My(25f) boyfriend(27) can't smoke

[u/Indigoez]

I smoke a lot, generally I clear a gram of wax every 5-6 days if I'm conservative. My boyfriend is a complete sweetheart, and doesn't mind hanging out with me when I bake up, but he has Cannabis Hyperemesis Syndrome and can't smoke anything without puking. I can tell he really misses it and I wish he could enjoy it too.

I was wondering if anyone knew of a safe, legal alternative. He's said he can take a hit of a cart once in a while but if he overdoes it he ends up puking anyway. Drinking isn't something either of us are big fans of, so that's out. I don't think either of us need substances to enjoy ourselves but I was wondering if anyone has advice on this topic, it would still be nice if I could have something for him to enjoy too. Thanks to anyone who replies 💜

[u/Illustrious-Golf9979]

https://onlinelibrary.wiley.com/doi/10.1155/2016/3614053

This is from an experience of a patient who used a medication to effectively treat her symptoms:

Key Context About the Patient's Cannabis Use:

1. Pattern of Use and Beliefs:

   • She believed cannabis was helping her symptoms
   • Reported that smoking marijuana was the only thing that gave her relief
   • Was using cannabis 2-3 times daily and had been increasing use over two years
   • Specifically stated she was unwilling to stop using cannabis
   • Classic CHS Pattern:
   • Her symptoms actually got progressively worse despite increased cannabis use
   • She showed the typical morning predominance of symptoms
   • Like many CHS patients, she didn't recognize cannabis as the cause of her problems
   • Treatment Journey:
   • Had tried multiple standard anti-nausea medications without success
   • Had undergone extensive medical testing to rule out other causes
   • Multiple drug screens had confirmed her ongoing cannabis use
   • The situation was becoming more severe, with symptoms now occurring throughout the day
   • Critical Decision Point:
   • Despite medical advice, she refused to consider cannabis cessation
   • This created a challenging treatment situation for her medical team
   • The doctors had to consider alternative treatments that would work while she continued cannabis use
   • This led to the novel approach of trying haloperidol in an outpatient setting
   • Treatment Compromise:
   • While cannabis cessation would have been the ideal treatment
   • The medical team worked with her reality - she wasn't going to stop using
   • They offered haloperidol as an alternative approach
   • She agreed to try this medication while continuing cannabis use
   • Treatment Compliance:
   • She was willing to take the haloperidol daily as prescribed
   • Took it for three weeks
   • Self-discontinued after symptom improvement
   • Unfortunately was lost to follow-up, so long-term outcomes are unknown

This case highlights a common challenge in treating CHS: patients often resist the idea that cannabis is causing their symptoms and are reluctant to stop using it. This makes it particularly important to have alternative treatment options available, even though complete cannabis cessation remains the most effective long-term solution.

The case is significant because it shows that even when patients aren't ready to stop cannabis use, there might be ways to help manage their symptoms. However, it's important to note this is just one case study, and any treatment decisions should be made in consultation with healthcare providers.

[u/Indigoez → u/Illustrious-Golf9979]

This research is honestly the best info I could have gotten, thank you for taking the time to look and compile what you could find. I think the best thing we can do is wait to try weed for a few years, in the meantime I know I can find other things :)

[u/Indigoez → u/Indigoez]

(for special occasions anyway)

[u/Illustrious-Golf9979 → u/Indigoez]

I Hope I could help even in the slightest, My heart goes out to your boyfriend and you and I hope he can find some relief!

[u/Indigoez → u/Illustrious-Golf9979]

💜 me too, but I'm just happy I get to spend time with him, he tells me that's just as good as getting to smoke, but I wish I could wave a magic wand and cure him so he can do what he wants 😖 maybe time will cure it, if not and he can never smoke that's okay with me 🥺

[u/Illustrious-Golf9979 → u/Indigoez]

Hey, you both got something special you can't buy with a special card or money so respect to both of you. Everything will work out like it's supposed to, just keep the faith!

[u/Indigoez → u/Illustrious-Golf9979]

🙏🥰