Ch 76: Motion Sickness

Question 1

kinetosis

Answer 1

motion sickness, aka travel/car sickness or air/sea sickness

Question 2

non drug tx

Answer 2

Sea-band wrist band or ginger. peppermint may be helpful. best way is stop the motion.

Question 3

meclizine

Answer 3

bonine or dramamine “all day less drowsy”. warning: CNS depression. ADRs: sedation, dry mouth, dry/blurry vision. OTC. commonly used for vertigo. 25-50 mg PO

Question 4

scopaline

Answer 4

3 d patch PRN. contraindications: hypersens to belladonna alkaloids, angle closure glaucoma. ADRs: dry mouth, CNS effects (drowsy, dizzy, confusion), stinging of eyes. do not use in children. Rx only, not more effective but less freq.

Question 5

metoclopramide

Answer 5

5HT antagonists like this and ondansetron are generally not effective for motion sickness

Question 6

scopaline counseling

Answer 6

apply to clean, dry, hairless area of skin behind the ear. press firmly for 30 s at least 4 h before motion sickness activity. wash hands with soap and water after handling and do not touch eyes. avoid alcohol. remove patch before MRI.

Question 7

antihistamines for motion sickness

Answer 7

cyclizine (Marezine), benadryl, dimenhydrinate (dramamine), meclizine. all but benadryl are LA piperazine antiHAs and less sedating but still sedating. take 30-60 min before motion sickness activity. have antiACh effects