The tendency of CBD to counteract the effectiveness of pharmaceutical medications may seem extremely serious in the decision to use CBD in conjunction with a pharmaceutical drug. However, CBD’s counteractivity to the CYP3A4 enzyme is just as common and simple as that of a grapefruit. Medical professionals and the FDA do advise that patients avoid citrus fruits, in particular grapefruit, when taking certain medications. Especially true of heart medications, grapefruit juice has nearly the exact same reaction to the CYP3A4 enzyme as CBD. When taken in conjunction with some medications, grapefruit juice can either decrease or increase the potency of the drug, through its reactions to the CYP3A4 enzyme. Thus, the reaction of CBD to the CYP3A4 enzyme is not such a pressing issue that one should avoid taking CBD with prescribed medications all together. Those considering the consumption of CBD as an adjunct treatment need only do so with careful consideration and advice from a medical professional.
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Though the above side effects are known to be characteristic of CBD, it is important to note that patients have stated that these effects were moderate and very infrequent. Considering the long list of side effects in the most common pharmaceuticals being prescribed, CBD as a standalone treatment seems to be a much healthier alternative to that of a manufactured drug. Even so, cannabidiol and its benefits and risks are still being studied to further understand its behaviors within the body, and there is much that has yet to be discovered. Also, some patients may experience these mild side effects in a more noticeable way than others, as reactions can vary from person to person, much as they do in the consumption of common pharmaceutical drugs.