Cannabinoid hyperemesis syndrome: genetic susceptibility to toxic exposure DOI Creative Commons
Ethan B. Russo,

Venetia L. Whiteley

Frontiers in Toxicology, Journal Year: 2024, Volume and Issue: 6

Published: Oct. 23, 2024

Cannabinoid hyperemesis syndrome presents as a complex of symptoms and signs encompassing nausea, vomiting, abdominal pain, hot water bathing behavior, most typically in heavy cannabis user. Its presentation is frequently associated with hypothalamic-pituitary-adrenal axis activation stress weight loss. Recent investigation has identified five statistically significant mutations patients distinct from those frequent users who lack the symptoms, affecting TRPV1 receptor, two dopamine genes, cytochrome P450 2C9 enzyme that metabolizes tetrahydrocannabinol, adenosine triphosphate-binding cassette transporter. The escalating intake high potency cannabis, or alternatively, other agonists cannabinoid-1 receptor including synthetic cannabinoids. Some develop environmental triggers scents foods suggest classical conditioned responses. Various alternative “causes” are addressed refuted text, exposure to pesticides, neem oil azadirachtin. Nosological confusion cannabinoid arisen cyclic vomiting syndrome, whose pathophysiology clearly distinct. possible utilization non-intoxicating antiemetic components for treatment addressed, along future research suggestions relation its genetic foundation metabolomic signatures.

Language: Английский

Pharmacologic treatments for gastroparesis DOI
Michael Camilleri, Kara Jencks

Pharmacological Reviews, Journal Year: 2025, Volume and Issue: 77(2), P. 100019 - 100019

Published: Jan. 6, 2025

Gastroparesis is a neurogastrointestinal disorder of motility in which patients experience symptoms nausea, vomiting, bloating, early satiety, postprandial fullness, upper abdominal discomfort or pain, and delayed gastric emptying solids based on scintigraphy stable isotope breath test when mechanical obstruction has been excluded. Symptoms gastroparesis may result from diverse pathophysiological mechanisms, including antroduodenal hypomotility, pylorospasm, increased accommodation, visceral hypersensitivity. The most common etiologies are idiopathic, diabetic, postsurgical, less frequent causes neurodegenerative disorders (Parkinson's disease), myopathies (scleroderma, amyloidosis), medication-induced (glucagon-like peptide-1 agonists opioid agents), paraneoplastic syndrome. This review addresses pharmacologic management prokinetic antiemetic agents, agents targeting the pylorus, effects neuromodulators. SIGNIFICANCE STATEMENT: characterized by without with numerous gastrointestinal symptoms, nausea vomiting. involves nutritional support, medications, procedures. only Food Drug Administration-approved medication for metoclopramide. article reviews pharmacology efficacy all classes antiemetics used gastroparesis. There still considerable unmet need efficacious medications specifically treatment gastroparesis, especially refractory cases.

Language: Английский

Citations

1

Review of the Use of Medicinal Cannabis Products in Palliative Care DOI Open Access

James Troyer,

Kimberson Tanco

Cancers, Journal Year: 2024, Volume and Issue: 16(7), P. 1412 - 1412

Published: April 4, 2024

In this review, we discuss the potential role of cannabis and cannabinoids in management cancer-related symptoms. There is limited evidence demonstrating effectiveness cannabis-based products treating pain gastrointestinal symptoms such as nausea, vomiting, loss appetite. Regarding treatment insomnia mood disorders, most studies looked at these secondary outcomes with mixed results. Cannabis-based have adverse effects, ranging from neuropsychiatric to systemic effects drug interactions.

Language: Английский

Citations

5

AGA Clinical Practice Update on Diagnosis and Management of Cyclic Vomiting Syndrome: Commentary DOI
David J. Levinthal, Kyle Staller, Thangam Venkatesan

et al.

