![]() Short-term, drug-free management includes the following behavioral and environmental recommendations: Zofran (ondansetron) is not effective for motion sickness. Injectable promethazine is the treatment of choice for severe motion sickness and may be administered if absolutely necessary but causes severe drowsiness for several hours. Several medications are available, including promethazine or prochlorperazine. Persons with nausea and vomiting may not be able to take oral drugs and may require strong sedatives that are administered by injection or suppository. Travelers who develop symptoms of motion sickness, especially if they interfere with planned activities, should seek medical attention (e.g., at the cruise ship medical clinic). Symptoms include fatigue, discomfort, drowsiness, yawning, headache, dizziness, a sensation of body warmth, paleness, cold sweats, nausea, vomiting, excessive saliva production, and loss of appetite. Factors such as turbulence, anxiety, and illness can increase the possibility of motion sickness. Persons who suffer from migraines, pregnant or menopausal women, and children aged 2-12 years are more susceptible. Seasickness is the most common type and is responsible for up to 25% of cruise ship medical visits. Traveling through water, on land, in air, or even in space can trigger motion sickness. When incoming signals are in conflict-for example, when the body is at rest yet the eyes sense movement-this system is disturbed, causing the symptoms of motion sickness. The human body has a delicate system of equilibrium that relies on fluids in the inner ear, visual sensors, and other physical input to maintain a sense of balance. A cruise medical clinic may administer injectable promethazine if absolutely necessary. Strong sedatives (such as promethazine or prochlorperazine): take orally or by suppository after onset of severe symptoms, but anticipate sleep for a number of hours.More than 1 patch should never be applied hallucinations or psychosis may result. Scopolamine patches: place behind the ear change every 3 days apply 8 hours before the first incidence of rough weather or rough roads.Check for cautions regarding use in certain conditions. These medications can cause sedation do not mix with alcohol. Dimenhydrinate, diphenhydramine, cyclizine, or meclizine: take 1 hour before departure and continue during the trip.Using over-the-counter (OTC) or prescription medication.Avoiding tasks requiring a close focus (e.g., reading).Sitting in the front seat of a car, over the wings on an airplane, or mid-deck on ships and facing forward in buses and trains. ![]() ![]()
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