Dronabinol is used to treat nausea and vomiting caused
by cancer chemotherapy. It is usually used when other drugs to control
nausea and vomiting have not been successful. Dronabinol is also used to
treat loss of appetite and weight loss in patients with HIV infection.
Dronabinol (also called THC) is a man-made form of the active natural
substance in marijuana (cannabis).
Read the Patient Information Leaflet if available from
your pharmacist before you start taking dronabinol and each time you get a
refill. If you have any questions, ask your doctor or
pharmacist.
Take this medication by mouth as directed by your
doctor, usually up to 4 to 6 times daily if you are taking it to control
nausea and vomiting or twice daily (before lunch and before dinner) if you
are taking it to treat appetite loss. Follow your doctor's instructions
carefully.
The dosage is based on your medical condition and
response to treatment. If you are taking this medication to control nausea
and vomiting, your dosage may also be based on your body
size.
Do not increase your dose or use this drug more often or
for longer than prescribed. Your condition will not improve any faster, and
your risk of serious side effects will increase.
If you suddenly stop using this medication, you may have
withdrawal symptoms (such as irritability, trouble sleeping, restlessness,
hot flashes, diarrhea). To help prevent withdrawal, your doctor may lower
your dose slowly. Withdrawal is more likely if you have used dronabinol for
a long time or in high doses. Tell your doctor or pharmacist right away if
you have withdrawal.
Though it helps many people, this medication may
sometimes cause addiction. This risk may be higher if you have a substance
use disorder (such as overuse of or addiction to drugs/alcohol). Take this
medication exactly as prescribed to lower the risk of addiction. Ask your
doctor or pharmacist for more details.
Tell your doctor if your condition lasts or gets
worse.
Dizziness, drowsiness, confusion, feeling "high", an
exaggerated sense of well-being, lightheadedness, nausea, vomiting, or
stomach/abdominal pain may occur as your body adjusts to the medication. If
any of these effects last or get worse, tell your doctor or pharmacist
promptly.
To reduce the risk of dizziness and lightheadedness, get
up slowly when rising from a sitting or lying position.
Remember that this medication has been prescribed
because your doctor has judged that the benefit to you is greater than the
risk of side effects. Many people using this medication do not have serious
side effects.
Tell your doctor right away if you have any serious side
effects, including:
- fainting
- fast/pounding heartbeat
- mental/mood changes (such as anxiety, nervousness,
hallucinations, abnormal thoughts, paranoia)
A very serious allergic reaction to this drug is rare.
However, get medical help right away if you notice any symptoms of a
serious allergic reaction, including:
- rash
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If
you notice other effects not listed above, contact your doctor or
pharmacist.
In the US - Call your doctor for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088 or at
www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about
side effects. You may report side effects to Health Canada at
1-866-234-2345.
Before taking dronabinol, tell your doctor or pharmacist
if you are allergic to it; or to marijuana (cannabis); or if you have any
other allergies. This product may contain inactive ingredients (such as
sesame oil), which can cause allergic reactions or other problems. Talk to
your pharmacist for more details.
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
- personal or family history of a substance use disorder (such
as overuse of or addiction to drugs/alcohol)
- heart disease
- high blood pressure
- mental/mood disorders (such as mania, depression,
schizophrenia)
- seizures
This drug may make you dizzy or drowsy or affect your
judgment. Alcohol or marijuana (cannabis) can worsen these effects. Do not
drive, use machinery, or do anything that needs alertness until you can do
it safely. Avoid alcoholic beverages. Talk to your doctor if you are using
marijuana (cannabis).
Before having surgery, tell your doctor or dentist about
all the products you use (including prescription drugs, nonprescription
drugs, and herbal products).
Children may be more sensitive to the side effects of
this drug, especially drowsiness and mental/mood changes.
Older adults may be more sensitive to the side effects
of this drug, especially drowsiness, dizziness, lightheadedness, and
mental/mood changes.
Tell your doctor if you are pregnant or plan to become
pregnant. You should not become pregnant while using dronabinol. Dronabinol
may harm an unborn baby. If you become pregnant, talk to your doctor right
away about the risks and benefits of this medication.
This medication passes into breast milk and may harm a
nursing infant. Breastfeeding is not recommended while using this
medication. Consult your doctor before breastfeeding.
Drug interactions may change how your medications work
or increase your risk for serious side effects. This document does not
contain all possible drug interactions. Keep a list of all the products you
use (including prescription/nonprescription drugs and herbal products) and
share it with your doctor and pharmacist. Do not start, stop, or change the
dosage of any medicines without your doctor's approval.
Tell your doctor or pharmacist if you are taking other
products that cause drowsiness such as opioid pain or cough relievers (such
as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or
anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such
as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine,
diphenhydramine).
Check the labels on all your medicines (such as allergy
or cough-and-cold products) because they may contain ingredients that cause
drowsiness. Ask your pharmacist about using those products
safely.
If someone has overdosed and has serious symptoms such
as passing out or trouble breathing, call 911. Otherwise, call a poison
control center right away. US residents can call 1-800-222-1222. Canada
residents can call 1-844-764-7669. Symptoms of overdose may include: severe
drowsiness/dizziness, fast heartbeat, mental/mood changes,
seizures.
Do not share this medication with others. Sharing it is
against the law.
Keep all medical appointments so your doctor can monitor
your response to treatment (such as your weight) and check for side
effects.
If you miss a dose, take it as soon as you remember. If
it is near the time of the next dose, skip the missed dose. Take your next
dose at the regular time. Do not double the dose to catch
up.
Different brands of this medication have different
storage needs. Check the product package for instructions on how to store
your brand, or ask your pharmacist. Keep all medications away from children
and pets.
Do not flush medications down the toilet or pour them
into a drain unless instructed to do so. Properly discard this product when
it is expired or no longer needed. Consult your pharmacist or local waste
disposal company.