ceftriaxone and Weed
Edited by Hugh Soames
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ceftriaxone and Weed
Most people who consume marijuana do so for its mood-altering and relaxing abilities. Weed gives people a high and allows them to relax. However, heavy consumption of weed can cause unwanted results. It can increase the anxiety and depression a person experiences, and it can interact with certain other drugs including ceftriaxone. It is important to remember that interactions do occur with all types of drugs, to a great or lesser extent and this article details the interactions of mixing ceftriaxone and Weed.
Mixing ceftriaxone and Weed
Ceftriaxone, sold under the brand name Rocephin, is a third-generation cephalosporin antibiotic used for the treatment of a number of bacterial infections. These include middle ear infections, endocarditis, meningitis, pneumonia, bone and joint infections, intra-abdominal infections, skin infections, urinary tract infections, gonorrhea, and pelvic inflammatory disease. It is also sometimes used before surgery and following a bite wound to try to prevent infection. Ceftriaxone can be given by injection into a vein or into a muscle.
Common side effects include pain at the site of injection and allergic reactions. Other possible side effects include C. difficile-associated diarrhea, hemolytic anemia, gall bladder disease, and seizures. It is not recommended in those who have had anaphylaxis to penicillin but may be used in those who have had milder reactions. The intravenous form should not be given with intravenous calcium. There is tentative evidence that ceftriaxone is relatively safe during pregnancy and breastfeeding. It is a third-generation cephalosporin that works by preventing bacteria from making a cell wall.
Ceftriaxone was patented in 1978 and approved for medical use in 1982. It is on the World Health Organization’s List of Essential Medicines. It is available as a generic medication.
Ceftriaxone and other third-generation antibiotics are used to treat organisms that tend to be resistant to many other antibiotics. Due to emergent resistance, ceftriaxone should not be used for the treatment of Enterobacter infections. Before using ceftriaxone, it is important to determine the susceptibility of the bacteria. If sepsis is being considered, empiric therapy may be initiated prior to susceptibility testing.
Medical uses include:
Ceftriaxone is also a choice drug for treatment of bacterial meningitis caused by pneumococci, meningococci, Haemophilus influenzae, and “susceptible enteric Gram-negative rods, but not Listeria monocytogenes.”
In combination with doxycycline or azithromycin, ceftriaxone used to be recommended by the United States Centers for Disease Control and Prevention (CDC) for the treatment of uncomplicated gonorrhea. Due to increased risk of developing azithromycin resistant strains and the high efficacy of higher doses of ceftriaxone the guidance has been updated to mono-antibiotic therapy with a higher dose of ceftriaxone.
Like other third-generation cephalosporins, ceftriaxone is active against Citrobacter spp., Serratia marcescens, and beta-lactamase-producing strains of Haemophilus and Neisseria. However, unlike ceftazidime and cefoperazone, ceftriaxone does not have useful activity against Pseudomonas aeruginosa. It is generally not active against Enterobacter species, and its use should be avoided in the treatment of Enterobacter infections, even if the isolate appears susceptible, because of the emergence of resistance. Some organisms, such as Citrobacter, Providencia, and Serratia, have the ability to become resistant through the development of cephalosporinases (enzymes that hydrolyze cephalosporins and render them inactive).
Although not being used as first line therapy against Staphylococcus aures, ceftriaxone retains activity against isolates of methicillin-resistant S. aureus and is used in clinic for infections sustained by this bacterium. In this case the dose should be doubled (e.g. 2 g intravenously every 12 hours).
Ceftriaxone is available for administration via the intramuscular or the intravenous routes. Diluents containing calcium should not be used to reconstitute ceftriaxone, and it must not be administered in intravenous lines containing other calcium-containing solutions, as a ceftriaxone-calcium precipitate could form.
Ceftriaxone is pregnancy category B. It has not been observed to cause birth defects in animal studies, but a lack of well-controlled studies done in pregnant women exists.
Low concentrations of ceftriaxone are excreted in breast milk that are “not expected to cause adverse effects in breastfed infants.”[failed verification] The manufacturer recommends that caution be exercised when administering ceftriaxone to women who breastfeed.
Hyperbilirubinemic neonates are contraindicated for the use of ceftriaxone. It can compete with bilirubin and displace it from binding to albumin, increasing the risk of bilirubin encephalopathy.
