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Prescription medication · Cannabinoid (Anticonvulsant)

cannabidiol

Also sold as Epidiolex. Epidiolex is used to treat seizures linked to Lennox-Gastaut syndrome (LGS), Dravet syndrome (DS), or tuberous sclerosis complex (TSC).

Data updated 2026-05-15

22,227
FDA reportsModerately reported
8
InteractionsFew interactions
Rx
Availability

What the data shows

cannabidiol (Epidiolex) is a prescription Cannabinoid (Anticonvulsant), reported at a middle-of-the-pack volume (22,227 FDA reports), with 8 documented drug interactions.

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

cannabidiol (Epidiolex) is a prescription Cannabinoid (Anticonvulsant). Epidiolex is used to treat seizures linked to Lennox-Gastaut syndrome (LGS), Dravet syndrome (DS), or tuberous sclerosis complex (TSC).

Epidiolex is a medicine that contains cannabidiol. It is used to treat seizures in people with certain conditions.

View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

Epidiolex is used to treat seizures linked to Lennox-Gastaut syndrome (LGS), Dravet syndrome (DS), or tuberous sclerosis complex (TSC).

Common side effects

Feeling sleepy, Decreased appetite, Diarrhea

Key warnings

Epidiolex can cause liver problems.

The sections below are summarized in plain English from cannabidiol's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Epidiolex contains cannabidiol, which is a substance that may affect how the brain works. It is thought to reduce seizures by acting on certain brain chemicals. The exact way it works is not fully understood.

How to Take It

Take Epidiolex by mouth, using the provided syringe. For LGS or DS, the starting dose is 2.5 mg/kg twice a day. After one week, your doctor may increase the dose to 5 mg/kg twice a day. For TSC, the starting dose is 2.5 mg/kg twice a day, increasing weekly to 12.5 mg/kg twice a day. Follow your doctor's instructions carefully.

This is a plain-language summary of cannabidiol's FDA labeling, not individualized dosing advice. Ask a pharmacist or prescriber before changing how you take this medication.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant. Epidiolex may harm your unborn baby. There are pregnancy programs to monitor outcomes, so talk to your doctor about enrolling. It is not known if Epidiolex passes into breast milk, so talk to your doctor about the best way to feed your baby if you are taking this medicine.

This is a plain-language summary of cannabidiol's FDA labeling, not individualized advice. Ask a pharmacist or prescriber about pregnancy or breastfeeding on this medication.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take your next dose at the regular time.

This is a plain-language summary of cannabidiol's FDA labeling, not individualized advice. Ask a pharmacist or prescriber what to do about your specific missed dose.

Storage

Store Epidiolex upright at room temperature (68°F to 77°F). Do not freeze. Keep the cap tightly closed and throw away any remaining medicine 12 weeks after opening the bottle.

Side Effects (from patient reports)

Based on 22,227 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for cannabidiol, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for cannabidiol each year to the FDA Adverse Event Reporting System (FAERS).

-1,00001,0002,0003,0004,0005,000 2010201520172019202120232025 2,139

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where cannabidiol sits

cannabidiol has more FDA adverse-event reports than 57% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is cannabidiol; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 22,227 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2010–2025.

Total Reports

22,227

Reports Mentioning Death

1,726

7.8% of reports — not proof of cause

Hospitalization Reports

6,502

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 5,434 (49%)
Male 5,601 (51%)

Age Distribution

0–17 2,603
18–44 1,869
45–64 847
65–74 361
75+ 210

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 SEIZURE 5,791
3 HOSPITALISATION 2,073
5 DIARRHOEA 1,695
7 SOMNOLENCE 1,242
8 DEATH 1,204
9 FATIGUE 1,169
11 WEIGHT DECREASED 824
12 WEIGHT INCREASED 800
13 VOMITING 707
14 DECREASED APPETITE 685
15 NAUSEA 643
16 CONDITION AGGRAVATED 601
17 PNEUMONIA 593
18 PRODUCT ADMINISTRATION INTERRUPTED 524
19 DRUG INTERACTION 513

Reactions in Death Reports

DEATH 1,196
SEIZURE 82
PNEUMONIA 62
CARDIAC ARREST 56
RESPIRATORY FAILURE 50
HOSPITALISATION 44
SUDDEN UNEXPLAINED DEATH IN EPILEPSY 40
DRUG ABUSE 33
COMPLETED SUICIDE 27
FATIGUE 26

Reactions in Hospitalization Reports

HOSPITALISATION 2,063
SEIZURE 1,941
PNEUMONIA 471
DIARRHOEA 266
VOMITING 256
SOMNOLENCE 246
FATIGUE 223
PRODUCT ADMINISTRATION INTERRUPTED 220
WEIGHT DECREASED 220
EMERGENCY CARE 216

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Epidiolex can cause liver problems. Your doctor will check your liver before you start and during treatment. Tell your doctor right away if you feel very tired, have yellowing of the skin or eyes, dark urine, or loss of appetite. Epidiolex may also cause sleepiness or suicidal thoughts. Tell your doctor if you have any changes in mood or behavior.

