I agree that it is not cut and dried.
However I have detoxed thousands over more years than I care to admit from all sorts of fun stuff, Alcohol, which is the most dangerous detox, marijuana, heroin, speed, oxys, fentanyl, coke, and overdoses of Ecstacy come to minds without breaking a sweat.
People usually do not see the level of gravidity that brings people to locked wards and hospitals for treatment. The everyday joes on the streets, no problem.
however the emergency, ER stabilized, ICU improved, then locked ward treated... not on hardly anyone’s horizon.
Now pregnant and nursing mothers are using marijuana which stores in fat cells that make milk and there are many questions about what a neurological affecting drug does to a developing nervous system. All interesting questions.
As I said CHS is a neurological response that some few have.
Cannabinoid addiction? 10% just like the Alcohol population.
Makes me wonder whether it is a feature/bug of humanity rather than a substance specific issue.
On that same topic:
“Cannabinoid Hyperemesis Syndrome”
Lauren Cue; Frederick Chu; Marco Cascella.
July 3, 2023.
https://www.ncbi.nlm.nih.gov/books/NBK549915/
“Probably, a crucial factor in the genesis of CHS is the composition of cannabis. Since the 1990s, there has been a progressive change in the composition of the plant, with increases in the tetrahydrocannabinol (THC) and a reduction of cannabidiol (CBD). This trend correlates with increased cannabis use. Some individuals, for instance, also admitted to smoking 2000 mg of THC per day.”
“CHS is a relatively new disorder that is not only difficult to diagnose but to manage. To lower the morbidity, CHS is best managed by an interprofessional team.
“As CHS is a relatively recently recognized and studied phenomenon easily confused with other diseases, there is a paucity of sizeable randomized control studies. Most resources and recommendations come from case studies and expert opinions. In addition to appropriate antiemetic therapy, fluid resuscitation, and management of the patient’s symptoms, patients must recognize behaviors and exposures that place them at risk for their pathology. For supportive care, a clinician should work together with the pharmacist to see if any medications could contribute to the patient’s presentation. If administering antiemetics, the nursing staff should be familiar with the adverse event profile so they can report any concerns that may arise.”