Motion Sickness
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Available over the counter options
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Antihistamines – helps to treat motion sickness
dimenhydrinate -
diphenhydramine
chlorpheniramine
meclizine – less sedating
cyclizine
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Additional drugs
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Anticholinergics – helps to prevent motion sickness
Scopolamine - transdermal patch applied
every 72 hours
Antidopaminergics
Promethazine
Metoclopramide
Sympathomimetics
Pseudoephedrine
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Counseling points
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Antihistamines also have
anticholinergic side effects
o
sedation, blurred vision, mouth
dryness
o
confusion and urinary
retention in the elderly
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Non-sedating antihistamines are not
effective for motion sickness
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Cognition - best to worst
- meclizine, scopolamine, promethazine, lorazepam
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Pregnancy - antihistamines
(meclizine, diphenhydramine, and dimenhydrinate),
and prochlorperazine, are category C
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If traveling – sit in front seat
facing forward, look out the window, and not read a book or watch a movie
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Avoid rapid changes in position and rapid head
motion
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Decrease use of products that impair
circulation, e.g., tobacco, alcohol, caffeine, and salt
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Get enough fluids
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Treat infections, including ear infections,
colds, flu, sinus congestion, and other respiratory infections
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Avoid strong odors and spicy or greasy foods
immediately before and during your travel
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Talk to your doctor about medications
Contraindications
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Asthma
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glaucoma
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urine retention
Call 911 or go
to an emergency room if you experience:
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Dizziness after a head injury
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Fever over 101°F, headache, or very stiff neck
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Convulsions or ongoing vomiting
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Chest pain
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Heart palpitations
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Shortness of breath
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Weakness
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Severe headache
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Inability to move an arm or leg
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Change in vision or speech
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Fainting and/or loss of consciousness
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Emily W. Lankau. Motion Sickness. Available at:
http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-2-the-pre-travel-consultation/motion-sickness
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