Motion Sickness

Question 1

What causes motion sickness?

Answer 1

Excessive vestibular stimulation

Question 2

Does motion sickness require a counselling room?

Answer 2

No

Question 3

Does motion sickness have a PSA self-care card?

Answer 3

No

Question 4

What is the preferred over-the-counter treatment option for motion sickness in non-pregnant adults?

Answer 4

Kwells (hyoscine hydrobromide 300 micrograms)

Question 5

What are the directions for Kwells (hyoscine hydrobromide) in motion sickness in non-pregnant adults and children over 12 years?

Answer 5

1 to 2 tablets up to four times daily 30 minutes before travel

Question 6

What are the directions for Kwells (hyoscine hydrobromide) in motion sickness in children aged 8 to 12 years?

Answer 6

1 tablet four times daily 30 minutes before travel

Question 7

What are the directions for Kwells (hyoscine hydrobromide) in motion sickness in children aged 2 to 7 years?

Answer 7

HALF a tablet up to four times daily 30 minutes before travel

Question 8

What are 2 non-preferred over-the-counter options for motion sickness in non-pregnant adults and why?

Answer 8

1. Dimenhydrate 50 mg, Hyoscine hydrobromide 200 µg, Caffeine 20 mg (TravaCalm Original): sedating
2. Ginger 500 mg (TravaCalm Natural): questionable efficacy, not recommended in children under 8

Question 9

What is the preferred over-the-counter treatment option for motion sickness in pregnant adults?

Answer 9

Ginger 500 mg (TravaCalm Natural)

Question 10

What are 2 non-preferred over-the-counter options for motion sickness in pregnant adults and why?

Answer 10

1. Kwells (hyoscine hydrobromide): concerns over safety in pregnancy as per manufacturer
2. Dimenhydrate 50 mg, Hyoscine hydrobromide 200 µg, Caffeine 20 mg (TravaCalm Original) : concerns over safety in pregnancy as per manufacturer

Question 11

What are the directions for Ginger 500 mg (TravaCalm Natural) in motion sickness in pregnant adults and children over 12 years?

Answer 11

1 to 2 tablets up to four times daily 30 minutes before travel

Question 12

What are the directions for Ginger 500 mg (TravaCalm Natural) in motion sickness in children aged 8 to 12 years?

Answer 12

Half to 1 tablet up to four times daily 30 minutes before travel

Question 13

Is Kwells (hyoscine hydrobromide) safe in pregnancy?

Answer 13

No (manufacturer says no, AMH says yes)

Question 14

Is Kwells (hyoscine hydrobromide) safe in breastfeeding?

Answer 14

Yes

Question 15

What is the age range for Kwells (hyoscine hydrobromide)?

Answer 15

Safe in children over 2 years

Question 16

Is Ginger 500 mg (TravaCalm Natural) safe in pregnancy?

Answer 16

Yes

Question 17

Is Ginger 500 mg (TravaCalm Natural) safe in breastfeeding?

Answer 17

Yes

Question 18

What is the age range for Ginger 500 mg (TravaCalm Natural)?

Answer 18

Safe in children over 8 years

Question 19

What are 10 pieces of non-pharmacological advice for motion sickness?

Answer 19

1. Position yourself in the vehicle so that you are facing in the direction of motion
2. During motion, look on an earth-fixed object for example, the horizon or land masses
3. Closing your eyes may help as it eliminates sensory confusion
4. Avoid alcohol during the trip and 24 hours before
5. Have plenty of fresh air
6. Try not to eat or drink on brief journeys. On long journeys, eat and drink sparingly
7. Avoid reading whilst actively travelling
8. Bring along vomit bags just In case
9. All products have the same directions
10. Medications are more effective if given before motion sickness develops

Question 20

What are 7 anticholinergic side effects of hyoscine hydrobromide?

Answer 20

1. Sedation
2. Dizziness
3. Blurred Vision
4. Dry Eyes
5. Tachycardia
6. Constipation
7. Urinary Retention