Dronabinol (Marinol)
ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.
Dronabinol (Marinol)
ATI class: Antiemetic / Cannabinoid
Action
- Activates cannabinoid receptors to reduce nausea and stimulate appetite.
- Produces CNS effects that can alter mood, perception, and coordination.
Therapeutic use
- Chemotherapy-induced nausea and vomiting when other antiemetics are inadequate
- Appetite stimulation for selected clients
Nursing assessment
- Assess mental status, mood changes, dizziness, and fall risk.
- Monitor appetite, weight trend, nausea/vomiting, and hydration.
- Screen for substance-use history, cardiovascular risk, and older adult sensitivity.
Administration
- PO capsule
- Oral solution
Side effects
- Dizziness
- Drowsiness
- Euphoria
- Nausea
- Dry mouth
Adverse effects
- Confusion
- Hallucinations
- Orthostatic hypotension
- Tachycardia
Interactions
- Alcohol
- Sedatives
- Other CNS depressants
- Drugs affected by CYP metabolism
Contraindications
- Hypersensitivity
- Sesame oil sensitivity for selected capsule formulations
Precautions
- Use caution with psychiatric disorders, substance-use history, cardiovascular disease, older adults, pregnancy, or breastfeeding.
- Fall precautions matter because CNS effects can be strong.
Client teaching
- Avoid alcohol, cannabis, driving, and hazardous activities until response is known.
- Report hallucinations, severe mood changes, chest pain, syncope, or uncontrolled vomiting.
- Store securely because this medication can impair judgment and has misuse risk.
Medication outcomes
- Decreased nausea and vomiting
- Improved appetite or weight trend when prescribed for appetite
Antidote / rescue
- No specific antidote is seeded; manage toxicity with supportive care, safety precautions, and provider or poison-control guidance.
NCLEX priority cues
- Hallucinations, severe confusion, syncope, or chest pain are priority findings.
- CNS depression plus another sedative increases safety risk.
- Appetite benefit does not override fall, misuse, or mental-status risk.
Medication classes
Source attribution
Related study cards
Shows the medication class, ATI cues, source references, and connected study cards for this drug.
Reduces nausea through different pathways, including serotonin, dopamine, histamine, muscarinic, cannabinoid, and NK1 receptor effects.
ATI medication mechanism of action concept.
ATI medication interaction concept.
ATI medication class concept.
ATI medication nclex priority cue concept.
ATI medication therapeutic use concept.
ATI medication nursing assessment concept.
ATI medication client teaching concept.
ATI medication class concept.
ATI medication therapeutic use concept.
ATI medication nclex priority cue concept.
ATI medication adverse effect concept.