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Haldol for Cannabinoid Hyperemesis Syndrome

In this video we demonstrate how to use haloperidol to treat cannabinoid hyperemesis syndrome.


  1. “Put is in a 500cc bag…” Dr. Mellick, what’s up with using cc unit and
    not the proper-and-accepted mL unit?

    Posted by bhstone1

    Link | April 12th, 2014 at 4:15 pm

  2. Not relative to this video but the music on the ‘Large Breast Abscess’ was
    too loud. We/I like to hear it as it is. Thanks.

    Posted by jbmbanter

    Link | April 12th, 2014 at 4:25 pm

  3. Dr I have a question, I have cyclic vomiting syndrome, I used to be in the
    ER all the time but not anymore. Anyways, a couple of times they gave me
    halodol and benedryl and beside making me very sleepy, like in and out of
    being awake, it makes me feel like I’m going crazy. Like I can’t be still,
    and I’m going to jump out of my skin. Is that normal. All 3 times I’ve had
    it they have to give me lorazapam to calm me down but it still takes a
    while for the feeling to go away completely. What could be the cause? 

    Posted by miserablemagical92

    Link | April 12th, 2014 at 4:40 pm

  4. Very interesting!!

    Posted by BeautybyTaime

    Link | April 12th, 2014 at 4:58 pm

  5. We’ve got a couple patients in our shop that frequently present with the
    same symptoms and we initially push Zofran. I mentioned CHS to a student
    nurse and she stated that she’d never heard of it and then insinuated to
    her peers that I was a pot smoker since I brought it up. I thought “is
    this what we’re up against?” You’ve got the smokers on one side that think
    that THC is a cure for all ills and then you’ve got the Puritans on the
    other who think that anybody who does is a degenerate drug addict. 

    Posted by jtl909

    Link | April 12th, 2014 at 5:48 pm

  6. And people still think that marijuana is harmless… 

    Posted by SharperAdam

    Link | April 12th, 2014 at 6:41 pm

  7. Posted by Larry Mellick

    Link | April 12th, 2014 at 7:19 pm

  8. Seems like she has a rare allergy/ hypersensitivy to marijuana or
    herbicides ( and other chemicals ) used to grow the pot. Why not advise
    allergy testing along with not using pot? Or asking if pot is from same
    source, etc? …also, Valium and other benzodiazapines calm nausea ( maybe
    not enough for her) but at least try other meds that do NOT have high risk
    of Tardikive Dyskinesia first. ..Has epinephrine worked? …interesting
    case but raises more? than what was addressed.

    Posted by pluto19leo

    Link | April 12th, 2014 at 7:34 pm

  9. Is haldol addictive? 

    Posted by steppedonalego77

    Link | April 12th, 2014 at 8:28 pm

  10. dr mellick what was the outcome on this patient

    Posted by scott erman

    Link | April 12th, 2014 at 8:35 pm

  11. Hope you got the EKG first before the push.

    Posted by Jace Fullmer

    Link | April 12th, 2014 at 9:30 pm

  12. Questions:
    #1 Do you send the patient home with a prescription for Haldol/Benadryl for
    #2 Will stopping the use of Marijuana ensure a cure to CHS? Or could there
    be chronic hyperemesis secondary to the chronic use of Marijuana?

    Posted by Alfa Max

    Link | April 12th, 2014 at 10:10 pm

  13. My son has this. I was the one to diagnosis him. The team of Dr. had no
    idea. This was at Dartmouth Medical Hospital in Lebanon, NH. I was sitting
    in his room at Dartmouth and I Goolged his symptoms with the hot showering
    and this syndrome showed for my search . I showed it to one of the Dr.s
    while they had come in to check on him. Then they came back with this as
    his diagnosis. No one has any idea how to treat this. Ive been doing a lot
    of research on what people have used that has helped them. Dr.s don’t
    listen to me or him.He has almost died because of his potassium level being
    so low. from getting so dehydrated. He cant hold anything down. He’s had
    about 4 or 5 episodes in that past 2 yrs. He will sit in the shower until
    the hot water runs out. Then he will go to his grandmothers shower. His
    fathers shower. Non stop heaving. He retches so hard he starts throwing up
    blood. It’s really upsetting to me that the Dr.s are so hard to deal with.
    Their attitude is like because he smokes Marijuana oh well that’s your own
    fault so suffer. He does have anxiety and takes medication for it. I think
    it’s Celexa the last time I knew.People who have tried taking
    Amitriptyline have good results from everything I’ve read from them. Any
    information you can give me would be so appreciated.

    Posted by Lorry Lachapelle

    Link | April 12th, 2014 at 10:20 pm

  14. Is this an allergic reaction to Cannabis?

    Posted by BigWater59

    Link | April 12th, 2014 at 10:43 pm

  15. When I was a young and dumb teen, I tried several times to fit in with my
    peers (and satisfy my own curiosity) by smoking marijuana, on a handful of
    occasions. EVERY single time I smoked, I would instantly start
    vomiting! It happened the very first time I tried it and every time after
    that. I finally gave up and decided I just didn’t know how to smoke it
    right! But now I see, it’s likely that my body was rejecting it. I’m just
    amazed that this is an actual reaction that other people have experienced
    as well. How quickly my body reacted to the marijuana has always amazed
    me. Literally seconds after I smoked it! Have all of the patient’s you’ve
    encountered with this syndrome been chronic users? I’m curious as to how
    long they can enjoy their high before they have to pay a visit to the
    porcelain goddess!! =o 

    Posted by Dana F.

    Link | April 12th, 2014 at 11:23 pm

  16. I thought typical antipsychotic are used with extra precautions due to
    extrapyramidal side effects. They same pretty handy in such cases. Can you
    start off with Haldo in such suspected cases? 

    Posted by Ahmed Rajjal

    Link | April 12th, 2014 at 11:51 pm

  17. Never mind dr. Finally they gave the haldol to her. I guess it their last
    option kind of drug, idk who knows. It took a nurse after a shift change to
    ask the dr. About haldol. Thanks for the videos! 

    Posted by Peter LeBlanc

    Link | April 13th, 2014 at 12:30 am

  18. Could you give Zofran for the nasaue? 

    Posted by goodDrummerman

    Link | April 13th, 2014 at 1:13 am

  19. Posted by Rebecca Stearns

    Link | April 13th, 2014 at 1:34 am

  20. Hello dr. My girlfriend has been to the boulder medical center (boulder,co)
    in an out for about four months maybe 12 visits now early morning with what
    we believe is cannabinoid hypermesis With the same effects as your video.
    But still the doctors will not give/try haldol she’s been giving so many
    other drugs. Every time I mention haldol I get the look of oh what do I
    know? And I’ve shared your videos many times with diffRent doctors and
    still nothing. What is your best advise to do if a doctor won’t listen or
    try something like haldol?

    Thank you for your time and videos.

    Posted by Peter LeBlanc

    Link | April 13th, 2014 at 2:29 am

  21. Dr. Mellick, Thank you for your educational videos. I wonder if Haldol can
    be used for chemotherapy patients who are not relieved by 1st line tx
    drugs. Any thoughts? Could there be contraindications to the chemo?

    Posted by MSanRN

    Link | April 13th, 2014 at 2:46 am

  22. How common is this with marijuana users?

    Posted by Smokeys911

    Link | April 13th, 2014 at 3:38 am

  23. On the upside her glaucoma is doing great.

    Posted by kffive

    Link | April 13th, 2014 at 3:55 am

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