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There are different treatments for nausea and vomiting in pregnancy. According to the ACOG recommendations, promethazine is the first line of parenteral treatment after oral treatment had failed. Thiamine is given to prevent wernicke encephalopathy. This research try to find out whether thiamine helps the vomiting and nausea as well, by comparing the response to thiamine and promethazine in women who suffer from nausea and vomiting in pregnancy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1. thiamine | Active Comparator | Pregnant women until 12 week of gestation who refer to the ER because of nausea and vomiting and didn't improve after hydration, will receive thiamine IV |
|
| 2. promethazine | Active Comparator | Pregnant women until 12 week of gestation who refer to the ER because of nausea and vomiting and didn't improve after hydration, will receive promethazine IV |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| thiamine & promethazine | Drug | thiamine 100 mg IV promethazine 25 mg IV |
|
| Measure | Description | Time Frame |
|---|---|---|
| the improvement in nausea and/or vomiting after treatment | 2 months after first visit in ER (until 14 week of pregnancy) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yfat Kadan | haemek medical center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gynecologic department, Haemek medical center | Afula | Israel |
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| ID | Term |
|---|---|
| D006939 | Hyperemesis Gravidarum |
| D009325 | Nausea |
| D014839 | Vomiting |
| ID | Term |
|---|---|
| D048968 | Morning Sickness |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D013831 | Thiamine |
| D011398 | Promethazine |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
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| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006573 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |
| D011437 | Propylamines |
| D000588 | Amines |
| D010640 | Phenothiazines |
| D006575 | Heterocyclic Compounds, 3-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |