| Z0CB Cannabinoider - Z0GR Grapefruktjuice |
ATC1 | Z0CB Cannabinoider (Cannabinoids) |
ATC2 | Z0GR Grapefruktjuice (Grapefruit juice) |
Nivå | Bør ikke kombineres. (les mer...) |
Konsekvens | Økt konsentrasjon av tetrahydrocannabinol (80 %) og cannabidiol (to ganger) (vist for den kraftige enzymhemmeren ketokonazol). |
Mekanisme | Hemming av metabolismen av tetrahydocannabinol og cannabidiol via CYP3A4. |
Grunnlag | Indirekte data |
Referanser |
1. | SPC Sativex Les mer... |
2. | Stott C et al. A Phase I, open-label, randomized, crossover study in three parallel groups to evaluate the effect of Rifampicin, Ketoconazole, and Omeprazole on the pharmacokinetics of THC/CBD oromucosal spray in healthy volunteers. Spingerplus 2013; 2: 236. Les mer... |
3. | Stout SM. Exogenous cannabinoids as substrates, inhibitors, and inducers of human drug metabolizing enzymes: a systematic review. Drug metabolism Rev 2014; 46: 86-95. Les mer... |