Treating Cannabis Hyperemesis

Just wanted to see what other people are using to treat CHS.

I think I’ve had four visits in the last month with various degrees of cannabis hyperemesis syndrome. Fortunately, it seems like patients now are more accepting of this as an entity than when I was in residency, but it’s still a challenge to figure out what treatments work for most people (especially since the nausea/vomiting occasionally gets worse during early withdraw).

Any other good antiemetics aside from ondansetron (had quite a few say this was ineffective). Capsaicin patches or cream better? Anybody tried haldol or benzos (shudders). Really just looking for a good drug cocktail/treatment regimen.