Evidence map›Paper›PMID 22150623›Full record

ReviewCurrent drug abuse reviews2011

Cannabinoid hyperemesis syndrome.

Jonathan A Galli, Ronald Andari Sawaya, Frank K Friedenberg

Abstract readReview
In one paragraph

Review in Current drug abuse reviews, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 4 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 4 syntheses or guidelines pooled it, 297 citations in OpenAlex.

  1. Guideline
  2. Cannabinoid Hyperemesis Syndrome: Diagnosis, Pathophysiology, and Treatment-a Systematic Review.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2017
    Pooled it
  3. Risks associated with the non-medicinal use of cannabis.Deutsches Arzteblatt international · 2015
    Pooled it
  4. A Systematic Review on Cannabis Hyperemesis Syndrome and Its Management Options.Medical principles and practice : international journal of the Kuwait University, Health Science Centre
    Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
  9. A Thematic Text Analysis of Cannabis Edibles Brand Names.Cannabis and cannabinoid research · 2025
    Article
  10. Review
  11. Understanding the Role of Endocannabinoids in Posttraumatic Stress Disorder.International journal of molecular sciences · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Emergency Department Patients Presenting after Oral versus Inhaled Cannabinoid use: A Retrospective Analysis.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025
    Article
  19. Article
  20. Review

48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Jonathan A GalliTemple University Hospital, Philadelphia, PA 19140, USA.
Ronald Andari Sawaya
Frank K Friedenberg
Temple University Hospital · US

Funding

Epidemiology and Pathophysiology of Reflux Disease in African AmericansK24DK083268 · NIDDK · TEMPLE UNIV OF THE COMMONWEALTH · PI FRIEDENBERG, FRANK K · 2010 to 2014
$923k
NIDDK NIH HHS K24 DK083268
6 · The paper itself

Abstract

Coinciding with the increasing rates of cannabis abuse has been the recognition of a new clinical condition known as Cannabinoid Hyperemesis Syndrome. Cannabinoid Hyperemesis Syndrome is characterized by chronic cannabis use, cyclic episodes of nausea and vomiting, and frequent hot bathing. Cannabinoid Hyperemesis Syndrome occurs by an unknown mechanism. Despite the well-established anti-emetic properties of marijuana, there is increasing evidence of its paradoxical effects on the gastrointestinal tract and CNS. Tetrahydrocannabinol, cannabidiol, and cannabigerol are three cannabinoids found in the cannabis plant with opposing effects on the emesis response. The clinical course of Cannabinoid Hyperemesis Syndrome may be divided into three phases: prodromal, hyperemetic, and recovery phase. The hyperemetic phase usually ceases within 48 hours, and treatment involves supportive therapy with fluid resuscitation and anti-emetic medications. Patients often demonstrate the learned behavior of frequent hot bathing, which produces temporary cessation of nausea, vomiting, and abdominal pain. The broad differential diagnosis of nausea and vomiting often leads to delay in the diagnosis of Cannabinoid Hyperemesis Syndrome. Cyclic Vomiting Syndrome shares several similarities with CHS and the two conditions are often confused. Knowledge of the epidemiology, pathophysiology, and natural course of Cannabinoid Hyperemesis Syndrome is limited and requires further investigation.

Indexed as

Abdominal PainAnimalsAntiemeticsBathsCannabinoidsDiagnosis, DifferentialHumansMarijuana AbuseNauseaSyndromeVomitingAntiemeticsCannabinoids

Identifiers

PMID22150623
PMCPMC3576702
OpenAlexW2168823841

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.