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

Schmid, Seraina ; Lapaire, Olav ; Huang, Dorothy ; Jürgens, Frank ; Güth, Uwe

In: Archives of Gynecology and Obstetrics, 2011, vol. 284, no. 5, p. 1095-1097

Ajouter à la liste personnelle
    Summary
    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