According to the package insert, clinical studies did not
show differences in efficacy and safety of ceftriaxone in geriatrics compared to younger patients but “greater sensitivity of some older individuals cannot be ruled out.”
Although generally well tolerated, the most common adverse reactions associated with ceftriaxone are changes in white blood cell counts, local reactions at site of administration, rash, and diarrhea.
Incidence of adverse effects greater than 1%:
Some less frequently reported adverse events (incidence < 1%) include phlebitis, itchiness, fever, chills, nausea, vomiting, elevations of bilirubin, elevations in creatinine, headache and dizziness.
Ceftriaxone may precipitate in bile, causing biliary sludge, biliary pseudolithiasis, and gallstones, especially in children. Hypoprothrombinaemia and bleeding are specific side effects. Haemolysis is reported. It has also been reported to cause post kidney failure in children. Like other antibiotics, ceftriaxone use can result in Clostridioides difficile-associated diarrhea ranging from mild diarrhea to fatal colitis. In this regards it has been reported that shifting from ceftriaxone to cefotaxime would have a lower impact on C. difficile infection rates, since cefotaxime is almost entirely excreted by the kidneys while ceftriaxone has a 45% biliary excretion
Ceftriaxone should not be used in those with an allergy to ceftriaxone or any component of the formulation. Although there is negligible cross-reactivity between penicillins and third-generation cephalosporins, caution should still be used when using ceftriaxone in penicillin-sensitive patients. Caution should be used in people who have had previous severe penicillin allergies. It should not be used in hyperbilirubinemic neonates, particularly those who are premature because ceftriaxone is reported to displace bilirubin from albumin binding sites, potentially causing bilirubin encephalopathy. Concomitant use with intravenous calcium-containing solutions/products in neonates (≤28 days) is contraindicated even if administered through different infusion lines due to rare fatal cases of calcium-ceftriaxone precipitations in neonatal lungs and kidneys.
Ceftriaxone is a third-generation antibiotic from the cephalosporin family of antibiotics. It is within the β-lactam family of antibiotics. Ceftriaxone selectively and irreversibly inhibits bacterial cell wall synthesis by binding to transpeptidases, also called transamidases, which are penicillin-binding proteins (PBPs) that catalyze the cross-linking of the peptidoglycan polymers forming the bacterial cell wall. The peptidoglycan cell wall is made up of pentapeptide units attached to a polysaccharide backbone with alternating units of N-acetylglucosamine and N-acetylmuramic acid. PBPs act on a terminal D-alanyl-D-alanine moiety on a pentapeptide unit and catalyze the formation of a peptide bond between the penultimate D-alanine and a glycine unit on an adjacent peptidoglycan strand, releasing the terminal D-alanine unit in the process. The structure of ceftriaxone mimics the D-alanyl-D-alanine moiety, and the PBP attacks the beta-lactam ring in ceftriaxone as if it were its normal D-alanyl-D-alanine substrate. The peptidoglycan cross-linking activity of PBPs is a construction and repair mechanism that normally helps to maintain bacterial cell wall integrity, so the inhibition of PBPs leads to damage and destruction of the cell wall and eventually to cell lysis.
Absorption: Ceftriaxone can be administered intravenously and intramuscularly, and the drug is completely absorbed. It is not available orally.
Distribution: Ceftriaxone penetrates tissues and body fluids well, including cerebrospinal fluid to treat central nervous system infections. Ceftriaxone is reversibly bound to human plasma proteins and the binding of ceftriaxone decreases with increasing concentration from a value of 95% at plasma concentrations less than 25 mcg/mL to 85% at plasma concentration of 300 mcg/mL. Over a 0.15 to 3 g dose range in healthy adult subjects, the apparent volume of distribution ranged from 5.8 to 13.5 L.
Metabolism: 33–67% of ceftriaxone is renally excreted as unchanged drug, but no dose adjustments are required in renal impairment with dosages up to 2 grams per day. The rest is excreted in the bile as unchanged drug which is ultimately excreted in feces as inactive compounds from hepatic and gut flora metabolism.
Elimination: The average elimination half-life in healthy adults is 5.8–8.7 (mean 6.5) hours, with some reviews estimated half-life up to 10 hours. In people with renal impairment, the average elimination half-life increases to 11.4–15.7 hours.
