Travel Sickness Meds Flashcards

1
Q

What are 3 OTC meds for travel sickness?

A

Hyoscine
Cinnarizine
Promethazine

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2
Q

OTC brand of hyoscine?

A

Kwells

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3
Q

OTC brand of cinnarizine?

A

Stugeron

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4
Q

OTC brand of promethazine?

A

Avomine

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5
Q

When should hyoscine be taken before a journey and how long will it last?

A

30mins before

6-8 hours

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6
Q

When should cinnarizine be taken before a journey and how long will it last?

A

2 hours before

8 hours

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7
Q

Which is more sedating - hyoscine or cinnarizine?

A

hyoscine

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8
Q

What is the dose of hyoscine for children + adults?

A

150mcg children aged 4 and older.

300 mcg for adults + children 10 and older.

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9
Q

Can you repeat the dose of hyoscine?

A

Yes can repeat after 6 hours - max 3 doses/24h.

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10
Q

What age are hyoscine patches suitable for?

A

10 and over.

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11
Q

When should hyoscine patches be applied?

A

5-6 hours before travel.

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12
Q

How long can you keep a hyoscine patch on for?

A

72 hours - 3 days

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13
Q

Where are hyoscine patches applied?

A

Behind ear

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14
Q

S/E of hyoscine?

A

blurred vision
constipation
dry mouth

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15
Q

Which 2 groups of patients should not use hyoscine for travel sickness?

A

Men who have prostate or urinary retention problems.

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16
Q

List some meds which interact with hyoscine OTC?

A
inhaled antimuscarinics
antihistamines
amantadine
antiarrhythmics 
TCA's - amitriptyline
17
Q

When should you take cinnarizine in relation to food?

A

after food - may cause upset stomach otherwise.

18
Q

What is the dose of cinnarizine for children and what age group is suitable?

A

5-11 y = 15mg (1 tab) 2 hours before travel then 1/2 tab every 8 hours during the journey if required.

12 or older = 30mg (2 tabs) 2 hors befre travel then 1 tab every 8h PRN.

19
Q

S/E of cinnarizine?

A

sedation
nausea
indigestion

20
Q

What 3 things should you ask the patient if they are taking any medication which causes …?

A
  • makes them drowsy
  • gives a dry mouth
  • makes it difficult to pee.
21
Q

Can you drink alcohol while taking travel sickness meds?

A

Not recommended - sedating effects will be worsened.

22
Q

When should you take promethazine in relation to your journey?

A

night before long journey or 1-2 hours before short journey.

23
Q

S/E promethazine?

A
sedation 
headache
dizziness 
restlessness 
confusion
24
Q

What are some conditions which rule out use of promethazine?

A
  • glaucoma
  • urinary retention/BPH
  • epilepsy
25
Q

What are 2 unusual considerations with promethazine?

A
  • liquid formulations contain alcohol - of note for some people (eg disulfiram).
  • can affect the result of home pregnancy tests.
26
Q

Dose of promethazine for each age group?

A

5-10y - half tab nocte

10 and over - 1 tab nocte.