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Nausea and vomiting in pregnancy — GPhC CRA MCQ

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ModerateGI TherapeuticsNausea and vomiting in pregnancyGPhC CRA

A 30-year-old woman at 10 weeks' pregnancy asks for an antiemetic. She has persistent nausea, can keep fluids down, has no abdominal pain and no weight loss. She has tried dietary measures. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Refer to the GP to consider an antiemetic with pregnancy safety experience such as cyclizine.

When non-drug measures are insufficient in pregnancy, an antiemetic with established use such as cyclizine may be considered by an appropriate prescriber. Red flags are absent, but pharmacy supply options are limited and pregnancy requires careful selection. Domperidone and salicylate-containing products are not first-line OTC recommendations here.

Reference: NICE CKS; BNF