Drug & supplement interaction

Delta-8-tetrahydrocannabinol (delta-8-thc) + Ospemifene

Ospemifene brand name: Osphena.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Delta-8-tetrahydrocannabinol (delta-8-thc) and Ospemifene in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Ospemifene states a food rule worth keeping to.

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Interaction report

Delta-8-tetrahydrocannabinol (delta-8-thc) and Ospemifene

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Ospemifene and Delta-8-tetrahydrocannabinol (delta-8-thc) in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Delta-8-tetrahydrocannabinol (delta-8-thc) at all — not against Ospemifene, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Delta-8-tetrahydrocannabinol (delta-8-thc) safety at a glance

Delta-8-tetrahydro... overall Use caution It is psychoactive, largely unregulated, and may contain harmful impurities from chemical processing.
Pregnancy Avoid THC compounds can cross the placenta and may harm fetal development; avoid use.
Breastfeeding Avoid THC passes into breast milk and may affect the infant; avoid use.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Ospemifene and Delta-8-tetrahydrocannabinol (delta-8-thc)? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Delta-8-tetrahydrocannabinol (delta-8-thc) Itself Has Been Linked To

This is not an interaction — nothing below involves Ospemifene. It is the side-effect record for Delta-8-tetrahydrocannabinol (delta-8-thc) on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Delta-8-tetrahydrocannabinol (delta-8-thc), this list is the first place to look. 5 entries are worth acting on rather than waiting out — marked below.

  • A slow heartbeat Worth acting on Additional detail

    “Based on statistics from the American Association of Poison Control Centers, hospitalization occurred in 18% of 661 reported exposures to delta-8-THC in the first 7 months of 2021. In the 8-month period ending in July 2021, 14 of 22 cases reported to the US FDA presented to the hospital for adverse effects related to delta-8-THC-containing products.”

    Delta-8-tetrahydrocannabinol (delta-8-thc) · Natural Medicines adverse-effect record, reported in hypotension.

    3 sources cited
    1. 106108. Centers for Disease Control and Prevention (CDC). Increases in availability of cannabis products containing delta-8 THC and reported cases of adverse events. September 2021. https://emergency.cdc.gov/han/2021/han00451.asp. Accessed October 2, 2021.
    2. 106107. US Food and Drug Administration (FDA). 5 things to know about delta-8 tetrahydrocannabinol - delta-8 THC. September 2021. https://www.fda.gov/consumers/consumer-updates/5-things-know-about-delta-8-tetrahydrocannabinol-delta-8-thc. Accessed October 2, 2021
    3. 107322. Akpunonu P, Baum RA, Reckers A, et al. Sedation and Acute Encephalopathy in a Pediatric Patient Following Ingestion of Delta-8-Tetrahydrocannabinol Gummies. Am J Case Rep 2021;22:e933488. PubMed
  • Hallucinations Worth acting on Additional detail

    “A large case series reports psychiatric disorders as some of the most frequently noted adverse effects with delta-8-THC after assessing a public forum of 98,700 subscribers. Furthermore, anxiety and paranoia were 2 of the most cited adverse effect terms, about 16% and 9%, respectively. Additionally, 3 cases report psychosis in adults after ingesting or inhaling delta-8-THC.”

    Delta-8-tetrahydrocannabinol (delta-8-thc) · Natural Medicines adverse-effect record, reported in anxiety.

    2 sources cited
    1. 113017. Leas EC, Harati RM, Satybaldiyeva N, et al. Self-reported adverse events associated with ?(8)-Tetrahydrocannabinol (Delta-8-THC) Use. J Cannabis Res 2023;5(1):15. PubMed
    2. 113047. Miller CR, Burk BG, Fargason RE, Birur B. Delta-8-THC association with psychosis: A case report with literature review. Front Psychiatry 2023;14:1103123. PubMed
  • Seizures Worth acting on Additional detail

    “Delta-8-THC has been reported to cause psychoactive effects and a feeling of being "high". It is estimated to be 50% to 75% as psychoactive as delta-9-THC, the primary psychoactive constituent of cannabis. Effects include euphoria, vision and time distortion, difficulty thinking and speaking, and a dream-like feeling.”

    Delta-8-tetrahydrocannabinol (delta-8-thc) · Natural Medicines adverse-effect record, reported in epilepsy.

