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The Role of Cannabinoids in Regulation of Nausea and Vomiting, and Visceral Pain

  • Neurogastroenterology and Motility Disorders of the Gastrointestinal Tract (S Rao, Section Editor)
  • Published:
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Abstract

Marijuana derived from the plant Cannabis sativa has been used for the treatment of many gastrointestinal (GI) disorders, including anorexia, emesis, abdominal pain, diarrhea, and others. However, its psychotropic side effects have often limited its use. Several cannabinoid receptors, which include the cannabinoid receptor 1 (CB1), CB2, and possibly GPR55, have been identified throughout the GI tract. These receptors may play a role in the regulation of food intake, nausea and emesis, gastric secretion and gastroprotection, GI motility, ion transport, visceral sensation, intestinal inflammation, and cell proliferation in the gut. However, the regulation of nausea and vomiting by cannabinoids and the endocannabinoid system has shed new knowledge in this field. Thus far, despite evidence of visceral sensitivity inhibition in animal models, data in irritable bowel syndrome (IBS) patients is scarce and not supportive. Furthermore, many compounds that either act directly at the receptor or increase (or reduce) ligand availability have the potential to affect other brain functions and cause side effects. Novel drug targets such as FAAH and monoacylglycerol lipase (MAGL) inhibitors appear to be promising in animal models, but more studies are necessary to prove their efficiency. The promise of emerging drugs that are more selective and peripherally acting suggest that, in the near future, cannabinoids will play a major role in managing an array of GI diseases.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Office of Applied, Studies.

  2. Pacher P, Batkai S, Kunos G. The endocannabinoid system as an emerging target of pharmacotherapy. Pharmacol Rev. 2006;58(3):389–462.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  3. Matsuda LA, Lolait SJ, Brownstein MJ, Young AC, Bonner TI. Structure of a cannabinoid receptor and functional expression of the cloned cDNA. Nature. 1990;346(6284):561–4. doi:10.1038/346561a0.

    Article  CAS  PubMed  Google Scholar 

  4. Munro S, Thomas KL, Abu-Shaar M. Molecular characterization of a peripheral receptor for cannabinoids. Nature. 1993;365(6441):61–5. doi:10.1038/365061a0.

    Article  CAS  PubMed  Google Scholar 

  5. Di Marzo V, Fontana A. Anandamide, an endogenous cannabinomimetic eicosanoid: ‘killing two birds with one stone’. Prostaglandins Leukot Essent Fat Acids. 1995;53(1):1–11.

    Article  Google Scholar 

  6. Wright K, Rooney N, Feeney M, et al. Differential expression of cannabinoid receptors in the human colon: cannabinoids promote epithelial wound healing. Gastroenterology. 2005;129(2):437–53.

    Article  PubMed  Google Scholar 

  7. Brusberg M, Arvidsson S, Kang D, Larsson H, Lindstrom E, Martinez V. CB1 receptors mediate the analgesic effects of cannabinoids on colorectal distension-induced visceral pain in rodents. J Neurosci. 2009;29(5):1554–64. doi:10.1523/JNEUROSCI. 5166-08.2009.

    Article  CAS  PubMed  Google Scholar 

  8. Kulkarni-Narla A, Brown DR. Localization of CB1-cannabinoid receptor immunoreactivity in the porcine enteric nervous system. Cell Tissue Res. 2000;302(1):73–80.

    Article  CAS  PubMed  Google Scholar 

  9. Izzo AA, Sharkey KA. Cannabinoids and the gut: new developments and emerging concepts. Pharmacol Ther. 2010;126(1):21–38. doi:10.1016/j.pharmthera.2009.12.005.

    Article  CAS  PubMed  Google Scholar 

  10. Gruber SA, Rogowska J, Yurgelun-Todd DA. Altered affective response in marijuana smokers: an FMRI study. Drug Alcohol Depend. 2009;105(1–2):139–53. doi:10.1016/j.drugalcdep.2009.06.019.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Moreno-Sanz G, Sasso O, Guijarro A, et al. Pharmacological characterization of the peripheral FAAH inhibitor URB937 in female rodents: interaction with the Abcg2 transporter in the blood-placenta barrier. Br J Pharmacol. 2012;167(8):1620–8. doi:10.1111/j.1476-5381.2012.02098.x.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Wright KL, Duncan M, Sharkey KA. Cannabinoid CB2 receptors in the gastrointestinal tract: a regulatory system in states of inflammation. Br J Pharmacol. 2008;153(2):263–70.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Izzo AA. The cannabinoid CB(2) receptor: a good friend in the gut. Neurogastroenterol Motil. 2007;19(9):704–8.