Ceftriaxone is commercially available as a white to yellowish-orange crystalline powder for reconstitution. Reconstituted ceftriaxone injection solutions are light yellow- to amber-colored depending on how long the solution had been reconstituted, the concentration of ceftriaxone in the solution, and the diluent used. To reduce pain with intramuscular injections, ceftriaxone may be reconstituted with lidocaine.
The syn-configuration of the methoxy oxime moiety confers resistance to beta-lactamase enzymes produced by many Gram-negative bacteria. The stability of this configuration results in increased activity of ceftriaxone against otherwise resistant Gram-negative bacteria. In place of the easily hydrolyzed acetyl group of cefotaxime, ceftriaxone has a metabolically stable thiotriazinedione moiety.
Ceftriaxone has also been investigated for efficacy in preventing relapse to cocaine addiction.
Ceftriaxone seems to increase excitatory amino acid transporter-2 pump expression and activity in the central nervous system, so has a potential to reduce glutamatergic toxicity.
Ceftriaxone has been shown to have neuroprotective properties in a number of neurological disorders, including spinal muscular atrophy and amyotrophic lateral sclerosis (ALS). Despite earlier negative results in the 1990s, a large clinical trial was undertaken in 2006 to test ceftriaxone in ALS patients, but was stopped early after it became clear that the results would not meet the predetermined criteria for efficacy.
Research has found that anxiety is one of the leading symptoms created by marijuana in users, and that there is a correlation between ceftriaxone and Weed and an increase in anxiety.
Anyone mixing ceftriaxone and weed is likely to experience side effects. This happens with all medications whether weed or ceftriaxone is mixed with them. Side effects can be harmful when mixing ceftriaxone and weed. Doctors are likely to refuse a patient a ceftriaxone prescription if the individual is a weed smoker or user. Of course, this could be due to the lack of studies and research completed on the mixing of ceftriaxone and Weed.
Heavy, long-term weed use is harmful for people. It alters the brain’s functions and structure, and all pharmaceuticals and drugs including ceftriaxone are designed to have an impact on the brain. There is a misplaced belief that pharmaceuticals and medication work by treating only the parts of the body affected yet this is obviously not the case in terms of ceftriaxone. For example, simple painkiller medication does not heal the injury, it simply interrupts the brains functions to receive the pain cause by the injury. To say then that two drugs, ceftriaxone and Weed, dol not interact is wrong. There will always be an interaction between ceftriaxone and Weed in the brain11.J. D. Brown and A. G. Winterstein, Potential Adverse Drug Events and Drug–Drug Interactions with Medical and Consumer Cannabidiol (CBD) Use – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6678684/.
One of the milder side effects of mixing ceftriaxone and Weed is Scromiting. This condition, reportedly caused by mixing ceftriaxone and Weed, describes a marijuana-induced condition where the user experiences episodes of violent vomiting, which are often so severe and painful that they cause the person to scream. The medical term for Scromiting by mixing ceftriaxone and Weed is cannabinoid hyperemesis syndrome, or CHS. For these reasons, some people choose to quit smoking weed.
It was first included in scientific reports in 2004. Since then, researchers have determined that Scromiting is the result of ongoing, long-term use of marijuana—particularly when the drug contains high levels of THC, marijuana’s main psychoactive ingredient. Some experts believe that the receptors in the gut become overstimulated by THC, thus causing the repeated cycles of vomiting.
In the long run, a person can become even more depressed. There is a belief that marijuana is all-natural and not harmful to a person’s health. This is not true and ceftriaxone and weed can cause health issues the more a person consumes it.
How does Weed effect the potency of ceftriaxone?
The way in which the body absorbs and process ceftriaxone may be affected by weed. Therefore, the potency of the ceftriaxone may be less effective. Marijuana inhibits the metabolization of ceftriaxone. Not having the right potency of ceftriaxone means a person may either have a delay in the relief of their underlying symptoms.
A person seeking ceftriaxone medication that uses weed should speak to their doctor. It is important the doctor knows about a patient’s weed use, so they can prescribe the right ceftriaxone medication and strength. Or depending on level of interactions they may opt to prescribe a totally different medication. It is important for the doctor to know about their patient’s marijuana use. Weed is being legalized around the US, so doctors should be open to speaking about a patient’s use of it.
