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The Journal reported last week that the Women's Health Task Force and a medicines group within the HSE is reviewing how the State might fund the drug Cariban. Alamy Stock Photo

Minister 'hopeful' positive outcome can be reached to help women with severe pregnancy sickness

No decision has been reached at Government level as to how the State might subsidise the cost of the drug, Cariban.

HEALTH MINISTER STEPHEN Donnelly has said in a statement this evening that he is “hopeful” that the HSE can reach a “positive outcome” when it comes to funding a severe pregnancy sickness drug. 

Last week, The Journal reported that the minister had asked the Women’s Health Taskforce to examine options for funding a severe pregnancy sickness drug to make it more available to women.

The Department of Health established the task force in 2019 in a bid to improve women’s health outcomes and experiences of healthcare.

Women impacted by severe vomiting, known as Hyperemesis Gravidarum or HG, have repeatedly called for the State to reimburse or lower the costs of Cariban. 

HG can profoundly debilitate pregnant women; while many women suffer from regular morning sickness (which can actually occur at any time of the day) during pregnancy, HG is a lot more serious.

It is understood the minister wants to ease the financial burden and examine if there is another mechanism by which to fund the drug, known as Cariban, which can cost women up to €3,000 over the course of their pregnancy.

Comments made at a private Fianna Fáil parliamentary party meeting last night sparked hoped among women who have been campaigning for women to get access to the drug under the medical card or Drug Payments Scheme.

No decision reached

Donnelly told his part meeting last night that there should be “good news” coming soon in relation to helping ease the cost of the medication – however, it is understood that his words may have been over-inflated the current situation.

No decision has been reached at Government level as to how the State might subsidise the cost, senior sources have confirmed to The Journal.

The minister is still awaiting the results of the review from the task force, which has only just got underway.

Donnelly is understood to also be awaiting a decision by another group within the HSE that has been asked to review whether a special arrangement can be made to ensure patients get access to the drug. 

The Journal reported last week that the HSE had asked a medicine management group to “examine the appropriateness and feasibility of a patient specific arrangement” that would make the pregnancy sickness drug available to women who need it.

This review is taking place in tandem with the examination by the task force, it is understood.

A recommendation from the medicine management group is expected to be sent to the HSE “in the coming weeks” on whether a “special arrangement” can be facilitated to give women access to Cariban. 

‘Urgency’

A statement from Donnelly read out in the Dáil by Minister of State Anne Rabbitte, stated that the Department of Health is working with “urgency” to identify all the available options to better support this cohort of women.

In the coming weeks, the health minister will also be bringing a women’s health action plan to government, which will set out a wide range of initiatives.

Addressing the issue of reimbursing payment for the drug, Donnelly said in the statement:

Unfortunately, the situation is not straightforward.

As reported previously by The Journal, there are issues with the State reimbursing the costs as the drug is not currently licensed for use in Ireland.

Only when authorised can it be added to the reimbursement list, though doctors are free to prescribe the medication to women, and is done so regularly in all Irish maternity hospitals.

Donnelly said the HSE has advised him that Cariban is which is regarded as a food supplement rather than a medical product, which also limits the ability for the State to subsidise the cost, he explained (something which many pharmacists have taken issue with).

On the matter of the medicines group within the HSE reviewing whether a special arrangement can be made to help women with the cost of the drug, and as reported previously by The Journal, the minister said in his statement that the results of the evidence review and recommendations “should be completed completed in a matter of weeks”.

‘Positive outcome’

“The Minister for Health appreciates that this is a worrying time for women suffering from Hyperemesis and is hopeful that the HSE can arrive at a positive outcome with respect to the Cariban and its availability under the Drug Scheme in Ireland,” his statement concluded.

Social Democrat’s TD Gary Gannon, who raised the matter under Topical Issues in the Dáil this evening, said there has been a lack of urgency in terms of addressing this issue.

Donnelly, when he was in Opposition in 2018 raised this very issue, Gannon pointed out, stating that something should have been done to address the problem “much quicker than last month” when it was referred to the medicines group.

“The effects of Hyperemesis are not insignificant for pregnant women,” said Gannon, who added that he could sense from the junior minister present in the chamber this evening, and reading the health minister’s statement, that she too was frustrated by the delays. 

“I think we both recognise that there is a shared need to grow urgency around this issue,” he said.

Gannon said Donnelly’s comments about “good news” around the drug captured the attention of people suffering with HG, and called on the minister to bring some finality to the matter “because women are suffering as a consequence of an absence of action”.

