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Ted E. Fogwell, MD

Proudly Part of Privia Health

Nausea & Vomiting

Nausea and vomiting frequently occur during the early months of pregnancy. Although it is frequently referred to as “morning sickness,” it can occur any time of the day or night. Usually, it peaks at nine weeks and disappears after 12 to 14 weeks. Rarely will it continue into the second or third trimesters.

For prevention, try the following:

  • Eat a piece of bread or a few crackers before you get out of bed in the morning or when you feel nauseated.
  • Get out of bed slowly.
  • Avoid sudden movements.
  • Eat several small meals during the day so your stomach doesn’t remain empty for long periods of time.
  • Drink soups and other liquids between meals instead of with meals.
  • Avoid greasy or fried foods – they are hard to digest.
  • Avoid spicy, heavily seasoned foods.
  • Take 100 mg of vitamin B6 every day.
  • Drink Gatorade or Perrier instead of water.

To Remedy morning sickness, try these suggestions:

  • Sip soda water (carbonated water) when you begin to feel nauseated.
  • Breathe deeply.

Medications for Nausea in Pregnancy

Option #1

Unisom Sleep Tabs (NOT Unisom Sleep Gels) and Vitamin B6 (Essentially a generic for Option #2)

  1. Take 1 Unisom Sleep Tab (Doxylamine Succinate) and 10-25 mg. of Vitamin B6 at bedtime.
  2. If this adequately controls symptoms, on Day 2 continue taking 1 tablet at bedtime.
  3. If symptoms persist on day 2, continue to take 1 tablet at bedtime and add 1/2 tablet in the morning on day 3. Continue to take 1 1/2 tablets daily.
  4. If 1 1/2 tablets adequately control symptoms on Day 3, continue taking 1 1/2 tablets daily (1/2 in the morning and 1 tablet at bedtime)
  5. If symptoms persist on Day 3, add 1/2 tablet and continue to take 2 tablets daily starting on Day 4. (1/2 tablet in the morning, 1/2 tablet mid-afternoon and 1 tablet at bedtime. Up to 2 tablets can be taken daily.)

Make sure you are getting the UNISOM SLEEP TAB. DO NOT use Unisom SleepGels, SleepMelts or PM Pain Sleep Caps because these contain Diphenhydramine HCL.

Option #2

Rx prescription Diclegis (Nongeneric)

If you would prefer the new, Brand Name (and more expensive) Drug “Diclegis” – Doxylamine Succinate 10 mg. and pyridoxine Hydrochloride 10 mg. Please contact our office and we will be glad to send an electronic prescription to your pharmacy.

If severe nausea and/or vomiting persist for more than 24 hours despite the above measures, contact Dr. Fogwell’s office.