This agent prevents motion sickness via its anticholinergic effects. Scopolamine is one of the most commonly prescribed medications for the treatment or prevention of motion sickness. Both pharmacologic and nonpharmacologic agents are available. 3,4 Numerous treatment and prevention options for motion sickness exist, as described in TABLE 1. Additionally, motion sickness may be caused by certain medications, including but not limited to macrolides, metronidazole, morphine, digoxin, and some selective serotonin reuptake inhibitors. Patients with a history of migraines may be more likely to experience motion sickness. Women are more likely than men to experience motion sickness, especially during pregnancy or menstruation or in those taking hormone therapy. Children aged 2 to 12 years are more susceptible to the condition than those aged <2 years. Susceptibility to motion sickness varies among individuals. It can begin suddenly, with signs and symptoms including dizziness, nausea, and vomiting. 1 Motion sickness can manifest during air travel and in cars or trains, but it occurs most frequently during boat travel (seasickness). Motion sickness occurs when the motion perceived visually does not match that sensed by the brain. The brain normally receives signals from the inner ears, eyes, muscles, and joints. Motion sickness is a common occurrence for many people during travel. All agents can cause unwanted side effects and have precautions for specific patient populations. Although there are several OTC options for motion sickness, it is important for pharmacists to consider individual patient characteristics before making a recommendation. Several effective pharmacologic treatments are available, including both prescription and OTC medications. Some people are more susceptible to motion sickness than others. If you’re ready to explore Royal Caribbean’s many destinations (more than 260 ports around the world), click here to set sail on your next vacation.ABSTRACT: Motion sickness is a common malady in the general population however, the exact mechanism through which it occurs is not completely known. Shore’s advice and Royal Caribbean’s staff of medical professionals, it’s only smooth sailing for our guests! Shore suggests is “the smelling of newspaper print!” He says, “science has no idea why this works so well, but it actually seems to diminish the sensation of nausea.” “Anecdotally, ginger seems to be helpful, and some people find various aromas (like anise, basil, chamomile and peppermint) or eating dry crackers, even after the onset, of seasickness can help.” If a few sips of ginger ale or chewing fresh ginger doesn’t do the trick, he also suggests going for a short walk to the center of the ship, the most balanced area on board and therefore least likely to produce seasickness symptoms.Īn unexpected solution Dr. Shore notes that there are also lots of natural remedies that can help alleviate motion sickness. “For prescription patches like Transderm Scop, it’s important for it to be applied prior to boarding to be effective,” he adds.ĭr. If your personal physician thinks it’s appropriate, he or she can prescribe a patch that you can wear to prevent the onset of seasickness. “It’s best that guests who know they are prone to seasickness consult their doctor prior to departure,” Dr. Sometimes the best treatment is prevention. “Additionally, for more troublesome seasickness, our Medical Centers also carry promethazine and metoclopramide,” Dr. Shore assures that it’s unlikely to really interrupt your adventure, since all Royal Caribbean ships have motion sickness medications, like meclizine, readily available at the dedicated Medical Center on each of our ships, free of charge. In the event that seasickness does develop, Dr. Those mixed signals confuse the brain, and the sensations and symptoms (dizziness, nausea) are the result. In other words, if you’re sitting in a car (not moving) but your inner ear detects movement (the car just hit 70 mph on the highway), the two signals being sent to your brain don’t match. He adds that with innovative design and engineering, ships can also safely navigate around inclement weather, and use stabilizers-fins built off a ship’s port and starboard sides along the water line-to reduce side-to-side motion so most guests never experience any motion sickness.īefore we get to the specifics, here are the basics: Motion sickness occurs when what you see conflicts with what your inner ear senses. “Considering the large size of today’s cruise ships, seasickness is rarely a problem,” says Dr. Benjamin Shore, Chief Medical Consultant at Royal Caribbean, to break down the basics and whether it’s actually common for guests to experience seasickness while vacationing at sea. One of the most common questions first-time cruisers have is “What if I get seasick?” We understand where the concern comes from, and we have answers.
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