Has anyone been prescribed anti emetic injections by their GP? UK

[cultkid]

Please can you let me know if this is a thing

I'm just so sick and I am exhausted of the hospital and worried about picking up Covid there

I saw someone I vaguely know on FB was prescribed IM anti emetics for hyper emesis (which I have)

I am struggling so much and I have two children

Is this a thing?

I have had antiemetics in pregnancy by injection (and also by a pump and a drip) but only in hospital I'm afraid. Have you been in and out of hospital a lot? What are you on? They might possibly be able to prescribe you the same drug in a suppository from (that you put up your bottom!). Bit grim but at least you can't vomit it up so have a chance of absorbing it -- in France you can get pretty much everything in this form if you want, though less so in the UK. Worth asking though?

Also definitely go over to the HG thread, they are very supportive and knowledgeable over there.

Thank you Kalid really helpful

I will go over and have a look on that thread

I have only had them in hospital too, not sure how the lady I know wangled them at home

I would use a suppository yes anythign at this rate

Thank you xx

I think what you can get at home depends quite a lot on arrangements with local district nurses etc I've heard a few times of women living in more rural locations having more luck with getting things set up at home but I think it just depends a lot on where you are. I have just discovered I am pregnant again so bracing myself! If you are bouncing in and out of hospital a lot though they should be considering doing something different hospitals actually get fined I think if you are readmitted really soon after discharge so they have an incentive to avoid it!

Some anti emetics come in a buccal tablet form which you put between your gum and inside of mouth to dissolve, which stops you needing to swallow it and buccal is a faster route of absorption. Maybe ask GP about these.

Are you taking anything orally? I take 3 types of medication every day. I have had injections in hospital too but not out. Only after repeated admissions and in very very extreme cases do they give injections at home. Like if you're on steroids etc. @abbs1

I am on cyclisine and prochloperazine as of today

I was on

cyclisine and metoclopmeride didn't work

Cyclisine and promethazine Which didn't work

I've spent the night vomiting and reaching and now I've got a sore throat
Ulcers

And a lump where I think I've genuinely given myself a hernia

I've been forcing sweets and juice mouthfuls

I have only got 1+ ketones now

I won't qualify for hospital treatment nor do I particularly want to be there

I just hate the side effects of ondesetron I get so so so impacted it's traumatic

I think I've also possibly got heartburn at night too not sure

Just drenched in sweat at night I changed pyjamas 8 times last night slept on towels had to throw all my pillows on the floor and eventually I slept at the foot of the bed by husbands feet it was the worst night ever

I took the prochloperazine and haven't been sick but I haven't eaten I've drunk some fruit juice

Going to attempt some plain bake potato now

It's just the pits

I feel really bruised and dried out

@cultkid you should push for omeprazole. It's amazing for banishing the acid. I've been on it since 7 weeks. 16 weeks now.

I did. 8 years ago. I'm a midwife though so I think that is why the GP agreed. It kept me out of hospital completely. It was very unpleasant to self administer, so it was definitely something that I was only doing as a last resort, but it was so worth it. So much so (this was my 2nd hyperemesis pregnancy 10 years apart) I went on to have a 3rd baby (no hyperemesis - not even a bought of nausea - although I took prophylactic cyclizine from the day of my positive test until 8 weeks).
One day my goal is to get more involved in the management and treatment of hyperemesis and pregnancy nausea and vomiting.

@cultkid I couldn't tolerate ondansetron either. I was in hospital for 7 weeks with DS2, they had to take me off the ondansetron a few weeks in because the constipation was making me so ill -- they were giving me enemas every day in hospital + every laxative they could think of which still did nothing! I know some people can tolerate it but it was totally unspeakable for me and in hospital they actually took constipation that severe very seriously. It's more often used for e.g. chemo sickness which is just a few days at a time so I don't think all docs fully understand how bad it can be for your insides. I ended up on a huge dose of steroids via IV + cyclizine via a pump. Eventually after several more weeks I was able to manage both orally so came home with that. I took omeprazole or similar all the way through too, I agree you should def have something for the heartburn as well. How many weeks are you? Is this the worst bit?

