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6 points
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Ondansetron

Nauseous? You won’t be for long if you take ondansetron.

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4 points
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Heads up to anyone with cardiac issues, especially long QT syndrome or other meds that prolong the QT internal: Ondansetron is so notorious for QT prolongation and cardiac arrhythmia problems that we have to perform an EKG before we’re allowed to give you a second dose on our cardiac unit.

I have scary anecdotes that bias me against it lol

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4 points

A relatively niche case, to be sure, but thank you for pointing it out.

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3 points
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Yeah, long QT syndrome is estimated around 1/2000 people. Relatively rare. I fully confess that I’m just traumatized by my personal experiences with patients taking the drug lol

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2 points

Thats why I’m doing this thread, its a labor of love and curiosity but I’m intrigued to hear everyone dish freely about such a mundanely “taboo” subject

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3 points

My wife has been on 8mg twice daily (oral dissolving and tabular at different times) + domperidone and it’s still not altered a chronic nausea that started at pregnancy. Little ones second birthday in a week, not a day without throwing up within minutes of eating or drinking anything at all - paramedics called it a starvation diet.

Not that there’s anything you can do, just getting increasingly desperate and throwing this out there in case anyone has anything to relate to this.

Super glad it’s working for you though - it’s a wonder drug for so many people!

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3 points

I am so sorry that she’s dealing with this. I’ve heard of successful treatment of intractable nausea using biofeedback therapy. The idea being that the body gets stuck in a negative feedback loop and trying to reverse that back to previous functioning.

https://www.researchgate.net/publication/314851129_Biofeedback_and_visualization_to_control_nausea_and_vomiting

https://pubmed.ncbi.nlm.nih.gov/21154016/#:~:text=Treatment outcome suggests that vomiting,bodily control and self-efficacy.

I hope this gets better for her.

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3 points

Thank you!! I’ve been convinced it’s a negative feedback loop myself but I’ve not been able to find anything worthwhile on this. This is super and I’ll be taking a close look tonight to add this to my Zotero library. I’ve been shut down by doctors before on cyclic vomiting syndrome but this looks very promising and worth a shot for sure especially with that shared etiology.

Take care!

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3 points
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Has she ever tried cannabis, don’t like cancer patients often find it helpful enough for their purposes? Any ideas as to the etiology of her conditon?

?Like, did the pregnancy flip some kind of epigenetic/latent switch of some sort?

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2 points

Just starting CBD (nondetect THC) oil as of a few days ago, no results yet. Correct, it’s what cancer patients typically are prescribed for nausea. Truthfully no idea on the epigenetic thing, I’ll have to dig more into that tonight. Any idea where I might look for more on that? I’ve mainly accumulated a large Zotero library of white papers on hypermedia gravidarum, POTS, bacterial infections like h pylori, hormonal triggers, dopamine receptor dysfunction, that sort of thing.

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3 points

Sorry it’s not working for her! I think pregnancy might be a special type of nausea that’s a little harder to treat… I know ondansetron is commonly given to cancer patients and it’s enough for many of them and not enough for others. For those of us with more mundane nausea, it really is a miracle drug.

I hope she find something that helps her or she gets past the nausea stage soon. And congratulations on the upcoming family addition.

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2 points

Pregnancy is a beast! We’re lucky he’s already with us, almost turning 2! Still sick however, curiously for a few minutes immediately after birth she felt 100% better but that came back permanently the instant she started to breastfeed the first time.

Thanks for your well wishes! Best to you.

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1 point

Is there any body dysmorphia/eating disorder history?

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2 points

None, one hypothesis is that during severe hyperemesis gravidarum in pregnancy the stomach lost the ability to tolerate food. The resulting low nutrition led to a complete lack of complex sugars in the bloodstream and a cycle of being unable to eat.

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1 point
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Where do you get it?

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3 points

It’s by prescription only, but is an inexpensive prescription.

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