Sideffects of ceftriaxone and Weed
Many individuals may not realize that there are side effects and consequences to mixing ceftriaxone and Weed such as:
- Dizziness
- Sluggishness
- Drowsiness
- Shortness of breath
- Itching
- Hives
- Palpitations
- Respiratory Depression
- Cardiac Arrest
- Coma
- Seizures
- Death
Interestingly, it is impossible to tell what effect mixing this substance with Weed will have on an individual due to their own unique genetic make up and tolerance. It is never advisable to mix ceftriaxone and Weed due to the chances of mild, moderate and severe side effects. If you are having an adverse reaction from mixing ceftriaxone and Weed it’s imperative that you head to your local emergency room. Even mixing a small amount of ceftriaxone and Weed is not recommended.
Taking ceftriaxone and Weed together
People who take ceftriaxone and Weed together will experience the effects of both substances. Technically, the specific effects and reactions that occur due to frequent use of ceftriaxone and weed depend on whether you consume more weed in relation to ceftriaxone or more ceftriaxone in relation to weed.
The use of significantly more weed and ceftriaxone will lead to sedation and lethargy, as well as the synergistic effects resulting from a mixture of the two medications.
People who take both weed and ceftriaxone may experience effects such as:
- reduced motor reflexes from ceftriaxone and Weed
- dizziness from Weed and ceftriaxone
- nausea and vomiting due to ceftriaxone and Weed
Some people may also experience more euphoria, depression, irritability or all three. A combination of weed and ceftriaxone leads to significantly more lethargy which can easily tip over into coma, respiratory depression seizures and death.
Mixing weed and ceftriaxone
The primary effect of weed is influenced by an increase in the concentration of the inhibitory neurotransmitter GABA, which is found in the spinal cord and brain stem, and by a reduction in its effect on neuronal transmitters. When weed is combined with ceftriaxone this primary effect is exaggerated, increasing the strain on the body with unpredictable results.
Weed and ceftriaxone affects dopamine levels in the brain, causing the body both mental and physical distress. Larger amounts of ceftriaxone and weed have a greater adverse effect yet leading medical recommendation is that smaller does of ceftriaxone can be just as harmful and there is no way of knowing exactly how ceftriaxone and weed is going to affect an individual before they take it.
Taking ceftriaxone and weed together
People who take ceftriaxone and weed together will experience the effects of both substances. The use of significantly more ceftriaxone with weed will lead to sedation and lethargy, as well as the synergistic effects resulting from a mixture of the two medications.
People who take both weed and ceftriaxone may experience effects such as:
- reduced motor reflexes from ceftriaxone and weed
- dizziness from weed and ceftriaxone
- nausea and vomiting of the ceftriaxone
Some people may also experience more euphoria, depression, irritability or all three. A combination of weed and ceftriaxone leads to significantly more lethargy which can easily tip over into coma, respiratory depression seizures and death.
Weed Vs ceftriaxone
Taking ceftriaxone in sufficient quantities increases the risk of a heart failure. Additionally, people under the influence of ceftriaxone and weed may have difficulty forming new memories. With weed vs ceftriaxone in an individual’s system they become confused and do not understand their environment. Due to the synergistic properties of ceftriaxone when mixed with weed it can lead to confusion, anxiety, depression and other mental disorders. Chronic use of ceftriaxone and weed can lead to permanent changes in the brain22.G. Lafaye, L. Karila, L. Blecha and A. Benyamina, Cannabis, cannabinoids, and health – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741114/.
ceftriaxone Vs Weed
Studies investigating the effects of drugs such as ceftriaxone and weed have shown that the potential for parasomnia (performing tasks in sleep) is dramatically increased when ceftriaxone and weed are combined. Severe and dangerous side effects can occur when medications are mixed in the system, and sleep disorders are a common side effect of taking weed and ceftriaxone together.
When a small to medium amount of weed is combined with ceftriaxone, sleep disorders such as sleep apnea can occur. According to the latest data from the US Centers for Disease Control and Prevention (CDC) most ER visits and hospitalizations caused by too much weed were associated with other substances such as ceftriaxone.
How long after taking ceftriaxone can I smoke weed or take edibles?