@ThisMustBeMyDream

Yes, it wasn't nipped this time

Last time it was nipped better my days off at home were less horrific until day 3 when I would be admitted again for hydrating
I know that cyclisine really stings especially In a tissued cannula so I am guessing it feels the same IM none the less I would do it if it worked better then oral
Idk if I'm super full of acid and it's effecting the efficacy of the drug i literally thought about moshing it into a paste and rubbing around my gums to soak it up it is a very effective drug but when it's IV it's quite exhausting and strong which means I can't drive myself to hospital

Ill see how this prochloperazine goes

Can't believe I'm into pregnancy no3 with hyper emesis
I had a bastard urine bag in the first pregnancy too

@thingymaboob

Did it feel like crampy and restless up in your tummy it's not like an acid up my throat type feeling nor an ache in my chest it feels more like when your body is making a poo when you've got a bad tummy (sorry this is a horrible description)

The messages make me feel less alone thanks so much xxxxx

@ThisMustBeMyDream that's really interesting. I have just had a strong positive test at 15dpo but surprisingly I am not feeling that ill yet dizzy and vaguely nauseous but nothing like I was with DS2, I was already totally in bed by this point with him and was on cyclizine. I was incredibly ill with him and ended up in hospital and on steroids for months. I have cyclizine on prescription do you think I should start taking it preemptively even though I feel OK? I am a bit reluctant because it really knocks me out and I'd like to make the most of being functional while I am. But your story is making me reconsider! I am also pretty old now (41) so aware that there's a pretty high chance of miscarriage anyway so not getting too excited.

@kalidasa yes I had to have enemas too it's the worst thing ever if you're already nauseas and not wanting to eat to add proper impact ion and constipation to the mix it's horrendous you're right

I'm 7 and I think it's going to get worse before it gets better

I've had some potato whilst writing back to you all and my husband brought it to me in bed I can't face any noise and any movement when I am eating I eat in silence in the bedroom

Even the tv makes me vomit

@kalidasa

It makes a huge difference if you get on top of it early that's what I did in my last pregnancy and I was very sick on paper but I felt less sick then I do now if that makes sense

So I did need admitting often but I was less nauseas then I am at the moment

Heartfelt congratulations I have everything crossed 💙💙 for you xxx

@cultkid oh yes I'd forgotten how strong cyclizine is IV. Actually I couldn't have it IV because (ironically!) it made me throw up. So I had a pump thing which worked pretty well but was a faff to manage and I think you'd probably have to be an inpatient for that. My Dad had one at home but that was part of end-of-life care.

Thanks @cultkid. That was the plan with DS2 to treat pre-emptively, I had a plan agreed and went on the cyclizine the second I suspected I was pregnant, saw a super-specialist at 4 weeks for advice and started the ondansetron really early too. But with that pregnancy all the pre-emptive stuff made absolutely no difference to be honest, it was still way worse physically than DS1 (and DS1 was awful loads and loads of admissions and I threw up all the way through), so I suppose I felt a bit less proactive this time, seemed a bit pointless to bother, and in any case I wasn't at all sure I'd get pregnant. But now that I am pregnant and actually feeling a lot less bad than I expected at this stage, I'm not quite sure what to do. Totally agree that the nausea is the worst bit -- quite a lot of vomiting is tolerable as long as you don't feel constantly unbearably nauseous.

@cultkid I had agonising stomach cramps and I was burping up and vomiting acid. In my first pregnancy my mouth was bleeding and I had such a sore throat but didn't get prescribed until 30 weeks. This time I got it when I was admitted at 7 weeks. It really calmed everything down and when I did vomit, it wasn't the painful acid

Yea it makes me feel faint I honestly find it more paralysing then IV morphine or pethidine

@thingymaboob I'm going to take some and see if it stops my tummy hurting tonight

I am already prescribed it on repeat

Just exhausted

But feeling less alone with these replies thanks so much

Oh for goodness sake! My long post just got deleted before I posted it! Arghhhh!

Anyway, what I was trying to say was Kalidasa I remember you from your eldest when you had HG then. Your story was so familiar to me.

I wouldn't want to give medical advice. I took it without advice, using medication I had at home previously prescribed in my last pregnancy (and still in date!).

I read various things at the time which recommended it. Here are some links for you.

www.ncbi.nlm.nih.gov/pmc/articles/PMC3588181/

www.britishjournalofmidwifery.com/content/clinical-practice/helping-women-prepare-for-hyperemesis-gravidarum

I'm going to do the same

I've got it
It's in date
It's prescribed
There are not risk factors with it that I can see in pregnancy

If it helps me it helps the baby ultimately

Ladies this has been the biggest hug ever today

@cultkid join us on the Hyperemesis support thread, it's got me through some dark times.

Thanks @ThisMustBeMyDream. With DS2 a specialist prescribed me pre-emptive ondansetron at just over 4 weeks and said she thought with that and the cyclizine I would never even throw up, let alone be hospitalised. She couldn't have been more wrong! So all the prep didn't really seem to help at all with that pregnancy, but you're right, that doesn't mean it wouldn't with another. I'll have a think about it. I need to work out how to register with a doctor etc as well -- in slightly complicated timing we have just moved abroad! No doubt all the protocols etc around HG will be a bit different here, and they probably won't believe me about how bad it was before anyway.