Gastroenterology, Journal Year: 2024, Volume and Issue: 167(4), P. 804 - 811.e1

Published: July 16, 2024

Language: Английский

Citations

4

Cannabinoid Hyperemesis Syndrome DOI

Maria Isabel Angulo

JAMA, Journal Year: 2024, Volume and Issue: 332(17), P. 1496 - 1496

Published: Oct. 10, 2024

This JAMA Patient Page describes cannabinoid hyperemesis syndrome, a gastrointestinal condition associated with frequent and long-term use of cannabis.

Language: Английский

Citations

4

A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome DOI Creative Commons
Priyadarshini Loganathan, Mahesh Gajendran, Hemant Goyal

et al.

Pharmaceuticals, Journal Year: 2024, Volume and Issue: 17(11), P. 1549 - 1549

Published: Nov. 18, 2024

Cannabis, derived from

Language: Английский

Citations

3

Cannabis Hyperemesis Syndrome in Youth: Clinical Insights and Public Health Implications DOI Open Access
Jamie A. Seabrook,

Mary Seabrook,

Jason Gilliland

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2025, Volume and Issue: 22(4), P. 633 - 633

Published: April 17, 2025

This review focuses on Cannabis Hyperemesis Syndrome (CHS) in youth, a condition linked to chronic cannabis use and characterized by cyclic vomiting, abdominal pain, dehydration. The objectives were explore CHS progression youth its impact health, assess current treatment strategies. There are the three distinct phases of CHS: prodromal, hyperemetic, recovery. During prodromal phase, individuals experience early morning nausea discomfort, often mistakenly alleviated continued use. hyperemetic phase is marked severe dehydration, complications like electrolyte imbalances, leading potentially serious health risks. Temporary relief may be experienced through hot showers or baths. In recovery symptoms gradually resolve, normal eating bathing habits return. emphasizes physical psychological impacts highlighting potential for misdiagnosis importance intervention. It stresses need targeted educational efforts schools, healthcare settings, public campaigns prevent delayed diagnosis improve outcomes. Findings underscore increasing provider awareness promoting preventive education. also advocates further research into pathophysiology diagnostic protocols young populations.

Language: Английский

Citations

0

Cannabis Hyperemesis Syndrome in Children DOI

Imikomobong E. Ibia,

Michael S. Toce

Pediatric Emergency Care, Journal Year: 2025, Volume and Issue: 41(5), P. 397 - 405

Published: April 30, 2025

Cannabis remains one of the most frequently misused substances among adolescents. As recreational cannabis has proliferated across United States, cannabis-related emergency department visits have increased. hyperemesis syndrome, a variant cyclic vomiting emerged as recognized but poorly understood complication chronic use subset individuals. syndrome is characterized by repeated cycles abdominal pain, nausea, and refractory to standard antiemetics, with users reporting compulsive hot showers mitigate symptoms. Treatment modalities include intravenous fluid electrolyte repletion, topical application capsaicin, antidopaminergics (eg, droperidol, haloperidol).

Language: Английский

Citations

0

Cannabis Hyperemesis Syndrome Recovers Completely When the Use of Cannabis or Synthetic Cannabinoids Is Permanently Discontinued—Cyclic Vomiting Syndrome Does Not DOI
Udo Bonnet

Gastroenterology, Journal Year: 2024, Volume and Issue: 167(5), P. 1054 - 1055

Published: June 28, 2024

Language: Английский

Citations

2

Comments on the AGA Clinical Practice Update on Diagnosis and Management of Cannabinoid Hyperemesis Syndrome DOI
Michael E. Mullins,

Emilie Lothet,

Kevin Baumgartner

et al.

Gastroenterology, Journal Year: 2024, Volume and Issue: 167(5), P. 1055 - 1056

Published: June 28, 2024

Language: Английский

Citations

1

Prevalence and Trends of Suspected Cannabinoid Hyperemesis Syndrome Over an 11-Year Period in Northern California: An Electronic Health Record Study DOI
Brianna Costales, Yun Lu, Kelly C. Young‐Wolff

et al.

Drug and Alcohol Dependence, Journal Year: 2024, Volume and Issue: 263, P. 112418 - 112418

Published: Aug. 17, 2024

Language: Английский

Citations

1