    6 sources cited
    1. 106100. Johnson-Arbor K, Smolinske S. The current state of delta-8 THC. Am J Emerg Med 2021. PubMed
    2. 106107. US Food and Drug Administration (FDA). 5 things to know about delta-8 tetrahydrocannabinol - delta-8 THC. September 2021. https://www.fda.gov/consumers/consumer-updates/5-things-know-about-delta-8-tetrahydrocannabinol-delta-8-thc. Accessed October 2, 2021
    3. 106108. Centers for Disease Control and Prevention (CDC). Increases in availability of cannabis products containing delta-8 THC and reported cases of adverse events. September 2021. https://emergency.cdc.gov/han/2021/han00451.asp. Accessed October 2, 2021.
    4. 113017. Leas EC, Harati RM, Satybaldiyeva N, et al. Self-reported adverse events associated with ?(8)-Tetrahydrocannabinol (Delta-8-THC) Use. J Cannabis Res 2023;5(1):15. PubMed
    5. 113026. Simon TA, Simon JH, Heaning EG, Gomez-Caminero A, Marcu JP. Delta-8, a Cannabis-Derived Tetrahydrocannabinol Isomer: Evaluating Case Report Data in the Food and Drug Administration Adverse Event Reporting System (FAERS) Database. Drug Healthc Patient Saf PubMed
    6. 107322. Akpunonu P, Baum RA, Reckers A, et al. Sedation and Acute Encephalopathy in a Pediatric Patient Following Ingestion of Delta-8-Tetrahydrocannabinol Gummies. Am J Case Rep 2021;22:e933488. PubMed
  • Chest pain Worth acting on Additional detail

    “An otherwise healthy 31-year-old male experienced sudden onset substernal, non-exertional chest pain within 20 minutes of taking a gummy containing delta-8-THC. Brugada type I pattern was noted on EKG, with notable progression from a baseline EKG 2 months prior that showed Brugada type III pattern. EKG returned to baseline by 16 hours post-ingestion and the Brugada pattern ultimately resolved by one-month follow up.”

    Delta-8-tetrahydrocannabinol (delta-8-thc) · Natural Medicines adverse-effect record, reported in pain.

    3 sources cited
    1. 107323. Jo NY, Chu CC, Ramsey BC. Brugada Electrocardiogram Pattern Induced by Recreational Delta-8-Tetrahydrocannabinol (THC): A Case Report. Cureus 2021;13(10):e19058. PubMed
    2. 113033. Bradley EK, Hoots BE, Bradley ES, Roehler DR. Unintentional ingestion of putative delta-8 tetrahydrocannabinol by two youth requiring critical care: a case report. J Cannabis Res 2023;5(1):9. PubMed
    3. 113042. Shaker K, Nillas A, Ellison R, et al. Delta-8-Tetrahydrocannabinol Exposure and Confirmation in Four Pediatric Patients. J Med Toxicol 2023;19(2):190-195. PubMed
  • Shortness of breath Worth acting on Additional detail

    “A large case series reports pulmonary disorders (e.g., cough, dry throat, dyspnea, painful respiration) as some of the most frequently noted adverse effects with delta-8-THC after assessing a public forum of 98,700 subscribers. Of 183 adverse events related to delta-8-THC reported to the US Food and Drug Administration, 33 report dyspnea, 17 report respiratory disorder, and 15 report cough.”

    Delta-8-tetrahydrocannabinol (delta-8-thc) · Natural Medicines adverse-effect record, reported in cough.

    3 sources cited
    1. 113017. Leas EC, Harati RM, Satybaldiyeva N, et al. Self-reported adverse events associated with ?(8)-Tetrahydrocannabinol (Delta-8-THC) Use. J Cannabis Res 2023;5(1):15. PubMed
    2. 113026. Simon TA, Simon JH, Heaning EG, Gomez-Caminero A, Marcu JP. Delta-8, a Cannabis-Derived Tetrahydrocannabinol Isomer: Evaluating Case Report Data in the Food and Drug Administration Adverse Event Reporting System (FAERS) Database. Drug Healthc Patient Saf PubMed
    3. 113033. Bradley EK, Hoots BE, Bradley ES, Roehler DR. Unintentional ingestion of putative delta-8 tetrahydrocannabinol by two youth requiring critical care: a case report. J Cannabis Res 2023;5(1):9. PubMed
  • A fast or pounding heartbeat Additional detail

    Recorded for Delta-8-tetrahydrocannabinol (delta-8-thc) in the same Natural Medicines adverse-effect record shown under Chest pain above.

  • Cough Additional detail

    “There is limited information available about the safety of delta-8-THC. A thorough evaluation of safety outcomes has not been conducted.

    Most Common Adverse Effects:

    Orally: Anxiety, cough, difficulty thinking and speaking, dream-like state, euphoria, feeling "high", paranoia, and vision and time distortion.

    Serious Adverse Effects (Rare):

    Orally: Brugada EKG pattern, cannabinoid hyperemesis syndrome (CHS).”

    Delta-8-tetrahydrocannabinol (delta-8-thc) · Natural Medicines adverse-effect record, reported in anxiety.

