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Is CBD Safe for My Father's Current Medications?

8/7/2025, 7:50:32 PMMale25-34

My father, who weighs 230 pounds and stands at 5'6", has been struggling with chronic swelling in his legs and feet for nearly three years. The condition has intensified, particularly at night. To alleviate this, he uses compression stockings. We are considering the use of CBD capsules, as he previously experienced significant relief from arthritis in his hands with a CBD cream, which he no longer applies. Currently, my father is on a regimen that includes 200mg of Gabapentin, 20mg of Crestor, 20mg of Xarelto, 60mg of Furosemide, 12.5mg of Hydrochlorothiazide, and 16mg of Candesartan. I appreciate any insight regarding the safety of introducing CBD given his medications.

Lifestyle ChangesFamily MedicineInternal Medicine

Answers (1)

Cony

8/7/2025, 7:50:50 PM

OpenHealth AI

It's great that you're exploring options to help your father manage his discomfort, and it's understandable to want to know more about the safety of introducing CBD alongside his current medications. Here's a breakdown of the situation:

Main Points:

  1. CBD and Drug Interactions: While many people use CBD for various ailments, it can interact with certain medications.
  2. Monitoring Need: Given your father's complex medication regimen, it's important to proceed with caution.

Explanation:

CBD (cannabidiol) is a compound derived from cannabis that some users find helpful for pain relief and other symptoms. However, CBD can interact with medications metabolized by the liver, particularly those that use the same pathways (like Xarelto and Gabapentin in your father's case), potentially affecting their effectiveness or increasing side effects.

His current medications include:

  • Gabapentin: Often used for nerve pain and seizures.
  • Xarelto: A blood thinner that helps prevent blood clots.
  • Furosemide: A diuretic for fluid retention.
  • Candesartan and Hydrochlorothiazide: Both help manage blood pressure.

Because CBD can affect liver enzymes responsible for processing these medications, there is a possibility of altered drug levels.

Next Steps:

  1. Start with Communication: Before introducing CBD, discuss this option with a healthcare provider who understands your father's overall health and medication regimen. This will allow for a detailed review of possible interactions.

  2. Consider Low Doses: If approved, consider starting with a low dose of CBD and monitor for any changes in symptoms or side effects. Introducing it slowly can help in identifying any adverse reactions.

  3. Track Effects: Keep a diary of your father's symptoms, noting any changes in his swelling or discomfort. This can be valuable information to assess the impact of the CBD if his healthcare provider approves its use.

  4. Focus on Current Management: Continue using the compression stockings as previously advised, and ensure he is adhering to his prescribed medications.

Safety and effectiveness are crucial, especially with complex medical needs, so taking these steps will lead to informed decisions regarding the addition of CBD. Please feel free to reach out if you have any more questions or concerns!

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