Known Drug Interactions

moderate clobazam

7.2 Effect of EPIDIOLEX on Other Drugs Antiepileptic Drugs Clobazam Concomitant use of EPIDIOLEX with clobazam increases plasma concentrations of N‑desmethylclobazam, the active metabolite of clobazam [see Clinical Pharmacology ( 12.3 )], which may increase the risk of clobazam-related adverse reactions [see Adverse Reactions ( 6.1 ) and Warnings and Precautions ( 5.1 , 5.2 )]. Consider a reduction in dosage of clobazam if adverse reactions known to occur with clobazam are experienced when concomitantly used with EPIDIOLEX.

Mechanism: Cannabidiol increases the amount of an active byproduct of clobazam in your blood, which can lead to more side effects.

What to do: If you experience increased side effects, your doctor may need to reduce your dose of clobazam.

For CYP2C19 substrates (e.g., clopidogrel) where efficacy is mainly due to their active metabolite(s), concomitant use of EPIDIOLEX may decrease plasma concentration of the active metabolite(s) and may therefore decrease efficacy.

Mechanism: Cannabidiol interferes with how your body activates clopidogrel, which can make the medicine less effective at preventing blood clots.

What to do: Your doctor may need to adjust your treatment to make sure your medicine is still working correctly.

Increases in exposure of certain CYP1A2 substrates (e.g., theophylline, tizanidine) may be observed when concomitantly used with EPIDIOLEX.

Mechanism: Cannabidiol slows down the process your body uses to break down tizanidine, which can lead to higher levels of the drug in your blood.

What to do: Your doctor should monitor you for increased side effects and may need to lower your dose of tizanidine.

7.3 Concomitant Use of EPIDIOLEX and Valproate Concomitant use of EPIDIOLEX and valproate increases the incidence of liver enzyme elevations [see Warnings and Precautions ( 5.1 )]. If such elevations occur, consider discontinuation or reduction of EPIDIOLEX and/or concomitant valproate.

Mechanism: Taking these two medicines together can cause your liver enzymes to rise, which may indicate liver irritation.

What to do: Your doctor may need to lower your dose or stop one of the medicines if your liver tests show signs of stress.

( 7.2 ) 7.1 Effect of Other Drugs on EPIDIOLEX Strong CYP3A4 or CYP2C19 Inducers Concomitant use with a strong CYP3A4 and CYP2C19 inducer (rifampin 600 mg once daily) decreased cannabidiol and 7‑OH‑CBD plasma concentrations by approximately 32% and 63%.

Mechanism: Rifampin makes your body clear cannabidiol much faster than usual, which makes the medicine less effective.

What to do: Your doctor may need to adjust your dose of cannabidiol to ensure it still works properly while you are taking rifampin.

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This is a plain-language summary of interactions documented in FDA labeling, not individualized advice. Ask a pharmacist or prescriber before combining medications.

Common Questions

What should I do if I experience side effects?
Tell your doctor right away about any side effects you experience while taking Epidiolex.
Can I drive while taking Epidiolex?
Epidiolex can cause sleepiness, so do not drive or operate machinery until you know how it affects you.
Will Epidiolex cure my seizures?
Epidiolex helps to control seizures, but it may not cure the underlying condition.
How long will I need to take Epidiolex?
Continue taking Epidiolex as prescribed by your doctor. Do not stop taking it suddenly without talking to your doctor.
Can I take other medicines with Epidiolex?
Tell your doctor about all the medicines you take, including over-the-counter drugs and supplements, as they may interact with Epidiolex.
What if I accidentally take too much Epidiolex?
Call your doctor or go to the nearest emergency room right away.
How will I know if Epidiolex is working?
Your doctor will monitor your seizures to see if Epidiolex is helping to control them.
Does Epidiolex contain THC?
Epidiolex contains cannabidiol (CBD), not THC. THC is the psychoactive component of cannabis.
Can children take Epidiolex?
Epidiolex is approved for use in patients 1 year of age and older.
How should I measure the dose?
Use the calibrated oral syringe provided with the medication to measure the correct dose.
What are the common side effects of cannabidiol?
The most commonly reported side effects of cannabidiol include Feeling sleepy, Decreased appetite, Diarrhea, Changes in liver blood tests, Feeling tired or weak. Based on 22,227 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does cannabidiol interact with other medications?
Yes, cannabidiol has 8 known drug interactions. Notable interactions include clobazam, clopidogrel, tizanidine. Always inform your doctor about all medications you are taking.
What drug class is cannabidiol?
cannabidiol belongs to the Cannabinoid (Anticonvulsant) drug class. It requires a prescription (Rx). Epidiolex is used to treat seizures linked to Lennox-Gastaut syndrome (LGS), Dravet syndrome (DS), or tuberous sclerosis complex (TSC).
Is cannabidiol safe during pregnancy?
Tell your doctor if you are pregnant or plan to become pregnant. Epidiolex may harm your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for cannabidiol

The FDA label for cannabidiol (sold under brand names such as Epidiolex) classifies it as a prescription-only medication in the Cannabinoid (Anticonvulsant) class. Epidiolex is used to treat seizures linked to Lennox-Gastaut syndrome (LGS), Dravet syndrome (DS), or tuberous sclerosis complex (TSC). Official labeling lists 10 commonly reported side effects, including Feeling sleepy, Decreased appetite, Diarrhea.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 22,227 voluntary reports. The database also lists 8 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice, always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: July 31, 2025

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled and last refreshed May 2026. See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a correction.

All federal data sources used on this page