Promethazine
For an informed discussion with your doctor or pharmacist. This information collection is not a clinically validated interaction checker. Missing data do not establish safety. Do not change or stop prescribed medicines on the basis of this information. The findings apply to the specific conditions studied; laboratory and animal studies cannot be directly extrapolated to humans.
Active substance: Promethazine
Examples of brand names: Atosil [DE]
ATC code: R06AD02
Main use (for orientation): Agitation; allergy
Documented research summary
Separate promethazine and THC comparator arms do not establish co-administration. Additive depression remains theoretical.
Uncertainties and limitations
Additive sedation is plausible label-based risk context, not a measured pair-specific enhancement factor.
Research is limited to the specified date and protocol; it is not globally exhaustive. Brand names and authorisations do not constitute a complete current market overview.
Structured assessment
Category: Theoretical context
Cannabinoid scope: 28 register names in the documented search family; neither 28 individual clinical trials nor a blanket assessment of all cannabinoids.
Evidence status: Theoretical plausibility; no verified clinical pair effect
Mechanism / drug context: Promethazine: sedating antihistamine; hepatic breakdown.
Type of supporting material: Medicine information and documented individual review; no positive pair trial
Clinical interpretation: Requires individual assessment by a doctor or pharmacist. Lack of evidence does not establish safety; no dosage or discontinuation advice is provided.
Context: Promethazine hydrochloride injection; active racemate, not a prodrug. Oral comparator experiment considered separately.
Drug context and gaps in search results are not measured interactions. The source role below describes which statement the source actually supports.
Source role [CA_L_D0137]: Drug context
Statement supported: Supports dosage form, metabolism and/or known risks; alone, it does not substantiate a cannabinoid–drug pair finding.
Source: PROMETHAZINE HYDROCHLORIDE (PROMETHAZINE HYDROCHLORIDE) INJECTION [HENRY SCHEIN, INC.] [CA_L_D0137]
Source role [CA_P_29635857]: Scope distinction / context
Statement supported: Promethazine and THC in separate comparator arms.
Source: Effect profile of paracetamol, Δ9-THC and promethazine using an evoked pain test battery in healthy subjects. [CA_P_29635857]
Scope of review: Individual research with documented title/abstract screening and targeted review of original sections. This is not exhaustive evidence that interactions are absent.
Unresolved source question: The complete stored individual review, label review, literature screening, conclusion and uncertainties were read. Targeted sections of original information were rechecked; no claim is made that all product information or full texts were completely revalidated.
Separately recorded findings
No separately substantiated finding for this drug–cannabinoid pair is recorded within the documented scope of review. This does not prove that no such study exists anywhere or that the combination is safe.
References and access status
[CA_L_D0137] PROMETHAZINE HYDROCHLORIDE (PROMETHAZINE HYDROCHLORIDE) INJECTION [HENRY SCHEIN, INC.]
Original source / bibliographic reference
Authors: Henry Schein, Inc.
Year: 2026
Source type: Current published human-use SPL / product information
Source access – 23 October 2026: Source destination was accessible when checked.
Bibliographic attribution or source identity cross-checked.
[CA_P_29635857] Effect profile of paracetamol, Δ9-THC and promethazine using an evoked pain test battery in healthy subjects.
Original source / bibliographic reference
Authors: van Amerongen G, Siebenga P, de Kam ML, Hay JL, Groeneveld GJ.
Year: 2018
Source type: Randomized Controlled Trial; Journal Article
DOI: 10.1002/ejp.1222
PMID: 29635857
Source access – 23 October 2026: Source destination was accessible when checked.
Bibliographic attribution or source identity cross-checked.
DOI – publisher access (access restrictions may apply)
Research as of 23 October 2026. Not all original full texts could be reviewed in full. Source accessibility and the strength of scientific evidence must be assessed separately. An accessible link does not establish medical approval; a bibliographic record with an abstract does not replace the original full text.
Drug search and explanation of the evidence · Guide: cannabinoids and medicines · Author and responsibility
Promethazine and cannabinoids: documented findings, evidence, sources and data gaps. Research information for discussion with your doctor or pharmacist.
