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Dr. Westafer (@LWestafer) is assistant professor of emergency medicine and emergency medicine research fellowship director at the University of Massachusetts Medical School–Baystate, and co-host of FOAMcast.
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ACEP Now: Vol 40 – No 02 – February 2021References
- Allen JH, de Moore GM, Heddle R, et al. Cannabinoid hyperemesis: cyclical hyperemesis in association with chronic cannabis abuse. Gut. 2004;53(11):1566-1570.
- Simonetto DA, Oxentenko AS, Herman ML, et al. Cannabinoid hyperemesis: a case series of 98 patients. Mayo Clin Proc. 2012;87(2):114-119.
- Chang YH, Windish DM. Cannabinoid hyperemesis relieved by compulsive bathing. Mayo Clin Proc. 2009;84(1):76-78.
- Lee C, Greene SL, Wong A. The utility of droperidol in the treatment of cannabinoid hyperemesis syndrome. Clin Toxicol (Phila). 2019;57(9):773-777.
- Ruberto AJ, Sivilotti MLA, Forrester S, et al. Intravenous haloperidol versus ondansetron for cannabis hyperemesis syndrome (HaVOC): a randomized, controlled trial. Ann Emerg Med. 2020;S0196-0644(20)30666-1.
- Dezieck L, Hafez Z, Conicella A, et al. Resolution of cannabis hyperemesis syndrome with topical capsaicin in the emergency department: a case series. Clin Toxicol (Phila). 2017;55(8):908-913.
- Graham J, Barberio M, Wang GS. Capsaicin cream for treatment of cannabinoid hyperemesis syndrome in adolescents: a case series. Pediatrics. 2017;140:e20163795.
- Moon AM, Buckley SA, Mark NM. Successful treatment of cannabinoid hyperemesis syndrome with topical capsaicin. ACG Case Rep J. 2018;5:e3.
- Wagner S, Hoppe J, Zuckerman M, et al. Efficacy and safety of topical capsaicin for cannabinoid hyperemesis syndrome in the emergency department. Clin Toxicol (Phila). 2020;58(6):471-475.
- Dean DJ, Sabagha N, Rose K, et al. A pilot trial of topical capsaicin cream for treatment of cannabinoid hyperemesis syndrome. Acad Emerg Med. 2020;27(11):1166-1172.
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2 Responses to “Drugs for Immediate Relief of Cannabinoid Hyperemesis Syndrome”
February 28, 2021
Edward L FiegIn my experience, one of the hallmarks of Cannabis Hyperemesis Syndrome, is that the patient, minimiing their cannabis use, absolutely, positively, will not even consider to entertain any discussion of the possibility that the cannabis is the culprit.
February 28, 2021
Frank Fower,MD,FACEPI have been using the same: Haldol or Inapsin to treat such cases even before 2004…
I give 50 mg Benadryl IV with it , It’s Synergistic effect and prevents EPS and prevents prolongation of QT interval