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Expert Q&A
Question:
I am one month pregnant and going through severe morning sickness. My caregiver prescribed a drug called tab Diclectin at the rate of two at bedtime, one in the morning and one at noon. How safe is this drug for me and my baby? Should I try anything else?
Answer:
After a long search, I finally found Diclectin, and it is not available in the United States. You must live in or close to Canada. This medication is a combination of vitamin B6 and Doxcyllamine (antihistamine). The safety to you and your fetus should be discussed with you health care provider who prescribed it. I am unfamiliar with its use and therefore cannot address the safety issue.

However, what I do recommend to my patients for treatment of nausea in early pregnancy is the following: eat small frequent meals, avoid spicy and fatty foods. It is important to keep something in your stomach at all times. Every 2-3 hours should be sufficient. Some women also find it helpful not to drink liquids with their meals. If possible, avoid food preparation -- often just the smell of foods can stimulate nausea. Buying prepared foods or having a family member prepare foods is often helpful. Additionally, before you go to bed in the evening, put at your bedside a few crackers or pretzels as well as a small glass of Sprite or 7UP. Set your alarm for 15 minutes earlier than usual. When rising, drink the Sprite (it should be flat!) and eat a few crackers or pretzels, then go back to sleep for 15 minutes. This should help decrease some of the early morning nausea. In addition to the dietary recommendations, some patients have found "Sea Bands" to be helpful. They are available for $l0-$20 at your local dive shop or pharmacy. These are soft wrist bands that placed on the inner aspect of the wrist that apply gentle pressure and relieve the nausea.

Recently, accupuncture has been approved for treatment of nausea in early pregnancy. Check your local phone books for a accupuncturist near you and ask your provider to see if s/he has any references for an accupuncturist in your area. Lastly, ginger root tea or peppermint tea have helped many women with nausea.

I hope you feel better soon. Know that this shall pass in a few short weeks.

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