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Is the drug safe for a pregnant woman?
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Klaudia Ćwiąkała Pharmacist, Editor
8 months ago
Bonjesta (doxylamine and pyridoxine) is intended to treat nausea and vomiting in pregnant women. According to available research results, this drug is safe for the pregnant woman and the baby. As the SmPC points out, "A large body of data in pregnant women, including two meta-analyses involving more than 168,000 patients and 18,000 exposures to the combination of doxylamine and pyridoxine during the first trimester of pregnancy, indicate that there is no effect of doxylamine hydrogen succinate and pyridoxine hydrochloride on malformations and toxicity to the foetus and/or neon."
I have attached helpful materials:
https://www.gdziepolek.pl/produkty/129277/bonjesta-tabletki-o-przedluzonym-uwalnianiu/ulotka
https://www.gdziepolek.pl/kategorie/nudnosci-i-wymioty-w-ciazy
If one pill is enough to control your symptoms, you take it for the entire period of nausea and vomiting, e.g. until about 17-18 weeks of pregnancy. If the symptoms return, it means that it is not yet time to end the therapy. However, if nausea and vomiting do not occur, you can stop taking the medication.
Some women may need two pills. In this case, around week 17, you can try reducing the dose to one tablet per day. If everything is fine for a few days, you can gradually stop taking the drug. However, if the vomiting returns and one tablet has been successful, you stay at that dose and try to stop taking the drug again after some time.
I myself took one pill and managed to stop taking it in the 19th week of pregnancy. These medications helped me a lot.
Karolina told me to try to stop until the end of the first trimester, if the symptoms come back it means that the nausea and vomiting are not over yet and take it on and try again after some time. Unfortunately, there is a large group of women who have nausea and vomiting until the very end, read e.g. ka in a previous pregnancy, but then there was nothing to do it. Anyway, the doctor said that if necessary, you can also take
Anna Lewandowska Pharmacist, Editor
8 months ago
Bonjesta is a medicine that can only be obtained with a prescription and should not be used without consulting a specialist. It is the doctor who decides on the dosage and duration of therapy. If you need more personalized advice, you can use teleconsultations here:
https://www.gdziepolek.pl/telekonsultacja/z-ginekologiem
In the Bonjesta leaflet you will find instructions to start with a lower dose and gradually increase it: 1 tablet overnight on the first day, and if necessary, you can increase to 2 tablets a day. If your symptoms are under control after a few days, you can continue with the dosage that works best for you. Bonjesta is intended to be used for the period when you experience symptoms – there is no need to always take the whole pack unless it is necessary.
How long should I use the medicine? I didn't ask the doctor - in the leaflet there is information to use 1-2-3 days. Should I take the whole package to the end?
It is safe for both the pregnant woman and the baby. It can be used during pregnancy