    Article  CAS  PubMed  Google Scholar 

  14. Ross GR, Lichtman A, Dewey WL, Akbarali HI. Evidence for the putative cannabinoid receptor (GPR55)-mediated inhibitory effects on intestinal contractility in mice. Pharmacology. 2012;90(1–2):55–65. doi:10.1159/000339076.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  15. Fioramonti J, Bueno L. Role of cannabinoid receptors in the control of gastrointestinal motility and perception. Expert Rev Gastroenterol Hepatol. 2008;2(3):385–97. doi:10.1586/17474124.2.3.385.

    Article  CAS  PubMed  Google Scholar 

  16. Farquhar-Smith WP, Jaggar SI, Rice AS. Attenuation of nerve growth factor-induced visceral hyperalgesia via cannabinoid CB(1) and CB(2)-like receptors. Pain. 2002;97(1–2):11–21.

    Article  CAS  PubMed  Google Scholar 

  17. Kinsey SG, Cole EC. Acute delta(9)-tetrahydrocannabinol blocks gastric hemorrhages induced by the nonsteroidal anti-inflammatory drug diclofenac sodium in mice. Eur J Pharmacol. 2013;715(1–3):111–6. doi:10.1016/j.ejphar.2013.06.001.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  18. Beltramo M. Cannabinoid type 2 receptor as a target for chronic pain. Mini-Rev Med Chem. 2009;9(1):11–25.

    Article  CAS  PubMed  Google Scholar 

  19. Govaerts SJ, Hermans E, Lambert DM. Comparison of cannabinoid ligands affinities and efficacies in murine tissues and in transfected cells expressing human recombinant cannabinoid receptors. Eur J Pharm Sci. 2004;23(3):233–43.

    Article  CAS  PubMed  Google Scholar 

  20. Pertwee RG. Receptors and channels targeted by synthetic cannabinoid receptor agonists and antagonists. Curr Med Chem. 2010;17(14):1360–81.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Di Marzo V, Piscitelli F. Gut feelings about the endocannabinoid system. Neurogastroenterol Motil. 2011;23(5):391–8. doi:10.1111/j.1365-2982.2011.01689.x.

    Article  PubMed  Google Scholar 

  22. Booker L, Naidu PS, Razdan RK, Mahadevan A, Lichtman AH. Evaluation of prevalent phytocannabinoids in the acetic acid model of visceral nociception. Drug Alcohol Depend. 2009;105(1–2):42–7. doi:10.1016/j.drugalcdep.2009.06.009.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  23. Saez-Cassanelli JL, Fontanella GH, Delgado-Garcia JM, Carrion AM. Functional blockage of the cannabinoid receptor type 1 evokes a kappa-opiate-dependent analgesia. J Neurochem. 2007;103(6):2629–39. doi:10.1111/j.1471-4159.2007.05000.x.

    CAS  PubMed  Google Scholar 

  24. Gregg JM, Small EW, Moore R, Raft D, Toomey TC. Emotional response to intravenous delta9tetrahydrocannabinol during oral surgery. J Oral Surg. 1976;34(4):301–13.

    CAS  PubMed  Google Scholar 

  25. Bisogno T, Ligresti A, Di Marzo V. The endocannabinoid signalling system: biochemical aspects. Pharmacol Biochem Behav. 2005;81(2):224–38.

    Article  CAS  PubMed  Google Scholar 

  26. Battista N, Di Tommaso M, Bari M, Maccarrone M. The endocannabinoid system: an overview. Front Behav Neurosci. 2012;6:9. doi:10.3389/fnbeh.2012.00009.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  27. Sugiura T, Kishimoto S, Oka S, Gokoh M. Biochemistry, pharmacology and physiology of 2-arachidonoylglycerol, an endogenous cannabinoid receptor ligand. Prog Lipid Res. 2006;45(5):405–46.

