CHS Action Plan

Avoid scalding water and prolonged bathing. Stop if heat makes you dizzy, weak, or more dehydrated.

Never place a heating pad or another direct heat source over topical capsaicin.

Do not apply capsaicin immediately before or after showering, bathing, swimming, or vigorous exercise.

Take a small sip, pause, and notice whether it stays down before trying more.

Do not rely on home hydration if vomiting continues, dizziness worsens, or urine output falls.

Persistent vomiting may require intravenous fluids and laboratory evaluation.

Dim bright screens and lights, reduce loud sounds, and move away from strong food or cleaning-product odors.

Sit or lie somewhere safe and stand slowly if you feel light-headed.

Treat these as comfort measures—not as a substitute for medical evaluation.

Stop cannabis, including concentrates, edibles, vapes, delta products, and other cannabinoid products.

When safe, ask a trusted person to help remove products and arrange support for cravings or withdrawal.

Sustained complete abstinence is central to recovery and recurrence prevention when CHS is the cause.

Use prescribed anti-nausea medicine only as directed and check before combining medicines or supplements.

Apply topical products only to intact external skin and keep them away from eyes, nose, mouth, and sensitive areas.

Stop and seek advice for severe burning, swelling, blistering, breathing difficulty, or another significant reaction.

Record when vomiting began, how often it occurs, whether fluids stay down, and when you last urinated.

List pain, fever, blood, fainting, pregnancy possibility, medical conditions, medicines, and supplements.

Include cannabis product types, frequency, approximate amount, and the time of last use.

Write down what happened, how long it lasted, what was tried, and which warning signs appeared.

Arrange medical follow-up and practical support for cravings, withdrawal, sleep, appetite, or anxiety.

Return for urgent care if vomiting or dehydration warning signs recur.