’s why we are here to help. Because including CBD in our dogs and cats’ health regime is a great way to give them the health they deserve. The therapeutic effects of CBD are countless, and we will be covering the main health benefits in addition to advising you on how to safely use CBD alongside other medications.
What Happens When CBD Inhibits The Cytochrome P450 System?
By temporarily inhibiting cytochrome P450 enzymes, CBD along with the other cannabinoids found in all cannabis plants are able to delay the rate they break down their intended medication.
The metabolism rate of a drug is quite important for several reasons and must be known before an appropriate dosage can be prescribed. By delaying a drug’s metabolism rate, CBD can allow for too much medication to be in your system at once. And in essence, by raising the drug’s potency, this acts as if you took a higher dosage of that drug than normal. By effectively raising the dosage, you’re often increasing the risk for the said drug to cause side effects.
Research on the significance CBD can interact with other medications is still heavily being looked into, and discussed below. Anecdotally, we know that both marijuana and hemp products are commonly used alongside other medications. As we know, there is no great worry in the marijuana community at large about their use interacting with their prescribed medication. The same can’t be said when it comes to the side effects to memory and motor control due to the high amounts of THC found in these plants.
We can theorize from this, that while cannabis products can cause drug interactions and it is not something to take lightly, it’s not significant enough by large to cause a great concern amongst its users. It is important to note that Delta-9-tetrahydrocannabinol (THC), limited to 0.3% in CBD products vs 20%+ in marijuana is heavily involved in inhibiting CYP enzymes. Both CBD and THC are metabolized by CYP3A4 while THC is also metabolized by CYP2C9 and CBD by CYP2C19. From what we currently know, the less CYP are enzymes inhibited, the less chance it can interact with other medications. Along with its inability to cause a high, along with being available for kids and pets, this is another reason CBD oil may be the preferable choice vs medical marijuana.
However, don’t let this trick you into thinking that there isn’t good evidence that we shouldn’t be concerned about it. We have studies that show evidence of CBD itself raising the potency of blood-thinning medication along with seizure medication, causing a higher occurrence of side effects vs. the control groups.
Using CBD Safely With Other Medication
While CBD and other CBD products have the ability to interact with around 60% of prescribed medication, there are several ways to safely use CBD in conjunction with other medications.
First, never stop giving your pet medication prescribed by your veterinarian until you’ve consulted them. This goes for medication that may have a potential interaction with CBD and medication that doesn’t.
From starting CBD off at a lower dose than normal to timing out when CBD should be given to allow for the prescription drug to break down first, there are lots of little things that you can do to improve the safety of CBD. Your veterinarian can help you with these. As well, they can monitor blood plasma levels to ensure your pet’s medication is being properly metabolized or if it could do for a dosage adjustment.
There are times when CBD is touted for its ability to lower the reliance or dosage of prescription medication. One reason this happens is that CBD offers its own benefits. But the other reason we speculate this happens is that CBD may be raising the potency of the other medication in the body.
Last, even in the rare case your pet can’t ingest CBD due to a drug interaction, all hope of ever giving them CBD isn’t lost. The beneficial compounds found in CBD, and in hemp and cannabis products can be administered topically. CBD lotions, salves, and creams are great for help with surface-level aches and pain, skin breakout, inflammation, and more, These do this by avoiding entering the bloodstream, largely preventing CBD from interacting with Cytochrome p450 enzymes.
The skin is the largest organ and the first level of defense against nasties that can put severe stress on the body. Including CBD and hemp in your pet’s skincare regime is a great way to care for their general health.
Side Effects Of CBD
Without a doubt, the biggest and in most cases, the only side effect that comes from using CBD is its ability to interact with other medications. However, there are some minor side effects to be aware of. In most cases, these side effects occur when too large of a dose is given. CBD has a biphasic effect where low and common dosages can put a slight pip in your pet’s step. However, give your dog or cat too much, and you may find them catching some heavy Zzzz’s on the couch.
Another side effect of CBD, along with other cannabis products, is dry mouth. CB1 and CB2 receptors which make up the endocannabinoid system — the system cannabis largely interacts with — are found heavily in the mouth where they help regulate saliva production. But by the same token, the opposite of dry mouth can happen, and CBD may temporarily boost saliva product/release. CB1 receptors are overstimulated with high-THC products like marijuana. Because there are only trace amounts of it in CBD products, issues like dry mouth are much less commonly seen.
High doses of CBD can lower resting blood pressure causing some lightheadedness, which should quickly pass. One 2017 study found the potential for CBD to help lower blood pressure in those with high blood pressure.
Nausea and stomach discomfort are frequently cited side effects seen with nearly every medication. This especially happens when first starting a medication due to the body needing to take time to realize it’s not a threat or allergy. The same can happen with CBD, despite it usually having adverse effects and helping with nausea and stomach discomfort. Changing the dosage while the body learns to recognize CBD can help. Usually, a lower than normal dose for a few days to a week is a great course of action for this side effect.
What Research Says
Research on CBD, and cannabidiol itself, and the potential for drug interactions so far has been a bit of a mixed bag. Some researchers have found a low dose of CBD is effective enough in avoiding interactions with the drugs they were studying. While other researchers have found a precise dosage – that can be either low or high – is preferable and dependent on the patients’ and their medications. So how do we interpret this data?
