xonvea - how to get it? Promethezine not stopping nausea

[sellotape12]

I’m 9 weeks, nausea and heightened smell sensitivity is making me miserable. I went to the GP and she prescribed me promethazine which I realise is Sominex. It hasn’t taken away sickness but I feel groggy and half alive during the day so it’s just made life 10% worse to be honest. Noticed some people mention Xonvea. It never came up in my discussion with the GP. Is there a reason? Is it because I’m 40? Or if not, how do you actually persuade them to prescribe that?

GP's dont like prescribing Xonvea due to cost and it isnt 'first line' for pregnancy sickness.
I got given it at 8 weeks by the early pregnancy unit when i was admitted for IV fluids because the sickness was so bad.
Once it had been prescribed, the GP continued to do so with no issues.

My GP has the following prescribing flow chart
Step 1 - single antiemetics ... Usually try 2 different ones
Step 2 - two antiemetics at the same time
Step 3 - xonvea.

I had three pregnancies in 9 months and they moved me up a step each time. The two antiemetics helped quite a bit more than single antiemetics and in the last pregnancy I escaped hyperemesis and the xonvea took my nausea and sickness to nothing. They prescribed this precautionary as soon as I started getting nausea because of how much I struggled with the previous pregnancies

Keep going back if the antiemetic isn't helping, 3-5 days should be long enough to see if it's going to make a difference.

Okay, thanks so much. I’ll have to take another tonight and see how it goes over the weekend. I just felt like an alien this morning. So groggy.

It's expensive. Think they want you to try other things first. I just asked directly for xonvea and said I'm being advised by the charity pregnancy sickness support. But I've also tried cyclizine, metaclopramide in the past and they didn't work so said that as well.

Also you mention feeling groggy. Xonvea can cause that too. I was very groggy for about a week but then adjusted so was fine after a week.