Minister Rabbitte committed to raising the issue with the health minister.

“I do know Minister Donnelly has put a priority on women’s health,” she said, adding that clarification was needed as to the next steps.

“Because as a female who has given birth three times, and who actually suffered, I could not say what Hyperemesis, but you know what, I do know what morning sickness is like and I can’t imagine what that level is like. I wouldn’t want any woman to go through it.

“It is a priority. It’s a shared priority of all of us to ensure that nobody has to go through it unnecessarily,” she concluded.

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    Mute Michael O' Keeffe
    Favourite Michael O' Keeffe
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    Nov 8th 2013, 10:29 AM

    A woman’s pelvis. I know i worry about me too.

    251
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    Mute Polly O'Donnell
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    Nov 8th 2013, 10:35 AM

    It’s OK Michael, no need to worry, first thing I saw was a pelvis too!

    83
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    Mute Jane Travers
    Favourite Jane Travers
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    Nov 8th 2013, 2:22 PM

    Thank jeebus for that, you two! I was administered the Rorschach test as a bulimic 17year old by an absolute quack of a counsellor. I said I saw a pelvis, and she diagnosed me with “fear of sexual intimacy”…

    Seriously.

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    Mute John O'Neill
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    Nov 8th 2013, 4:12 PM

    Come on now Jane, you’ll have to provide us with a least 50 examples from your life that will prove that her diagnosis was wrong!!

    29
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    Mute Jane Travers
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    Nov 8th 2013, 5:44 PM

    Well now John, where to begin… ;)

    14
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    Mute Joan Griffin
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    Nov 8th 2013, 10:27 AM

    2 birds on a branch

    249
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    Mute dave
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    Nov 8th 2013, 8:21 PM

    Thats what i seen

    4
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    Mute Dee4
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    Nov 8th 2013, 10:32 AM

    A person holding an ink blot at arms length

    173
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    Mute Gary Guilfoyle
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    Nov 8th 2013, 10:38 AM

    A bell

    137
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    Mute Paul Somers
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    Nov 8th 2013, 11:27 AM

    Or a wine Decanter?

    15
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    Mute Itsthe Law
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    Nov 8th 2013, 11:39 AM

    R2 D2

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    Mute Alan Cooke
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    Nov 8th 2013, 6:04 PM

    Stay off that Wine Paul, Hic!

    2
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    Mute Emer Daly
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    Nov 8th 2013, 10:27 AM

    Two birds and little man in a parachute

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    Mute thomas patrick
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    Nov 8th 2013, 12:38 PM

    I literally thought the same

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    Mute Shite sticks
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    Nov 8th 2013, 12:58 PM

    2 gay birds touching penises

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    Mute John O'Neill
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    Nov 8th 2013, 4:10 PM

    A hornet’s nest hanging in a dark cave….

    3
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    Mute John Johnson Kcco
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    Nov 8th 2013, 11:41 AM

    A man telling me to get the matches and burn it all.

    59
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    Mute bothyhead
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    Nov 8th 2013, 11:01 AM

    All I’m seeing are bats, bats, and more bats. And on one occasion a woman’s womb. I think it’s time for me to book a trip to a psychologist.

    32
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    Mute Eamonn Connaghan
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    Nov 8th 2013, 11:22 AM

    A donkey coming over a hill with a monkey in a Dublin jersey on its back, juggling sets of flaming playing cards.

    26
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    Mute Stephen Barry
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    Nov 8th 2013, 10:06 PM

    Fuunly enough that excactly what i saw.

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    Mute Emily Elephant
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    Nov 8th 2013, 11:09 AM

    Mohammed.

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    Mute Jack Russell
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    Nov 8th 2013, 10:55 AM

    G spot

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    Mute Jack Bowden
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    Nov 8th 2013, 11:16 AM

    2 Twitter birds.

    20
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    Mute Fred O'Connor
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    Nov 8th 2013, 12:14 PM

    The inkblot test is a very useful tool for identifying perfectly symmetrical psychotic fantasies that would have otherwise gone undetected.

    19
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    Mute Ciaran De Bhal
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    Nov 8th 2013, 11:57 AM

    Elton John wearing a black TuTu and matching tights, sitting on a horses ass, waving this years budget, being chased by Ringo Starr sitting in a 1987 JCB with a flat tyre … Amazing google

    18
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    Mute Michael C Sherlock
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    Nov 8th 2013, 11:16 AM

    Hold it upside down..looks like a pup throwing up:-P

    17
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    Mute Daphne Duck
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    Nov 8th 2013, 10:42 AM

    Two birds carrying a dead bird home!!!

    15
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    Mute David Mc Skane
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    Nov 8th 2013, 10:54 AM

    A lamp shade

    14
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    Mute John Lawless
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    Nov 8th 2013, 11:10 AM

    Rorschach’s journal…

    14
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    Mute Mike Reid
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    Nov 8th 2013, 10:46 AM

    two lions in robes kicking a football at the same time

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    Mute Greg Hurley
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    Nov 8th 2013, 11:00 AM

    Really interesting facial hair

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    Mute Begrudgy™
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    Nov 8th 2013, 11:28 AM

    2 maps of Ireland.

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    Mute Carcu Sidub
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    Nov 8th 2013, 11:22 AM

    So that is what my dog would see

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    Mute Kali V Sajo
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    Nov 8th 2013, 12:05 PM

    A bell,bat,beasts with wings and a woman’s womb…

    7
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    Mute sleeping duck
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    Nov 8th 2013, 4:17 PM

    I see 2 separate images.

    the first being the larger darker image its looks like 2 Kerry blue dogs heads facing away from each other and joined by a collar.

    The second image looks like a person sitting at a picnic table far away in the distance or some sort of flying apparatus (a hot air balloon mixed with a helicopter and a motor bike) and its up in the sky.

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    Mute Dave Meade
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    Nov 8th 2013, 1:23 PM

    Or two owls fighting over a macaroon in front of the kitchen blind.

    5
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    Mute Conal McIntyre
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    Nov 8th 2013, 11:38 AM

    two t-rexs balancing on footballs

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    Mute Itsthe Law
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    Nov 8th 2013, 11:42 AM

    I think the plant is dead.

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    Mute Aaron Burns
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    Nov 8th 2013, 1:37 PM

    A massive orgy with all the playhouses Disney characters

    3
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    Mute Brendan Palmer
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    Nov 8th 2013, 6:20 PM

    My school copybook when I spilled my inkwell all over it

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    Mute Nigel O Keeffe
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    Nov 8th 2013, 11:35 AM

    Meant for Sinead…sorry

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    Mute Nigel O Keeffe
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    Nov 8th 2013, 11:34 AM

    Just curious Michelle..is there a correct answer?

    3
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    Mute sleeping duck
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    Nov 8th 2013, 4:36 PM

    At the end of the day it’s a blob of ink and open to interpretation.

    10
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    Mute Stephen Barry
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    Nov 8th 2013, 8:44 PM

    Whats that you say strange blob? Kill all humans

    2
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    Mute Rob Ryan
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    Nov 8th 2013, 1:28 PM

    Two baby gorillas stuck together

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    Mute Kevin Thornton
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    Nov 8th 2013, 12:56 PM

    Is it the new energy saver BAT MAN light

    1
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    Mute Sean Scanlon
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    Nov 8th 2013, 12:31 PM

    2 fish sharing an umbilical cord

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    Mute GlangaurdatYaBowsey
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    Nov 8th 2013, 4:27 PM

    a fella sitting on a chair.
    with a note pad.

    1
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    Mute A P O'BEACHAIN
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    Nov 8th 2013, 12:59 PM

    dancing pair.

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    Mute Jamie Gibbs
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    Nov 9th 2013, 4:51 AM

    Ceiling light in a dark room!

    1
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    Mute John Magee
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    Nov 9th 2013, 8:22 AM

    It symbolises Martin o Neils and Roy keanes(in the form of maps of Ireland) imminent struggle for power over the international soccer team,while John Delaney prepared his parachute in the backround for yet another great escape.

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    Mute Amy Rice
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    Nov 8th 2013, 10:40 PM

    It must be “oo” bit because the two G’s in the frame behind are in the name, plus there’s the L and E in the window so it only leaves the two o ‘s in the middle!

    1
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    Mute Amy Rice
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    Nov 8th 2013, 10:43 PM

    Ah damn, I’ve just seen the o’s in the hands holding the picture!! Looks like two birds to me!!

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    Mute Martin Conway
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    Nov 8th 2013, 1:10 PM

    Brian cowen

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    Mute Stephen Barry
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    Nov 8th 2013, 10:16 PM

    Its intersting the different interpretations, from what i can make out of it is, most people here have surpressed homosexual tendencies with homicidal ideation.

    1
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