INTERACTION CHECKER.
A general reference for what the pharmacology literature flags about cannabis and common veteran-prescribed medications. This is not personalized medical advice — it is a starting point for the conversation with your pharmacist or doctor.
IMPORTANT
This tool provides general information based on published pharmacology literature. It is NOT a substitute for professional medical advice. Always discuss potential drug interactions with your pharmacist or healthcare provider, who can review your complete medication list.
SSRIs (sertraline, fluoxetine, citalopram, etc.)
Cannabis may increase or decrease SSRI blood levels. Some reports suggest cannabis may increase anxiety when combined with SSRIs. Monitor for changes in mood, anxiety, and side effects. Do not stop SSRIs suddenly.
SOURCE: NIDA Cannabis Research Report; pharmacology literature
SNRIs (venlafaxine, duloxetine, etc.)
Similar to SSRIs. Cannabis may affect SNRI metabolism. Monitor for changes in mood, anxiety, blood pressure, and side effects. Do not stop SNRIs suddenly — withdrawal can occur.
SOURCE: NIDA Cannabis Research Report; pharmacology literature
Benzodiazepines (lorazepam, alprazolam, clonazepam, etc.)
Both cannabis and benzodiazepines are central nervous system depressants. Combining them increases sedation, dizziness, cognitive impairment, and risk of accidents. Do not combine without medical supervision. Do not stop benzodiazepines suddenly — withdrawal can be dangerous.
SOURCE: FDA drug safety communications; pharmacology literature
Sleep medications (zolpidem, eszopiclone, temazepam)
Combining cannabis with sleep medications increases sedation, dizziness, and morning grogginess. Increased risk of falls, especially in older adults. Discuss with your provider before combining.
SOURCE: FDA drug safety communications; CDC cannabis information
Opioids (oxycodone, hydrocodone, morphine, etc.)
Combining cannabis with opioids increases sedation and may increase respiratory depression risk. The interaction is not fully understood. Do not combine without medical supervision. Do not stop or reduce opioids suddenly — withdrawal can be severe.
SOURCE: CDC opioid prescribing guidelines; pharmacology literature
Anticonvulsants (gabapentin, pregabalin, topiramate)
Cannabis may affect anticonvulsant metabolism and seizure threshold. Monitor for changes in seizure frequency, dizziness, and sedation. Discuss with your neurologist before combining.
SOURCE: Epilepsy Foundation; pharmacology literature
Blood thinners (warfarin)
Cannabis may affect warfarin metabolism and increase bleeding risk. Close monitoring of INR is essential. Do not start or stop cannabis without discussing with your provider if you take warfarin.
SOURCE: FDA drug safety communications; pharmacology literature
Blood pressure medications
Cannabis can affect heart rate and blood pressure. Combining with blood pressure medications may cause dizziness, lightheadedness, or fainting — especially when standing up. Monitor blood pressure regularly.
SOURCE: AHA cannabis guidance; pharmacology literature
Antidepressants (tricyclics, MAOIs)
Cannabis may interact with older antidepressants. MAOIs have serious interaction potential with many substances. Discuss with your psychiatrist before combining.
SOURCE: Pharmacology literature; FDA drug safety communications
Alcohol
Combining cannabis with alcohol increases impairment, dizziness, and risk of accidents. Alcohol can increase THC absorption. The combination can cause nausea and vomiting in some individuals.
SOURCE: CDC cannabis information; NIDA Cannabis Research Report
SEVERITY KEY:
HIGH — Discuss before combiningMODERATE — Monitor closelyDISCLAIMER
This page is educational and does not provide medical diagnosis, treatment, or individualized healthcare recommendations. Cannabis affects people differently and carries risks. Always discuss medical decisions, medication changes, and cannabis use with a qualified healthcare professional. Cannabis laws vary by jurisdiction and change over time. Always confirm current law through official government sources.
CONTINUE READING
Questions for Your Doctor
Generate a personalized list for your VA appointment
READHarm Reduction
Dosing, safety, and combining substances
READSubstance Use & CUD
Cannabis use disorder and treatment options
READResearch Library
Studies on cannabis-drug interactions
READ50-State Guide
Legal status and access in your state
READVeteran Stories
Experiences with medication and cannabis
READIF YOU ARE IN CRISIS, HELP IS AVAILABLE NOW.
Cannabis is not a crisis treatment. If you are struggling, please reach out to the resources below. These services are free, confidential, and available 24/7.
VA Mental Health
VA offers mental health services for veterans. Contact your VA medical center or call 1-800-273-8255.
MENTALHEALTH.VA.GOVSAMHSA Helpline
Free, confidential treatment referral. Call 1-800-662-4357. Available 24/7 in English and Spanish.
SAMHSA.GOVCONTACT INFORMATION VERIFIED AGAINST OFFICIAL SOURCES. ALWAYS CONFIRM CURRENT NUMBERS DIRECTLY. CANNABIS IS NOT PRESENTED AS A CRISIS TREATMENT.