“CBD inhibits the cytochrome P450 enzymes that break down important psychiatric drugs,” says Blessing. CBD isn’t the only substance that messes with the body’s ability to metabolize these drugs — both St. John’s wort and the humble grapefruit are unfriendly — but CBD is comparatively poorly studied. The way CBD inhibits those enzymes could dramatically raise the levels of SSRIs or opioids in the system, potentially leading to an overdose.
It’s a truism to state that pain is an inevitable part of life. And it’s true that we all, from time to time, experience pain that is short-lived and treatable. But those who deal with chronic pain know the debilitating, life-sucking reality of this condition. And traditional medications often come with long lists of side effects which can be as debilitating as the pain itself.
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That said, both Blessing and Carson warn that CBD should still be considered a drug, which means it can interact with other drugs. “CBD does interact with drugs that people are taking,” says Blessing. “So if you’re taking an opioid cough suppressant, or you’re taking serotonin-based medicine, like an SSRI, you can have strong drug interactions.” While most coffee shops are likely using doses too low to cause such interactions, Blessing says it’s something to be aware of. “If a coffee shop happened to have a way of making a product with a lot of CBD in it, then that could really interact with the medication this person is taking, and the effects they think are due to CBD could partly be due to that medication interaction,” she says.
Cannabidiol, or CBD for short, is a natural phyto-cannabinoid (or plant-based chemical compound) found in cannabis plants, including hemp and marijuana. Unlike other cannabinoids — namely tetrahydrocannabinol, or THC — CBD does not produce any psychoactive effects, and will actually counteract these effects to a degree. CBD will induce feelings of sleepiness; for this reason, it can be an effective soporific for people who struggle to fall and/or remain asleep due to insomnia and other sleep disorders.