    Article  CAS  PubMed  Google Scholar 

  28. Aviello G, Romano B, Izzo AA. Cannabinoids and gastrointestinal motility: animal and human studies. Eur Rev Med Pharmacol Sci. 2008;12 Suppl 1:81–93.

    PubMed  Google Scholar 

  29. Anthony JC, Warner L, Kessler R. Comparative epidemiology of dependence on tobacco, alcohol, controlled substances, and inhalants: basic findings from the national comorbidity survey. Exp Clin Psychopharmacol. 1994;2:224–68.

    Article  Google Scholar 

  30. Wang T, Collet JP, Shapiro S, Ware MA. Adverse effects of medical cannabinoids: a systematic review. CMAJ. 2008;178(13):1669–78. doi:10.1503/cmaj.071178.

  31. Camilleri M. Management of the irritable bowel syndrome. Gastroenterology. 2001;120(3):652–68.

    Article  CAS  PubMed  Google Scholar 

  32. Mertz H, Naliboff B, Munakata J, Niazi N, Mayer EA. Altered rectal perception is a biological marker of patients with irritable bowel syndrome. Gastroenterology. 1995;109(1):40–52.

    Article  CAS  PubMed  Google Scholar 

  33. Posserud I, Syrous A, Lindstrom L, Tack J, Abrahamsson H, Simren M. Altered rectal perception in irritable bowel syndrome is associated with symptom severity. Gastroenterology. 2007;133(4):1113–23.

    Article  PubMed  Google Scholar 

  34. Talley NJ. Functional gastrointestinal disorders as a public health problem. Neurogastroenterol Motil. 2008;20 Suppl 1:121–9. doi:10.1111/j.1365-2982.2008.01097.x.

    Article  PubMed  Google Scholar 

  35. Cash B, Sullivan S, Barghout V. Total costs of IBS: employer and managed care perspective. Am J Manage Care. 2005;11(1 Suppl):S7–S16.

    Google Scholar 

  36. Rice AS, Farquhar-Smith WP, Nagy I. Endocannabinoids and pain: spinal and peripheral analgesia in inflammation and neuropathy. Prostaglandins Leukot Essent Fat Acids. 2002;66(2–3):243–56. doi:10.1054/plef.2001.0362.

    Article  CAS  Google Scholar 

  37. Farquhar-Smith WP, Rice AS. Administration of endocannabinoids prevents a referred hyperalgesia associated with inflammation of the urinary bladder. Anesthesiology. 2001;94(3):507–13. discussion 6A.

    Article  CAS  PubMed  Google Scholar 

  38. Jaggar SI, Hasnie FS, Sellaturay S, Rice AS. The anti-hyperalgesic actions of the cannabinoid anandamide and the putative CB2 receptor agonist palmitoylethanolamide in visceral and somatic inflammatory pain. Pain. 1998;76(1–2):189–99. The first study to demonstrate anti-nociceptive effect of a CB2 receptor agonist.

    Article  CAS  PubMed  Google Scholar 

  39. Sanson M, Bueno L, Fioramonti J. Involvement of cannabinoid receptors in inflammatory hypersensitivity to colonic distension in rats. Neurogastroenterol Motil. 2006;18(10):949–56.

    Article  CAS  PubMed  Google Scholar 

  40. Mahmud A, Santha P, Paule CC, Nagy I. Cannabinoid 1 receptor activation inhibits transient receptor potential vanilloid type 1 receptor-mediated cationic influx into rat cultured primary sensory neurons. Neuroscience. 2009;162(4):1202–11. doi:10.1016/j.neuroscience.2009.05.024. Demonstrated that potential vanilloid type 1 receptor (TRPV1), which plays a pivotal role in the development of inflammatory heat hyperalgesia and visceral hyper-reflexia, can be activated by cannabinoids.

    Article  CAS  PubMed  Google Scholar 

  41. Kikuchi A, Ohashi K, Sugie Y, Sugimoto H, Omura H. Pharmacological evaluation of a novel cannabinoid 2 (CB2) ligand, PF-03550096, in vitro and in vivo by using a rat model of visceral hypersensitivity. J Pharmacol Sci. 2008;106(2):219–24.

