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Pregnancy

GP wouldn't prescribe me cyclizine - ati sickness tablets.

16 replies

TotorosOcarina · 06/10/2010 11:24

A so fed up, have struggled for weeks with this and reached breaking point and they won't help me.

She even fed mre the 'sickness will die down in a week or 2' line Angry No it won't I had it till 30 weeks with ALL of them!!

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Yeeehaa · 06/10/2010 11:26

:(
Can you see a different Dr?

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TotorosOcarina · 06/10/2010 11:28

Thats what DH said, we will go to another tomorrow but already feel trodden on, don't want to go through it again.

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angels1 · 06/10/2010 11:36

can't believe GP wouldn't prescribe with your history with ms. I've been on it since 6w and still am now at 20w - could not have coped without. see another gp.

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Muser · 06/10/2010 11:42

Quote the NICE guidelines at them. Tell them your sickness/nausea is severe and debilitating. Is it making difficult for you to get enough fluids? I got cyclizine easily, but I was very dehydrated at the time as I was throwing up so much.

Ginger, P6 acupressure and medication with antihistamines reduce the frequency of nausea in early pregnancy. Pyridoxine (vitamin B6) also appears to be effective, although concerns about the toxicity of vitamin B6 remain. Cyanocobalamin (vitamin B12) is also effective in reducing
nausea and vomiting, although no data on its safety were located.

Most cases of nausea and vomiting resolve within 16 to 20 weeks with no harm to the pregnancy, prescribed treatment in the first trimester is usually not indicated unless the symptoms are severe
and debilitating.


Recommendations
Women should be informed that most cases of nausea and vomiting in pregnancy will resolve
spontaneously within 16 to 20 weeks of gestation and that nausea and vomiting are not usually associated with a poor pregnancy outcome. If a woman requests or would like to consider treatment, the following interventions appear to be effective in reducing symptoms [A]:
? nonpharmacological:
? ginger
? P6 (wrist) acupressure
? pharmacological:
? antihistamines

Information about all forms of self-help and nonpharmacological treatments should be made
available for pregnant women who have nausea and vomiting. [Good practice point]

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TotorosOcarina · 06/10/2010 14:07

she said if im keeping something down at all (a piece of toast at night) then they wont prescribe it.

she checked my wee and said there were no keytones(!?) so my body is coping.

but I'm not :(

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Filibear · 06/10/2010 14:12

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TotorosOcarina · 06/10/2010 19:31

Thanks

am seeing another doctor tomorrow.

She made me feel like a dick TBH. This is my 4th pregnancy, yet she was acting like I know nothing about anything pregnancy related :(
x

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voleinahole · 06/10/2010 19:37

I would ask this other dr what they can offer. The hyperemesis protocol at my hospital is metaclopramide first, then metaclopramide plus cyclizine, then there was a third one they could add if they didn't work. I went to the early pregnancy unit with hyperemesis and they gave them to me. MS is sooo miserable. I don't believe we should just be made to feel like we should suffer. In my case it lasted up to and including the moment of birth. :o(

If it gets really bad, I have heard Ondansetron is very effective but v difficult to get on the NHS.

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spilttheteaagain · 06/10/2010 19:40

Totoros I am angry for you. How belittling!

I managed to get metoclopramide for severe nausea and I did say upfront that I wasn't vomiting. In point of fact it did nothing, but they CAN and DO prescribe without you being at deaths door/ketones in wee etc.

I was also made to feel like a foolish timewaster by a doctor on Friday when I went to talk about my chronic exhaustion. I wanted blood tests to see if I'd become anaemic and to talk about the possibility of being signed off work if need be. I too was told "it's normal to be tired in early pregnancy, it'll probably go away!"

FFS I am 19 weeks, hardly early pg (she thought 19 weeks was 1st trimester) and I am not just "a bit tired" or I wouldn't be here!

Hope the next doctor is less of a git and prescribes for you. It's awful being told "tough woman, just put up with it, you're only pregnant".

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newmum001 · 06/10/2010 20:58

I had Hyperemisis when i was pregnant, it started at around 5 weeks and at 7 weeks i was admitted to hospital as i hadn't eaten or drank anything in days and it was there that they prescribed Cyclizine and it was a life saver (literally) I'm not saying that you should get yourself to a&e but i think sometimes the doctors just assume that it's regular morning sickness and can be quite un sympathetic.

