{"id":52872,"date":"2023-09-20T09:39:35","date_gmt":"2023-09-20T09:39:35","guid":{"rendered":"https:\/\/medsname.com\/doxinate\/"},"modified":"2026-04-30T10:25:14","modified_gmt":"2026-04-30T10:25:14","slug":"doxinate","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/doxinate\/","title":{"rendered":"Doxinate"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Doxinate?<\/h3>\n<p style=\"margin:0;\"><strong>Doxinate<\/strong> is a fixed-dose tablet of <strong>doxylamine succinate 10 mg + pyridoxine (vitamin B6) 10 mg<\/strong> &mdash; the ACOG and FDA-endorsed <strong>first-line pharmacotherapy for nausea and vomiting of pregnancy (NVP)<\/strong>. The combination is also marketed as Diclegis (US) and Cariban (EU). Doxylamine is a sedating H1-antihistamine; pyridoxine reduces nausea via mechanisms not yet fully understood. Standard regimen: <strong>2 tablets at bedtime<\/strong>, with 1 morning + 1 afternoon doses added if symptoms persist. Onset 4&ndash;6 hours, so the bedtime dose targets early-morning sickness. WHO-GMP certified manufacturer.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase:<\/strong> \u2714 <strong>\u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b1\u03c0\u03cc \u03c4\u03b7 WHO-GMP \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae<\/strong> &#10004; Discreet packaging &#10004; Worldwide shipping &#10004; <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">Verified customer reviews (1,400+ customers)<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u03a4\u03b1 \u03b3\u03b5\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03ac \u03bc\u03b1\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd WHO-GMP \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03bf\u03c3\u03bc\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae, \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u2014 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u03b4\u03c1\u03bf\u03bc\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae (\u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03ad\u03c2 \u03b5\u03ba\u03ba\u03b1\u03b8\u03ac\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ce\u03bd \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u2014 \u03c0\u03bf\u03c4\u03ad \u201cMedsBase\u201d \u03ae \u03bf\u03c0\u03bf\u03b9\u03bf\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5). \u0393\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b5\u03ba\u03c4\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03c1\u03c5\u03c0\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b1\u03c0\u03b5\u03b6\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac SEPA. \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u0395\u03be\u03b1\u03c3\u03c6\u03b1\u03bb\u03af\u03c3\u03b5\u03ce\u03c2 \u03bc\u03b1\u03c2.<\/p>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>&#128161; First-line for NVP per ACOG (2024) and FDA.<\/strong> Pyridoxine-doxylamine has the strongest evidence base in pregnancy of any antiemetic. The FDA category was upgraded to A in 2013 after a meta-analysis of &gt; 200,000 exposures showed no teratogenic signal. NICE 2024 places it as first-line for NVP after non-pharmacological measures. It is preferred over metoclopramide, ondansetron, and prochlorperazine for first-trimester use.<\/div>\n<h3 class=\"wp-block-heading\">\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>Doxinate is supplied from a <strong>\u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b1\u03c0\u03cc \u03c4\u03b7 WHO-GMP \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae<\/strong>. Every order ships discreetly worldwide and is covered by our <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\">\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/a> &mdash; if it does not arrive within 20 business days, we reship at no cost. It is the only antiemetic combination with FDA Category A status in pregnancy and is recommended first-line by ACOG, NICE, and the SOGC for nausea and vomiting of pregnancy.<\/p>\n<h2 class=\"wp-block-heading\">Mechanism<\/h2>\n<p>Doxylamine is a first-generation ethanolamine H1-antihistamine with strong central penetration; H1 antagonism in the brainstem vestibular nuclei and CTZ produces antiemetic effect, with the sedation and anticholinergic activity that characterises this antihistamine class. Pyridoxine (vitamin B6) is a cofactor for &gt; 100 enzymes including dopa decarboxylase and glutamate decarboxylase; the precise antiemetic mechanism in pregnancy is unclear but a randomised trial (Sahakian 1991) showed independent benefit at 30 mg\/day and the combined product is more effective than either alone.<\/p>\n<h2 class=\"wp-block-heading\">\u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li>Nausea and vomiting of pregnancy (NVP) including hyperemesis gravidarum (initial therapy)<\/li>\n<li>Insomnia in pregnancy (off-label, low evidence)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dose &mdash; standard NVP regimen<\/h2>\n<p>Day 1: 2 tablets at bedtime. Day 2: 1 morning + 2 bedtime if symptoms persist into next day. Day 3+: 1 morning + 1 afternoon + 2 bedtime (4 tablets\/day max). Single doses are insufficient because steady-state takes 2&ndash;3 days. Continue until symptoms stable, then taper over a week.<\/p>\n<h2 class=\"wp-block-heading\">\u03a0\u03b1\u03c1\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2<\/h2>\n<ul>\n<li>Drowsiness (very common &mdash; the bedtime-loaded schedule mitigates this)<\/li>\n<li>Dry mouth, blurred vision, urinary hesitancy (anticholinergic)<\/li>\n<li>\u0394\u03c5\u03c3\u03ba\u03bf\u03b9\u03bb\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1<\/li>\n<li>Dizziness, headache<\/li>\n<li>Allergic skin reactions (rare)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<ul>\n<li>Other CNS depressants (alcohol, opioids, benzodiazepines): additive sedation &mdash; avoid alcohol entirely in pregnancy.