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Cannabinoid Hyperemesis / Cyclical Vomiting Syndrome

Cannabinoid Hyperemesis / Cyclical Vomiting Syndrome

Cannabinoid Hyperemesis / Cyclical Vomiting Syndrome

FOAMed Wiki, Last updated 1/22/25

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ED Clinical Guidelines

Link	Source	Year
Grace-4 Guidelines	AEM	2024

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Topic Review

Link	Source	Year
All That Pukes - CHS and Differential Diagnosis	Taming the SRU	2022
ED Management of Cannabinoid Hyperemesis Syndrome: Breaking the Cycle	ALiEM	2021
What you need to know about Cannabinoid Hyperemesis Syndrome	Don’t Forget the Bubbles	2025
Cannabinoid Hyperemesis Syndrome	PEM Morsels	2019

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Treatments

Anti-Emetic	Source	Year
Nausea, emesis, and antiemetics	IBCC	2024
Aromatherapy vs Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patientsmatherapy vs Ondansetron	RebelEM	2020

Capsaicin 🌶️	Source	Year
Trick of the Trade: Topical Treatment of Cannabinoid Hyperemesis Syndrome	ALiEM	2017
More Than a Hot Shower – Treatment for Cannabinoid Hyperemesis Syndrome	emDocs	2020
Capsaicin for Cannabis Hyperemesis – A Randomized Trial	JournalFeed $	2020
Topical Capsaicin & Cannabinoid Hyperemesis Syndrome	RebelEM	2020

Haloperidol for CHS	Source	Year
HaVOC RCT – Haloperidol for Cannabis Hyperemesis	JournalFeed $	2020
The HaVOC Trial: IV Haloperidol vs Ondansetron for Cannabis Hyperemesis Syndrome	RebelEM	2020
Why Am I Throwing Up – Because You Got High	SGEM	2020

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