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Doxylamine Succinate 10 mg/Ginger 600 mg/Pyridoxine HCl 40 mg Oral Capsules

Custom compounded at Bayview Pharmacy, this formulation of Doxylamine, Ginger, and Pyridoxine may help manage nausea and vomiting in pregnancy and motion sickness.
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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Doxylamine Succinate
Ginger
Pyridoxine Hydrochloride
Capsules
654ea6717d946030c2801f4d

Formula Information

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Doxylamine Succinate, Ginger, and Pyridoxine HCl Oral Capsules are a compounded medication designed to provide relief from nausea and vomiting, particularly that which is associated with pregnancy, known as morning sickness. Each capsule contains a precise dose of Doxylamine Succinate 10 mg, Ginger 600 mg, and Pyridoxine HCl 40 mg, encapsulated in either gelatin or vegetarian shells for ease of administration.

Doxylamine Succinate is an antihistamine that works by blocking certain natural substances (histamine, acetylcholine) that your body makes. The blocking action helps to reduce symptoms such as watery eyes and runny nose. Pyridoxine HCl plays a vital role in the body, aiding in the metabolism of amino acids, the creation of neurotransmitters, and the regulation of homocysteine levels, which can be associated with pregnancy-related nausea.

Ginger is a natural substance that has been used for centuries to treat various forms of nausea and vomiting. It is thought to work by promoting the flow of digestive juices, possibly having direct effects on the stomach and liver, and providing anti-inflammatory effects. The 600 mg dose in this formulation is intended to complement the antiemetic effects of Doxylamine and Pyridoxine, offering a multi-faceted approach to symptom relief.

This combination of Doxylamine Succinate, Ginger, and Pyridoxine HCl in a solid oral dosage form is designed to provide a synergistic effect for the management of nausea and vomiting. The capsules are easy to swallow and provide a convenient way to take the medication. It is important for patients and prescribers to note that while this formulation is commonly used to alleviate symptoms of morning sickness, it may also be beneficial for other types of nausea and vomiting, under the guidance of a healthcare professional.

As with any medication, it is essential to use this compound under the supervision of a healthcare provider, and it should be taken as prescribed. Patients should inform their healthcare provider of any other medications they are taking, as well as any pre-existing health conditions, to ensure the safety and efficacy of the treatment. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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The combination of doxylamine succinate, ginger, and pyridoxine HCl in oral capsules is often used to manage symptoms of nausea and vomiting, particularly in pregnancy-related morning sickness. Doxylamine is an antihistamine that can have sedative effects and works by blocking certain natural substances (histamine, acetylcholine) that your body makes. Ginger is a natural substance that may help to relieve nausea and vomiting, while pyridoxine, a form of vitamin B6, is often used to prevent or treat low levels of vitamin B6 and to treat nausea during pregnancy.

When considering drug interactions, it is important to note that doxylamine succinate can interact with other medications that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, diphenhydramine). The sedative effects of doxylamine may be enhanced by monoamine oxidase inhibitors (MAOIs), which could increase the risk of side effects. Additionally, anticholinergic drugs (such as benztropine, belladonna alkaloids) may interact with doxylamine, potentially increasing the risk for anticholinergic side effects like dry mouth, constipation, or urinary retention.

Ginger may interact with anticoagulant and antiplatelet drugs (such as warfarin, aspirin, clopidogrel) by affecting blood clotting. Therefore, caution is advised when patients are on blood thinners. Pyridoxine can reduce the effectiveness of certain medications such as levodopa, which is used to treat Parkinson's disease, by increasing its breakdown in the body. However, this interaction does not occur if levodopa is taken with carbidopa. Pyridoxine may also interact with phenobarbital and phenytoin, potentially decreasing the levels of these anticonvulsant drugs in the blood and reducing their effectiveness.

It is crucial for patients and prescribers to be aware of these potential interactions and to manage them appropriately. Patients should be advised to inform their healthcare provider of all medications, supplements, and herbal products they are currently taking before starting this combination therapy. Additionally, patients should be monitored for increased sedation if they are taking other CNS depressants, and for signs of bleeding if they are on anticoagulant or antiplatelet medications. Adjustments to therapy or additional monitoring may be necessary to safely use this formulation.

If you have any questions or require further information regarding drug interactions with this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this medication.

How Does it Work

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The Doxylamine Succinate 10 mg/Ginger 600 mg/Pyridoxine HCl 40 mg Oral Capsules are a solid dosage form designed to alleviate symptoms associated with nausea and vomiting, particularly that which is experienced during pregnancy, known as morning sickness. Each of the active ingredients in this formulation plays a specific role in managing these symptoms.

Doxylamine succinate is an antihistamine that works by blocking the action of histamine, a substance in the body that can contribute to nausea and vomiting. It has sedative properties, which can also help to reduce the frequency of these symptoms, especially when they interfere with sleep. The inclusion of doxylamine succinate in this formulation helps to control the nausea and vomiting reflex.

Ginger, a natural substance with a long history of use for its gastrointestinal benefits, contains compounds like gingerols and shogaols. These compounds have been shown to aid in the digestion process and improve the speed at which the stomach empties, which can help reduce the sensation of nausea. Ginger is also thought to have direct effects on the brain and nervous system, which can help decrease feelings of nausea.

Pyridoxine HCl, commonly known as Vitamin B6, is included in this formulation for its role in the management of nausea and vomiting. Pyridoxine is essential for many processes in the body, including neurotransmitter synthesis. It is believed that pyridoxine can help to reduce nausea by modulating the activity of neurotransmitters that trigger the vomiting reflex.

