Well, here it is, my new and improved protocol!!! Please add any imput you feel is helpful, as Im always looking for suggestions. Also, I didnt add stuff about preparing my house, food for fmaily when pregnant, but have a game plan here, just not actually typed!!! We met with my Peri earlier in the week and he is on board with our plan so far!
Here it is:
Protocol for HG Treatment:
Prior to TTC:
• B6- 100 mgs daily
• Folic Acid- 800mgs
• Rainbow Light Just Once Daily prenatal vitamins
• Exercise 3 to 5 times weekly
• Stay hydrated.- brink a minimum of 40 oz of non-caffeinated liquid daily
• Acupuncture Treatments to promote good health
• NAET allergy elimination treatments
• Chinese Herbs as directed by DR for Body Detox and overall improved health
• Ensure you are mentally and physically healthy
• Aciphex 20mgs daily (40 mgs if needed)
Upon Positive Pregnancy Test:
• Increase B6 intake. Take in 25 or 50 mgs doses. Increase up to 150 mgs. At worst nausea may take up to 200 mgs- not to exceed this dose for more than 1 month, as it may cause nerve damage over a prolonged period of time. If oral pills are not tolerated, use sublingual.
• Add Unisom, up 75 mgs a day. Comes in 25 mg tabs. May break into ¼ to ½ tabs to reduce drowsiness affect. Pair with B6 for best effectiveness.
• Ginger Root:- capsules up to 1000 mgs daily.
• Stop taking Chinese herbs.
• Start taking (500 to 1000 mgs) Dandelion Root and/or Milk Thistle (1000 mgs) for increased liver function.
• Call Mom and make flight arrangements for her trip.
As Nausea increases:
• Zofran (start will pill, then try ODT if pills wont stay down)- up to 32 mgs daily. Try: 8 mgs every 6 hours. Do NOT delay taking this if the previous meds are not addressing the nausea and vomiting.
• Increase Acupuncture treatments to help reduce nausea.
Consider the following:
• Phenergan- suppositories (25 mgs). Cut in half lengthwise to use as necessary, OR oral
• Consider Vistaril- up to 25 mgs every 6 to 8 hours (this may additionally help with anxiety). – not sure if this can be taken with other antihistamines (Unisom, Dramamine, meclizine).
• Switch from Unisom to one of the following: Meclizine- up to 75 mgs daily. Pills may be split as well. Benedryl- 200 mgs daily in 25 mgs increments. Ambien- 5 mg tabs, may be split into smaller doses to reduce drowsiness. Dramamine- 50 mgs every 4 hours.
• Add Sea Bands for motion sickness to see if they offer any relief.
-Address any anxiety/depression issues as they occur. See what options for medication/therapy can be put into place.
If not feeling relief TRY alternate drugs approved by Dr or try different combinations of drugs to see if any relief can be found.
If Dehydration Occurs:
• Preferable: Home IV Therapy. Lactated ringers or glucose with saline. Instead of 24 hour hydration try for 1 bag over a 1 to 2 hour period, with a 6 hour break. I felt BETTER when the hydration went in faster vs slower.
• Consider using a PICC line for hydration, as the smaller IVs cause phlebitis easily for me and need to be changed more frequently.
If Dehydration is NOT a continuous issue, and ODT Zofran is not working as effectively, try a Zofran Pump. (This is portable and can be worn easily in taking care of Madison and going to work.)
If Nausea and Vomiting Continue excessively after 12 weeks:
• Steroid Treatments: Prednisone with a low taper rate of 5 mgs. This is a Cat B steroid. Other steroids used are decadron and Solu-medrol. Opt for the “safestâ€ÂÂ