Although the medical community is unified on cessation as the only option for those with CHS, some anecdotal reports claim that by using lower THC products or consuming less, cannabinoid hyperemesis syndrome can be avoided. Still, others fault cannabis products themselves, suggesting that excessive THC or commercial pesticides might trigger the condition. Cannabinoid hyperemesis syndrome (CHS) can affect people who use cannabis (marijuana) long-term.
A recent, published in 2016, case report describes the first use in the literature of propranolol to treat CHS 117. A 37-year-old man in profound distress suffering hyperemesis presents at the ED, stating he had similar experiences in the past which could be relieved with hot showers, but this time hot water provided no relief. The patient admitted he had what is chs smoked marijuana on a daily basis for the past 20 years. In the ED, the physician treated him with IV propranolol 1 mg as this had been effective in cases of CVS. The patient continued to experience symptoms and received a second dose of IV propranolol 1 mg an hour later, whereupon his symptoms stopped completely.
He was repeatedly admitted to various psychiatric hospitals and sentenced to jail multiple times. He had at least four periods of homelessness, and lived in shelters for months at a time, Gayle said. This was not the case for Gayle, a Seattle area woman whose son developed psychosis after using cannabis extensively in his youth, long before cannabis products had the potency they have now. Gayle agreed to speak with KUOW on the condition of not publishing her last name. The paper analyzed the public testimony of 33 cannabis industry supporters who spoke before the House Commerce & Gaming Committee over the course of four years against measures to regulate high-THC cannabis.
In the alcoholism acute setting, volume resuscitation is urgently required for many CHS patients who may arrive dehydrated and hypovolemic. Electrolyte replacement is appropriate to correct any electrolyte imbalances that may have occurred with prolonged vomiting. While patients benefit from rehydration and other forms of supportive care, the only effective treatment for CHS is marijuana cessation.
Meanwhile, an increasing number of studies have linked high-potency THC to psychosis. A Danish study found that 20% of schizophrenia cases might be prevented if young men (ages 16 to 25) did not develop cannabis use disorder, or CUD. The likelihood of developing CUD is significantly higher when people use high-potency concentrates, according to that 2023 study.
Since THC is stored in your body fat, it can take weeks to months before all the symptoms go away and you notice a difference. Smoking extra marijuana won’t help your nausea but will make it worse. People with CHS also tend to have a strong urge to take very hot showers or baths. That’s because hot water can help ease cannabinoid hyperemesis syndrome symptoms like nausea. The hot temperature affects a part of the brain called the hypothalamus, which regulates temperature and throwing up.
While various approaches can help manage the symptoms, the only known cure for CHS is to stop using cannabis. If you have CHS and don’t stop using, your symptoms like nausea and vomiting are likely to come back. They may also prescribe antipsychotic medications such as haloperidol (Haldol) or olanzapine (Zyprexa) to help you calm down as you switch to the recovery phase. If you have symptoms, your doctor will do a physical exam and ask for your detailed medical history. Let your doctor know how much marijuana you use and how often you use it. For his part, Don Danielson has lost friends and been ridiculed for speaking out publicly about what happened to his son, he said.
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