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Cannabinol (cbn) Drug Interactions, Uses, Safety & More

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Cannabinol (cbn) Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Cannabinol (cbn) drug interaction appears low for most people. None of the listed interactions are rated major, and every one rests on lab findings that have so far not been confirmed in humans.

Interactions deserving the most attention

No interaction with cannabinol has solid human evidence behind it, so nothing is firmly established. Even so, lab studies show cannabinol strongly blocks several liver enzymes the body uses to clear medications, so we watch most closely for medications processed by these enzymes, especially CYP2C9 substrates and CYP2B6 substrates, where higher drug levels could matter if a medicine needs to stay in a steady range. Other drugs, such as CYP3A4 inhibitors, could work in the opposite direction and raise cannabinol levels instead.

What the rest of the list means

A long list like this does not mean every combination is risky. Nearly all of these interactions are theoretical, predicted from how cannabinol behaves in laboratory tests with enzymes that handle many common medications. So far, none of these predicted effects has actually been reported in people taking cannabinol.

Check your medications against Cannabinol (cbn)

Based on HelloPharmacist’s Cannabinol (cbn) interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Cannabinol (cbn)

389 medications have a known interaction with Cannabinol (cbn), graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AbametapirXeglyze› Abiraterone› AbrocitinibCibinqo› AcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength› Acetaminophen, AspirinGemnisyn› Acetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine› Acetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu› Acetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more› Acetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more› Acetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine› Acetaminophen, Butalbital, CodeineBancap w/ Codeine› Acetaminophen, Butalbital, Codeine PhosphatePhrenilin #3› Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound› Acetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more› Acetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3› Acetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS› Acetaminophen, Caffeine, IsomethepteneMigralam› Acetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual› Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief› Acetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex› Acetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief› Acetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength› Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG› Acetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid› Acetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR› Acetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Cannabinol (cbn) combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Cannabinol (cbn) affects

Every type of medication (drug category) Cannabinol (cbn) is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 5 drug categories Cannabinol (cbn) interacts with
Cytochrome P450 2b6 (cyp2b6) SubstratesCytochrome P450 2c9 (cyp2c9) InhibitorsCytochrome P450 2c9 (cyp2c9) SubstratesCytochrome P450 2e1 (cyp2e1) SubstratesCytochrome P450 3a4 (cyp3a4) Inhibitors
Cytochrome P450 2B6 (Cyp2B6) Substrates

Theoretically, cannabinol might increase the levels and clinical effects of CYP2B6 substrates.
In vitro research shows that cannabinol potently inhibits CYP2B6 enzymes. So far, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Cytochrome P450 2C9 (Cyp2C9) Inhibitors

Theoretically, CYP2C9 inhibitors might increase the levels and clinical effects of cannabinol.
In vitro research shows that CYP2C9 enzymes are involved in the 11-hydroxylation of cannabinol. So far, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Cytochrome P450 2C9 (Cyp2C9) Substrates

Theoretically, cannabinol might increase the levels and clinical effects of CYP2C9 substrates.
In vitro research shows that cannabinol potently inhibits CYP2C9 enzymes. So far, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Cytochrome P450 2E1 (Cyp2E1) Substrates

Theoretically, cannabinol might increase the levels and clinical effects of CYP2E1 substrates.
In vitro research shows that cannabinol potently inhibits CYP2E1 enzymes. So far, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Inhibitors

Theoretically, CYP3A4 inhibitors might increase the levels and clinical effects of cannabinol.
In vitro research shows that CYP3A4 enzymes are involved in the 8-hydroxylation of cannabinol. So far, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Monograph

Cannabinol (cbn): Uses, Safety & Side Effects

The bottom line

Cannabinol (CBN) is a minor cannabinoid found in the cannabis plant, often marketed as a 'sleep' aid, but solid human research is very limited. Because it comes from cannabis and product quality varies widely, talk with your pharmacist or doctor before trying it, and avoid it during pregnancy and breastfeeding.

Family
Cannabaceae
Part used
Aged cannabis flower and resin (where THC degrades into CBN)
Common forms
Oils and tinctures, gummies, capsules, vape products, topicals
People commonly use it for
  • Sleep support
  • Relaxation
  • Pain or discomfort
  • Appetite-related concerns

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

CBN is generally considered mild, but human safety data are limited and product quality varies.

PregnancyBest avoided

Cannabis-derived compounds are not considered safe in pregnancy, so avoid CBN.

BreastfeedingBest avoided

Cannabinoids can pass into breast milk, so avoid CBN while breastfeeding.

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

Jump to a section

Overview

Cannabinol (CBN) is one of the many natural compounds, called cannabinoids, found in the cannabis plant (which includes both marijuana and hemp). Unlike THC, the compound that causes a strong 'high,' CBN is a minor cannabinoid that mostly forms when THC ages and breaks down over time, especially with exposure to heat, air, and light.

Because of how it is created, older cannabis often contains more CBN. Today, CBN is sold on its own in products like oils, gummies, capsules, and vapes, often marketed as a natural sleep aid or relaxation product.

It is important to know that the science on CBN is still very early. Much of what is sold is based on marketing and traditional use rather than strong proof from human studies.

