VCVITAMINS/CHART

The Bottom Line

Use caution with CBD and PQQ together: the ingredients or formulations need review, and limited research does not establish the safety of this exact pair.

VERDICT

CBD and PQQ together require more care than a neutral matrix label suggests. CBD can change the metabolism of medicines, while interactions with many supplement extracts remain poorly characterized. A pharmacist should review the complete regimen; a two-hour gap does not reliably remove this uncertainty. The practical decision depends on the formulation, your medicines, and your response.

Use with caution Limited evidence
01 / MECHANISM

How They Interact

CBD can affect liver enzymes involved in drug metabolism and can cause drowsiness. PQQ is a redox-active compound marketed for mitochondrial health, but human outcome evidence is sparse. These individual roles do not establish that CBD improves the absorption or effectiveness of PQQ, or vice versa. Direct clinical evidence for this particular combination is limited. CBD can change the metabolism of medicines, while interactions with many supplement extracts remain poorly characterized. A pharmacist should review the complete regimen; a two-hour gap does not reliably remove this uncertainty.

02 / BEST PRACTICES

How To Take Them

Have a pharmacist review prescription medicines before adding CBD. Check the whole ingredient list rather than attributing a blend's effects to PQQ alone. There is no validated spacing interval that removes the concerns for this combination; reviewing the products and medicines is more useful than choosing an arbitrary time gap. If you miss a supplemental dose, resume the usual schedule instead of doubling the next dose; follow your prescriber's instructions for prescribed products.

03 / FORM MATTERS

Form & Quality Differences

CBD oils and gummies vary in content and may contain THC or other cannabinoids. A PQQ blend may contain CoQ10, caffeine, or other actives that account for some of its effects.

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Practical Tips

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Frequently Asked Questions

Who Should Be Careful CBD can change the metabolism of medicines, while interactions with many supplement extracts remain poorly characterized. A pharmacist should review the complete regimen; a two-hour gap does not reliably remove this uncertainty. CBD can cause liver injury and sedation; avoid use during pregnancy and breastfeeding and take care with driving. Long-term safety and pregnancy safety are not established, so avoid extrapolating from laboratory studies.
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Sources & Further Reading

  1. FDA FDA — Cannabidiol (CBD) in Foods
  2. NCCIH NCCIH — Using Dietary Supplements Wisely

Reviewed by Caroline M. on October 20, 2026 for accuracy against the sources listed above. This page is educational and is not a substitute for professional medical advice.

WANT THE FULL PICTURE?

The matrix has 86 supplements and 7310 pairwise interactions. Click any cell to see the full breakdown.

Back To The Vitamins Chart All CBD (Cannabidiol) Interactions All PQQ (Pyrroloquinoline Quinone) (cellular health) Interactions