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Posted 29 January 2013 - 05:01 PM
I was prescribed the 8mg tablets. They're expensive and I'm not super keen on taking pills all the time so I just take half or one when I feel the need (half a pill for the past two days for example). I've got 2 questions, is it a problem to do this?
My second question is about the constipation. There's a recent thread about constipation but I just don't think Metamucil is gunna cut it. I took a movical sachet and it didn't really help. What do others do? Oh, I'm also on elevit.
Thanks in advance!
Posted 29 January 2013 - 05:10 PM
I assume you have been prescribed Zofran due to HG?
I take Zofran for HG - I take 4mg on a as needs basis but my GP prescribes 8mg and tells me to halve it to help reduce cost. If you have PHI check to see if you can recoup some of the cost.
Constipation coloxyl should do the trick make sure you take one WITHOUT senna.
If you have HG talk to your caregiver about Restavit and vitamin B6 for treatment, these are cheaper than Zofran. By taking these I have gone from needing Zofran twice a day to only on bad days which is about once a week.
Posted 29 January 2013 - 05:17 PM
Yes it is fine to take half. They are expensive but you may find you need the whole one. None of us liked taking them but its that or near death hg pregnancy. It cost me a fortune.
The constipation was horrific. Nothing at all worked for me. I had a few microlax enemas in hospital trips. Otherwise you don't even want to know lol.
Edited by Chedasha, 29 January 2013 - 05:18 PM.
Posted 29 January 2013 - 05:26 PM
I was taking 1-2 8mg a day. I stopped for a little bit because of the constipation, but in the end decided that the pain from that was the lesser of two evils. I couldn't do anything without it, so just put up with the constipation and upped my intake of water and pear juice.
Posted 29 January 2013 - 05:35 PM
Prune juice..... ahhhhh.... Take a cup ie: 250 ml and wait half an hour. Near a toilet. If nothing: Take another cup. Two cups really should do it. Prunes themselves don't seem to work as well.....
Prune juice works by drawing water into the bowel, so drink lots of water as well !
Good luck ! Its AWFUL. We went through $4,500 k for my second pregnancy, with me only taking 1/2 a tablet a day when I really needed two......
I've heard that if you can get a hospital script ie: you fill it at the Hospital pharmacy, its much cheaper - talk to your Ob !!
Posted 29 January 2013 - 06:00 PM
Zofran is a lifesaver - the half a tablet a day is worth every cent in my opinion. And I'm sure it costs less than my husband spends on coffee, wine, magazines, records and other superfluous spending each week, so I'm not going to feel guilty about the money when I need it to function.
As for whether taking Zofran is safe...
A close friend took 4 x 8mg wafers per day from six weeks preg till she delivered at seven months. Her twins are seven now and absolutely thriving - if the Zofran and 2 months prem birth had any negative impact on them I swear, you'd never know.
Also, a close friend is an obstetrician and is always lovely about answering my questions. When I told him my concerns about taking Zofran he laughed and said it's fine, nothing to worry about. I don't know why this reassured me more than my doctor telling me it was safe, but I know my friend would have discussed it if there were risks (he took very seriously my concerns about 12 week testing, for example). He said they give Zofran to kids who come into emergency with gastro.
By the way, I found a variation in price depending on Zofran or generic and even which chemist I bought it at. Zofran 10 x 8mg tablets cost me $85ish at one chemist, but another chemist sold me a generic (Onsetron?) 10 x 8mg wafers for only $65. When I bought the next lot at the same chemist but from a different pharmacist I was charged $75ish but I asked why the price had gone up from $65 and the pharmacist said he'd give them to me for $65 again. May be worth asking around your local chemists to see if they stock the generic and can lower the price a bit...
Posted 29 January 2013 - 06:04 PM
Thanks so much for your replies. I'll try the prune juice, the prunes didn't work but hopefully the juice does.
Posted 29 January 2013 - 06:24 PM
You could try 100% cranberry juice from healthfood shops. Sour as. But many have success.
Posted 30 January 2013 - 10:31 PM
It might not be an option for you (and you may not want to do it if it is) but I got a prescription for ondansetron made up at a compounding pharmacy and it was significantly cheaper than the wafers.
Posted 31 January 2013 - 01:26 AM
Yes the constipation sucks but it's nothing compared to feeling so sick light headed and not being able to keep anything down. Saying that though I didn't get really bad constipation.
I have always found kiwi fruit works well. After I had ds2 I suffered got told to try kiwi fruit so ate two of them each day and it worked very well.
Posted 31 January 2013 - 05:47 AM
I didn't use zofran for preg but I use it when I have a migraine, I have both the 4mg tablets and the 8mg tablets. I have found the packet where I go the 4mg tablets are cheaper then the 8mg by a bit more then half.
Posted 03 February 2013 - 11:40 AM
I asked my local chemist the price of both the 4mg and 8mg zofran and she said it's the same, so my GP prescribes 8mg and I break them in half. Initially I needed 8mg/day, then I got down to 4mg, then broke them into quarters for 2mg doses, and now I can go 2 days with no zofran before needing 2mg.
As for the constipation, I tried eating lots of fruit, prunes and fruit cake (especially over Christmas), but what has worked best is that my naturopath said Vit C and Mg would help. So I now take 1-2 teaspoons each of Metagenics Fibroplex Plus (ie Mg powder) and my naturopath's brand of High Potency Vit C powder. No more constipation at all!!
The Vit C also helps support immune function, collagen formation, maintenance of healthy capillaries, improves iron absorption and helps you to avoid UTIs. The Mg stops muscle cramps, relieves migranes/headaches, maintains a healthy stress response, helps cellular energy production and assists to keep your blood glucose levels stable (unstable levels make HG worse). I was also taking 250mg of B6, but stopped this at 14wk because the placenta has taken over by then so the B6 is no longer of use for the HG. I see a naturopath who specialises in fertility and PG and my doc is completely happy with all of the things I'm taking. Plus so much better to be taking something that helps to fix other issues in your body than to take laxatives which so many OBs prescribe along with zofran.
Posted 03 February 2013 - 11:50 AM
I had to use glycerine suppositories. Nothing cured the constipation on Zofran and I tried EVERYTHING! When my body did finally decide to go it was awful - cramps, pain, more nausea. Horrible
Posted 03 February 2013 - 11:54 AM
In both pregnancies i used Zofran and I halved them a lot. At first i needed the 8mg ones , then as it eased I halved them , then i even quartered them! Was a bit tricky but it worked when i just needed a bit. Was cheaper to get the 8mg ones.
The constipation is awful I cut out the elevit altogether for while when i was on a higher zofran dose as the iron in it makes it worse..plus i couldnt swallow them when i had HG made me gag! You can start back on them later when youre feeling better.
I also took Nulax..which is a fruit laxative. It does have some senna in it which is not generally recommended in pregnancy but my pharmacist said just using short term and small amounts should be fine. I only needed a tiny bit to get me moving! I took it in both my pregnancies ..just when it was really bad, and i had no ill effects but you might want to check with your Dr. or midwife before u take anything.
Posted 03 February 2013 - 12:09 PM
Another who broke the 8mg in half. I found Osmolax helped (similar to movical but worked bit better for some reason and can easily adjust the dose as it is scoops) plus ensuring 2+ litres of water
Posted 03 February 2013 - 05:14 PM
Zofran, is definitely a lifesaver but I found the constant constipation really bad!
My doctor said that Osmolax was better than Metamucil as it apparently has no taste, but being so nauseous I was not able to keep either of them down.
In the end the only saviour was taking a few Coloxyl pills every few pills to help me get more regular!
Hang in there, this too shall pass!
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