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Cannabis drug interactions

CPD

Dr Joanna Harnett, Jocelin Chan and Dr Jennifer Hunter

April 6, 2023

CPD credits

Accreditation Number : CAP2305SYPJH

Group 1 : 1 CPD credits

Group 2 : 2 CPD credits

This activity has been accredited for 1 hours of Group 1 CPD (or 1 CPD credits) suitable for inclusion in an individual pharmacist's CPD plan, which can be converted to 1 hours of Group 2 CPD (or 2 CPD credits) upon successful completion of relevant assessment activities.

Case scenario

Ping, 45, is a regular patient of the pharmacy and presents a repeat script for nortriptyline. He has had a partial response to this medicine, reporting improvements in chronic pain. When you inquire about any potential new medicines, he mentions he recently visited a new GP who prescribed a trial of a THC-dominant medicinal cannabis flower dried for vaporization, which he is yet to have dispensed. The new GP was not aware of his nortriptyline use.

Learning objectives

After completing this activity pharmacists should be able to:

Describe the most common indications medicinal cannabis-based products (CBPs) are prescribed for in Australia
Explain the common mechanisms whereby cannabis and CBPs may interact with other medicines
Discuss examples of clinically observed drug interactions between CBPs and commonly co-prescribed medicines
Discuss the role of the pharmacist in reviewing for and identifying actual or potential drug interactions with CBPs.

7.00 am	Training time Unit Physical Training Session (PT) at Base Gym, a group-orientated fitness session comprising a mixture of cardiovascular and strength exercises.
9.00pm	Clinical care Assisting Amberley Defence Health Facility (Garrison), which is like a big GP clinic, with clinical pharmacy duties. This includes management of pharmaceutical accounts and dispensing medicines such as longer term prescription repeats for management of chronic health conditions and over-the-counter products for acute colds, headaches, aches and pains etc. Also use this time for management and clinical governance of expeditionary health kits.
12.00pm	Lunch break Pause for lunch at Mess (dining facility), which also provides an opportunity to network with other base personnel. Food is always great and prepared by in-house Air Force chefs! I love their curries.
2-5pm	End-of-day planning Command briefing on the next series of upcoming expeditionary health tasks and priorities, which can include requests for health support in a wide variety of locations both within Australia and overseas. Respond to a Short Notice to Move task involving the provision of pharmaceuticals and/or health material (medical equipment).
7.00pm	Wind down Like a true pharmacist I’ve been re-watching Ozark on Netflix, about a financial planner who turns money launderer for a drug cartel. Otherwise, I support the current sporting series – most recently celebrating Brisbane Heat winning the Big Bash League cricket competition!

7.00 am	Training time Unit Physical Training Session (PT) at Base Gym, a group-orientated fitness session comprising a mixture of cardiovascular and strength exercises.
9.00pm	Clinical care Assisting Amberley Defence Health Facility (Garrison), which is like a big GP clinic, with clinical pharmacy duties. This includes management of pharmaceutical accounts and dispensing medicines such as longer term prescription repeats for management of chronic health conditions and over-the-counter products for acute colds, headaches, aches and pains etc. Also use this time for management and clinical governance of expeditionary health kits.
12.00pm	Lunch break Pause for lunch at Mess (dining facility), which also provides an opportunity to network with other base personnel. Food is always great and prepared by in-house Air Force chefs! I love their curries.
2-5pm	End-of-day planning Command briefing on the next series of upcoming expeditionary health tasks and priorities, which can include requests for health support in a wide variety of locations both within Australia and overseas. Respond to a Short Notice to Move task involving the provision of pharmaceuticals and/or health material (medical equipment).
7.00pm	Wind down Like a true pharmacist I’ve been re-watching Ozark on Netflix, about a financial planner who turns money launderer for a drug cartel. Otherwise, I support the current sporting series – most recently celebrating Brisbane Heat winning the Big Bash League cricket competition!

7.00 am	Training time Unit Physical Training Session (PT) at Base Gym, a group-orientated fitness session comprising a mixture of cardiovascular and strength exercises.
9.00pm	Clinical care Assisting Amberley Defence Health Facility (Garrison), which is like a big GP clinic, with clinical pharmacy duties. This includes management of pharmaceutical accounts and dispensing medicines such as longer term prescription repeats for management of chronic health conditions and over-the-counter products for acute colds, headaches, aches and pains etc. Also use this time for management and clinical governance of expeditionary health kits.
12.00pm	Lunch break Pause for lunch at Mess (dining facility), which also provides an opportunity to network with other base personnel. Food is always great and prepared by in-house Air Force chefs! I love their curries.
2-5pm	End-of-day planning Command briefing on the next series of upcoming expeditionary health tasks and priorities, which can include requests for health support in a wide variety of locations both within Australia and overseas. Respond to a Short Notice to Move task involving the provision of pharmaceuticals and/or health material (medical equipment).
7.00pm	Wind down Like a true pharmacist I’ve been re-watching Ozark on Netflix, about a financial planner who turns money launderer for a drug cartel. Otherwise, I support the current sporting series – most recently celebrating Brisbane Heat winning the Big Bash League cricket competition!

