Dear Andrea,
 
Increase her salt intake, I know this sounds silly but I bet if you did some ELFT's you would find her sodium low.  Also increase zinc and potassium.
 
Another sure fire remedy is to get her to buy some tonic water - the one with quinine in it - Schwepps has tonic water with quinine, it is also called 'Indian Tonic Water' usually in brackets on the bottle.
 
It has to be this type of tonic water as it is the quinine that helps the cramps, it is a muscle relaxant.  Reassure her that the amount of quinine in the tonic water is miniscule and she would have to drink lots and lots for the quinine to become a problem, as you probably know quinine is a drug used in Malaria.
 
The dose is one average glass at night.  It may take a couple of nights for its full effect.  Some women find they do not have to take a glass every night but alternatively.  She may however, find that she needs to take a glass a night initially then cut back to get the right effect.
 
Regards,
Anne Clarke
Brisbane
----- Original Message -----
From: "Ian & Andrea Quanchi" <[EMAIL PROTECTED]>
To: "Oz Midwifery" <[EMAIL PROTECTED]>
Sent: Monday, November 26, 2001 10:17 AM
Subject: Leg cramps

> I have a question for the valued members of this list
>
> I have a client who is G4P3 at 25 weeks who is experiencing severe leg
> cramps during the night. They are totally relieved by hands and knees
> (she finds it difficult to sleep in this position) and they are
> constantly waking her up. Any suggestions.
>
> Andrea Quanchi
>
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