Cannabinoid Hyperemesis Syndrome, questions

vhawk

Well-Known Member
So have some questions, based on observations. Those observations being that since about 2011 have had multiple patients in the ER with Hyperemesis not related to chemo, nor liver/pancreas/gallbladder issues, nor pregnancy. All were chronic daily users of cannabis. They all bought from different dispensaries. None were home growers. Half had the very tell tail sign of relief with hot showers.

Here's my question; anyone on here ever been diagnosed with Cannabinoid Hyperemesis Syndrome CHS? Were you strictly using your own home grown, dispensary, or mix of both?

I've read the theories that azamax is a suspect in this Syndrome. The pattern of daily nausea/vomiting that suddenly goes away, sometimes for months, then suddenly returns, doesn't make sense if it's a cannabinoid. But if the emetic agent is only in SOME of their bud, and it's randomly purchased, that would explain the timing, and persistence of the symptoms. Person buys an oz of contaminated bud, smokes it for two weeks, getting nausea and vomiting after a couple days, symptoms persist, they finish that batch, couple more days go by, their system clears as they smoke clean bud again.

CHS is awful. Would love to feel more confident when I give patients feedback that they should stick with a grower that's producing bud that not making them sick.

Thanks.
 

vhawk

Well-Known Member
Azamax is a significantly concentrated form of neem. The levels of Azadirachtin in neem are tiny compared to straight Azamax. Not everyone is sensitive to it is my feeling.
 

SPLFreak808

Well-Known Member
Azamax is a significantly concentrated form of neem. The levels of Azadirachtin in neem are tiny compared to straight Azamax. Not everyone is sensitive to it is my feeling.
But wouldn't the dilution required to properly use azamax negate the high levels of azadirachtin?

Straight azamax would kill a plant.
 

Dr. Who

Well-Known Member
Just because things are "organic" doesn't mean it's safe!

Anyway. I know of a cpl that are heavy smokers. It seems that they are starting to get a flash of nausea after taking a cpl of big hits from some potent weed. The odd part is that it's a strain that they've smoked for years and are not getting this from other strains smoked, including an even more powerful strain.....

Relative?
 

vostok

Well-Known Member
Azamax is a significantly concentrated form of neem. The levels of Azadirachtin in neem are tiny compared to straight Azamax. Not everyone is sensitive to it is my feeling.
Cold pressed Neem Oil (the sap) comes from the Azadirachta Indica,

a common tree from central India, is common as apple and pears in ur state

this is standard common garden knowledge

as for Azamax I suggest is a trade name for the same

possibly mixed with common soap to keep it wet/fluid

To post a thread suggesting you have CHS and the cause is Neem is dumb

and serious 'limp dick'

https://en.wikipedia.org/wiki/Neem_oil

good luck
 

ttystikk

Well-Known Member
So have some questions, based on observations. Those observations being that since about 2011 have had multiple patients in the ER with Hyperemesis not related to chemo, nor liver/pancreas/gallbladder issues, nor pregnancy. All were chronic daily users of cannabis. They all bought from different dispensaries. None were home growers. Half had the very tell tail sign of relief with hot showers.

Here's my question; anyone on here ever been diagnosed with Cannabinoid Hyperemesis Syndrome CHS? Were you strictly using your own home grown, dispensary, or mix of both?

I've read the theories that azamax is a suspect in this Syndrome. The pattern of daily nausea/vomiting that suddenly goes away, sometimes for months, then suddenly returns, doesn't make sense if it's a cannabinoid. But if the emetic agent is only in SOME of their bud, and it's randomly purchased, that would explain the timing, and persistence of the symptoms. Person buys an oz of contaminated bud, smokes it for two weeks, getting nausea and vomiting after a couple days, symptoms persist, they finish that batch, couple more days go by, their system clears as they smoke clean bud again.

CHS is awful. Would love to feel more confident when I give patients feedback that they should stick with a grower that's producing bud that not making them sick.

Thanks.
I discussed my experience with you in another thread. Did you see it?
 

Trichometry101

Well-Known Member
I dont have CHS but Ive seen a dispensary employee fired for getting it. No joke, she asks for reduced hours to work through the mystery symptoms she picked up working there, and they canned her. Its a popular dispensary and all the bud smells peanutty, like refined neem.

I dont have CHS, but i do have a headache and sore throat from smoking dispensary weed last night.
 

vhawk

Well-Known Member
Cold pressed Neem Oil (the sap) comes from the Azadirachta Indica,

a common tree from central India, is common as apple and pears in ur state

this is standard common garden knowledge

as for Azamax I suggest is a trade name for the same

possibly mixed with common soap to keep it wet/fluid

To post a thread suggesting you have CHS and the cause is Neem is dumb

and serious 'limp dick'

https://en.wikipedia.org/wiki/Neem_oil

good luck
Azamax is far far more concentrated form than what's in simple neem oil. To suggest that something that's 500x more concentrated than what's normally encountered couldn't possibly cause an issue is limp thinking. But hey thanks for keeping an open mind, and then letting it spill on the floor.
 

vhawk

Well-Known Member
It's not cannabis causing the hyperemesis
That's my suspicion. That it is something else in the bud that's both new (not on the market before 2000), not on a black list, and not used by all commercial growers.
 

Dr Magill

Well-Known Member
My daughter in law is a pharmacist. PhD. She says there is always an underlying element that acts with the cannabis in this disease - typically other drugs - but other things as well. Other physiological events going on in your system that you might not be aware of.
 

ttystikk

Well-Known Member
That's my suspicion. That it is something else in the bud that's both new (not on the market before 2000), not on a black list, and not used by all commercial growers.
My hypothesis is that until a few years ago, very few people had the ability to have all the weed they wanted all the time. Now with the more relaxed legal environment more people can smoke more and we're starting to see an increased prevalence of side effects that once only occurred rarely.

It may not be terribly new, just not common knowledge. Medical professionals know what it is.
 

vhawk

Well-Known Member
My hypothesis is that until a few years ago, very few people had the ability to have all the weed they wanted all the time. Now with the more relaxed legal environment more people can smoke more and we're starting to see an increased prevalence of side effects that once only occurred rarely.

It may not be terribly new, just not common knowledge. Medical professionals know what it is.
The reason I don't buy this is because hashish has been around awhile. But it's in the realm of possibilities.
 

ttystikk

Well-Known Member
The reason I don't buy this is because hashish has been around awhile. But it's in the realm of possibilities.
Sure, I watched my folks smoke hash when I was a child, nearly 50 years ago.

It was rare and expensive and they certainly didn't use as much as people do today.

Don't take my comments as skepticism; I know it's a real issue, I've had a mild case myself which went away when I slowed down on my consumption.

No matter what the ultimate causes, I'm interested in getting to the bottom of them.
 
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