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Chemotherapy-Induced Nausea and Vomiting: Cannabinoids01:21

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Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
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[Cannabis hyperemesis syndrome].

U Bonnet1, D-I Chang, N Scherbaum

  • 1Klinik für Psychiatrie und Psychotherapie, LVR-Klinikum Essen, Universität Duisburg/Essen. udo.bonnet@uni-due.de

Fortschritte Der Neurologie-Psychiatrie
|June 22, 2011
PubMed
Summary
This summary is machine-generated.

Cannabis use can trigger cyclical hyperemesis syndrome in dependent individuals. Abstinence and hot showers provided relief, suggesting hypothalamic cannabinoid system involvement.

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Area of Science:

  • Neuroscience
  • Endocrinology
  • Toxicology

Background:

  • Cannabis use disorder is prevalent in young adults.
  • Cyclical hyperemesis syndrome (CHS) is a rare condition characterized by recurrent nausea and vomiting.
  • The endocannabinoid system plays a role in various physiological processes, including appetite and nausea regulation.

Observation:

  • A young, otherwise healthy female adult with cannabis dependence developed cyclical hyperemesis.
  • Hyperemesis symptoms correlated with increased cannabis inhalation.
  • Symptomatic relief was observed with hot showers/baths, a known intervention for CHS.
  • The patient experienced complete remission of hyperemesis after several days of abstinence in an inpatient setting.

Findings:

  • Cannabis-induced cyclical hyperemesis is a potential diagnosis in cannabis-dependent individuals.
  • Thermosensitivity (improvement with hot showers) and a disturbed thyroid axis suggest involvement of the hypothalamic cannabinoid system.
  • Controlled cannabis abstinence led to sustained remission of symptoms for 4 months.

Implications:

  • This case highlights a potential adverse effect of chronic cannabis use.
  • The findings suggest the hypothalamic cannabinoid system is implicated in cannabis-induced hyperemesis.
  • Further research is warranted to understand the mechanisms and prevalence of this condition.