    Article  CAS  PubMed  Google Scholar 

  42. Bingham B, Jones PG, Uveges AJ, et al. Species-specific in vitro pharmacological effects of the cannabinoid receptor 2 (CB2) selective ligand AM1241 and its resolved enantiomers. Br J Pharmacol. 2007;151(7):1061–70.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  43. Esfandyari T, Camilleri M, Busciglio I, Burton D, Baxter K, Zinsmeister AR. Effects of a cannabinoid receptor agonist on colonic motor and sensory functions in humans: a randomized, placebo-controlled study. Am J Physiol Gastrointest Liver Physiol. 2007;293(1):G137–45.

    Article  CAS  PubMed  Google Scholar 

  44. Klooker TK, Leliefeld KE, Van Den Wijngaard RM, Boeckxstaens GE. The cannabinoid receptor agonist delta-9-tetrahydrocannabinol does not affect visceral sensitivity to rectal distension in healthy volunteers and IBS patients. Neurogastroenterol Motil. 2011;23(1):30–5, e2. doi: 10.1111/j.1365-2982.2010.01587.x. This study concluded that the CB agonists are not a useful drug for treatment of visceral hypersensitivity in IBS patients.

  45. Wong BS, Camilleri M, Busciglio I, et al. Pharmacogenetic trial of a cannabinoid agonist shows reduced fasting colonic motility in patients with nonconstipated irritable bowel syndrome. Gastroenterology. 2011;141(5):1638–47.e1-7. doi:10.1053/j.gastro.2011.07.036.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  46. Malik Z, Bayman L, Valestin J, Schey R. Dronabinol increases pain threshold in non-cardiac chest pain: A double blind placebo controlled trial. 2014. First study to demonstrate that dronabinol increases NCCP pain threshold using an objective parameter (EBDT).

  47. Fichna J, Salaga M, Stuart J, et al. Selective inhibition of FAAH produces antidiarrheal and antinociceptive effect mediated by endocannabinoids and cannabinoid-like fatty acid amides. Neurogastroenterol Motil. 2014;26(4):470–81. doi:10.1111/nmo.12272. One of the first studies evaluating the effect of selective FAAH inhibitor on mouse colonic motility and pain.

    Article  CAS  PubMed  Google Scholar 

  48. Sharkey KA, Darmani NA, Parker LA. Regulation of nausea and vomiting by cannabinoids and the endocannabinoid system. Eur J Pharmacol. 2014;722:134–46. doi:10.1016/j.ejphar.2013.09.068.

    Article  CAS  PubMed  Google Scholar 

  49. Patil CL, Abrams ET, Steinmetz AR, Young SL. Appetite sensations and nausea and vomiting in pregnancy: an overview of the explanations. Ecol Food Nutr. 2012;51(5):394–417. doi:10.1080/03670244.2012.696010.

    Article  PubMed  Google Scholar 

  50. Brainard A, Gresham C. Prevention and treatment of motion sickness. Am Fam Physician. 2014;90(1):41–6.

    PubMed  Google Scholar 

  51. Rutkowska M, Gliniak H. The influence of ACEA—a selective cannabinoid CB1 receptor agonist on whole blood and platelet-poor plasma serotonin concentrations. Pharmazie. 2009;64(9):598–601.

    CAS  PubMed  Google Scholar 

  52. Napadow V, Lee J, Kim J, et al. Brain correlates of phasic autonomic response to acupuncture stimulation: an event-related fMRI study. Hum Brain Mapp. 2013;34(10):2592–606. doi:10.1002/hbm.22091.

    Article  PubMed Central  PubMed  Google Scholar 

  53. Sharkey KA, Cristino L, Oland LD, et al. Arvanil, anandamide and N-arachidonoyl-dopamine (NADA) inhibit emesis through cannabinoid CB1 and vanilloid TRPV1 receptors in the ferret. Eur J Neurosci. 2007;25(9):2773–82.

    Article  CAS  PubMed  Google Scholar 

  54. Mackie K. Distribution of cannabinoid receptors in the central and peripheral nervous system. Handb Exp Pharmacol. 2005;(168):299–325.

  55. Kano M, Ohno-Shosaku T, Hashimotodani Y, Uchigashima M, Watanabe M. Endocannabinoid-mediated control of synaptic transmission. Physiol Rev. 2009;89(1):309–80. doi:10.1152/physrev.00019.2008.

