High risk
Blood thinners (warfarin, direct-acting anticoagulants)
- Why it happens
- Both CBD and THC can slow down the CYP2C9 and CYP3A4 liver enzymes that clear these drugs, so blood levels and INR can climb.
- What it means for you
- Your bleeding risk can rise even though nobody changed your warfarin dose. INR readings may drift away from where they were.
- What Tiffany advises
- Tell your prescriber before you start cannabis. If you take warfarin, Tiffany suggests planning for more frequent INR checks during the first month.
Read the full page for blood thinners (warfarin, direct-acting anticoagulants)