I had a urine test as soon as i was taken in at A&E and was clinically dehydrated, took 2 days on a drip to sort me out. So if you need it don't stop asking until you get it! I was on it until i was 23 weeks!

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Rocklover · 07/10/2010 09:51

Same thing happened to me in my first pregnancy, although I was being sick infrequently I was severely nauseous and had constant diahorrea.

It took until I was hospitalised for me to be given medication (Cylizine) and I was much poorlier than I should have been due to the "it's normal, get over it" attitude.

This time round I am in a different part of the country and my surgery is much more laid back and helpful. Plus they have taken my previous experience into account.

When you see the dr do not take no for an answer, explain that you are not coping and you are not able to function day to day. You have a right to be treated.

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CobainsAngel · 07/10/2010 17:13

I'm currently taking Cylizine, it is a life saver! I'm almost 8 weeks pregnant and at the 5th week with out fail, I had morning sickness! After a couple of days it gradually got worse! I knew morning sickness was normal and I kept thinking "millions have woman have gone through this, so can I", but it got to the point I was so weak, everything I ate and even drank was coming back up! I read in a pregnancy magazine that some doctors have ignored morning sickness with out realizing how bad it is! One poor woman couldn't cope with the morning sickness, and her doctors done nothing, so the poor woman thought the only choice she had was to abort her child! How heartbreaking? After reading that I thought I have to do something, this is my first baby but I knew my morning sickness was really bad... I was right! 3+ ketones was found in my urine and I was advised to go to hospital! I was far too dehydrated! Eventually I was able to keep down fluids but not food, so I was given Cyclizine to stop the vomiting and let me lead a normal life! Role back to before being in hospital to when I went to the walk in centre, the nurse spoke to me about natural ways of easing morning sickness, but when I told her I tried and couldn't keep any food down, she took the urine test, seen the ketones and became concerned! At the hospial they assured me that baby is fine, it's me who is not! I'm now eating and drinking and although I feel crappy mos days, I am much better now! ANYWAY... I'm sorry for the life story, lol! Point is, is the doctor SHOULD know your history and help you have a comfortable pregnancy, doctors should not shrug you off at all! Like what Rocklover said, stress how you're unable to function and do not take no for an answer... See a different doctor too that one sounds like they don't know what they're doing x

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banana87 · 07/10/2010 19:44

I am taking metaclopramide (though my MS has just started so I am using leftovers from last time!). When I called the GP today to ask for more she said ok, but that if it gets worse there is nothing more they can give me.

Is cylizine stronger than metaclopramide? From what I remember last time, all the metaclopramide did was stop me actually being sick, it did nothing for dry heaving or nausea. Does cyclizine work better than this??

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voleinahole · 08/10/2010 18:56

banana I was told that if the Metaclopramide alone didn't fix the MS that adding Cyclizine would help. Metaclopramide just empties the stomach faster so to helps to stop you bringing back food but may not stop dry heaving. Cyclizine as well can help and there is a third they can add if not. Ondansetron is the last resort. These medications can make you very drowsy though which isn't very fun.

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MSy · 28/07/2023 08:34

Hi there. I’m suffering with morning sickness but my doctor says he won’t prescribe anything unless I’m literally throwing up in front of him. Ok fair enough he’s the doctor but does anyone know why they’re so reluctant? Can the tablets harm the baby at all?

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NP2705 · 28/07/2023 09:41

I’m sorry you’re struggling to get help. I remember that feeling very well. I had hypremesis but A&E wouldn’t refer me to the gynae team for fluids because they couldn’t test my urine as I physically couldn’t pass urine. Ended up being carried into my GP practice by family demanding they help.

When you are feeling this weak and unwell you need someone to advocate for you - hopefully your husband can do this for you. Keep trying because ending up on a drip for fluids is not fun.

Cyclizine has been used for years, I had it in my first pregnancy 5 years ago but there is also a newer drug called Xonvea which is licensed for use in women with morning sickness and has helped so many people I know.

Take a look at the Pregnancy Sickness Support website. They are a charity who provide help and advice to ladies suffering. You can even WhatsApp them. They really helped me fight to get Ondansetron.

My experience has been that GPs are reluctant to prescribe much but the gynae/maternity teams at the hospital are much more understanding.

Good luck - really hope you get some help soon!

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