- Zina Levichek,
- Gardana Atanackovic,
- Dick Oepkes,
- Carolyn Maltepe,
- Adrienne Einarson,
- Laura Magee and
- Gideon Koren
Abstract
QUESTION: One of my patients suffers from a moderate-to-severe form of morning sickness. She responded only partially to doxylamine and pyridoxine (Dicletin), and I wish to try adding another medication. What should my priority be? ANSWER: An algorithm used by Motherisk to manage thousands of patients takes a hierarchical approach to this condition. This approach is evidence based with regard to fetal safety as well as efficacy.