Uses & effectiveness

CBN is most often promoted for sleep and relaxation. Despite these popular claims, there is very little high-quality human research showing that CBN actually helps you sleep better. Some products combine CBN with other ingredients like THC or melatonin, which makes it hard to know whether any benefit comes from the CBN itself.

People also use CBN for pain, inflammation, and appetite. The evidence here is even weaker and comes mainly from laboratory or animal studies, not from well-designed human trials.

Overall, the honest summary is that the evidence for CBN is preliminary and limited. We do not yet have strong proof that it works for any specific condition. More research is needed before any firm conclusions can be made.

How it works

CBN is thought to interact with the body's endocannabinoid system, a network of receptors involved in sleep, mood, pain, and appetite. It appears to bind weakly to cannabinoid receptors (called CB1 and CB2), but less strongly than THC does.

Some laboratory research suggests CBN may have mild effects on pain signaling, inflammation, and certain nerve pathways. However, these findings come mostly from test-tube and animal studies, and the results do not always carry over to people.

The popular belief that CBN is strongly 'sedating' is not well supported by science. Much of that reputation may come from the fact that older cannabis, which has more CBN, also contains other compounds that can affect how you feel.

Safety & precautions

CBN is generally considered to be mild and only weakly psychoactive, but human safety data are very limited. Because CBN products are often poorly regulated, the actual contents and purity can vary a lot from what is on the label, and some products may also contain THC.

People who should be especially careful include those with liver problems, those taking multiple medications, older adults, and anyone with a history of substance use concerns. If you are scheduled for surgery or drug testing, be aware that cannabis-derived products may cause a positive test.

Pregnancy: Avoid CBN. Cannabis-derived compounds are not considered safe during pregnancy and may affect fetal development.

Breastfeeding: Avoid CBN. Cannabinoids can pass into breast milk, and the effects on a nursing infant are not well understood.

Always check with your pharmacist or doctor before starting CBN, especially if you take other medicines or have a health condition.

Side effects

Because CBN has not been widely studied in people, its full side effect profile is not well known. Based on related cannabinoids, possible side effects may include drowsiness, dizziness, dry mouth, changes in appetite, and feeling tired or 'foggy.'

Some products labeled as CBN may also contain THC, which can cause a 'high,' impaired thinking, or anxiety in some people. This can affect your ability to drive or operate machinery.

If you experience a fast heartbeat, severe anxiety, confusion, or any allergic-type reaction (such as rash, swelling, or trouble breathing), stop using the product and seek medical care.

Cannabinol (cbn): Reported Adverse Effects

Documented safety reports on Cannabinol (cbn) from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Reports by condition
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no established, standardized dose for CBN. Research is too limited to recommend a specific milligram amount, and products vary widely in strength and quality.

If you choose to try a CBN product, follow the directions on the label and start with the lowest amount. Look for products that have been tested by an independent third-party lab and that clearly list the amount of CBN (and any THC) per serving.

It is best to talk with your pharmacist or doctor before starting CBN so they can help you weigh the risks and check that it is appropriate for you.

References & further reading

The 3 references that drive our Cannabinol (cbn) 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. Watanabe K, Yamaori S, Funahashi T, Kimura T, Yamamoto I. Cytochrome P450 enzymes involved in the metabolism of tetrahydrocannabinols and cannabinol by human hepatic microsomes. Life Sci. 2007;80(15):1415-9. PubMed
  2. Nasrin S, Watson CJW, Perez-Paramo YX, Lazarus P. Cannabinoid Metabolites as Inhibitors of Major Hepatic CYP450 Enzymes, with Implications for Cannabis-Drug Interactions. Drug Metab Dispos 2021;49(12):1070-1080. PubMed
  3. Bonn-Miller MO, Feldner MT, Bynion TM, Eglit GML, Brunstetter M, Kalaba M, Zvorsky I, Peters EN, Hennesy M. A double-blind, randomized, placebo-controlled study of the safety and effects of CBN with and without CBD on sleep quality. Exp Clin Psychopharmac PubMed
Keep reading

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.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Cannabinol (cbn): Common Questions

Does Cannabinol (cbn) interact with prescription medications?
Yes. We list 389 medications with a known interaction with Cannabinol (cbn). Use the checker above to see how Cannabinol (cbn) interacts with a specific drug.
How are Cannabinol (cbn) interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Cannabinol (cbn) with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Cannabinol (cbn) interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is CBN used for?
CBN is most often marketed for sleep and relaxation, and sometimes for pain or appetite. However, strong human evidence to support these uses is currently lacking.
Will CBN get me high?
CBN is only weakly psychoactive and is much less intoxicating than THC. That said, some CBN products also contain THC, which can cause a high, so check the label and lab testing.
Is CBN safe to take?
CBN is generally thought to be mild, but human safety data are limited and product quality varies a lot. Talk with your pharmacist or doctor before trying it, especially if you take other medicines.
Can I use CBN if I am pregnant or breastfeeding?
No. Because CBN comes from cannabis and cannabinoids can affect a developing baby or pass into breast milk, it should be avoided during pregnancy and breastfeeding.

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

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