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Antiemetic + Nutritional Supplement Combination (Pregnancy Nausea)

ZiaPreg Tablet

Doxylamine Succinate 20 mg + Pyridoxine Hcl 20 mg + Folic Acid 5 mg

Composition Doxylamine Succinate 20 mg + Pyridoxine Hcl 20 mg + Folic Acid 5 mg
Packing 10x10 Alu/Alu
MRP ₹ 850
Dosage Form Tablets

About ZiaPreg Tablet

ZiaPreg Tablet is a specially formulated combination of Doxylamine Succinate 20 mg, Pyridoxine HCl (Vitamin B6) 20 mg, and Folic Acid 5 mg — designed to address nausea and vomiting of pregnancy (morning sickness) while also providing critical nutritional support for foetal neural development.

This combination is a well-recognised, clinically studied option for managing morning sickness safely during pregnancy, balancing comfort for the mother with protection for the developing baby.

Uses of ZiaPreg Tablet

This medicine is commonly used for:

  • Nausea and vomiting during pregnancy (morning sickness)
  • Prevention and management of severe pregnancy-related nausea
  • Supporting Folic Acid intake during early pregnancy for neural tube protection
  • Nutritional support during the first trimester when dietary intake may be reduced

Indications

The combination of Doxylamine Succinate and Pyridoxine is indicated for the management of nausea and vomiting of pregnancy (NVP) not responding to conservative management. Folic Acid 5 mg is indicated for prevention of neural tube defects and supplementation in women of childbearing potential. This combined formulation addresses both the symptomatic and nutritional needs of early pregnancy.

How ZiaPreg Tablet Works

Doxylamine is a safe antihistamine that reduces nausea signals in the brain. Pyridoxine (Vitamin B6) has been shown to independently help reduce pregnancy-related nausea and supports healthy nerve and metabolic function. Folic Acid is a vital B-vitamin that the developing baby needs for proper formation of the neural tube — the structure that becomes the brain and spine.

Mechanism of Action

Doxylamine Succinate acts as an H1-receptor antagonist and anticholinergic agent, suppressing vestibular and chemoreceptor trigger zone (CTZ) inputs that mediate nausea and vomiting. Pyridoxine (Vitamin B6) serves as a cofactor in amino acid metabolism and neurotransmitter synthesis; its anti-emetic mechanism in NVP is not fully elucidated but is thought to involve modulation of neurotransmitter pathways related to nausea. Folic Acid is reduced to tetrahydrofolate, which participates in one-carbon transfer reactions essential for de novo purine and thymidylate synthesis — critical for rapid cell division during foetal neural tube closure.

Key Benefits

  • Clinically recognised relief from nausea and vomiting of pregnancy
  • Folic Acid supports foetal neural tube development, reducing the risk of spina bifida
  • Combines symptomatic relief with essential nutritional support in one tablet
  • Doxylamine is one of the most studied antihistamines in pregnancy

Did You Know?

Folic Acid supplementation before and during early pregnancy can reduce the risk of neural tube defects such as spina bifida by up to 70% — which is why health organisations worldwide recommend it for all women planning a pregnancy.

When & How to Take

ZiaPreg Tablet is often prescribed to be taken at bedtime to take advantage of Doxylamine's sedative properties and reduce daytime drowsiness. Follow your gynaecologist's specific instructions for timing and duration.

Always follow the dosage and schedule advised by your doctor — this is general guidance only.

Possible Side Effects

The most common side effect is drowsiness, mainly from the Doxylamine component. Dry mouth or mild constipation may also occur. These are generally manageable. Tell your doctor if any side effect is severe or persistent.

Precautions & Safety

  • Avoid driving or operating machinery due to the drowsiness caused by Doxylamine
  • Avoid alcohol during treatment
  • Inform your doctor if you have any respiratory conditions such as asthma or enlarged prostate, as anticholinergics require caution
  • This tablet is specifically for use under obstetric guidance during pregnancy — do not self-medicate
  • Tell your doctor about all other vitamins and supplements you are taking to avoid duplicating Folic Acid intake

Myths vs Facts

Myth

Morning sickness always goes away on its own and doesn't need treatment.

Fact

While mild nausea often improves on its own by the second trimester, severe or persistent nausea and vomiting (hyperemesis gravidarum) can lead to dehydration and nutritional deficiency. Safe and effective treatment like ZiaPreg can significantly improve quality of life and pregnancy outcomes.

Myth

Antihistamines are unsafe during pregnancy.

Fact

Doxylamine has been studied extensively in pregnancy and is considered safe at recommended doses. It has been used for decades in clinically studied formulations specifically for pregnancy-related nausea.

Frequently Asked Questions

Yes, when prescribed by your doctor. Doxylamine + Pyridoxine is a well-studied combination for pregnancy nausea, and Folic Acid is essential during early pregnancy.
Folic Acid is combined because it is critically needed during early pregnancy for the baby's neural tube development. Combining it with the antiemetic ensures that even when mothers are struggling with nausea, they receive this essential nutrient.
Doxylamine can cause drowsiness, which is why it is often recommended at bedtime. Discuss timing with your doctor to minimise daytime sleepiness.
Your doctor will prescribe the duration based on the severity of your symptoms — typically through the first trimester, though some women may need it longer. Follow your gynaecologist's guidance.
Medical disclaimer: This information is for general awareness and education only and is not a substitute for professional medical advice. ZiaPreg Tablet is a pharmaceutical product to be used only as prescribed by a registered medical practitioner. Always read the package insert and consult your doctor or pharmacist before use. Biozia Lifesciences markets this product to licensed pharmacy and healthcare businesses.

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