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Cannabinoid Hyperemesis Syndrome

Background The purpose of this review is to describe cannabinoid hyperemesis syndrome (CHS), which is thought to be induced by long-term cannabis use, and provide clinical pharmacists with information to manage the hyperemetic phase of CHS. Method Published literature was searched and reviewed using...

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Bibliographic Details
Published in:Hospital pharmacy (Philadelphia) 2013-09, Vol.48 (8), p.650-655
Main Authors: Sun, Shusen, Zimmermann, Anthony E.
Format: Article
Language:English
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Summary:Background The purpose of this review is to describe cannabinoid hyperemesis syndrome (CHS), which is thought to be induced by long-term cannabis use, and provide clinical pharmacists with information to manage the hyperemetic phase of CHS. Method Published literature was searched and reviewed using PubMed. Results CHS is characterized by intractable nausea and vomiting without an obvious organic cause and associated learned compulsive hot water bathing behavior. Patients often seek care in the emergency department (ED) for symptomatic relief. Conclusion CHS is potentially underrecognized and underdiagnosed in the ED, and it should be considered in the differential diagnosis in long-term cannabis use patients with CHS symptoms to avoid unnecessary extensive diagnostic workup including invasive radiologic imaging. Pharmacists have an important role in CHS recognition, education, and symptom management.
ISSN:0018-5787
1945-1253
DOI:10.1310/hpj4808-650