The combination of these three ingredients in a single capsule provides a multi-faceted approach to the management of nausea and vomiting. The solid dosage form, consisting of two gelatin or vegetarian shells, encloses the medication and ensures that patients receive a precise dosage of each active ingredient. This form of delivery is convenient for patients, as it allows for easy swallowing and can be taken with or without food, depending on the patient's preference or as advised by a healthcare professional.

It is important for both patients and prescribers to understand how each component of this formulation contributes to its overall effectiveness. By combining an antihistamine with a natural gastrointestinal aid and a vitamin that supports neurotransmitter balance, this capsule is well-suited for individuals experiencing morning sickness or other forms of nausea and vomiting. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Other Uses

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The combination of Doxylamine Succinate, Ginger, and Pyridoxine HCl encapsulated within either gelatin or vegetarian shells comprises an oral capsule formulation primarily indicated for the management of nausea and vomiting associated with pregnancy, often referred to as morning sickness. However, this formulation may also harbor potential benefits for other uses due to the pharmacological properties of its individual ingredients.

The sedative effect may enhance sleep quality in individuals experiencing disruptions due to mild nocturnal symptoms or jet lag.

Ginger, a natural substance with a long history of use for gastrointestinal discomfort, can potentially aid in the treatment of other forms of nausea not related to pregnancy. This includes nausea induced by motion sickness, certain medications, or chemotherapy, as well as aiding in digestive health by helping to alleviate symptoms of indigestion and bloating. Moreover, ginger possesses anti-inflammatory properties that may be beneficial in managing symptoms of osteoarthritis and may have a positive impact on cardiovascular health by contributing to the normalization of blood lipids and supporting circulatory function.

Pyridoxine HCl, also known as Vitamin B6, is critical for normal brain development and function. It may be used to prevent or treat low levels of vitamin B6, which can occur in certain conditions such as with kidney disease, alcoholism, or during pregnancy. Its role in amino acid metabolism also suggests it may help in managing symptoms related to premenstrual syndrome (PMS) and in the formation of neurotransmitters which could have an impact on mood and cognitive functions.

It is important to note that the off-label usage of this formulation should be done under the guidance of a healthcare professional. The dosages of each component in this combination capsule are tailored primarily for the treatment of nausea and vomiting related to pregnancy. Therefore, if considering use for other conditions or symptoms, the appropriateness of the formulation should be carefully evaluated, and it may be necessary to adjust dosages or prescribe different formulations of these individual components to ensure safety and efficacy.

Patients or prescribers interested in exploring the broader applications of the Doxylamine Succinate 10 mg/Ginger 600 mg/Pyridoxine HCl 40 mg Oral Capsules are encouraged to reach out to us at Bayview Pharmacy for more personalized information and guidance. Our team of compounding pharmacists can provide comprehensive advice on potential uses, expected benefits, and precautionary measures to maximize the effectiveness while minimizing risk.

Frequently Asked Questions

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What is the purpose of this compounded doxylamine succinate, ginger, and pyridoxine HCl oral capsule?

This compounded medication is designed to provide relief from nausea and vomiting, particularly that related to pregnancy-induced morning sickness. The specific formulation contains active ingredients that work together to help control symptoms.

How should I take these oral capsules?

The capsules should be taken orally with a full glass of water. It is important to follow your healthcare provider's instructions regarding the dosage and schedule. Do not crush or chew the capsules, as they are designed to release the medication at a steady rate.

Can I open the capsule and mix the contents with food or liquid?

No, the capsules should be swallowed whole. Opening the capsule may affect how the medication is released and absorbed by your body and could compromise the effectiveness of the treatment.

Are these oral capsules suitable for vegetarians?

The capsules can be made with either gelatin or vegetarian shells depending on your preference. Please notify your pharmacist or healthcare provider if you require vegetarian capsules.

What are the potential side effects of this medication?

Possible side effects could include drowsiness, dry mouth, and mild headache. If you experience any severe side effects or signs of an allergic reaction, such as difficulty breathing or rash, contact your doctor immediately.

Can I take this medication if I am pregnant or breastfeeding?

This formulation is commonly used for morning sickness during pregnancy. However, you should consult your healthcare provider before starting any medication during pregnancy or while breastfeeding to ensure it is safe for you and your baby.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should this medication be stored?

Keep the capsules in their original container, tightly closed, and out of reach of children. Store at room temperature, away from excessive heat and moisture. Do not store in the bathroom.

Can I drink alcohol while taking this medication?

It is generally recommended to avoid alcohol while taking this medication as it could exacerbate drowsiness, a common side effect of doxylamine succinate, and could potentially interfere with the effectiveness of the treatment.

Is it safe to drive or operate heavy machinery after taking this medication?

Given that doxylamine succinate can cause drowsiness, it is advised to avoid driving or operating heavy machinery until you know how the medication affects you.

What should I do if I have an allergic reaction to this medication?

If you experience symptoms of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat, seek emergency medical attention immediately.

Can other medications I'm taking interact with this compounded capsule?

Yes, like all medications, this compounded capsule may interact with other drugs. Inform your healthcare provider about all medications, supplements, and herbs you are currently taking to ensure there are no risky interactions.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Related Formulas

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NY, NJ, NH, FL, and ME. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Doxylamine Succinate 10 mg/Ginger 600 mg/Pyridoxine HCl 40 mg Oral Capsules
Capsules
90 capsules
controlled

Take 1 capsule by mouth