{"componentChunkName":"component---common-build-questions-template-js","path":"/questions-and-answers/cbd-oil-and-citalopram","result":{"data":{"question":{"title":"Cbd oil and citalopram","slug":"cbd-oil-and-citalopram","createdAt":"October 8, 2020","image":null,"tags":[],"childMarkdownRemark":{"excerpt":"\"I am taking 20 mg of citalopram daily. Can I use cbd oil at the same time?\" Hello,\nAlthough CBD and citalopram are both…","html":"<p>\"I am taking 20 mg of citalopram daily. Can I use cbd oil at the same time?\"</p>\n<hr>\n<p>Hello,\nAlthough CBD and citalopram are both metabolized by the CYP2C19 enzyme of the P450 pathway, at typical doses, they are safe to take concurrently. </p>\n<p>Theoretically, however, when taking very high doses of CBD, plasma levels of citalopram might rise significantly - leading to concerns of serotonin syndrome. Although, in the absence of compromised liver function, those concerns would only arise when taking very high doses of CBD.</p>\n<p>There was a case report which suggested that extremely high doses of CBD can lead to markedly elevated levels of coumadin - which is also a competitive inhibitor of the CYP2C19 enzyme. However, even at doses averaging about 250mg of CBD, coumadin levels were only slightly elevated.\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789126/\">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789126/</a>\n<a href=\"https://www.hellomd.com/answers/5a5f725fd31dce000697f1be/\">https://www.hellomd.com/answers/5a5f725fd31dce000697f1be/</a></p>\n<p>drkim</p>","timeToRead":1}},"defaultImage":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/1e164eb4ee29aff63b63675577d389d3/a07a5/question-default-image.jpg","srcSet":"/static/1e164eb4ee29aff63b63675577d389d3/decd9/question-default-image.jpg 150w,\n/static/1e164eb4ee29aff63b63675577d389d3/15aed/question-default-image.jpg 300w,\n/static/1e164eb4ee29aff63b63675577d389d3/a07a5/question-default-image.jpg 600w,\n/static/1e164eb4ee29aff63b63675577d389d3/701ee/question-default-image.jpg 800w","srcWebp":"/static/1e164eb4ee29aff63b63675577d389d3/483a3/question-default-image.webp","srcSetWebp":"/static/1e164eb4ee29aff63b63675577d389d3/e8bcc/question-default-image.webp 150w,\n/static/1e164eb4ee29aff63b63675577d389d3/4fec1/question-default-image.webp 300w,\n/static/1e164eb4ee29aff63b63675577d389d3/483a3/question-default-image.webp 600w,\n/static/1e164eb4ee29aff63b63675577d389d3/2ad7f/question-default-image.webp 800w","sizes":"(max-width: 600px) 100vw, 600px"}}}},"pageContext":{"id":11646,"slug":"cbd-oil-and-citalopram","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}