<\/li>\n<li>Other anticholinergics: additive dry mouth, constipation, urinary retention.<\/li>\n<li>MAO inhibitors: avoid combination.<\/li>\n<li>Levodopa: pyridoxine increases peripheral conversion; significant only without carbidopa.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3 class=\"wp-block-heading\">When in pregnancy can I take Doxinate?<\/h3>\n<p>It can be started as early as the first symptoms of NVP appear &mdash; typically week 6 of pregnancy. Continue for as long as symptoms persist, usually peaking at weeks 9&ndash;12 and resolving by 16&ndash;20.<\/p>\n<h3 class=\"wp-block-heading\">Will it harm the baby?<\/h3>\n<p>There is no evidence of teratogenic effect. The FDA upgraded the category to A in 2013 after a large meta-analysis of &gt; 200,000 exposures. It has been used in millions of pregnancies since the 1950s.<\/p>\n<h3 class=\"wp-block-heading\">Why two tablets at bedtime?<\/h3>\n<p>The peak antiemetic effect occurs 4&ndash;6 hours after a dose. Loading the bedtime dose targets early-morning sickness, when symptoms are typically worst.<\/p>\n<h3 class=\"wp-block-heading\">Will it make me sleepy during the day?<\/h3>\n<p>Possibly. The bedtime-loaded schedule minimises daytime drowsiness, but the morning and afternoon doses can still cause sleepiness. Do not drive until you know how it affects you.<\/p>\n<h3 class=\"wp-block-heading\">Can I take it with ondansetron?<\/h3>\n<p>Yes, this is a recognised step-up if pyridoxine-doxylamine alone is insufficient. ACOG places ondansetron as second-line in NVP (after week 10) due to a small signal for cleft palate in early use.<\/p>\n<h3 class=\"wp-block-heading\">When should I worry?<\/h3>\n<p>Severe vomiting (&gt; 3 times\/day), inability to keep fluids down, weight loss &gt; 5 percent of pre-pregnancy weight, ketones in urine, or signs of dehydration require urgent obstetric review &mdash; this is hyperemesis gravidarum and may need admission.<\/p>\n<h3 class=\"wp-block-heading\">Are non-drug options worth trying first?<\/h3>\n<p>Yes. Small frequent meals, ginger, acupressure (P6 wristbands), avoiding triggers (smells, fatty foods), and vitamin B6 monotherapy (10&ndash;25 mg three times daily) are recommended starting points and often help mild NVP.<\/p>\n<h3 class=\"wp-block-heading\">Do I have to stop if my symptoms improve?<\/h3>\n<p>You can taper down rather than stop abruptly &mdash; many women find that stopping completely allows symptoms to recur. Step down by one tablet every 1&ndash;2 days as tolerated.<\/p>\n<h3 class=\"wp-block-heading\">\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7<\/h3>\n<p>Below 30&deg;C, protect from moisture. Keep out of reach of children.<\/p>\n<h3 class=\"wp-block-heading\">\u03a4\u03b9 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03bd \u03c7\u03ac\u03c3\u03c9 \u03bc\u03b9\u03b1 \u03b4\u03cc\u03c3\u03b7;<\/h3>\n<p>Take it when you remember unless it is close to the next scheduled dose. Do not double up &mdash; that just increases drowsiness.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Other Gastro Health Medications<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/dompewal-tablet\/\">Dompewal &mdash; Domperidone (alternative for non-pregnancy nausea)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/reglan\/\">Reglan &mdash; Metoclopramide (second-line in pregnancy)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/stemetil\/\">Stemetil &mdash; Prochlorperazine (third-line in pregnancy)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/zofer\/\">Zofer &mdash; Ondansetron (NVP second-line after week 10)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/folvite\/\">Folvite &mdash; Folic acid (pregnancy supplement)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/gastro-health\/\"><strong>Browse all Gastro Health Medications<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u0391\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u0395\u03c5\u03b8\u03cd\u03bd\u03b7\u03c2.<\/strong> This page is for informational purposes only and does not replace medical advice from a qualified healthcare professional. NVP that prevents fluid intake, causes &gt; 5 percent weight loss, or shows ketonuria is hyperemesis gravidarum and requires obstetric assessment.<\/div>","protected":false},"excerpt":{"rendered":"<p>Doxinate (Doxylamine 10 mg + Vitamin B6 10 mg) \u2014 ACOG\/NICE\/SOGC first-line pharmacological therapy for nausea-vomiting of pregnancy (NVP). FDA Pregnancy Category A.<\/p>","protected":false},"featured_media":52873,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3541,3141,3542,3342,3543],"product_tag":[3544,3545,3546],"class_list":{"0":"post-52872","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-emetic","7":"product_cat-category-overview","8":"product_cat-gastro-health","9":"product_cat-general-health","10":"product_cat-nausea-treatment","11":"product_tag-doxinate","12":"product_tag-doxylamine","13":"product_tag-vitamin-b6","15":"first","16":"instock","17":"shipping-taxable","18":"purchasable","19":"product-type-variable","20":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/52872","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=52872"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/52873"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=52872"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=52872"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=52872"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=52872"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}