In our last blog, we looked at strategies to prevent motion sickness. Fortunately, there are also various medications available which can help to prevent as well as treat symptoms. (Note: brand names listed are those that are available in the U.S.)
Over the Counter (OTC) Medications for Motion Sickness
Some OTC antihistamines are also commonly taken for motion sickness. They are more effective when used to prevent motion sickness rather than treating it. These include:
Dimenhydrinate: Sold as Dramamine® or Driminate® (Gravol® in Canada). May be used for pediatrics at the recommended doses.
Cyclizine: (Marezine®, Bonine For Kids®, Cyclivert®). Also safe for children.
Diphenhydramine: Commonly known as Benadryl®, it is available in a variety of products, including liquids for children. Probably the most sedating of the OTC antihistamines.
Meclizine: Formerly only available by prescription. Now, available over the counter as Antivert® or Bonine®. Also effective for treating vertigo. Not recommended for children.
Cinnarizine: (Stugeron®) Is an antihistamine worth mentioning, though it is not marketed in the U.S. or Canada. Several studies report cinnarizine as the most effective antihistamine with the fewest side effects. However, it has been known to cause Parkinson’s disease, especially in the elderly.
Only Available with a Prescription
Promethazine: (Phenergan®) Another type of antihistamine. Effective, but very sedating. A favorite of ship doctors, it helps you to sleep off your nausea.
Scopolamine: (Transderm-Scop®) Belongs to a different class of drugs called anticholinergics. It is most commonly prescribed as a transdermal (absorbed through the skin) patch that is applied behind the ear and only needs to be changed every 72 hours. Patches are particularly useful for long trips. Side effects and interactions with other medications may be more plentiful. Do not rub your eyes after applying a patch – it can cause dilation of one or both pupils.
All medications come with a trade-off, in terms of possible unwanted or harmful side effects. In medicine, we call it risk vs. benefit. Most of the drugs listed above can make you drowsy and reduce coordination. This is made worse when combined with alcohol. Avoid them when driving or operating machinery.
Always consult with your health care provider or travel medicine specialist, especially if you have other existing health conditions. Ensure that these medications are safe for you and won’t interact with any other medications you may already be taking.
How long do Bonine and Dramamine take to start working?
Bonine and Dramamine typically start working within 30 minutes to an hour after ingestion, providing relief from motion sickness symptoms during travel.
Can Bonine and Dramamine be used for air sickness?
Bonine and Dramamine can be used to alleviate symptoms of air sickness. Both medications are effective in preventing nausea and dizziness associated with flying, but it's advisable to consult a healthcare provider before use.
How long do the effects of Bonine and Dramamine last?
The duration of effects for Bonine and Dramamine typically lasts between 4 to 6 hours. However, individual responses may vary, so it's important to consult with a healthcare provider for personalized advice.
Which one is more effective for motion sickness?
The effectiveness of medications for motion sickness varies by individual. Common options include antihistamines like dimenhydrinate and meclizine, which are often effective for many travelers. Consulting a healthcare provider can help determine the best choice for your needs.
Can cinnarizine be used to treat motion sickness?
Cinnarizine can be used to treat motion sickness. It is an antihistamine that helps prevent and alleviate symptoms associated with motion sickness, such as nausea and dizziness. Always consult a healthcare provider before use.
What is the primary difference between Bonine and Dramamine?
The primary difference between Bonine and Dramamine is that Bonine, containing meclizine, tends to cause less drowsiness, while Dramamine, containing dimenhydrinate, may lead to more sedation. Both effectively prevent motion sickness, but their side effects vary.
What is the difference between cinnarizine and meclizine medication?
The difference between cinnarizine and meclizine medication lies in their active ingredients and specific uses; cinnarizine is often used for motion sickness and vestibular disorders, while meclizine primarily treats motion sickness and vertigo.
What factors affect onset time of medications?
The factors that affect the onset time of medications include the type of medication, the method of administration, individual metabolism, and whether the medication is taken with food. These elements can influence how quickly the medication takes effect.
Which medication is best for severe motion sickness?
The best medication for severe motion sickness typically includes prescription options like scopolamine patches or promethazine. However, it's essential to consult a healthcare provider for personalized recommendations and to discuss potential side effects.
What duration of action do these medications have?
The duration of action for motion sickness medications varies. Generally, over-the-counter options like dimenhydrinate last about 4 to 6 hours, while prescription medications may provide relief for up to 24 hours. Always consult a healthcare provider for specific recommendations.
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