Bonjesta (doxylamine / pyridoxine) treats morning sickness, or nausea and vomiting that happens during pregnancy. It's typically taken when changing your diet or staying away from nausea triggers isn't enough help. This medication contains an antihistamine called doxylamine and a dietary supplement called pyridoxine (also known as vitamin B6). The dosage is 1 tablet taken by mouth at bedtime, but it can be adjusted to 1 tablet in the morning and 1 tablet at bedtime if needed. This medication commonly causes sleepiness as a side effect.
Bonjesta (doxylamine / pyridoxine) is a combination medication containing two active ingredients that are thought to work together to relieve symptoms of morning sickness.
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Note: Side effects were based on studies with people who took 10 mg of doxylamine and 10 mg of pyridoxine.
Contact your healthcare provider immediately if you experience any of the following.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Incidence not known
Blurred or loss of vision
burning feeling while urinating
chest discomfort
decrease in the frequency of urination
decrease in urine volume
difficult or labored breathing
difficult or painful urination
disturbed color perception
double vision
fast, irregular, pounding, or racing heartbeat or pulse
halos around lights
headache, severe and throbbing
hoarseness
irritation
joint pain, stiffness, or swelling
night blindness
overbright appearance of lights
redness of the skin
stomach distension or pain
swelling of the eyelids, face, lips, hands, or feet
tightness in the chest
troubled breathing or swallowing
tunnel vision
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
Unusual drowsiness
Incidence not known
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
confusion about identity, place, and time
dizziness or lightheadedness
feeling of constant movement of self or surroundings
general feeling of discomfort or illness
headache
increased sweating
irritability
nightmares
sensation of spinning
trouble sleeping
unusual tiredness or weakness
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Yes, Bonjesta (doxylamine / pyridoxine) is safe to take in the first trimester of pregnancy. Findings from many studies show that this combination medication doesn't raise the risk for birth defects when it's taken during this stage of pregnancy. Speak with your prescriber if you have concerns about taking Bonjesta (doxylamine / pyridoxine) while you're pregnant.
There isn't a maximum amount of time that you can take Bonjesta (doxylamine / pyridoxine) for during pregnancy. Discuss with your prescriber about how long you should take the medication for. They might recommend that you continue to take Bonjesta (doxylamine / pyridoxine) as prescribed if you still need it, as long as it's helping with your morning sickness and as long as side effects from the medication aren't bothersome. While you're taking the medication, you can continue to do other things to help, such as eating smaller portions of food throughout the day and staying hydrated.
It typically takes a few hours for each dose of Bonjesta (doxylamine / pyridoxine) to work to lessen nausea and vomiting during pregnancy. When you take the medication at bedtime, it can start working early in the morning the next day. If you need more relief throughout the day, you can take the medication every morning and night to cover the entire day. In a clinical study, it took up to 2 weeks for people between 7 and 14 weeks of pregnancy who took 10 mg of doxylamine and 10 mg of pyridoxine to notice significant improvement in their morning sickness. Ask your prescriber if you have questions about how long it's taking for Bonjesta (doxylamine / pyridoxine) to work for you.
It's not clear how soon you can eat after you take Bonjesta (doxylamine / pyridoxine). It's recommended that you take the medication on an empty stomach. If you do eat food right after you take Bonjesta (doxylamine / pyridoxine), be sure that it's low fat and low calorie. Studies show that taking the medication with high-fat, high-calorie meals makes the medication take longer to work. It can also lessen how much of the medication gets absorbed into the body. In addition, it's generally recommended to eat smaller potions of food (five or six smaller meals) instead of a few large meals throughout the day so food is easier on the stomach.
No, but they're very similar. Brand name Diclegis and Bonjesta are both combination medications that have the same active ingredients: doxylamine and pyridoxine (also known as vitamin B6). Diclegis tablets contain 10 mg of doxylamine and 10 mg of pyridoxine. But Bonjesta tablets contain double the amount (20 mg of doxylamine and 20 mg of pyridoxine). This means that you generally need to take less tablets with Bonjesta than with Diclegis (for example, 1 Bonjesta tablet at bedtime versus 2 Diclegis tablets at bedtime). In addition, Diclegis has a generic version available but Bonjesta doesn't. You can discuss with your precriber about comparing the two medications and seeing which option is right for you.
Bonjesta (doxylamine / pyridoxine) and ondansetron (Zofran) are two different medications for helping with nausea and vomiting in different situations. Bonjesta is FDA approved for treating morning sickness during pregnancy. On the other hand, ondansetron (Zofran) is approved for preventing nausea and vomiting from certain cancer therapies and surgery. But some healthcare professionals prescribe ondansetron (Zofran) off-label for morning sickness. Although Bonjesta is proven to be safe during pregnancy, it's not clear for ondansetron (Zofran). Keep in mind that the American College of Obstetricians and Gynecologists (ACOG) recommends Bonjesta as an option for morning sickness but doesn't recommend ondansetron (Zofran) as a first-choice option. Speak with your prescriber about your options for morning sickness during pregnancy.
Yes. In fact, the American College of Obstetricians and Gynecologists (ACOG) recommends pyridoxine (another name for vitamin B6) by itself as a first-choice option for morning sickness. If you need more relief, it's recommended that you add on doxylamine or switch to Bonjesta (doxylamine / pyridoxine). If you take the two separately, a common dose is 10 mg to 25 mg of pyridoxine, with or without 12.5 mg of doxylamine, three to four times a day. You can find pyridoxine and doxylamine over the counter as single-ingredient products. Note that doxylamine comes as 25 mg tablets only, so you'll need to cut them in half with a pill splitter for your doses. Ask a healthcare professional about whether this option is right for you instead of Bonjesta (doxylamine / pyridoxine).
Bonjesta (doxylamine / pyridoxine) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Bonjesta (doxylamine / pyridoxine) can make you sleepy. Avoid driving, operating heavy machinery, or doing anything that you need concentration for while you're taking this medication until you speak with your prescriber. This helps prevent accidental injuries, especially since Bonjesta (doxylamine / pyridoxine) can affect your ability to think clearly and react quickly. Discuss with your care team about how the medication makes you feel after you take it.
Bonjesta (doxylamine / pyridoxine) isn't recommended if you're currently taking other medications that can make you sleepy, such as sleep or anxiety medications, or if you drink alcohol. Mixing Bonjesta (doxylamine / pyridoxine) with these medications or with alcohol can lead to severe sleepiness, which can lead to falls or accidents.
Because of how Bonjesta (doxylamine / pyridoxine) works and its possible side effects, this medication can worsen symptoms of certain other medical conditions. Examples include high pressure in the eye, narrow-angle glaucoma, stomach ulcers, gut blockage, and problems with urination. Let your care team know about your full medical history before you start taking Bonjesta (doxylamine / pyridoxine) so they can discuss risks and benefits.
Contact your primary care provider or care team if you notice any symptoms of your other medical conditions get worse while you're taking Bonjesta (doxylamine / pyridoxine).
| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 20mg/20mg | 60 tablets | $180.00 | $3.00 |
Each tablet contains 20 mg of doxylamine and 20 mg of pyridoxine.
The typical dose is 1 tablet by mouth at bedtime on an empty stomach.
The maximum number of tablets you can take in a day is 2 tablets.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Bonjesta (doxylamine / pyridoxine) will not be safe for you to take.