Scopolamine can cause dangerous adverse effects in children and should not be used. Oversedating young children with antihistamines can be life-threatening. Because some children have paradoxical agitation with these medications, encourage parents to try a test dose before departure. Children & Motion Sicknessįor children aged 2–12 years, dimenhydrinate (Dramamine), 1–1.5 mg/kg per dose, or diphenhydramine (Benadryl), 0.5–1 mg/kg per dose up to 25 mg, can be given 1 hour before travel and every 6 hours during the trip. Clinical trials have shown that ondansetron, a commonly used antiemetic, is ineffective in preventing nausea associated with motion sickness. 14, Complementary & Integrative Health Approaches to Travel Wellness). Other commonly used motion sickness medications include anticholinergics (e.g., scopolamine ) benzodiazepines dopamine receptor antagonists (e.g., metoclopramide, prochlorperazine) and sympathomimetics (often used in combination with antihistamines).Ĭomplementary approaches with anecdotal evidence of effectiveness for preventing or treating motion sickness (e.g., acupressure and magnets, ginger, homeopathic remedies, pyridoxine ) might be effective for individual travelers but cannot generally be recommended (see Sec. The most frequently used antihistamines to treat motion sickness include cyclizine, dimenhydrinate, meclizine, and promethazine (oral and suppository) nonsedating antihistamines appear to be less effective. Medications used to treat motion sickness can vary in effectiveness and side effects suggest travelers take a trial dose of medication at home before departure to find what works best for them. Most people, in time, notice a reduction in motion sickness symptoms. ☐ Gradually expose yourself to continuous or repeated motion sickness triggers. ☐ Some people recommend using acupressure or magnets to prevent or treat nausea, although scientific data are lacking on how effective these interventions are for preventing motion sickness. Controlled breathing, listening to music, or using aromatherapy scents like mint, lavender, or ginger. Quitting (even short-term) reduces susceptibility to motion sickness. Being sleep-deprived can worsen motion sickness symptoms. ☐ Maintain hydration by drinking water, eating small meals frequently, and limiting alcoholic and caffeinated beverages. Lie face down, shut your eyes, try sleeping, look at the horizon. ☐ Optimize your position to reduce motion or motion perception (e.g., drive a vehicle instead of riding in it sit in the front seat of a car or bus sit over the wing of an aircraft hold your head firmly against the back of the seat choose a window seat on flights and trains). Try to avoid situations that tend to trigger your symptoms. For a complete list of motion sickness–associated signs and symptoms, see Box 8-06. People with motion sickness commonly experience dizziness headache nausea, vomiting, or retching sweating. Motion sickness typically occurs after a triggering motion or event. People with a history of migraines, vertigo, and vestibular disorders are more prone to motion sickness. Some prescriptions can worsen motion sickness–associated nausea. Pregnancy, menstruation, and taking hormone replacement therapy or oral contraceptives have also been identified as potential risk factors. Adults >50 years are less susceptible to motion sickness. Children aged 2–12 years are especially susceptible, but infants and toddlers are generally immune. Risk factors for motion sickness include age, sex, preexisting medical conditions, and concurrent medications. People vary in their susceptibility, however. Given sufficient stimulus, all people with functional vestibular systems can develop motion sickness. Motion sickness.Motion sickness describes the physiologic responses to travel by air, car, sea, train, and virtual reality immersion. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE. A historical view of motion sickness - a plague at sea and on land, also with military impact. The neurophysiology and treatment of motion sickness. Koch A, Cascorbi I, Westhofen M, Dafotakis M, Klapa S, Kuhtz-Buschbeck JP. Meniere's, migraine, and motion sickness. Genetic variants associated with motion sickness point to roles for inner ear development, neurological processes and glucose homeostasis. Hromatka BS, Tung JY, Kiefer AK, Do CB, Hinds DA, Eriksson N. Susceptibility to nausea and motion sickness as a function of the menstrual cycle. Dollar General 44-403 Active ingredient (in each tablet) Meclizine HCl 25 mg Purpose Antiemetic Uses for the prevention and treatment of nausea, vomiting, or dizziness associated with motion sickness Warnings Do not use for children under 12 years of age unless directed by a doctor. Matchock RL, Levine ME, Gianaros PJ, Stern RM. Vertigo/dizziness as a drugs' adverse reaction. Motion sickness: more than nausea and vomiting.
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