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Arch Gynecol Obstet. 2011 Nov;284(5):1095-7. doi: 10.1007/s00404-010-1811-8. Epub 2010 Dec 18.

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

Author information

1
Department of Gynecology and Obstetrics, University Hospital Basel (UHB), Spitalstrasse 21, 4031 Basel, Switzerland.

Abstract

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.

PMID:
21170540
DOI:
10.1007/s00404-010-1811-8
[Indexed for MEDLINE]

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