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I can see where the self dissolving would be more expensive. I would also seriously consider a higher dosage and splitting them. My DH has to split some meds that he's on and it's not hard. I did it when I weaned off the zofran. I'd try just a half dose and if it was enough then good, if not I'd still have the other half ready.
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@macintosh: hmm maybe because I worked in mental health they were a little more quick with their turn around... but doubtful because insurance is insurance! I remember going ape shit with a clinical review specialist (NOT a nurse) on the phone because he wouldn't approve a medication for someone with suicidal and homicide ideations. I had to go to their supervisor but I eventually got it approved. Crazy to me that they have non clinical people approving or denying medicine!
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@Mrs.Panda: Even more interesting! Do you think it's a red flag that my Midwife practice didn't seem to be aware of this process? I can't tell if she just didn't really want me to take the Zofran (tried to talk me into more "natural" remedies again) or if she just didn't know. I'm tempted to switch to an OB, but I feel like I should give the midwife thing a chance.
I'll definitely be calling the insurance company as well as the midwife practice to follow up tomorrow!
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@macintosh: well the only thing with Zofran is that it can be kind of hard on the kidneys, especially in women, when taken over a period of time. The liver as well but slightly less so, so I understand why your midwife is cautious with prescribing it. But you're right, the risk of dehydration is real too. Unisom may be a good option in the meantime as it can reduce nausea as well!
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@macintosh: we have BCBS federal...don't know if the company makes a difference, but when my husband needs pre-auths for his meds, they often can get them the same day or next, as long as its early in the day and a business day, not weekend. Good luck.
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@Mrs.Panda: the midwives keep saying Zofran is category C so they don't like to prescribe it. When I looked it up its category B! Ugh.
@78h2o: I wish! I found out the midwife never received the form from the insurance company so I had to call BCBSIL again to ask them to fax the form!
I checked prices at Walgreens vs. Target for 10 4mg oral tabs. Walgreens - $55, Target - $15! So I asked the midwife to call in a new script but they don't come in til the afternoon
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@macintosh: I can't believe they're saying that it's category C!
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@macintosh: Yeah it's actually debatable in some circles, it's technically a Cat B but some research has shown that maybe it should be put into Cat C because of some findings related to cardiac issues in newborns, but they haven't been able to establish a strong cause-and-effect link between the two. Have you tried Diclegis? It's really just an antihistamine and B-6, so essentially benadryl and B-6. And that stinks they didn't get the form! Ugh, I'm sorry you're going through this.
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@Mrs.Panda: I'm actually on diclegis too. I had been taking it only at night, but since I've run out of Zofran I'm taking it during the day too. I doesn't seem to do anything but makes sleepy and the past 2 nights I woke up nauseated at 3-4 am.
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@macintosh:
I'm sorry. It's just so limiting what can be done, especially in early pregnancy. I hope your Zofran situation gets sorted out but be careful with the amount you are taking. How far along are you again?
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I'm 12 weeks. As the midwife pointed out I should be feeling better by now, but I'm not. In fact I just threw up my breakfast, when normally only throw up at night. I was only taking 4 mg of Zofran 2-3x a day and that was enough to keep me from vomiting.
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@macintosh: Maybe you need to see a different midwife? It's all well and good to say you "should" be feeling better. But for many women the nausea lasts well into the 2nd trimester. I know that and I'm not a medical professional
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@ShootingStar: you know I've been seriously considering switching to an OB practice at the nearby hospital. I'm not medical professional either, but I'm intelligent and I educate myself and I don't like to be talked down to.
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@macintosh: Yeah at this rate I would switch to the OB. Nothing against midwives, but this particular one seems to not be as in tune to your needs or maybe she is too afraid of compromising her license. Make the call to see when they could get you in just so you have another option.
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@macintosh: "should" be feeling better is total BS. Morning sickness doesn't follow any kind of specific timeline. Some people don't even get it until the 2nd tri, other have it their whole pregnancy. Mine didn't even remotely start lessening until 17 weeks and then was totally gone by 22 weeks.
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@macintosh: switch doctors. You need to have someone who takes you seriously. If you have HG, which since you're still really sick, it's likely, nothing, I mean nothing, else will work. Not ginger, not saltines, not unisom, not acupuncture, nothing. Zofran will only help a little, but it's something. I got my 8 mg odansetron Rx 2 hours after the script was written. They *can* get it to you faster, and staying on top of this will affect how well you manage for your whole pregnancy. I have a link to an HG support group on FB that helped me immensely- want it? Just wall me if you do, and hang in there
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