An emergency resource guide for cannabinoid-hyperemesis-syndrome (CHS) patients in acute distress.

Care Team Advocacy

• Key Statement: Advise providers of severe vomiting, chronic cannabis use, and temporary relief from hot showers.
• Treatments to Ask About:
  • IV Fluids & Electrolytes for dehydration.
  • Topical Capsaicin (0.1% Cream) applied to the upper abdomen.
  • Haloperidol (antipsychotic) or Benzodiazepines (e.g., lorazepam).
  • Tricyclic Antidepressants (e.g., amitriptyline) for long-term control.
  • Note: Standard antiemetics like Ondansetron (Zofran) are typically ineffective.

CHS Hallmark Signs

• Severe, repeated vomiting (up to 5 times/hour) and intense abdominal pain.
• Relief from hot showers/baths.
• Chronic, daily cannabis use (1+ years).

Recovery & Support

• Cessation is the only cure; symptoms improve 1-2 days post-stopping, with full recovery taking weeks to months.
• Long-term recovery utilizes CBT, counseling, and tricyclic antidepressants.
• Resources: SAMHSA Helpline (1-800-662-4357), Marijuana Anonymous, and American College of Gastroenterology.