Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Cannabidiol
Drug ID BADD_D02468
Description Cannabidiol, or CBD, is one of at least 85 active cannabinoids identified within the Cannabis plant. It is a major phytocannabinoid, accounting for up to 40% of the Cannabis plant's extract, that binds to a wide variety of physiological targets of the endocannabinoid system within the body. Although the exact medical implications are currently being investigated, CBD has shown promise as a therapeutic and pharmaceutical drug target. In particular, CBD has shown promise as an analgesic, anticonvulsant, muscle relaxant, anxiolytic, antipsychotic and has shown neuroprotective, anti-inflammatory, and antioxidant activity, among other currently investigated uses [A32477, A32469]. CBD's exact place within medical practice is still currently hotly debated, however as the body of evidence grows and legislation changes to reflect its wide-spread use, public and medical opinion have changed significantly with regards to its usefulness in a number of medical conditions ranging from anxiety to epilepsy.
Indications and Usage When used in combination with delta-9-tetrahydrocannabinol as the product Sativex, cannabidiol was given a standard marketing authorization (ie. a Notice of Compliance (NOC)) by Health Canada for the following indications: 1) as adjunctive treatment for symptomatic relief of spasticity in adult patients with multiple sclerosis (MS) who have not responded adequately to other therapy and who demonstrate meaningful improvement during an initial trial of therapy [L886]; Due to the need for confirmatory studies to verify the clinical benefit coupled with the promising nature of the clinical evidence, Sativex was also given a Notice of Compliance with Conditions (NOC/c) by Health Canada for the following indications: 1) as adjunctive treatment for the symptomatic relief of neuropathic pain in adult patients with multiple sclerosis; 2) as adjunctive analgesic treatment in adult patients with advanced cancer who experience moderate to severe pain during the highest tolerated dose of strong opioid therapy for persistent background pain [L886].
Marketing Status Not Available
ATC Code N03AX24
DrugBank ID DB09061
KEGG ID D10915
MeSH ID D002185
PubChem ID 644019
TTD Drug ID D0O1UZ
NDC Product Code 57821-006; 73435-015; 51634-2155; 68108-0881; 48251-0300; 73548-2155; 70127-100
Synonyms Cannabidiol | 1,3-Benzenediol, 2-(3-methyl-6-(1-methylethenyl)-2-cyclohexen-1-yl)-5-pentyl-, (1R-trans)- | Epidiolex
Chemical Information
Molecular Formula C21H30O2
CAS Registry Number 13956-29-1
SMILES CCCCCC1=CC(=C(C(=C1)O)C2C=C(CCC2C(=C)C)C)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Fungal infection11.03.05.0010.000507%Not Available
Gait disturbance17.02.05.016; 08.01.02.0020.001352%
Gastrooesophageal reflux disease07.02.02.0030.001183%
Gastrointestinal disorder07.11.01.001--Not Available
Generalised tonic-clonic seizure17.12.01.0020.003211%Not Available
Haematemesis24.07.02.011; 07.12.02.0020.000338%Not Available
Blood urine present13.13.02.0020.000338%Not Available
Hallucination19.10.02.002--
Headache17.14.01.001--
Hiccups22.02.04.002; 07.01.06.0090.000338%
Hypercalcaemia14.04.01.003; 05.04.01.0020.000338%
Hyperhidrosis23.02.03.004; 08.01.03.028--
Hypersensitivity10.01.03.003--
Hypersomnia17.15.01.001; 19.02.05.0010.001183%
Impaired gastric emptying07.02.02.0040.000338%
Inappropriate affect19.04.01.0050.000676%Not Available
Increased appetite14.03.01.003; 08.01.09.0270.001183%Not Available
Infection11.01.08.0020.000353%Not Available
Influenza22.07.02.001; 11.05.03.0010.002197%Not Available
Insomnia17.15.03.002; 19.02.01.0020.006085%
Intentional self-injury19.12.01.002; 12.01.08.036--Not Available
Intestinal obstruction07.13.01.0020.000507%Not Available
Irritability19.04.02.013; 08.01.03.0110.003549%
Laceration23.03.11.004; 12.01.06.0060.000507%Not Available
Lethargy17.02.04.003; 08.01.01.008; 19.04.04.0040.004564%
Lip swelling23.04.01.007; 10.01.05.005; 07.05.04.0050.000338%Not Available
Loss of consciousness17.02.04.004--Not Available
Lower respiratory tract infection22.07.01.002; 11.01.09.0020.000132%Not Available
Malaise08.01.01.003--
Mania19.16.02.0020.000338%
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