What antiemetic drugs are used in pregnancy if a woman has hyperemesis?

Ondansetron may be considered in women with hyperemesis gravidarum. Ondansetron is an effective antiemetic which has been used in non-pregnant patients to treat nausea and vomiting.

What is the management of nausea and vomiting in pregnancy?

Vitamin B6 should be prescribed as first-line treatment for nausea and vomiting of pregnancy. Physicians should consider prescribing doxylamine (Unisom SleepTabs) in addition to vitamin B6 for treatment of nausea and vomiting of pregnancy because the combination reduces symptoms by 70%.

What are the nursing and medical interventions for patient with hyperemesis gravidarum?

Reestablishing normal fluid and electrolyte levels often relieves nausea and vomiting. Encourage the patient to eat, and tell her to avoid going for a long period without eating. Advise her to eat when she feels hungry, starting with small, frequent lowfat meals. She should avoid drinking fluids with meals.

How do you treat hyperemesis?


  1. Lifestyle changes. If you can eat, have smaller, more frequent meals.
  2. Ginger. Taking 1 to 1.5 grams a day in several small doses may help some women.
  3. Pyridoxine. This vitamin, known as vitamin B6, is often prescribed for nausea in pregnancy.
  4. Thiamine.
  5. Medications .

How is NVP diagnosed?

NVP should only be diagnosed when onset is in the first trimester of pregnancy and other causes of nausea and vomiting have been excluded. How is HG diagnosed? HG can be diagnosed when there is protracted NVP with the triad of more than 5% prepregnancy weight loss, dehydration and electrolyte imbalance.

What is another name for Cyclizine?


Clinical data
Trade names Marezine, Valoid, Nausicalm, others
AHFS/Drugs.com Consumer Drug Information
Pregnancy category AU : A
Routes of administration By mouth, IM, IV

What fluids are given for hyperemesis gravidarum?

Intravenous (IV) fluids should be provided to replenish the lost intravascular volume. Rehydration along with replacement of electrolytes is very important in the treatment of hyperemesis. Normal saline or Hartmann solution are suitable solutions; potassium chloride can be added as needed.

What are the primary aims of treatment in hyperemesis gravidarum?

The primary goal of treatment is symptomatic relief without adverse fetal or neonatal outcomes. Secondary goals include improved quality of life and reduced economic costs for women. Many pharmacological and non-pharmacological interventions are suggested for nausea and vomiting in pregnancy.

Why is pyridoxine given for hyperemesis gravidarum?

The American College of Obstetrics and Gynecology recommends that first-line treatment of nausea and vomiting of pregnancy should start with pyridoxine (vitamin B6) with or without doxylamine. Pyridoxine has been found to be effective in significantly reducing severe vomiting but is less effective with milder vomiting.

What may improve Ptyalism?

Starchy foods like white bread, pasta, and certain grains, require additional saliva for digestion. Chew on it: Sugarless gum can make it easier to swallow saliva. Try candy: Sucking on sugarless candy can also help diminish the amount of saliva by making it easier to swallow.

What to eat if you have hyperemesis?

The ‘Baby Shake’

  • Ginger.
  • Mashed Potatoes.
  • Dry Toast.
  • Bananas.
  • Rice.
  • Applesauce.
  • How does it really feel to have hyperemesis gravidarum?

    Some of the most common symptoms of HG are: feeling nearly constant nausea loss of appetite vomiting more than three or four times per day becoming dehydrated feeling light-headed or dizzy losing more than 10 pounds or 5 percent of your body weight due to nausea or vomiting

    How do I know if I have hyperemesis gravidarum?

    Severe nausea and vomiting

  • Food aversions
  • Weight loss of 5% or more of pre-pregnancy weight
  • Decrease in urination
  • Dehydration
  • Headaches
  • Confusion
  • Fainting
  • Jaundice
  • Extreme fatigue
  • What is hyper emesis gravidarum?

    Medical Definition of Hyperemesis gravidarum. Hyperemesis gravidarum: Extreme, excessive, and persistent vomiting in early pregnancy that may lead to dehydration and malnutrition.