Re: Zofran for hyperemesis

From: FRANCES WREN (fwren@shaw.ca)
Tue Jun 19 01:51:02 2007


I usually at least START off with diclectin. frances wren

>----- Original Message -----
From: GIN11153@aol.com Date: Monday, June 18, 2007 8:00 pm Subject: Zofran for hyperemesis

> Friend of a friend's wife was prescribed Zofran for hyperemesis -
> she's in
> her first trimester. It's prohibitively expensive and they can't
> afford it
> because they have a new insurance plan with a huge deductible. He
> said 24 pills
> is several hundred dollars that they don't have. Costco's cash
> price for 30
> tabs is $1,256.44 !!!
>
> Can you suggest something cheaper?
>
> Gail Neuman RNC CPHW
> student midwife and student nurse practitioner
> certified high risk OB
> Perinatal Nurse Associates
> 801 N. Tustin Ave., Suite 305
> Santa Ana, CA 92705
> (714) 314-7070
> (714) 838-1479 fax
>

>From Len2976@aol.com Tue Jun 19 06:50:16 2007
Received: from imo-d22.mx.aol.com (imo-d22.mx.aol.com [205.188.144.208]) by dns.obgyn.net (8.11.6/8.11.6/dsb-1.1) with ESMTP id l5JBoAX15794 for <ob-gyn-l@obgyn.net>; Tue, 19 Jun 2007 06:50:10 -0500 Received: from Len2976@aol.com by imo-d22.mx.aol.com (mail_out_v38_r9.2.) id w.d58.be3f0bc (29678) for <ob-gyn-l@obgyn.net>; Tue, 19 Jun 2007 07:50:04 -0400 (EDT) From: Len2976@aol.com Message-ID: <d58.be3f0bc.33a91cec@aol.com> Date: Tue, 19 Jun 2007 07:50:04 EDT Subject: Re: Zofran for hyperemesis To: ob-gyn-l@obgyn.net MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="-----------------------------1182253804" X-Mailer: 9.0 SE for Windows sub 5036 X-Spam-Flag: NO

For nausea in pregnancy, I suggest trying a combination of Vit. B-6 and Unisom (which is the old Bendictin) first. Next, we usually prescribe phenergan.

For those patients that phenergan doesn't help or it makes too sleepy, we will suggest using zofran during the day and phenergan in the evening. Zofran is very expensive (up to $1000. per month) and many patients still have to pay ($200-$300) for what their insurance doesn't cover so I will suggest they try to take it only twice daily. Medicaid in Florida will only allow 6 tablets of Zofran a month without an override--even with it, the maximum is 60.

Lenora McCall, CNM

************************************** See what's free at http://www.aol.com.

-------------------------------1182253804 Content-Type: text/html; charset="US-ASCII" Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">

For nausea in pregnancy, I suggest trying a combination of Vit. B-6 and Unisom (which is the old Bendictin) first.  Next, we usually prescribe phenergan. 
 
For those patients that phenergan doesn't help or it makes too sleepy, we will suggest using zofran during the day and phenergan in the evening.  Zofran is very expensive (up to $1000. per month) and many patients still have to pay ($200-$300) for what their insurance doesn't cover so I will suggest they try to take it only twice daily.  Medicaid in Florida will only allow 6 tablets of Zofran a month without an override--even with it, the maximum is 60. 
 
Lenora McCall, CNM




See what's free at AOL.com.




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Jul 2 05:12:04 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.