    Article  CAS  PubMed  Google Scholar 

  56. Mechoulam R. Plant cannabinoids: a neglected pharmacological treasure trove. Br J Pharmacol. 2005;146(7):913–5.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  57. Nevalainen T. Recent development of CB2 selective and peripheral CB1/CB2 cannabinoid receptor ligands. Curr Med Chem. 2014;21(2):187–203.

    Article  CAS  PubMed  Google Scholar 

  58. Darmani NA. Delta(9)-tetrahydrocannabinol and synthetic cannabinoids prevent emesis produced by the cannabinoid CB(1) receptor antagonist/inverse agonist SR 141716A. Neuropsychopharmacology. 2001;24(2):198–203.

    Article  CAS  PubMed  Google Scholar 

  59. Darmani NA. Delta-9-tetrahydrocannabinol differentially suppresses cisplatin-induced emesis and indices of motor function via cannabinoid CB(1) receptors in the least shrew. Pharmacol Biochem Behav. 2001;69(1–2):239–49.

    Article  CAS  PubMed  Google Scholar 

  60. Ray AP, Chebolu S, Darmani NA. Receptor-selective agonists induce emesis and fos expression in the brain and enteric nervous system of the least shrew (Cryptotis parva). Pharmacol Biochem Behav. 2009;94(1):211–8. doi:10.1016/j.pbb.2009.08.010.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  61. Van Sickle MD, Duncan M, Kingsley PJ, et al. Identification and functional characterization of brainstem cannabinoid CB2 receptors. Science. 2005;310(5746):329–32.

    Article  PubMed  Google Scholar 

  62. Despres JP, Ross R, Boka G, Almeras N, Lemieux I, ADAGIO-Lipids Investigators. Effect of rimonabant on the high-triglyceride/ low-HDL-cholesterol dyslipidemia, intraabdominal adiposity, and liver fat: the ADAGIO-lipids trial. Arterioscler Thromb Vasc Biol. 2009;29(3):416–23. doi:10.1161/ATVBAHA.108.176362.

    Article  CAS  PubMed  Google Scholar 

  63. Kipnes MS, Hollander P, Fujioka K, et al. A one-year study to assess the safety and efficacy of the CB1R inverse agonist taranabant in overweight and obese patients with type 2 diabetes. Diabetes Obes Metab. 2010;12(6):517–31. doi:10.1111/j.1463-1326.2009.01188.x.

    Article  CAS  PubMed  Google Scholar 

  64. Pi-Sunyer FX, Aronne LJ, Heshmati HM, Devin J, Rosenstock J, RIO-North America Study Group. Effect of rimonabant, a cannabinoid-1 receptor blocker, on weight and cardiometabolic risk factors in overweight or obese patients: RIO-north america: a randomized controlled trial. JAMA. 2006;295(7):761–75.

    Article  CAS  PubMed  Google Scholar 

  65. Chouker A, Kaufmann I, Kreth S, et al. Motion sickness, stress and the endocannabinoid system. PLoS One. 2010;5(5):e10752. doi:10.1371/journal.pone.0010752.

    Article  PubMed Central  PubMed  Google Scholar 

  66. Mo FF, Qin HH, Wang XL, et al. Acute hyperglycemia is related to gastrointestinal symptoms in motion sickness: an experimental study. Physiol Behav. 2012;105(2):394–401. doi:10.1016/j.physbeh.2011.08.024.

    Article  CAS  PubMed  Google Scholar 

  67. Callen L, Moreno E, Barroso-Chinea P, et al. Cannabinoid receptors CB1 and CB2 form functional heteromers in brain. J Biol Chem. 2012;287(25):20851–65. doi:10.1074/jbc.M111.335273.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  68. Gulyas AI, Cravatt BF, Bracey MH, et al. Segregation of two endocannabinoid-hydrolyzing enzymes into pre- and postsynaptic compartments in the rat hippocampus, cerebellum and amygdala. Eur J Neurosci. 2004;20(2):441–58. doi:10.1111/j.1460-9568.2004.03428.x.

