title: Nausea and vomiting of pregnancy. Evidence-based treatment algorithm.
abstract: OBJECTIVE
  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?
  
  
  CONCLUSIONS
  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.
authors.affiliation: Hospital for Sick Children, Toronto, Ont.
authors.forename: Zina
authors.initials: Z
authors.lastname: Levichek
authors.forename: Gardana
authors.initials: G
authors.lastname: Atanackovic
authors.forename: Dick
authors.initials: D
authors.lastname: Oepkes
authors.forename: Carolyn
authors.initials: C
authors.lastname: Maltepe
authors.forename: Adrienne
authors.initials: A
authors.lastname: Einarson
authors.forename: Laura
authors.initials: L
authors.lastname: Magee
authors.forename: Gideon
authors.initials: G
authors.lastname: Koren
mesh_terms: D000328:Adult; D000465:Algorithms; D000932:Antiemetics / Q000627:therapeutic use*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D009325:Nausea / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000628:therapy*; D014839:Vomiting / Q000209:etiology / Q000628:therapy*
chemical_list: D000932:Antiemetics