Morning Sickness Treatment

For anyone suffering from the nausea and vomiting of morning sickness.
Consult a doctor from the comfort of home.

Are you struggling with nausea, vomiting or loss of appetite caused by morning sickness during pregnancy?
“It feels too awful to go out.”
“It's getting in the way of work and housework.”
“I just want some relief from the nausea.”
At Shinsatsu Dash, you can consult a doctor online about the morning sickness medicine Bonjesta.
The doctor checks how many weeks pregnant you are, your symptoms and your general condition, and prescribes it if they judge it appropriate.

CONCERNSDo any of these sound familiar?

Nausea or vomiting during pregnancy that will not go away
The smell of food makes you feel sick
Morning sickness is affecting your work or housework
Changes to your diet and lifestyle have not helped
You would like to talk to a doctor about morning sickness medicine
Going out is hard, so you would prefer an online consultation

What is Bonjesta?

Bonjesta is an oral medicine intended to reduce nausea and vomiting during pregnancy.
It is approved by the U.S. FDA and used for nausea and vomiting in pregnancy that does not improve with changes to diet and lifestyle alone.

It contains two active ingredients.

Doxylamine succinate 20 mg: An ingredient with antihistamine action
Pyridoxine hydrochloride 20 mg: A form of vitamin B6

Combining these aims to reduce nausea and vomiting during pregnancy.
It is not approved in Japan, so it is provided as self-funded (non-insured) treatment.

Three features of Bonjesta

1. Designed for morning sicknessA medicine developed to reduce nausea and vomiting during pregnancy.
It has a track record of use overseas and is one treatment option to ease the burden of daily life during pregnancy.
2. One or two tablets a dayBonjesta is an extended-release tablet containing 20 mg each of two active ingredients.
You normally start with one tablet at bedtime and take up to two tablets a day depending on your symptoms.
3. Available through online consultationIt spares you the trip to a medical facility at a time when morning sickness is hard to bear.
At Shinsatsu Dash, you can discuss your symptoms with a doctor from home or elsewhere and receive a consultation on whether a prescription is appropriate.

How to take Bonjesta

The usual way to take it is as follows.

Day 1: Take one tablet at bedtime.
Day 2 onwards: If your symptoms have not improved enough, the doctor may increase the dose to two tablets a day: one in the morning and one at bedtime.

The maximum dose is two tablets a day.
Take it on an empty stomach with water, and swallow the tablet whole without crushing, splitting or chewing it.

*Follow the doctor’s instructions on dosage. Do not increase the dose on your own.

Side effects and precautions

The main reported side effects include drowsiness, dizziness, dry mouth and constipation.
As it can cause drowsiness, avoid driving or operating dangerous machinery until the doctor judges it safe.

Taking it together with alcohol or medicines with sedative effects, such as sleeping pills, is not recommended.
People who are allergic to its ingredients or who are taking MAO inhibitors, among others, cannot take it.

Because this medicine is used during pregnancy, the doctor checks your medical history and current medications before deciding whether to prescribe it.

PRICEPricing

Prescription medicine

BonjestaMorning sickness medicine (oral)

1 tablet¥1,900
7 tablets¥13,300
14 tablets¥25,200
20 tablets¥36,000
40 tablets¥72,000

※Shipping is charged separately at ¥550 (standard delivery, tax included).
※All prices include tax.
※We can prescribe and ship only to addresses within Japan. Consultations are available in English.

Consult with us on LINE

Complete the online questionnaire

ABOUTUses and Key Points

About the medicine we prescribe

Product name: Bonjesta
[Active ingredients] Doxylamine succinate 20 mg and pyridoxine hydrochloride (vitamin B6) 20 mg

[Directions] Taken to reduce nausea and vomiting caused by morning sickness during pregnancy.
– Day 1: take one tablet at bedtime
– Day 2 onwards: if symptoms do not improve, take one tablet in the morning and one at bedtime as instructed by the doctor
– Up to two tablets a day
– Take on an empty stomach with water, and swallow the tablet whole without crushing, splitting or chewing it.

[Side effects] Drowsiness, dizziness, dry mouth, constipation, etc. Avoid driving or operating dangerous machinery while taking it.

1. Regarding unapproved medicines: this medicine is not approved in Japan.
2. Supply route: purchased through a domestic pharmaceutical distributor.
3. Availability of an approved equivalent in Japan: there is no medicine approved in Japan with the same ingredients and the same doses for nausea and vomiting in pregnancy.
4. Safety information from other countries: approved by the U.S. FDA in 2016. Research on the use of doxylamine combined with pyridoxine during pregnancy has accumulated, and it has not been shown to increase the risk of birth defects. However, side effects such as drowsiness have been reported.
5. Regarding the Relief System for Sufferers from Adverse Drug Reactions: should a serious side effect occur, it would, as a rule, fall outside the scope of Japan’s national Relief System for Sufferers from Adverse Drug Reactions.

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Questionnaire & consultation

A doctor reviews your questionnaire and your message personally.
Online consultation

You are examined online by a doctor.
Payment

We accept all major credit cards.
Dispatch

Dispatched as early as the next day (no dispatch on weekends).

*Delivery may be delayed by stock levels, typhoons or other disasters.
Delivery

Discreetly packaged and delivered to your letterbox. The label describes the contents only as “お品物” (an item).