Pregnancy nausea guide

Nausea and vomiting in pregnancy online

For adults 18 or older with a positive pregnancy test, less than 20 weeks along, whose nausea started before 16 weeks, who can still eat and drink normally, and for whom small, frequent meals have not helped enough.

Start online

Start a $59 online review for Pregnancy nausea (morning sickness).

Many people feel sick to their stomach or throw up in early pregnancy. It often starts between 4 and 7 weeks and is worst around 9 weeks. For 9 out of 10 people, it is gone by 20 weeks. If food changes have not helped enough, a pill can help. It is called doxylamine-pyridoxine (Diclegis). It is approved by the FDA for nausea and vomiting of pregnancy. It is a sleep-aid medicine plus vitamin B6.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Feeling sick to your stomach for much of the day in early pregnancy
Throwing up once or a few times a day
Nausea that started before 16 weeks of pregnancy
Small, frequent meals have not helped enough

May fit online care

Adults 18 and older
You are 18 or older, with a positive pregnancy test
You are less than 20 weeks pregnant
You can still eat and drink normally and do your daily things
You have a pregnancy doctor or midwife, or plan to see one soon

Look for another care setting

Bleeding from the vagina, or pain in your belly or one side (call 911 or go to the ER now).
Fainting or feeling like you will pass out, chest pain, shortness of breath, or a cold, clammy sweat (call 911 or go to the ER now).
Confusion, trouble walking straight, or jerky eye movements; vomit with blood or that looks like coffee grounds; a bad headache, vision changes, or pain under your right ribs (call 911 or go to the ER now).
Not keeping any fluids or pills down for 12 hours or more, very little or very dark pee, or feeling dizzy when you stand or a racing heart (go to the ER or urgent care today).
Not able to eat and drink normally, daily life made very hard, almost no food for a week, losing 5% or more of your weight, a severe nausea score, or a fever or burning when you pee (see a doctor in person today).
Nausea that started at 16 weeks or later, or being 20 weeks pregnant or more (see your pregnancy doctor or midwife).
Diabetes on medicine, epilepsy, HIV, an adrenal gland problem, or weight-loss surgery (see a doctor in person).
An MAOI, a prescription sleeping pill, an opioid, or another prescription nausea medicine (see a doctor in person).
This medicine already tried without help (see a doctor in person).
Narrow-angle glaucoma or high eye pressure, a stomach outlet blockage or ulcer, or trouble passing urine (see a doctor in person).
An allergy to doxylamine, a similar antihistamine, vitamin B6, or anything in the tablet (see a doctor in person).
Breastfeeding another child (see a doctor in person).
Under 18 (see your own doctor).

What to have ready

How many weeks pregnant you are, and when the nausea started
How many times you have thrown up in the last day
What you have tried for the nausea
Every medicine, vitamin, and supplement you take, including sleep aids

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

About Ankur Fadia, MD Verify Virginia medical license Verify West Virginia medical license Verify board certification

How do I take the pill?

You take 2 tablets at bedtime on day 1 and on day 2. If you still feel sick, you can take 3 a day and then 4 a day, as your instructions say. Never take more than 4 tablets in a day. Take them every day on an empty stomach, and swallow them whole.

Is it safe in pregnancy?

The FDA approved this pill for nausea and vomiting of pregnancy. The most common side effect is feeling sleepy. Do not drive until your doctor says it is OK, and do not drink alcohol with it. Tell your pregnancy doctor or midwife that you take it.

When should I get care right away instead?

Call 911 or go to the ER now for bleeding from the vagina, pain in your belly or one side, fainting, or chest pain. Go to the ER or urgent care today if you cannot keep any fluids down for 12 hours or more. See a doctor in person today if you cannot eat and drink normally.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Birth control Bacterial vaginosis Combined birth control Delay your period Morning-after pill Heavy menstrual bleeding