  • Low blood pressure Additional detail

    Recorded for Delta-8-tetrahydrocannabinol (delta-8-thc) in the same Natural Medicines adverse-effect record shown under A slow heartbeat above.

  • Drowsiness Additional detail

    Recorded for Delta-8-tetrahydrocannabinol (delta-8-thc) in the same Natural Medicines adverse-effect record shown under Shortness of breath above.

  • Anxiety or restlessness Additional detail

    Recorded for Delta-8-tetrahydrocannabinol (delta-8-thc) in the same Natural Medicines adverse-effect record shown under Cough above.

Showing the 10 most notable of 14 recorded effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

Everything above comes from the Natural Medicines adverse-effect record for Delta-8-tetrahydrocannabinol (delta-8-thc) — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Ospemifene’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Ospemifene column appears here.

How to take them

Some Ospemifene Products Have a Food Rule — Delta-8-tetrahydrocannabinol (delta-8-thc) Should Not Break It

At least one FDA label for a product containing Ospemifene says to take it with food. If you take Delta-8-tetrahydrocannabinol (delta-8-thc) on an empty stomach out of habit, keep them separate — and take Ospemifene with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Ospemifene products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

One tablet taken orally once daily with food.

From the Dosage and Administration section of the FDA label we read for Ospemifene — where that label names a specific product, the instruction is that product's. See the Ospemifene drug page ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Ospemifene

This page covers Delta-8-tetrahydrocannabinol (delta-8-thc) only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ospemifene page lists 155 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Tiratricol (major) and Acacia Rigidula (moderate).

By severity: 4 major · 112 moderate · 39 minor.

From our pharmacist’s overview on the Ospemifene page

“Women prescribed ospemifene (Osphena) for painful intercourse after menopause are often the same women reaching for St. John's wort for mood or grapefruit juice at breakfast, and both sit among the four major-rated interactions on this page, so the list deserves genuine care.”

Reviewed by 2 · Jul 18, 2026

Open the Ospemifene interaction page

How much people look this up

Where Delta-8-tetrahydrocannabinol (delta-8-thc) and Ospemifene Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Delta-8-tetrahydrocannabinol (delta-8-thc)
Steady interest

#1,429 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Ospemifene
Steady interest

#1,599 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Delta-8-tetrahydrocannabinol (delta-8-thc) reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Delta-8-tetrahydrocannabinol (delta-8-thc) and Ospemifene records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Delta-8-tetrahydrocannabinol (delta-8-thc)

What is Delta-8-tetrahydrocannabinol (delta-8-thc)?

  • Relaxation and mild euphoria
  • Anxiety and stress
  • Sleep problems
  • Pain relief
  • Nausea
  • Appetite stimulation

Delta-8-THC is a mind-altering cannabis compound, usually made by chemically converting CBD from hemp, that produces effects similar to but often milder than regular (delta-9) THC. There is very little quality human research on its benefits, and the FDA has warned about safety concerns, unregulated products, and reports of harm. Its legal status varies, and it is not recommended during pregnancy, breastfeeding, or for people who must avoid intoxication.

Cannabinoid derived from hemp (Cannabis sativa) · Gummies, vape cartridges, tinctures, edibles, capsules, flower sprayed with extract

An interaction check asks whether these two react with each other — it does not ask whether Delta-8-tetrahydrocannabinol (delta-8-thc) is a good idea for someone in your situation. Here is what our Delta-8-tetrahydrocannabinol (delta-8-thc) record says about it on its own.

Delta-8-tetrahydrocannabinol (delta-8-thc): dosing

There is no established or standardized safe dose for delta-8-THC. Products vary widely in strength, and because the market is poorly regulated, the amount listed on the label may not match what is actually in the product.If a product is used, the general harm-reduction advice is to "start low and go slow," follow the product label, and wait long enough to feel the effects—edibles in particular can take a couple of hours to kick in, leading some people to take too much.

From our Delta-8-tetrahydrocannabinol (delta-8-thc) monograph — the full record covers uses, side effects and every documented interaction.

Read the full Delta-8-tetrahydrocannabinol (delta-8-thc) monograph & all interactions
Medication

About Ospemifene

What Is Ospemifene Used For?

Brand name: Osphena

Osphena (ospemifene) is used to treat two specific symptoms of vulvar and vaginal atrophy — the thinning and drying of vaginal tissues that can happen after menopause. The first is moderate to severe dyspareunia (painful intercourse), and the second is moderate to severe vaginal dryness.

Both of these uses are for postmenopausal women only. Osphena is not used in children or in women who are pregnant or may become pregnant.