    Article  CAS  PubMed  Google Scholar 

  69. Dalzell AM, Bartlett H, Lilleyman JS. Nabilone: an alternative antiemetic for cancer chemotherapy. Arch Dis Child. 1986;61(5):502–5.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  70. Lane M, Vogel CL, Ferguson J, et al. Dronabinol and prochlorperazine in combination for treatment of cancer chemotherapy-induced nausea and vomiting. J Pain Symptom Manag. 1991;6(6):352–9.

    Article  CAS  Google Scholar 

  71. Klumpers LE, Beumer TL, van Hasselt JG, et al. Novel delta(9)-tetrahydrocannabinol formulation Namisol(R) has beneficial pharmacokinetics and promising pharmacodynamic effects. Br J Clin Pharmacol. 2012;74(1):42–53. doi:10.1111/j.1365-2125.2012.04164.x.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  72. Ahmed AI, van den Elsen GA, Colbers A, et al. Safety and pharmacokinetics of oral delta-9-tetrahydrocannabinol in healthy older subjects: a randomized controlled trial. Eur Neuropsychopharmacol. 2014.

  73. Meiri E, Jhangiani H, Vredenburgh JJ, et al. Efficacy of dronabinol alone and in combination with ondansetron versus ondansetron alone for delayed chemotherapy-induced nausea and vomiting. Curr Med Res Opin. 2007;23(3):533–43. doi:10.1185/030079907X167525.

    Article  CAS  PubMed  Google Scholar 

  74. Abalo R, Cabezos PA, Vera G, Lopez-Perez AE, Martin MI. Cannabinoids may worsen gastric dysmotility induced by chronic cisplatin in the rat. Neurogastroenterol Motil. 2013;25(5):373. doi:10.1111/nmo.12073. –82, e292.

    Article  CAS  PubMed  Google Scholar 

  75. Bolognini D, Rock EM, Cluny NL, et al. Cannabidiolic acid prevents vomiting in Suncus murinus and nausea-induced behaviour in rats by enhancing 5-HT1A receptor activation. Br J Pharmacol. 2013;168(6):1456–70. doi:10.1111/bph.12043.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  76. Duran M, Perez E, Abanades S, et al. Preliminary efficacy and safety of an oromucosal standardized cannabis extract in chemotherapy-induced nausea and vomiting. Br J Clin Pharmacol. 2010;70(5):656–63. doi:10.1111/j.1365-2125.2010.03743.x.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  77. Galli JA, Sawaya RA, Friedenberg FK. Cannabinoid hyperemesis syndrome. Curr Drug Abus Rev. 2011;4(4):241–9.

    Article  CAS  Google Scholar 

  78. Allen JH, de Moore GM, Heddle R, Twartz JC. Cannabinoid hyperemesis: cyclical hyperemesis in association with chronic cannabis abuse. Gut. 2004;53(11):1566–70.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  79. Nicolson SE, Denysenko L, Mulcare JL, Vito JP, Chabon B. Cannabinoid hyperemesis syndrome: a case series and review of previous reports. Psychosomatics. 2012;53(3):212–9. doi:10.1016/j.psym.2012.01.003.

    Article  PubMed  Google Scholar 

  80. Simonetto DA, Oxentenko AS, Herman ML, Szostek JH. Cannabinoid hyperemesis: a case series of 98 patients. Mayo Clin Proc. 2012;87(2):114–9. doi:10.1016/j.mayocp.2011.10.005.

    Article  PubMed Central  PubMed  Google Scholar 

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Zubair Malik, Daniel Baik, and Ron Schey declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with animal subjects performed by any of the authors. With regard to the authors’ research cited in this paper, all procedures were followed in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000 and 2008.

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  1. Section of Gastroenterology, Department of Medicine, Temple University School of Medicine, Philadelphia, PA, USA

    Zubair Malik, Daniel Baik & Ron Schey

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  1. Zubair Malik
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Correspondence to Ron Schey.

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This article is part of the Topical Collection on Neurogastroenterology and Motility Disorders of the Gastrointestinal Tract

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Malik, Z., Baik, D. & Schey, R. The Role of Cannabinoids in Regulation of Nausea and Vomiting, and Visceral Pain. Curr Gastroenterol Rep 17, 9 (2015). https://doi.org/10.1007/s11894-015-0429-1

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