Nausea after taking pre-exposure prophylaxis (PrEP)?
Hello doctor, I have been taking Escitalopram for about a week.
Since the second day, I have been experiencing nausea in the mornings or after meals, but it hasn't reached the point of vomiting.
Should I finish this month's supply before consulting with my doctor about changing medications? Additionally, do you have any recommendations for alleviating the nausea? Thank you for taking the time to respond.
J, 20~29 year old female. Ask Date: 2022/11/24
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it is recommended to take the medication after eating.
If there is no improvement, you can go to the hospital to get antiemetic medication.
Wishing you good health.
Reply Date: 2022/11/24
More Info
Managing nausea from birth control pills, such as the one you mentioned (Alesse), can be a common side effect, especially during the initial weeks of starting a new contraceptive regimen. Nausea may occur as your body adjusts to the hormones in the pills. Here are some tips on how to manage this nausea and when you should consider consulting your doctor.
Tips for Managing Nausea:
1. Take Pills with Food: Taking your birth control pills with a meal or a snack can help reduce nausea. Food can buffer the stomach and lessen the impact of the hormones.
2. Stay Hydrated: Drinking plenty of water throughout the day can help alleviate nausea. Dehydration can worsen feelings of nausea, so ensure you are consuming enough fluids.
3. Ginger or Peppermint: Natural remedies such as ginger tea or peppermint tea can be effective in soothing an upset stomach. Ginger has been traditionally used to combat nausea, while peppermint can help relax the stomach muscles.
4. Small, Frequent Meals: Instead of three large meals, try eating smaller meals more frequently throughout the day. This can help keep your stomach from feeling too empty or too full, both of which can trigger nausea.
5. Avoid Trigger Foods: Pay attention to what you eat and try to avoid foods that seem to worsen your nausea. Fatty, spicy, or overly rich foods can sometimes exacerbate feelings of queasiness.
6. Rest and Relaxation: Stress and fatigue can contribute to nausea. Ensure you are getting enough rest and consider relaxation techniques such as deep breathing or gentle yoga.
When to Consult Your Doctor:
If the nausea persists beyond the first month of taking the pills, or if it becomes severe, it is advisable to consult your healthcare provider. Here are specific situations when you should reach out:
- Persistent Nausea: If you experience nausea that does not improve after the first month of use, it may be a sign that the specific formulation of the pill is not suitable for you.
- Severe Symptoms: If you experience severe nausea that leads to vomiting or if you are unable to keep food or fluids down, you should seek medical attention.
- Other Side Effects: If you notice other concerning symptoms, such as headaches, mood changes, or any unusual symptoms, it’s important to discuss these with your doctor.
- Health Concerns: If you have any underlying health conditions or are taking other medications, it’s crucial to consult your doctor before making any changes to your birth control method.
Conclusion:
In summary, while mild nausea can be a common side effect of starting birth control pills, there are several strategies you can employ to manage it effectively. If symptoms persist or worsen, it is important to consult your healthcare provider to discuss your options, which may include switching to a different formulation or exploring alternative contraceptive methods. Always prioritize your health and comfort, and don’t hesitate to reach out for professional guidance when needed.
Similar Q&A
Managing Side Effects of Birth Control Pills: Tips and Nutritional Needs
Hello, doctor! I have a habit of taking contraceptive pills, but I occasionally feel nauseous and bloated, even though I have chosen a lower-dose medication. Are there any ways to improve this? Additionally, should I supplement with any extra nutrients while taking oral contracep...
Dr. Wu Huiling reply Pharmacology
The principle of oral contraceptives is to use medication to keep a woman's body in a constant state of pregnancy. Common short-term side effects include nausea, vomiting, breast tenderness, edema, headaches, elevated blood pressure, increased blood sugar, acne, and nervousn...[Read More] Managing Side Effects of Birth Control Pills: Tips and Nutritional Needs
Understanding Side Effects of Esmya Contraceptive Pills: What to Do?
Hello Doctor, I have never taken oral contraceptives before, and my menstrual cycle has been irregular since menarche. During health check-ups in high school and college, I had slightly elevated cholesterol levels. My weight is about 45 kg and my height is 156 cm. Due to contrace...
Dr. Huang Jianzhong reply Obstetrics and Gynecology
I have never taken oral contraceptives before, and my menstrual cycle has been irregular since menarche. During health check-ups in high school and college, I had slightly elevated cholesterol levels. My weight is approximately 45 kg and my height is 156 cm. Due to contraceptive ...[Read More] Understanding Side Effects of Esmya Contraceptive Pills: What to Do?
Managing Side Effects of Birth Control Pills: Safety of Combining Medications
Hello, I started taking Diane to adjust my menstrual cycle, but I'm experiencing significant side effects such as nausea, vomiting, and dizziness. I bought an antiemetic (a white round pill and a pink round pill) from the pharmacy, and the pharmacist said it would be fine to...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Nausea and vomiting are common adverse reactions associated with the use of Daliyan. It is unclear what specific antiemetic you are referring to; to avoid potential drug interactions, it is advisable to consult your original treating physician for further guidance. Thank you.[Read More] Managing Side Effects of Birth Control Pills: Safety of Combining Medications
Understanding Birth Control Pills: Symptoms and Pregnancy Concerns
My girlfriend has been taking the contraceptive pill for three months now, but recently, over the past 3 to 5 days, she has experienced symptoms such as vomiting, fatigue, increased hunger, and an increase in appetite. I would like to know how high the chance of pregnancy is and ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the failure rate of regular contraceptive pills is 0.5%, which means they are not 100% effective. Therefore, if you experience a delayed menstrual period or related symptoms, it is advisable to get checked. Additionally, the symptoms you described could also be caused by o...[Read More] Understanding Birth Control Pills: Symptoms and Pregnancy Concerns
Related FAQ
(Obstetrics and Gynecology)
Abortion Pill(Obstetrics and Gynecology)
Medication Consultation(Obstetrics and Gynecology)
Ovulation Medication(Obstetrics and Gynecology)
Medication To Delay Menstruation(Obstetrics and Gynecology)
Menstrual Regulation Medication(Obstetrics and Gynecology)
Drug Side Effects(Obstetrics and Gynecology)
Oral Contraceptives(Pharmacology)
Drug Interactions(Obstetrics and Gynecology)
Dysmenorrhea(Obstetrics and Gynecology)