To avoid any residual toxicity it is advisable to wait until the ceftriaxone has totally cleared your system before taking weed, even in small quantities.
Overdose on ceftriaxone and weed
In the case of Overdose on ceftriaxone or if you are worried after mixing ceftriaxone and weed, call a first responder or proceed to the nearest Emergency Room immediately.
If you are worried about someone who has taken too much ceftriaxone or mixed weed with ceftriaxone then call a first responder or take them to get immediate medical help. The best place for you or someone you care about in the case of a medical emergency is under medical supervision. Be sure to tell the medical team that there is a mix of ceftriaxone and weed in their system.
Excessive Weed intake and result in scromiting, chs, and anxiety disorder. It is advisable to quit vaping weed if you are feeling these symptoms.
Mixing ceftriaxone and weed and antidepressants
Weed users feeling depressed and anxious may be prescribed antidepressant medication. There are some antidepressant users who also use ceftriaxone and weed. These individuals may not realize that there are side effects and consequences to consuming both ceftriaxone, marijuana and a range of antidepressants.
Studies on weed, ceftriaxone and antidepressants is almost nil. The reason for so little information on the side effects of the two is mostly down to marijuana being illegal in most places – although a number of states in the United States have legalized the drug.
Self-medicating with Weed and ceftriaxone
A lot of people suffer from depression caused by weed and ceftriaxone. How many? According to Anxiety and Depression Association of America (ADAA), in any given year, it is estimated that nearly 16 million adults experience depression. Unfortunately, that number is likely to be wrong due to under reporting. Many people do not report suffering from depression because they do not want to be looked at as suffering from a mental illness. The stigmas around mental health continue and people do not want to be labeled as depressed.
Potential side effects from mixing ceftriaxone and weed
Quitting weed to take ceftriaxone
Medical professionals say an individual prescribed or taking ceftriaxone should not stop using weed cold turkey. Withdrawal symptoms can be significant. Heavy pot users should especially avoid going cold turkey. The side effects of withdrawal from weed include anxiety, irritability, loss of sleep, change of appetite, and depression by quitting weed cold turkey and starting to take ceftriaxone.
A person beginning to use ceftriaxone should cut back on weed slowly. While reducing the amount of weed use, combine it with mindfulness techniques and/or yoga. Experts stress that non-medication can greatly improve a person’s mood.
Weed and ceftriaxone can affect a person in various ways. Different types of marijuana produce different side effects. Side effects of weed and ceftriaxone may include:
- loss of motor skills
- poor or lack of coordination
- lowered blood pressure
- short-term memory loss
- increased heart rate
- increased blood pressure
- anxiety
- paranoia
- increased energy
- increased motivation
Mixing ceftriaxone and weed can also produce hallucinations in users. This makes marijuana a hallucinogenic for some users. Weed creates different side effects in different people, making it a very potent drug. Now, mixing ceftriaxone or other mental health drugs with weed can cause even more unwanted side effects.
Mixing drugs and weed conclusion
Long-term weed use can make depression and anxiety worse. In addition, using marijuana can prevent ceftriaxone from working to their full potential33.J. D. Brown and A. G. Winterstein, Potential Adverse Drug Events and Drug–Drug Interactions with Medical and Consumer Cannabidiol (CBD) Use – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6678684/. Weed consumption should be reduced gradually to get the most out of prescription medication. Marijuana is a drug and it is harmful to individual’s long-term health. Weed has many side effects and the consequences are different to each person who uses it, especially when mixed with ceftriaxone.
If you take ceftriaxone, and also drink Alcohol or MDMA, you can research the effects of ceftriaxone and Alcohol , ceftriaxone and Cocaine as well as ceftriaxone and MDMA here.
To find the effects of other drugs and weed refer to our Weed and Other Drugs Index A to L or our Weed and Other Drugs Index M-Z.
Or you could find what you are looking for in our Alcohol and Interactions with Other Drugs index A to L or Alcohol and Interactions with Other Drugs index M to Z , Cocaine and Interactions with Other Drugs index A to L or Cocaine and Interactions with Other Drugs index M to Z or our MDMA and Interactions with Other Drugs Index A to L or MDMA and Interactions with Other Drugs Index M to Z.
ceftriaxone and Weed
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