Glossary

Term · Pregnancy: Eating

pyridoxine

Also: vitamin B6, B6

Vitamin B6. In pregnancy, clinicians often use it, alone or with doxylamine, as the first option for nausea and vomiting.

In plain words

Pyridoxine is the form of vitamin B6 used as a medicine. Vitamin B6 is found in foods such as poultry, fish, potatoes, and bananas, and the body needs it to make proteins and certain brain chemicals. In pregnancy it comes up mainly as a treatment option for . ACOG recommends pyridoxine, alone or with doxylamine, as a first-line option for nausea and vomiting of pregnancy. Many mothers find nausea hard to manage and ask about it at a visit. Because the right choice depends on your symptoms, your history, and your provider's view, a good question to bring is which option fits you. A pharmacist can answer questions about any product that contains it.

The deeper version

Pyridoxine is the active form of vitamin B6 and a cofactor for many enzymes, including those in amino acid and neurotransmitter metabolism. Its mechanism against nausea in pregnancy is not established. ACOG Practice Bulletin 189 (2018) grades pyridoxine alone, or combined with doxylamine, as first-line for nausea and vomiting of pregnancy, based on randomized trials including Vutyavanich and colleagues (1995), in which pyridoxine outperformed placebo on symptom scores. The controversy centers on the small size of many early trials, the unknown mechanism, and how well the benefit holds at the more severe end of the spectrum.

Where it comes up

What mothers here say about pyridoxine

No one has posted under this term yet.

Share your experience, or ask

Sign in with Google to post under this topic. Your first name and photo come from Google; you can change what shows later. No membership needed.

Sources

  • American College of Obstetricians and Gynecologists — Practice Bulletin No. 189: Nausea and Vomiting of Pregnancy (2018)
  • Vutyavanich T, Kraisarin T, Ruangsri R — Pyridoxine for nausea and vomiting of pregnancy: a randomized, double-blind, placebo-controlled trial. American Journal of Obstetrics and Gynecology (1995)

The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.