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RE: Educating Steem: Is There A Disorder Caused by Marijuana?—Cannabinoid Hyperemesis Syndrome
I agree with your remarks on benzodiazepines. My advice for use was in the emergency room setting. Benzos are never a drug I would want to prescribe for chronic use. Obviously, you can die from its withdrawal just like alcohol. I am thinking more in the acute setting of perfuse vomiting where other concerns such as volume/electrolyte status are taking precedence.
As for the case of lorazepam, I was going off an evidence based source (number 4). I agree that it does seem odd that a longer acting agent wouldn't be initiated. Very good point!
Unfortunately, zofran is refractory in these cases.
What would you recommend? Replete the fluid and put them in a hot shower? haha.
Thank you for your feedback and for your interest in the topic.
Hyperemesis is a tough one for sure. I'm sure you are quoting evidence based practices. I am always cautious when promoting benzo's as treatment. I know you speak of it being administered in an inpatient setting, but the reality of people self administering is something to be cautious about.
I wouldn't want a young keen and obviously passionate doctor who is only just embarking on his career, to be held liable for someones interpretation of your treatment advice.
For sure noted. I agree that a short acting one seems more dangerous and potentially unnecessary. I wish zofran worked for this condition.