7.00 am	Training time Unit Physical Training Session (PT) at Base Gym, a group-orientated fitness session comprising a mixture of cardiovascular and strength exercises.
9.00pm	Clinical care Assisting Amberley Defence Health Facility (Garrison), which is like a big GP clinic, with clinical pharmacy duties. This includes management of pharmaceutical accounts and dispensing medicines such as longer term prescription repeats for management of chronic health conditions and over-the-counter products for acute colds, headaches, aches and pains etc. Also use this time for management and clinical governance of expeditionary health kits.
12.00pm	Lunch break Pause for lunch at Mess (dining facility), which also provides an opportunity to network with other base personnel. Food is always great and prepared by in-house Air Force chefs! I love their curries.
2-5pm	End-of-day planning Command briefing on the next series of upcoming expeditionary health tasks and priorities, which can include requests for health support in a wide variety of locations both within Australia and overseas. Respond to a Short Notice to Move task involving the provision of pharmaceuticals and/or health material (medical equipment).
7.00pm	Wind down Like a true pharmacist I’ve been re-watching Ozark on Netflix, about a financial planner who turns money launderer for a drug cartel. Otherwise, I support the current sporting series – most recently celebrating Brisbane Heat winning the Big Bash League cricket competition!

​Pharmacists are already getting involved

Pilot services

1. Disposal of Schedule 8 medicines

2. How to save a life with naloxone

3. B12 deficiency

4. Cannabis drug interactions

5. Immediate-release melatonin for jet lag

How else can I gain CPD credits?

More bang for your buck

Children are undervaccinated and frequently hospitalised. How can this cohort be reached?

What are the new ATAGI recommendations in 2024?

Does the NIPVIP program extend to aged and disability care?

Can the influenza vaccine be co-administered with newer vaccines on the market?

What do I need to know about NIPVIP claims for influenza vaccines?

Final tips for boosting vaccine uptake

Why choose pharmacy?

What led you to the military?

Tell us about your career as a military pharmacist?

Why is the military a good career path for pharmacists?

Was your catch-up with colleagues at the International Federation of Pharmaceutical Sciences in Brisbane last year valuable?

Thoughts on the future of pharmacy in the Defence Force?

​Pharmacists are already getting involved

Pilot services

1. Disposal of Schedule 8 medicines

2. How to save a life with naloxone

3. B12 deficiency

4. Cannabis drug interactions

5. Immediate-release melatonin for jet lag

How else can I gain CPD credits?

More bang for your buck

Children are undervaccinated and frequently hospitalised. How can this cohort be reached?

What are the new ATAGI recommendations in 2024?

Does the NIPVIP program extend to aged and disability care?

Can the influenza vaccine be co-administered with newer vaccines on the market?

What do I need to know about NIPVIP claims for influenza vaccines?

Final tips for boosting vaccine uptake

Why choose pharmacy?

What led you to the military?

Tell us about your career as a military pharmacist?

Why is the military a good career path for pharmacists?

Was your catch-up with colleagues at the International Federation of Pharmaceutical Sciences in Brisbane last year valuable?

Thoughts on the future of pharmacy in the Defence Force?

​Pharmacists are already getting involved

Pilot services

1. Disposal of Schedule 8 medicines

2. How to save a life with naloxone

3. B12 deficiency

4. Cannabis drug interactions

5. Immediate-release melatonin for jet lag

How else can I gain CPD credits?

More bang for your buck

Children are undervaccinated and frequently hospitalised. How can this cohort be reached?

What are the new ATAGI recommendations in 2024?

Does the NIPVIP program extend to aged and disability care?

Can the influenza vaccine be co-administered with newer vaccines on the market?

What do I need to know about NIPVIP claims for influenza vaccines?

Final tips for boosting vaccine uptake

Why choose pharmacy?

What led you to the military?

Tell us about your career as a military pharmacist?

Why is the military a good career path for pharmacists?

Was your catch-up with colleagues at the International Federation of Pharmaceutical Sciences in Brisbane last year valuable?

Thoughts on the future of pharmacy in the Defence Force?

​Pharmacists are already getting involved

Pilot services

1. Disposal of Schedule 8 medicines

2. How to save a life with naloxone

3. B12 deficiency

4. Cannabis drug interactions

5. Immediate-release melatonin for jet lag

How else can I gain CPD credits?

More bang for your buck

Children are undervaccinated and frequently hospitalised. How can this cohort be reached?

What are the new ATAGI recommendations in 2024?

Does the NIPVIP program extend to aged and disability care?

Can the influenza vaccine be co-administered with newer vaccines on the market?

What do I need to know about NIPVIP claims for influenza vaccines?

Final tips for boosting vaccine uptake

Why choose pharmacy?

What led you to the military?

Pharmacists are already getting involved

3. B₁₂deficiency

Pharmacists are already getting involved

3. B₁₂deficiency

Pharmacists are already getting involved

3. B₁₂deficiency

Pharmacists are already getting involved

3. B₁₂deficiency