Nausea and vomiting in pregnancy (NVP) is common, but when does it become a concern? Here’s a practical, tiered approach for your clinic. Step 1: Lifestyle & Diet (First Line) ✓ Counsel patients on small, frequent, bland, and dry meals. ✓ Recommend ginger (e.g., in tea or capsules) - it's scientifically proven to help! Step 2: Pharmacotherapy 💊 1st Line: Doxylamine (12.5mg) Pyridoxine (Vit B6, 25mg). Safe and effective. 💊 2nd Line: If the first line fails, consider Metoclopramide. 💊 3rd Line:
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