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The Motherisk Nausea and Vomiting of Pregnancy (NVP) Forum

Motherisk receives questions from around the world about morning sickness symptoms, effects, treatments and ways to cope. Those questions and answers are posted here for anyone to read, provided the reader acknowledges and accepts the proviso and disclaimer below.

Pramin

NVP Counselor
Date: 2004-04-23

Question:
i am in my 8th week of my fourth pregnancy and am suffering NVP all hours of the day. Nothing helps!! My docor prescribed a tablet called "Pramin" and told me to take it half an hour before meals. Who eats meals in this state?... Im desperate for help!! Thanks.

Answer:
Pramin (metoclopramide) is one of the medications used for NVP (see the treatment algorithm posted under Motherisk Updates, February 2002. If it is not effective, or you cannot easily take it or keep it without vomiting, discuss with your doctor other medications that can be taken rectally or intravenously if needed.

Commonly, women with NVP should try to eat very small, frequent snacks (not drinking liquids with their food). Stomach problems can also worsen the NVP and H. Pylori (a stomach bacteria), has been reported to cause severe symptoms similar to NVP. H. Pylori does not respond to NVP treatments.

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