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Xonvea Tablets

  • Treats nausea and vomiting during pregnancy
  • Combines an antihistamine with vitamin B6
  • Designed to be taken at bedtime for morning symptom control
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Xonvea Tablets Tablets

Medication Name Xonvea 10mg/10mg Gastro-Resistant Tablets
Medication Form Gastro-resistant tablet
Used For Nausea and vomiting during pregnancy
Who Can Use Pregnant women aged 18 and over
Active Ingredient(s) Doxylamine succinate 10mg, pyridoxine hydrochloride 10mg
Usual Dose 2 tablets at bedtime, up to a maximum of 4 tablets per day
Common Side Effects Sleepiness, dizziness, tiredness, dry mouth
Prescription Required Yes
Patient Information Leaflet Xonvea Tablets Patient Information Leaflet

What are Xonvea Tablets used for?

Xonvea is used to treat nausea and vomiting during pregnancy, commonly known as morning sickness (or pregnancy sickness). It’s prescribed for pregnant women when changes to diet or other non-medicine approaches haven’t been enough to control symptoms.

Morning sickness affects most pregnant women, particularly in the first trimester, and symptoms can include:

  • Feeling sick (nausea)
  • Being sick (vomiting)
  • Difficulty eating or keeping food down

If you’re experiencing severe nausea and vomiting of pregnancy that leads to dehydration or significant weight loss, this may be a condition called hyperemesis gravidarum, which requires specialist medical care and isn’t treated with Xonvea alone.

How do Xonvea Tablets work?

Xonvea contains two active ingredients that work together to reduce nausea and vomiting during pregnancy.

Doxylamine succinate is an antihistamine. In addition to blocking histamine, it acts on the part of the brain that controls nausea and vomiting, helping reduce the urge to be sick.

Pyridoxine hydrochloride is vitamin B6. Low levels of vitamin B6 have been linked to nausea during pregnancy, and supplementing it can help ease symptoms.

Together, doxylamine and pyridoxine complement each other, providing more effective relief than they would individually.

Who can use Xonvea Tablets?

Xonvea is suitable for pregnant women aged 18 and over who are experiencing nausea and vomiting during pregnancy.

Don’t take Xonvea if you:

  • Are allergic to doxylamine succinate, other antihistamines (such as diphenhydramine), pyridoxine hydrochloride or any of the other ingredients
  • Are taking medicines for depression called monoamine oxidase inhibitors (MAOIs)
  • Are breastfeeding (speak to your doctor, as you may need to choose between continuing Xonvea or continuing to breastfeed)

Speak to your doctor or pharmacist before taking Xonvea if you have:

  • Asthma
  • Increased eye pressure or a condition called narrow-angle glaucoma
  • A stomach ulcer
  • A blockage in your gut or bladder
  • Been taking cough or cold medicines, sleeping medicines or certain pain medicines
  • Been taking any vitamin B supplements, including multivitamins
  • Been drinking alcohol

Xonvea isn’t suitable for anyone under 18 years old.

How to Take Xonvea Tablets

Always take Xonvea exactly as your doctor or pharmacist has told you. Swallow each tablet whole with a glass of water on an empty stomach. Don’t crush, chew or split the tablets.

Your doctor will start you on a low dose and increase it if needed, based on how well your symptoms are controlled.

Days 1 and 2: Take 2 tablets at bedtime.

Day 3: If your symptoms are still not controlled, take 1 tablet in the morning and 2 tablets at bedtime.

Day 4 onwards: If symptoms are still not controlled, take 1 tablet in the morning, 1 in the mid-afternoon and 2 at bedtime. This is the maximum dose.

Don’t take more than 4 tablets in a single day.

Side Effects of Xonvea Tablets

Like all medicines, Xonvea can cause side effects, though not everyone experiences them.

Very Common Side Effects

May affect more than 1 in 10 people:

  • Sleepiness

Common Side Effects

May affect up to 1 in 10 people:

  • Dizziness
  • Tiredness
  • Dry mouth

Other Side Effects

The following have been reported but how often they occur isn’t known:

  • Headaches or migraines
  • Anxiety, difficulty sleeping, nightmares or feeling disorientated
  • Tingling or numbness of the skin
  • Blurred vision
  • Stomach pain, bloating, constipation or diarrhoea
  • Skin reactions such as itchiness or rash
  • Difficulty or pain when passing urine
  • Awareness of your heartbeat or increased heart rate
  • General discomfort or feeling irritable

For a full list of side effects, read the Xonvea patient information leaflet.

If you experience a severe side effect or signs of an allergic reaction, stop taking Xonvea and seek immediate medical attention by calling 999 or going to A&E.

Reporting Side Effects

You can report any side effects directly through the Yellow Card Scheme. This helps improve the safety of medicines for everyone.

Xonvea Tablets Ingredients

Active ingredients: Doxylamine succinate 10mg, pyridoxine hydrochloride 10mg

Other ingredients: Carnauba wax, croscarmellose sodium, hypromellose (E 464), indigo carmine aluminium lake (E 132), macrogol (E 1521), magnesium stearate, magnesium trisilicate, methacrylic acid-ethyl acrylate copolymer (1:1), microcrystalline cellulose, Allura red AC aluminium lake (E 129), polysorbate 80 (E 433), propylene glycol (E 1520), colloidal anhydrous silica, shellac, simethicone emulsion, benzoic acid (E 210), sodium hydrogen carbonate (E 500), sodium lauril sulfate (E 487), talc (E 553b), titanium dioxide (E 171), triethyl citrate and simethicone.

This medicine contains the colouring agent Allura red AC aluminium lake (E 129), which may cause allergic reactions in some people.

Warnings and Precautions

  • Driving and operating machinery: Xonvea can cause drowsiness. Don’t drive, cycle or operate machinery unless your doctor confirms it’s safe to do so.
  • Alcohol: Don’t drink alcohol while taking Xonvea, as it can increase drowsiness and the risk of accidents.
  • Urine drug screening: Xonvea can cause false positive results for methadone, opiates and phencyclidine (PCP) on some urine drug tests. Let the tester know you’re taking it.
  • Storage and disposal: Keep out of reach of children. Don’t use after the expiry date. Ask your pharmacist how to safely dispose of any unused tablets.

Xonvea Tablets Reviews

Xonvea Tablets FAQs


Xonvea is specifically licensed for use during pregnancy and is only prescribed to pregnant women. As with any medicine taken during pregnancy, it should only be used as directed by your doctor or pharmacist, who will assess whether it’s right for you.

Xonvea should be taken on an empty stomach. Swallow each tablet whole with a glass of water and avoid crushing, chewing or splitting them, as this can affect how the medicine works.

Xonvea are gastro-resistant tablets, which means they don’t dissolve in the stomach. It’s important to swallow them whole, not crush, chew, or split them, as this can affect how the medicine works.

Stop taking Xonvea and contact a doctor or go to hospital straight away, even if you feel well. Take the medicine pack with you. Signs of taking too much can include restlessness, sleepiness, dizziness, dry mouth, confusion or a fast heart rate.

Don’t stop taking Xonvea without first speaking to your doctor. Stopping suddenly may cause your nausea and vomiting to return. If symptoms persist, speak to your doctor. They will advise you on how to gradually reduce your dose.

Our Experienced UK-based Pharmacy Team

Clinical Consultant
MUDr, MRCEM, EBCEM, FRCEM
GMC no. 7176414

Pharmacist
MPharm
GPhC no. 2065469

Pharmacist
MPharm
GPhC no. 2046514

Page content authored by Amjad Khan, last reviewed by Dr Hussain Ahmad on 7th May 2026.

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