Travel sickness

Question 1

Referral

Answer 1

• Symptoms continue after stopping travel
• Taking other anticholinergic drugs, TCA

Question 2

Treatment: antimuscarinic

Answer 2

Under 4H journey - take upto 30 min before: hyoscine (lasts 6H)
- 10+ kwells
- 4+ kwells kids
- 3+ joy ride

Over 24H - take 5-6H or evening before: hyoscine (lasts 72H)
- Scopoderm patches 10+

CI: glaucoma + prostatic enlargement

Question 3

Treatment: antihistamines

Answer 3

4-6H journey
Cinnarizine (sturgeon) 5+
- take 2H before

Promethazine (phenergan) 2+
- take night before

Question 4

Treatment: alternatives

Answer 4

• Acupressure wristbands
• Ginger herbal supplements

Suitable for: pregnant/BF + can’t take anticholinergic meds

Question 5

Advice

Answer 5

• Keep still
• Look at stable object
• Fresh air
• Relax