scholarly journals Role of chronic cannabis use: Cyclic vomiting syndrome vs cannabinoid hyperemesis syndrome

2019 ◽  
Vol 31 (S2) ◽  
Author(s):  
Thangam Venkatesan ◽  
David J. Levinthal ◽  
B U. K. Li ◽  
Sally E. Tarbell ◽  
Kathleen A. Adams ◽  
...  
Keyword(s):  
Cannabis Use ◽  
Cyclic Vomiting Syndrome ◽  
Cannabinoid Hyperemesis Syndrome ◽  
Cyclic Vomiting

scholarly journals Cannabinoid Hyperemesis

2010 ◽  
Vol 24 (5) ◽  
pp. 284-285 ◽  
Author(s):  
Stephen Sullivan
Keyword(s):  
Abdominal Pain ◽  
Eating Disorder ◽  
Cannabis Use ◽  
Cyclic Vomiting Syndrome ◽  
Severe Nausea ◽  
Drug Seeking ◽  
Temporary Relief ◽  
Cannabinoid Hyperemesis Syndrome ◽  
Hot Bath ◽  
Cyclic Vomiting

Cannabinoid hyperemesis syndrome is characterized by chronic, heavy use of cannabis, recurrent episodes of severe nausea and intractable vomiting, and abdominal pain. Temporary relief of symptoms is achieved by taking a hot bath or shower, and resolution of the problem when cannabis use is stopped. Failure to recognize the syndrome leads to misdiagnoses such as psychogenic vomiting, the cyclic vomiting syndrome, an eating disorder or ‘drug-seeking behaviour’, and may lead to extensive, expensive and unproductive investigations, psychiatric referrals and ineffective treatments. Other than stopping cannabis use, there is no proven treatment. Why a substance known for its antiemetic properties should cause such a syndrome is unknown.

scholarly journals Cannabinoid hyperemesis syndrome: definition, pathophysiology, clinical spectrum, insights into acute and long-term management

2020 ◽  
Vol 68 (8) ◽  
pp. 1309-1316
Author(s):  
Mahesh Gajendran ◽  
Joshua Sifuentes ◽  
Mohammad Bashashati ◽  
Richard McCallum
Keyword(s):  
Symptom Control ◽  
Well Being ◽  
Clinical Entity ◽  
Cyclic Vomiting Syndrome ◽  
Cannabinoid Hyperemesis Syndrome ◽  
Acute Attacks ◽  
Hot Baths ◽  
Term Management ◽  
Cyclic Vomiting

Although cannabinoid hyperemesis syndrome (CHS) was first reported more than 15 years ago, it still remains an unfamiliar clinical entity among physicians worldwide. CHS is categorized by Rome IV classification as a functional gastroduodenal disorder. It is characterized by stereotypical episodic vomiting in the setting of chronic, daily cannabis use, with cycles decreasing by the cessation of cannabis. CHS is also associated with abdominal pain reduced by hot baths and showers with comparative well-being between attacks. Thus, its clinical presentation resembles ‘classic’ cyclic vomiting syndrome, but eliciting a cannabis history is crucial in diagnosing this entity. In acute attacks, parenteral benzodiazepines are very effective. For prevention and long-term management, tricyclic antidepressants such as amitriptyline are the mainstay of therapy requiring doses in the range of 50–200 mg/d to achieve symptom control. In addition, counseling to achieve marijuana cessation, accompanied by antianxiety medications, is necessary for sustaining clinical outcomes. Once the patient is in remission and off marijuana for a period of 6–12 months, then tapering the dose of amitriptyline can be implemented, with the goal of no therapy being achieved in the majority of patients over time. With the legalization of marijuana in many states, CHS will become an increasingly prevalent clinical entity, so educating about CHS is an important goal, particularly for emergency department physicians who generally first encounter these patients.

scholarly journals Cerebral vasospasm and wernicke encephalopathy secondary to adult cyclic vomiting syndrome: the role of magnesium

BMC Neurology ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Álvaro Sánchez-Larsen ◽  
Tomás Segura ◽  
Susana García-Muñozguren ◽  
Javier Peinado-Ródenas ◽  
Joaquín Zamarro ◽  
...  
Keyword(s):  
Cerebral Vasospasm ◽  
Cyclic Vomiting Syndrome ◽  
Wernicke Encephalopathy ◽  
Cyclic Vomiting

Hot-Water Bathing Improves Symptoms in Patients with Cyclic Vomiting Syndrome and Is Modulated by Chronic Cannabis Use

2020 ◽  
Author(s):  
Sheldon Rosen ◽  
Robert Diaz ◽  
Zhuping Garacci ◽  
Vishnu Charan Suresh Kumar ◽  
Shashank R. Thyarala ◽  
...  
Keyword(s):  
Hot Water ◽  
Cannabis Use ◽  
Cyclic Vomiting Syndrome ◽  
Cyclic Vomiting

Su1633 - Patterns of Cannabis use and Effects on Symptoms in Patients with Cyclic Vomiting Syndrome

2018 ◽  
Vol 154 (6) ◽  
pp. S-555-S-556 ◽  
Author(s):  
Thangam Venkatesan ◽  
Lisa Rein ◽  
Anjishnu Banerjee ◽  
Cecilia Hillard ◽  
Krista M. Lisdahl
Keyword(s):  
Cannabis Use ◽  
Cyclic Vomiting Syndrome ◽  
Cyclic Vomiting

Cyclic Vomiting Syndrome and Chronic Cannabis Use

2005 ◽  
Vol 100 ◽  
pp. S342-S343 ◽  
Author(s):  
Noel R. Fajardo ◽  
Filippo Cremonini ◽  
Nicholas J. Talley
Keyword(s):  
Cannabis Use ◽  
Cyclic Vomiting Syndrome ◽  
Cyclic Vomiting
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