A synopsis of
Prevention and Treatment of Motion Sickness
ANDREW BRAINARD, MD, MPH, and CHIP GRESHAM, MD, Middlemore Hospital, Auckland, New Zealand
Am Fam Physician. 2014 Jul 1;90(1):41-46.
http://www.aafp.org/afp/2014/0701/p41.html
Motion sickness is caused by...um.... motion. Symptoms include nausea, drowsiness, malaise and irritability. Signs include burping, yawning, heartburn, flushing and hyperventilation. It is more effective to treat prophylactically before the symptoms occur. With many things, the best protection is abstinence! If you must travel, try and do so in calm weather or light terrain. It is helpful to have a view of the horizon. Patients with motion sickness in planes do better when their seat is over a wing. Patients with motion sickness in cars do better in the front seat. These spots will have the least motion. Other behavioral strategies include avoiding reading, wearing sunglasses, closing eyes, avoiding alcohol, avoiding an empty stomach, and staying hydrated.
Medication can be quite helpful to minimize signs and symptoms. Transdermal scopalamine is the most effective route for relief. Anticholinergic side affects may occur. First generation antihistamines (promethazine) are moderately effective. Diphenhydramine and meclizine are less effective but can be used. Other medications include benzodiazepines and rizatriptan.
Other treatments that are commonly used include ginger root and the P6 acupressure point (on the anterior wrist). Data is limited and may be strictly placebo.
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