Ballicules.com

Cannabidiol

EPIDIOLEX

Pronunciation: kan-a-bi-DYE-ol

Cannabidiol ballicule: receptor binding, kinetics and half-life diagram
Mechanism of action: Cannabidiol ballicule
Cannabidiol EPIDIOLEX mascot mnemonic cartoon
Visual mnemonic: Cannabidiol mascot
“Cannabis B.I.D. oil”

What it isCannabinoid modulating several non-CB1 targets; Dravet, Lennox-Gastaut, and tuberous-sclerosis seizures.

Why this oneIt provides a standardized prescription product for epilepsies often self-treated with unregulated cannabis extracts.

What limits itHepatotoxicity is amplified by valproate; monitor liver tests. It raises exposure to clobazam’s active metabolite.

Cannabidiol molecular structure (skeletal formula)
Molecular structure: Cannabidiol

FDA-approved for

Off-label

FDA label

FDA dosingPopulationStartTargetMax
Oral CBD (per product directions; no specific indication stated)Adults & children ≥12 yr1–3 capsules400 mg CBD/day (20 capsules)

Renal Undefined

Hepatic Undefined

Do not exceed 400 mg CBD (20 capsules) daily

Instructions

Available strengths

Pregnancy Undefined

Lactation Undefined

Cost

Cannabidiol (EPIDIOLEX)
Strength#/mogeneric $/unitCostPlus
100 mg/mLsolper unitnot offered
NADAC is a voluntary CMS survey of what retail community pharmacies pay for the drugs they stock. Cannabidiol is dispensed outside retail pharmacies, so it rarely appears on surveyed invoices.

Generic entry2041 est.

NO BOXED WARNINGS

Principal riskHepatotoxicity, especially with valproate

Classes and tags

Clinical profile

Therapeutic safety burden2 / 4
Overdose danger2 / 4
Weight-gain liability1 / 4
Sedation liability1 / 4
QT / Torsades0 / 4
Direct muscarinic antagonism0 / 4
Embryofetal risk2 / 4

Legacy pregnancy categoryNot assigned — PLLR-era drug

Defining liabilitySedation, dizziness and agent-specific rash, behavioral, hepatic, hematologic or teratogenic toxicity.

Open Cannabidiol in the interactive console ↗

Memory aids: interaction avatars

Cannabidiol CYP2C19 inhibitor avatar mnemonic
CYP2C19 inhibitor (moderate)
Cannabidiol CYP3A4 substrate avatar mnemonic
CYP3A4 substrate

Open Cannabidiol in the interactive console ↗