title: [No opiates against cannabis hyperemesis syndrome].
abstract: METHODS
  An otherwise healthy 25-year-old patient with heavy cannabis-abuse suffered from an undiagnosed cannabis hyperemesis syndrome (CHS) over years, which characteristically was resistant to usual antiemetics. In an apparently last attempt at healing, opiates (morphine, methadone) were administrated and improved the CHS, however, this led to an at least as equally distressing and painful opiate withdrawal syndrome.
  
  
  METHODS
  In the controlled cannabis abstinence during the 2-week inpatient treatment of opiate addiction syndrome the CHS has not recurred.
  
  
  CONCLUSIONS
  Opiates are not suited for the treatment of CHS because they are addictive and lead to respiratory depression in overdose.
authors: Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Evangelisches Krankenhaus Castrop-Rauxel, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen.
authors: U
authors: U
authors: Bonnet
authors: Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Evangelisches Krankenhaus Castrop-Rauxel, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen.
authors: U
authors: U
authors: Stratmann
authors: Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Evangelisches Krankenhaus Castrop-Rauxel, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen.
authors: K
authors: K
authors: Isbruch
mesh_terms: D000328:Adult; D000932:Antiemetics / Q000009:adverse effects / Q000627:therapeutic use; D013759:Dronabinol / Q000009:adverse effects*; D004334:Drug Administration Schedule; D004351:Drug Resistance; D004359:Drug Therapy, Combination; D005858:Germany; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D002189:Marijuana Abuse / Q000150:complications* / Q000534:rehabilitation; D008691:Methadone / Q000008:administration & dosage* / Q000009:adverse effects*; D009020:Morphine / Q000008:administration & dosage* / Q000009:adverse effects*; D009293:Opioid-Related Disorders / Q000209:etiology / Q000534:rehabilitation*; D016320:Substance Abuse Treatment Centers; D013375:Substance Withdrawal Syndrome / Q000209:etiology / Q000534:rehabilitation*; D014839:Vomiting / Q000139:chemically induced* / Q000188:drug therapy*
chemical_list: D000932:Antiemetics; D009020:Morphine; D013759:Dronabinol; D008691:Methadone