First, the big thing that comes from the studies we have found is while CBD can cause interactions with the medication we take, studies still find CBD is a safe and effective treatment. With simple monitoring and potential adjustments in the dosage, there is little risk to continue using CBD. This is awesome news!
The reason a low dose usually works, but not always for avoiding a drug’s side effects is likely due to the individual cytochrome that’s responsible for the metabolism of the drug. Researchers have found CBD can both speed up and slow down the metabolism rate depending on the drug and the cytochrome it interacts with. Again, while there is some risk with CBD, when given the appropriate care, the data shows CBD is very low risk.
Clinical trials show care and safety should be given in the case of epilepsy because while CBD can significantly help seizures, they can easily interact with seizure medications increasing their side effects, which can produce seizures of their own. However, again, researchers have found CBD and seizure medications can be used together with a smart medical treatment plan. In fact, epilepsy is currently the only thing the FDA has approved the use of CBD for.
Frequently Asked Questions Concerning CBD and Drug Interactions
We hope our article has provided you with all the information you need when deciding if CBD is something you should give to your pet. Especially if they are already on medications. Because we’ve taken such an extensive look at CBD and its potential for causing a drug interaction, we wanted to quickly answer some of the most asked questions concerning the topic.
Can You Take CBD With Medication?
In the large majority of cases, CBD can safely be used with most medications. Using CBD in tandem with over-the-counter medications warrants little to no concern. If using an OTC drug long-term or at a higher than normal dosage due to medical advice from your doctor or vet, please consult said authority before using a CBD product. While a CBD product has the potential to cause drug-drug interplay in about 60% of prescription drugs, for the most part, with the proper medical advice and guidance, CBD can be safely used.
What Meds Does CBD Interact With?
CBD has been shown to interact with blood-thinning drugs like Warfarin, raising abnormal liver enzymes along with inducing tiredness when used in conjunction with Valproic Acid – sometimes used for controlling seizures. This information comes from research on Epidiolex, an FDA-approved cannabis extract for help with epilepsy. Epidiolex is an isolate, meaning it only contains the single cannabinoid, cannabidiol, in very high amounts. Most CBD products aren’t a single cannabinoid but contain the full range including high amounts of cannabidiol.
For a full list of potential drug interactions, please see our list at the end of the article.
Can CBD Interfere With Arthritis Medications?
In the large majority of cases, it’s very unlikely CBD would interfere with the metabolism of drugs used to treat arthritis and other inflammatory joint disorders. For help with pain and joint issues, veterinarians commonly prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) that are safe for dogs. Except for diclofenac, it appears CBD will not have a drug-drug interaction with an NSAID drug. While NSAIDs are commonly given to dogs, the over-the-counter medications we commonly take – like Ibuprofen – should only be given to your dog under the supervision of your vet due to their ability to easily pass the safety threshold in dogs.
Does CBD Interfere With Blood Pressure Medicine?
While high blood pressure and hypertension occur in humans more, our dogs are susceptible to the disease and put on similar medications, as well. Because CBD can lower blood pressure and potentially help those with hypertension, it can seem like a good idea to use it in conjunction with drugs designed to do the same, but caution is advised. While CBD can be used in tandem with blood pressure medications, it’s recommended you discuss it with your veterinarian first.
There are several medications used to treat high blood pressure, including angiotensin converting enzyme (ACE) inhibitors, angiotensin II receptor antagonists (ARBs), diuretics, and calcium channel blockers. Because of this, if your vet finds they like what CBD is offering your pet, but they see it interacting with their medication, they have the option to switch to a different medication.
Has CBD Ever Caused A Life-Threatening Drug Interaction?
To the best of our knowledge and thorough research, we can not find an example of CBD or any cannabis product causing life-treating drug interactions.
Again, this should not make you disregard potential drug interactions. Instead, we are simply saying that while cannabis can cause such, it’s frequently used alongside other medications, often without the guidance of a health provider, yet for whatever reasons, a crisis has not occurred.
Discussing CBD And Drug Interactions With Your Vet
CBD has a world of therapeutic benefits that can improve our pets’ health in both small and big ways. Backed by research, CBD oil and other CBD products have been shown to be extraordinarily low-risk options for the benefits it has. However, while you can use CBD in tandem with other medications, there is a chance for an interaction that can increase the risk of the drug causing side effects. Interactions cannot happen with all drugs, but a majority of prescription medications (about 60%) have potential. This includes medication commonly used to treat epilepsy, for which CBD is commonly used to help as well.
If your dog or cat is on medication, and you’re concerned about CBD and its potential for drug interactions, your best bet for advice is their vet. While CBD may interact with medications your pet is on, your vet can safely assess if CBD is still the correct choice for them. Often timing out the dosages or changing the dose of CBD or the other medications can allow them to be used together for the best of both worlds.
With proper care, current research indicates CBD can offer a treatment plan an irreplaceable tool for improving health without causing serious adverse side effects, even when there is potential for a drug interaction.
List Of Known Drugs CBD Interacts With
If either you or your pet is on one or more of the medications listed below, please consult the appropriate medical professional before using CBD. Just because a medication is listed below does not indicate that it can never be used in conjunction with CBD or another cannabis product. Nor does it mean you will personally see drug interactions or side effects from them. Instead, it simply means there is potential for an interaction that you should be aware of.
Our aim for this list is to give a comprehensive reference point. However, there is always the chance we could have missed some medications. As well, there are studies and clinical trials dedicated to the research of CBD and drug interactions currently in operations that could change our list.