Most-Reported Side Effects for Ospemifene

From FAERS, the FDA’s public side-effect reporting system (2,601 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Hot flush 372 reports
Headache 209 reports
Muscle spasms 194 reports
Vaginal haemorrhage 150 reports
Vaginal discharge 134 reports
See full Ospemifene drug information
Keep checking

Other Drugs & Delta-8-tetrahydrocannabinol (delta-8-thc)

Browse every other medication we’ve checked against Delta-8-tetrahydrocannabinol (delta-8-thc) — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Delta-8-tetrahydrocannabinol (delta-8-thc) against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Delta-8-tetrahydrocannabinol (delta-8-thc) list.

See the full Delta-8-tetrahydrocannabinol (delta-8-thc) interactions page
See every supplement checked against Ospemifene, ranked by severity
Evidence & sources

Delta-8-tetrahydrocannabinol (delta-8-thc) References

The 11 references that drive our Delta-8-tetrahydrocannabinol (delta-8-thc) monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Johnson-Arbor K, Smolinske S. The current state of delta-8 THC. Am J Emerg Med 2021. PubMed
  2. Rosenthal J, Howell M, Earl V, Malik M. Cannabinoid hyperemesis syndrome secondary to delta-8 THC use. Am J Med 2021. PubMed
  3. US Food and Drug Administration (FDA). 5 things to know about delta-8 tetrahydrocannabinol - delta-8 THC. September 2021. https://www.fda.gov/consumers/consumer-updates/5-things-know-about-delta-8-tetrahydrocannabinol-delta-8-thc. Accessed October 2, 2021
  4. Centers for Disease Control and Prevention (CDC). Increases in availability of cannabis products containing delta-8 THC and reported cases of adverse events. September 2021. https://emergency.cdc.gov/han/2021/han00451.asp. Accessed October 2, 2021.
  5. Akpunonu P, Baum RA, Reckers A, et al. Sedation and Acute Encephalopathy in a Pediatric Patient Following Ingestion of Delta-8-Tetrahydrocannabinol Gummies. Am J Case Rep 2021;22:e933488. PubMed
  6. Jo NY, Chu CC, Ramsey BC. Brugada Electrocardiogram Pattern Induced by Recreational Delta-8-Tetrahydrocannabinol (THC): A Case Report. Cureus 2021;13(10):e19058. PubMed
  7. Leas EC, Harati RM, Satybaldiyeva N, et al. Self-reported adverse events associated with ?(8)-Tetrahydrocannabinol (Delta-8-THC) Use. J Cannabis Res 2023;5(1):15. PubMed
  8. Simon TA, Simon JH, Heaning EG, Gomez-Caminero A, Marcu JP. Delta-8, a Cannabis-Derived Tetrahydrocannabinol Isomer: Evaluating Case Report Data in the Food and Drug Administration Adverse Event Reporting System (FAERS) Database. Drug Healthc Patient Saf PubMed
  9. Bradley EK, Hoots BE, Bradley ES, Roehler DR. Unintentional ingestion of putative delta-8 tetrahydrocannabinol by two youth requiring critical care: a case report. J Cannabis Res 2023;5(1):9. PubMed
  10. Shaker K, Nillas A, Ellison R, et al. Delta-8-Tetrahydrocannabinol Exposure and Confirmation in Four Pediatric Patients. J Med Toxicol 2023;19(2):190-195. PubMed
  11. Miller CR, Burk BG, Fargason RE, Birur B. Delta-8-THC association with psychosis: A case report with literature review. Front Psychiatry 2023;14:1103123. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Delta-8-tetrahydrocannabinol (delta-8-thc) and Ospemifene Together: Common Questions

Is it safe to take Delta-8-tetrahydrocannabinol (delta-8-thc) with Ospemifene?
We do not list a known interaction between Delta-8-tetrahydrocannabinol (delta-8-thc) and Ospemifene. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Should I take Delta-8-tetrahydrocannabinol (delta-8-thc) and Ospemifene at the same time of day?
At least one FDA label for a product containing Ospemifene says to take it with food. If you take Delta-8-tetrahydrocannabinol (delta-8-thc) on an empty stomach out of habit, keep them separate and take Ospemifene with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Ospemifene products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Ospemifene interact with any supplements?
Yes. Ospemifene has documented interactions with 155 supplements in our database — Delta-8-tetrahydrocannabinol (delta-8-thc) is not one of them. The Ospemifene interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Delta-8-tetrahydrocannabinol (delta-8-thc) monograph Uses, safety profile, and every drug interaction in one place Ospemifene drug information The full plain-English guide to this medication Ospemifene supplement interactions Every supplement checked against Ospemifene, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 11 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Ospemifene and Delta-8-tetrahydrocannabinol (delta-8-thc)?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.