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View Full Version : Travacalm/ OTC anti nausea meds in pregnancy.



abba12
29-08-2010, 15:18
I know I should be discussing this with my doctor. Unfortunately we are in a bit of a dificult situation and, while I don't want to go into details, we are basically stuck with the doctor we are now seeing. She seems to believe ginger fixes all morning sickness and if it's not working I'm just not taking enough (I'm 16 weeks, have lost 7kg, and believe me, ginger is not working)

I've already tried the B vitamins and various assorted natural formulas, no success. I was given maxalon at the hospital, had a severe reaction and won't be taking it again.

The other popular morning sickness pills require scripts, which I won't recieve from my doctor. While I could get one script from the hospital or another GP, I would guess questions would be asked if I have to get my repeats there without registering through them or having my full anti-natal checks with them.

My doctor suggested travel sickness pills from the chemist. We now know she was talking about the ginger pills *sigh* however, I hadn't realised and had begun taking travacalm original, which is helping A LOT. It's working for me. My doctor told me to just take ginger and don't buy them again, however when I asked specifically about the safety she said she didn't think anything would be wrong with them if I took them after trying the ginger without success. However she didn't really look what was in them either.

It has two active ingredients plus a very small amount of caffine. The first ingredient, Dimenhydrinate, appears to be considered quite safe in pregnancy, though a couple of websites advise against it most are fine, it is a B on the american FDA rating system for drugs during pregnancy, and an A on the australian rating system (the discrepancy is that america dosen't recognise certain studies as valid where australia does it seems). I may end up looking to see if there is a pill available that contains only this ingredient, I have taken a pill with only the second ingredient without success, which means this may be the one affecting me.

The second drug is the one I'm slightly concerned about. hyoscine hydrobromide. America rates it a C, there was apparently some harm in an animal test and no human tests. Australia marks it a B2, meaning no harm in animal tests and no harm seen in the limited test group that are recognised at taking it in pregnancy (thanks for being consistent guys). The main concerns the americans have over it that I can find are when taken in the first trimester, which I'm out of, and on breathing at term, which I hope not to need it for.

The websites referanced are these ones
http://www.tga.gov.au/docs/html/mip/medicine.htm - Australia
http://www.safefetus.com/index.htm - US

So has anyone else taken it, or something similar to it, safely and with the OK from a doctor? I technically have the ok, just a disinterested one I don't trust, so I'd like to make sure. I'm worried I've missed something somewhere, because I can't understand why doctors give dangerous, horrible drugs like maxalon, but don't try drugs like this which are over the counter first. I also can't find any infomation on the longer term use, as it is a motion sickness drug. I'm concerned taking it daily might be bad where taking it occasionally would be fine.

Thanks for any help you ladies can offer.

mimsie
29-08-2010, 20:46
Not a lot of help but the reason you get the differences are because we have B1, B2, B3 rather than just 'B'. I'd say in general, category B2 & B3 meds would fall into C in the US.

Another one that is popular is phenergan, but it can cause drowsiness and I believe is categorised C. However the reason for this is due to it not being good for late pregnancy as it can affect the baby when born, with listlessness and temporary neurological issues when taken too close to birth.

As long as you're researching carefully and looking at current information, making an informed decision is OK - it's your body and risks apply to many medications - and opinions vary from doctor to doctor too. Is there a pharmacist you could have this discussion with?

wildfire
31-08-2010, 12:21
My Ob had me taking Phenergan 10 mg for the first trimester of my first pregnancy, however, If I needed to again, I would take an over the counter antihistamine called Restavit, which is cat A in pregnancy and used in Europe for MS.