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)
Memory impairment19.20.01.003; 17.03.02.003--
Menstruation irregular21.01.01.005; 05.05.01.0080.000338%
Mood altered19.04.02.0070.001014%Not Available
Mood swings19.04.03.0010.000676%Not Available
Muscle spasms15.05.03.004--
Muscular weakness15.05.06.001; 17.05.03.005--
Nasal congestion22.04.04.0010.000507%
Nasopharyngitis22.07.03.002; 11.01.13.0020.002028%Not Available
Nausea07.01.07.001--
Ocular hyperaemia06.04.05.0040.000676%Not Available
Oral discomfort07.05.05.0010.000338%Not Available
Pain08.01.08.004--
Pain in extremity15.03.04.010--
Pancreatitis07.18.01.001--
Personality change17.02.05.019; 19.05.01.0060.000338%
Petit mal epilepsy17.12.04.0010.000676%Not Available
Pneumonia22.07.01.003; 11.01.09.0030.004733%Not Available
Pneumonia aspiration22.01.01.0050.000132%Not Available
Pollakiuria20.02.02.0070.000338%
Productive cough22.02.03.0050.000338%
Pruritus23.03.12.001--
Psychomotor hyperactivity17.01.02.011; 19.11.02.0030.001014%Not Available
Pyrexia08.05.02.003--
Rash23.03.13.001--Not Available
Rash erythematous23.03.06.0030.000676%Not Available
Rash papular23.03.13.0170.000338%Not Available
Rash pruritic23.03.12.0020.000676%Not Available
Renal failure20.01.03.005--Not Available
Respiratory disorder22.02.07.0020.001014%Not Available
Respiratory distress22.02.01.0120.000507%Not Available
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