The present invention relates to the use of
cannabidiol (CBD) in the treatment of patients with childhood-onset
epilepsy who are concurrently taking
caffeine. Where the CBD is used in combination with
caffeine, caution should be taken. For example, the
dose of either the CBD and / or
caffeine may be required to be reduced. Moreover, the patient may need to be monitored for side effects of said
drug-
drug interaction. Preferably the CBD used is in the form of a highly purified extract of
cannabis such that the CBD is present at greater than 95% of the total extract (w / w) and the other components of the extract are characterised. In particular the
cannabinoid tetrahydrocannabinol (THC) has been substantially removed, to a level of not more than 0.15% (w / w) and the propyl analogue of CBD,
cannabidivarin, (CBDV) is present in amounts of up to 1%. Alternatively, the CBD may be a synthetically produced CBD.