Cannabinoid Hyperemesis Syndrome

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In this episode we review Cannabinoid Hyperemesis Syndrome (CHS / Cannabis Hyperemesis Syndrome) which is characterized by

  • daily cannabis use on a chronic basis
  • typically use high doses
  • and symptoms generally resolve within days of cessation of cannabis use

The nausea and vomiting may be temporarily relieved by hot showers but can be refractory to traditional antiemetics, such as ondansetron and the butyrophenones (haloperidol/droperidol) have been anecdotally used with success, as has capsaicin. We review new articles on the treatment of CHS

Ruberto et al Ann Emerg Med. 20200; in press
Dean et al. Acad Emerg Med 2020. In press