A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome

Cannabis, derived from <i>Cannabis sativa</i> plants, is a prevalent illicit substance in the United States, containing over 400 chemicals, including 100 cannabinoids, each affecting the body’s organs differently upon ingestion. Cannabis hyperemesis syndrome (CHS) is a gut–brain axis dis...

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Main Authors: Priyadarshini Loganathan, Mahesh Gajendran, Hemant Goyal
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Pharmaceuticals
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Online Access:https://www.mdpi.com/1424-8247/17/11/1549
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author Priyadarshini Loganathan
Mahesh Gajendran
Hemant Goyal
author_facet Priyadarshini Loganathan
Mahesh Gajendran
Hemant Goyal
author_sort Priyadarshini Loganathan
collection DOAJ
description Cannabis, derived from <i>Cannabis sativa</i> plants, is a prevalent illicit substance in the United States, containing over 400 chemicals, including 100 cannabinoids, each affecting the body’s organs differently upon ingestion. Cannabis hyperemesis syndrome (CHS) is a gut–brain axis disorder characterized by recurring nausea and vomiting intensified by excessive cannabis consumption. CHS often goes undiagnosed due to inconsistent criteria, subjective symptoms, and similarity to cyclical vomiting syndrome (CVS). Understanding the endocannabinoid system (ECS) and its dual response (pro-emetic at higher doses and anti-emetic at lower doses) is crucial in the pathophysiology of CHS. Recent research noted that type 1 cannabinoid receptors in the intestinal nerve plexus exhibit an inhibitory effect on gastrointestinal motility. At the same time, the thermoregulatory function of endocannabinoids might explain compulsive hot bathing in CHS patients. The prevalence of cannabis CHS is expected to rise as legal restrictions on its recreational use decrease in several states. Education and awareness are vital in diagnosing and treating CHS as its prevalence increases. This comprehensive review explores the ECS’s involvement, CHS management approaches, and knowledge gaps to enhance understanding of this syndrome.
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spelling doaj-art-cf4a7f62f9c04813bd80e5fda33d6d792024-11-26T18:17:35ZengMDPI AGPharmaceuticals1424-82472024-11-011711154910.3390/ph17111549A Comprehensive Review and Update on Cannabis Hyperemesis SyndromePriyadarshini Loganathan0Mahesh Gajendran1Hemant Goyal2Gastroenterology, UT Health San Antonio, San Antonio, TX 78229, USAGastroenterology, UT Health San Antonio, San Antonio, TX 78229, USAGastroenterology, Borland Groover, Baptist Medical Center-Downtown, Jacksonville, FL 32207, USACannabis, derived from <i>Cannabis sativa</i> plants, is a prevalent illicit substance in the United States, containing over 400 chemicals, including 100 cannabinoids, each affecting the body’s organs differently upon ingestion. Cannabis hyperemesis syndrome (CHS) is a gut–brain axis disorder characterized by recurring nausea and vomiting intensified by excessive cannabis consumption. CHS often goes undiagnosed due to inconsistent criteria, subjective symptoms, and similarity to cyclical vomiting syndrome (CVS). Understanding the endocannabinoid system (ECS) and its dual response (pro-emetic at higher doses and anti-emetic at lower doses) is crucial in the pathophysiology of CHS. Recent research noted that type 1 cannabinoid receptors in the intestinal nerve plexus exhibit an inhibitory effect on gastrointestinal motility. At the same time, the thermoregulatory function of endocannabinoids might explain compulsive hot bathing in CHS patients. The prevalence of cannabis CHS is expected to rise as legal restrictions on its recreational use decrease in several states. Education and awareness are vital in diagnosing and treating CHS as its prevalence increases. This comprehensive review explores the ECS’s involvement, CHS management approaches, and knowledge gaps to enhance understanding of this syndrome.https://www.mdpi.com/1424-8247/17/11/1549cannabishyperemesis syndromehot showerbenzodiazepineshaloperidolmarijuana legalization
spellingShingle Priyadarshini Loganathan
Mahesh Gajendran
Hemant Goyal
A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome
Pharmaceuticals
cannabis
hyperemesis syndrome
hot shower
benzodiazepines
haloperidol
marijuana legalization
title A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome
title_full A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome
title_fullStr A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome
title_full_unstemmed A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome
title_short A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome
title_sort comprehensive review and update on cannabis hyperemesis syndrome
topic cannabis
hyperemesis syndrome
hot shower
benzodiazepines
haloperidol
marijuana legalization
url https://www.mdpi.com/1424-8247/17/11/1549
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