Cannabinoid hyperemesis syndrome: an underreported entity causing nausea and vomiting of pregnancy.

Abstract:

INTRODUCTION:In the western world, cannabis is the most widely used drug of abuse. Cannabinoid hyperemesis syndrome, which seems to be a rare paradoxical reaction in individuals with a particular predisposition, is characterized by cyclic severe nausea and vomiting in long-term cannabis users. While the symptoms are unresponsive to antiemetic drugs, compulsive hot baths result in a considerable symptom relief. METHODS:We report the first case of cannabinoid hyperemesis syndrome in pregnancy. A 26-year-old patient was admitted to our clinic in the 10th week of gestation. CONCLUSION:Before undertaking time-consuming and expensive medical examinations to rule out other medical reasons for therapy-resistant hyperemesis in pregnancy, obstetricians should determine whether compulsive bathing or showering provides symptomatic relief and ask specific questions regarding possible/suspected cannabis consumption.

journal_name

Arch Gynecol Obstet

authors

Schmid SM,Lapaire O,Huang DJ,Jürgens FE,Güth U

doi

10.1007/s00404-010-1811-8

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

1095-7

issue

5

eissn

0932-0067

issn

1432-0711

journal_volume

284

pub_type

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